INTRODUCTION

Brain tumors in certain locations can be removed with very small incisions and openings, maximising recovery and minimising discomfort. In this case study you will read about how surgeons at Sita Bhateja Speciality Hospital removed a benign tumor pressing on the optic nerves (responsible for vision) through a small opening just above the eyebrow.

HISTORY

Mr S, a 38 year old gentleman, presented to us with reduced vision in both eyes in June 2013. A visual examination suggested compression on the optic nerves. He then underwent an MRI scan of the brain which showed a tumour compressing the optic nerves. Fortunately for him it appeared that the tumor was benign and could be cured with surgery.

Pre Operative MRI

Pre Operative MRI

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CASE PRESENTATION

The patient underwent all routine pre-operative evaluation and evaluation of his hormonal status since the tumour was not only compressing his optic nerves but was in the region of the pituitary gland (which is responsible for controlling hormonal function throughout the body).

He subsequently underwent a minimally invasive surgery through the left eyebrow. A small opening was made in the skull bone just above the eye and the tumour was completely removed through it using microsurgical techniques.

Post Operative MRI

Pre Operative MRI

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OUTCOME

The patient made a quick and painless recovery except for some transient eyelid swelling. There were virtually no scars visible since the surgical incision was covered under the eyebrow. He was up and about within 6 hours of undergoing surgery and went home in 48 hours. Histopathology revealed an ‘admantinomatous craniopharyngioma’ – a benign tumour.

The patient returned a year later for a review during which time a repeat MRI showed complete removal of the tumour. His vision also returned to normal within a short time and he was able to resume his work.

Clinical photograph 6 months after surgery demonstrating no visible scarring

Clinical photograph 6 months after surgery demonstrating no visible scarring

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Minimally invasive surgeries also called keyhole surgery, laparoscopic surgery (when performed in the abdomen) or bandaid surgery are modern surgical techniques in which operations are performed through small incisions in the body. This type of surgery has many advantages which includes quicker recovery time, decreased scarring, increased safety and reduced hospital stay.

Interested to know which all surgeries can be performed via the minimally invasive method? To know more about the advantages, recovery time and cost of a key hole surgery – please get in touch with Sita Bhateja Hospital- https://www.sbshospital.com/get-in-touch/