Pune, June 17, 2024: Recently, a 38-year-old female came to Manipal Hospital Baner with a complaint of with severe neck pain. The pain significantly impacted her daily life, and she also experienced disturbances in walking and limitations in daily activities. After the diagnosis, an MRI scan revealed a 7cm x 3cm ependymoma, a benign tumor located within the delicate spinal cord. Due to the tumor’s size and location, complete removal of tumor was important to prevent future complications. However, the surgery posed a significant risk of postoperative neural deficits, potentially affecting limb function quadriplegia or even respiratory control.
Knowing the criticality of the case, the surgical team at Manipal Hospital Baner used state-of-the-art technologies i.e., D Wave technology, and CUSA (Cavitron Ultrasonic Surgical Aspirator) to increase the probability of success. The tumor was situated within the delicate spinal cord, delicately entangled with important nerve fibers that regulates both limbs and breathing. Removing the benign tumor completely was important to prevent future issues like recurrence. However, this carried a high risk of postoperative neural deficits, potentially leading to weakness in limbs or even respiratory paralysis.
Speaking about the case, Dr. Amit Dhakoji, Head of the Department and Consultant Neurosurgeon, Manipal Hospital, Baner said, “This case highlights the tremendous progress in spinal surgery that has allowed us to treat such challenging cancers. Using a D wave electrode for intraoperative monitoring was part of this surgery as it helped us receive real-time feedback on patient’s motor performance. We could modify the technique and reduce the possibility of injuring important nerve fibers by keeping an eye on nerve activity. Also, High-powered microscopes allowed for a clear, magnified image of the tumor and its surroundings. This made it possible to remove the tumor in a more targeted and controlled manner.”
The entire team including Dr. Amit Dhakoji (neurosurgeon), Dr. Shrey Kumar Shah (neurosurgeon), anesthetist, and technologist contributed to this operation.
Commenting on the case Mr. Anand Mote, Cluster Director, Manipal Hospital, Baner, said “The tumor was successfully removed, and there were no postoperative complications. This is a testament to our commitment to using cutting-edge technologies and innovative surgical methods. By minimizing risks with D-Wave technology and intraoperative monitoring, we ensured the best possible outcome for the patient. This case exemplifies the dedication and expertise of our medical team, and we are proud to have facilitated the patient’s complete recovery and restoration of full motor function.”
With no post-operative impairments and complete motor functioning in all limbs, the patient completed a full recovery. During surgery, intraoperative monitoring was important in reducing brain injury, and careful surgical methods and teamwork ensured the greatest outcome for the patient.
