Dr. Manish Kumar a highly experienced neurosurgeon at the affordable super specialty hospital performed a successful awake craniotomy for a patient with seizure disorder.
Gurugram, Haryana: The affordable super specialty hospital at Park Hospital Gurgaon, announces to have successfully performed an awake craniotomy for a 42 year old industrial worker.
A 42-year-old gentleman who is an industrial worker was suffering from repeated seizures since 2014. A series of radiological investigations revealed an increasing left frontal space occupying lesion since 2014; features suggestive of Glioma The lesion was very close to the area of speech (as it was involving the dominant side – the working side for a right-handed person) and right side limbs. In case, a complete excision with good clearance of the tumor had been attempted as there was risk of loss of speech and weakening of right side limbs due to the position of the tumour. To prevent this loss of speech and weakening of right side limbs of the patient, Dr. Manish Kumar, MBBS, DNB (Neurosurgery) carried out the Awake Craniotomy with his team of doctors and technicians.
Dr. Manish Kumar explains that, “Awake craniotomy is a method of performing brain surgery where in the patient is given local anesthesia and intravenous anesthesia to keep him calm and pain free. It’s different from the usual anesthesia where mainly different gasses are used as a sedative and a deep anesthesia is achieved.” He further added, “In such critical cases, it is very important that the patient and relatives understand the pros and cons of the surgery and co-operate accordingly.”
The risk of loss of speech and right-side limb weakness with the immediate need for the surgical excision was explained by the team to the patient and his relatives and a possible safer option of awake craniotomy was discussed.
Craniotomy lasted for around three hours and was successful with patient co-operation. The tumour was removed satisfactorily; however the surgery had to be stopped for a while as patient’s verbal response had developed slowness. The limb response was unchanged. The patient’s speech was saved through the awake craniotomy technique of surgery. Post surgery, the patient has regained his speech and limb power back to normal.
Dr. Manish Kumar who has earlier also conducted epilepsy surgery, Cervico-Thoracic Junction Fixation and odontoid fixation with other technically demanding surgeries at the Park Hospital Gurugram, mentioned that this surgery was possible only because of the good team of doctors and technicians as well as the advanced technology available at the hospital premises. This patient and relatives were very understanding and they appreciated the idea of protecting the patient by doing painless but awake surgery.