SALEM DR. THIRU NEURO & MULTI SPECIALITY HOSPITAL PVT LTD

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Presentation transcript:

SALEM DR. THIRU NEURO & MULTI SPECIALITY HOSPITAL PVT LTD

MRS. SEBASTINA SHANTHI, 42/FEMALE COMPLAINTS Recurrent Headache more on left side for past 6 months Vomiting and right focal seizure for past 1 month Sub acute weakness of right sided limbs for 3 days CLINICALLY Conscious, oriented, Fundus Normal Right hemiparesis (3+/5) Right sided hemisensory loss DTR exaggerated on right side Plantar extensor on right side SALEM DR. THIRU NEURO & MULTI SPECIALITY HOSPITAL PVT LTD

MASS ATTACHED SUPERIOR PRE OPERATIVE PICTURES MASS ATTACHED SUPERIOR SAGITTAL SINUS WALL SALEM DR. THIRU NEURO & MULTI SPECIALITY HOSPITAL PVT LTD

LEFT PARA SAGITTAL MENINGIOMA CRANIOTOMY & TUMOR EXCISION REASON Treatment Planned LEFT PARA SAGITTAL MENINGIOMA CRANIOTOMY & TUMOR EXCISION REASON Patient developed seizure & Focal deficit recently DETAIL OF SURGERY LEFT FRONTO PARIETAL CRANIOTOMY DONE, tumour was found to be very much ADHERENT WITH SUPERIOR SAGITTAL SINUS. Under MAGNIFICATION it was removed meticulously from sinus wall and from paracentral lobule in piece meal pattern. Tumour adherent with dura was cauterised. SIMPSON GRADE 1 EXCISION DONE. SALEM DR. THIRU NEURO & MULTI SPECIALITY HOSPITAL PVT LTD

MRS. SEBASTINA SHANTHI SALEM DR. THIRU NEURO & MULTI SPECIALITY HOSPITAL PVT LTD

UNIQUENESS Moderately VASCULAR meningioma which is ADHERENT with Falx and Sagittal sinus. OUTCOME FROM SURGERY Neurologically improved & attained full power of (5/5) & seizure free also till date. CHALANGES FACED Tumor was gently excised from SAGITTAL SINUS wall under Magnification (Surgical Loop) SALEM DR. THIRU NEURO & MULTI SPECIALITY HOSPITAL PVT LTD

FINANCIAL This procedure is “Time Consuming” and “Costlier” on Par with Scheme approved amount. The expenses for this COMPLEX SURGERY will be MORE THAN One LAKH, if it is done in corporate hospital. But with the help of CMCHIS, “CASHLESS SERVICE” has been provided to this VILLAGE LADY with a good clinical outcome. LEARNING Tumors involving vascular structure like SAGITTAL SINUS, it needs meticulous handling & Magnification. SALEM DR. THIRU NEURO & MULTI SPECIALITY HOSPITAL PVT LTD

DR. K. THIRUVARUTCHELVAN, MD, DM (NEURO) Presented By DR. K. THIRUVARUTCHELVAN, MD, DM (NEURO) SALEM DR. THIRU NEURO & MULTI SPECIALITY HOSPITAL PVT LTD