20-JUN-2019: Malignant brain tumour removed while patient was awake
Aligarh, June 20: "What colour is the grass, what colour is the sky, who is the film actor in the photograph? rankled by these repetitive questions of neuro anaesthetists, 54-year-old, Kasganj resident, Rajpal replied, "I have already answered".
Rajpal's irritability was a good sign; it meant, he was alert and communicating normally, though he was lying in an operating room at Jawaharlal Nehru Medical College and Hospital (JNMCH), Aligarh Muslim University with a flap of his skull cut open.
Surgeons from department of neurosurgery performed the Awake Craniotomy (Brain surgery done while the patient is awake) on Rajpal to remove a rare malignant tumour dangerously close to a region in the brain that controls speech and the ability to comprehend language.
"The procedure was performed after the patient was kept awake under sedation with his scalp numbed as the tumor was in the area of the brain where seizures occur," said Prof M Fakhrul Hoda (Chairman, department of neurosurgery).
He added that during the procedure, the doctors kept asking Rajpal questions to monitor the activity of his brain.
"The awake-surgery procedure lowers the risk of damage to functional areas of the brain that could affect vision, movement or speech," pointed Dr Raman Mohan Sharma (department of neurosurgery).
He further said that in Rajpal's case, the tumour was at the left side, critically close to the part of brain controlling speech.
Dr Raman Mohan Sharma, who performed the procedure with his colleague Dr Tabish Khan (department of neurosurgery) said, the surgery was successful and after the closure of the skull, the patient was able to listen and speak normally.
Dr Sharma and Dr Khan informed that Rajpal will be discharged in a couple of days.
The neuro anaesthetists for the surgery, Prof Shahla Haleem, Dr Obaid A Siddiquie and Dr Hassan said that the throughout the procedure, they ensured that the patient was not feeling pain. They monitored vital signs during the surgery and kept talking to the patient for calming him.
Dr Parvez, Dr Urooj and Dr Prachi were also in the team of surgeons.
Prof Satish Chandra (Dean, Faculty of Medicine) congratulated the doctors for performing the successful surgery.
Rajpal reached JNMCH after suffering headache and seizures for the past four months. With the risks involved in the procedure, surgeons in many hospitals refused to perform the surgery.
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