Successful Removal of Delicate Spinal Cord Tumor: A Medical Breakthrough at Manipal Hospital Baner
On the 15th of June 2024, a 38-year-old female sought treatment at Manipal Hospital Baner for severe neck pain that had profoundly impacted her daily life, causing disruptions in walking and limitations in daily activities. An MRI scan revealed a 7cm x 3cm ependymoma, a benign tumor intricately located within the spinal cord. The delicate nature of the tumor’s position necessitated its complete removal to prevent impending complications. However, this surgical intervention posed a significant risk of postoperative neural deficits, potentially affecting limb functions such as quadriplegia or even respiratory control.
State-of-the-Art Technologies Enhance Surgical Success
The surgical team at Manipal Hospital Baner recognized the criticality of the case and leveraged cutting-edge technologies like D Wave technology and CUSA (Cavitron Ultrasonic Surgical Aspirator) to enhance the probability of a successful outcome. The ependymoma was intricately entangled within the delicate spinal cord, intertwined with vital nerve fibers regulating both limb movements and breathing. Complete removal of the benign tumor was imperative to prevent future recurrences but carried a high risk of postoperative neural deficits, potentially leading to weakness in limbs or respiratory complications.
Dr. Amit Dhakoji, Head of the Department and Consultant Neurosurgeon at Manipal Hospital, Baner, highlighted the remarkable progress in spinal surgery that enabled the successful treatment of such challenging cases. The utilization of a D wave electrode for intraoperative monitoring provided real-time feedback on the patient’s motor performance, enabling precise adjustments to avoid injury to crucial nerve fibers. Additionally, high-powered microscopes offered a clear, magnified view of the tumor and its surroundings, facilitating targeted and controlled tumor removal.
The collaborative efforts of the entire medical team, comprising Dr. Amit Dhakoji, Dr. Shrey Kumar Shah, an anesthetist, and a technologist, were instrumental in the success of this intricate operation.
Postoperative Recovery and Patient Outcome
Mr. Anand Mote, Cluster Director at Manipal Hospital Baner, expressed satisfaction with the surgery’s outcome, emphasizing the seamless removal of the tumor without any postoperative complications. The use of state-of-the-art technologies such as D Wave technology and intraoperative monitoring minimized risks and ensured the best possible outcome for the patient, reflecting the hospital’s commitment to innovative surgical approaches.
The patient achieved full recovery with no post-operative impairments and regained complete motor functioning in all limbs. The meticulous intraoperative monitoring during surgery played a pivotal role in reducing the risk of brain injury, underscored by the meticulous surgical techniques and effective teamwork that culminated in the patient’s successful outcome.
Manipal Hospital Baner’s successful management of this delicate spinal cord tumor case showcases the dedication and expertise of its medical team, epitomizing the hospital’s commitment to delivering exceptional healthcare.