6 months ago
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The neurosurgeons astatine Velammal Specialty Hospital present person performed a highly analyzable endoscopic skull-base country connected a pistillate patient.
Speaking to media persons connected Thursday, the doctors astatine the infirmary said they had to region a elephantine calcified encephalon tumour (meningioma), measuring 5.2 cm, located heavy successful the cardinal portion of the brain. The process was performed done the chemoreceptor without opening the skull — a singular feat achieved lone successful a fewer centres worldwide.
The patient, a 50-year-old pistillate schoolteacher, arrived with terrible headaches and vomiting for 2 months. MRI scans revealed a ample calcified tumour situated adjacent to captious encephalon structures, including optic nerves, cerebral vessels and hypothalamus. Traditional country utilizing craniotomy posed important risks.
Bagath Singh Karuppanan, elder neurosurgeon, noted that though his squad had performed galore endoscopic skull-base surgeries, this lawsuit stood retired due to the fact that of the tumour’s size, calcification, and proximity to captious humor vessels.
Using CT-PNS and MRI angiography–based navigation, the squad accessed the tumour done a constrictive endonasal corridor. High-definition endoscopes, skull-base micro-instruments and laryngeal coblators were utilized to region the calcified wide with minimal retraction of encephalon tissue.
The dura and parts of the hypertrophied bony were cautiously drilled and removed. After afloat excision, a vascularised nasoseptal flap was utilized to adjacent the skull-base defect, preventing cerebrospinal fluid leakage.
The country lasted 7 hours with a humor nonaccomplishment of conscionable 250 ml. The diligent recovered good and was discharged without complications. Follow-up CT and MRI scans aft 4 weeks confirmed implicit tumour removal with nary residual calcification. At 2 years of follow-up, the diligent remained symptom-free with nary recurrence.
He said this lawsuit had been presented astatine aggregate nationalist neurosurgical and skull-base conferences and was recognised arsenic a important milestone successful the tract of precocious endoscopic neurosurgery.
To beforehand specified precocious techniques, Velammal Specialty Hospital organised a Neuroendoscopic Cadaveric Dissection Workshop astatine Velammal Medical College precocious arsenic portion of “Velammal AnatoCon 25”.
Around 15 elder skull-base neurosurgeons trained 25 young neurosurgeons, emphasising the value of anatomical mastery for harmless endoscopic skull-base tumour removal.
It was a aesculapian breakthrough successful Madurai and a arrogant infinitesimal for Indian neuro-endoscopy, Velammal Group president M.V. Muthuramalingam said, and appreciated the surgeons for the commendable work.
