Udaipur, Mar 02: Paras Health Udaipur has successfully performed a neuronavigation-guided keyhole surgery to treat a 36-year-old woman diagnosed with multiple brain metastases secondary to lung carcinoma, a condition in which cancer spreads from the lungs to the brain. The complex minimally invasive procedure was led by Dr. Ajit Singh, Senior Neurosurgeon at Paras Health Udaipur, using advanced high-precision neuronavigation technology, and the patient is recovering well following the surgery.
The woman, who was undergoing chemotherapy for lung carcinoma and was clinically stable, began experiencing persistent headaches, recurrent vomiting, and progressive drowsiness. MRI brain and PET scan evaluation revealed multiple brain metastases involving different regions of the brain, a condition often associated with significant surgical risk and guarded prognosis.
Multiple brain metastases traditionally require multiple large craniotomies across separate brain quadrants or are managed conservatively due to the high risk of complications, prolonged hospitalization, and potential postoperative neurological deficits. In this case, the surgical team opted for a minimally invasive, neuronavigation-guided approach. Using high-precision neuronavigation systems and meticulous preoperative mapping, surgeons were able to localize and access the larger metastatic lesions through strategically planned small craniotomies, minimizing trauma to surrounding healthy brain tissue.
Explaining the procedure, Dr. Ajit Singh said,
“With advancements in neuronavigation and microsurgical techniques, even complex cases of multiple brain metastases can now be treated with remarkable precision and safety. Careful planning, technology integration, and a multidisciplinary approach have transformed conditions once considered terminal into manageable diseases, offering patients meaningful treatment options and improved quality of life.”
The surgery was completed with minimal blood loss and without intraoperative complications. Additionally, a chemotherapy reservoir was placed within the surgical cavity to facilitate targeted intrathecal therapy if required in the future. The patient showed significant neurological improvement in the postoperative period and has been advised whole-brain radiotherapy as part of her definitive oncological management.
“Management of multiple brain metastases requires careful case selection and close coordination between neurosurgery, oncology, and radiology teams. In selected patients who are systemically stable, aggressive yet minimally invasive surgical intervention can significantly improve neurological symptoms and allow continuation of systemic cancer therapy,” Dr. Singh added.
The case underscores the evolving role of advanced neuronavigation-assisted neurosurgery in managing complex metastatic brain disease and highlights the importance of integrated, multidisciplinary cancer care in improving clinical outcomes.