Case Study : Brain Tumor Surgery

By Dr. Gurneet Sawhney, Neurosurgeon in Mumbai
Consultant Neuro & Spine Surgery, Fortis Hospital

I. Introduction :


The purpose of this case study is to highlight key clinical findings in a patient diagnosed with brain tumor present at the occipital region. However, upon further investigation, it seemed to be a noncancerous tumor. Dr. Sawhney is highly trained in performing complex brain surgeries and has successfully performed a variety of tumor resections and craniotomies for more than fourteen years. Dr. Gurneet Sawhney, regarded as one of the best neurosurgeon in Mumbai for performing Microneurosurgery, Neuroendoscopy, and Minimally Invasive Spine Surgeries.




II. Abstract :


The current case study describes a patient with a very large brain tumour, of the size of a large apple present at the occipital region arising from torcula. Upon further investigation post surgery it was ruled out to be be cancerous. Often an MRI scan can reveal the tumor type, but in many cases, a biopsy is required. Even if a brain tumor is benign and growing slowly, eventually the brain won’t be able to tolerate that, and symptoms will develop, which can be life-threatening.




III. Diagnosis :


A large tumour of the size of a large apple present at the occipital region arising from torcula.




IV. Physical Examination and Tests :


Brain MRI, Postoperative CT scan




V. Symptoms :


Persistant headache and visual disturbance.




VI. Treatment and Prognosis :


The treatment of a non-cancerous or benign tumour is only surgery. The patient gets cured after a successful surgery.




VII. Case Presentation :


May 2020

A 65 year old lady came to me in OPD of persistant headache and visual disturbance. She had an MRI of the brain done which showed a very large brain tumour. size of a large apple present at the occipital region arising from torcula (which is the largest vessel in the brain to which all the other vessels attach. Damage to this part of the brain cause death.
The tumour looked to be a non-cancerous or benign tumour. The treatment of such a tumour is only surgery. The patient gets cured after a successful surgery.
So after explaining the procedure and taking a detailed consent, the patient was electively taken for surgery. The surgery went on for 12 hours where Dr Gurneet Sawhney was able to remove the whole tumour. She was then taken to ICU Patient recovered very fast and was shifted to ward on the next day and was discharged from hospital on the 3rd day after surgery.
Postoperative CT scan showed complete tumour removal. Presently the patient is very happy with her recovery and is back to her daily routine.




VIII. Post Operative Assessment :


Postoperation, patient found improvement. Patient was discharged from hospital on the 3rd day after surgery and was very happy with the recovery.