1. SALEM DR. THIRU NEURO & MULTI SPECIALITY HOSPITAL PVT LTD

2. 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

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

4. 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

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

6. 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

7. 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

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