3-Year-Old Boy With Vision Loss Due To Brain Tumor Successfully Undergoes Complex Surgery

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A team led by Dr. Vinod Rambal, Neurosurgeon, Wockhardt Hospitals Mira Road managed to save the life of a 3-year-old boy by removing a brain tumor from a critical location. The child recovered within a week and is as playful as before, although some medication and monitoring is needed, the child needs to grow. He performs a normal routine after being discharged from hospital.

The patient and his parents are residents of Nala Sopara, which was normal and player earlier. However, later the parents noticed that the child complained of persistent headaches and had given up physical activity. He was unduly sleepy and lethargic compared to his usual self; his vision was also blurry.

He needed his parents’ help even to walk, stand, go to the toilet or eat. The parents were alarmed as the mischievous child was now miserable. After getting medical help and investigation revealed a large suprasellar sellar tumor in the center of the brain. On each side were the main blood channels and the nerves responsible for sight. After a while, such a difficult problem took time to sink into their parents’ minds and approached Wockhardt Hospitals, Mira Road, where he successfully underwent tumor removal.

Dr Vinod Rambal, Neurosurgeon, Wockhardt Hospital, Mira Road, said: ‘As the family were aware of the child’s condition, they were initially treated at OPD and then admitted. MRI revealed a centrally calcified brain tumor, round inhomogeneous with dimensions of approximately 3x4x5 cm. The whole area is vital for life and especially for growing children. Critical neural structures like the nerves in both eyes, optic nerves, major blood channels and a part called the hypothalamus. This mass arises from the part of the brain due to developmental errors in the mother’s womb from different areas, and is located below and above the nerves to the eyes. This tumor affects the function of the pituitary “king of the glands” and the hypothalamus. These two parts of the brain control the growth and functioning of the thyroid and adrenal gland. The hypothalamus controls all functions by controlling and producing releasing hormones necessary to maintain all bodily functions and growth. It comprises less than 0.2% per million people. These tumors appear in children or another group of adult people.

Rambal added: “A multidisciplinary approach was undertaken to successfully treat the patient. The team of doctors included a pediatric neurologist, a pediatrician and an endocrinologist. He underwent surgery, a craniotomy and gross total removal of the tumor. After putting the child to sleep, the skull was opened on the right side just above the eye and after careful entry into the base of the brain tumor was visualized. The tumor was soft and of variable consistency and was broken into small pieces and removed piecemeal from the normal parts. Under the microscope, using a microsurgical technique, it took about 4 hours to remove the tumor. All this time, we were working in the critical part of the brain of someone who almost had his life in the hands of the surgeon. The margin of error is zero and implies the greatest precision. He woke up immediately after surgery and was monitored in intensive care for about a week. All vital functions were intact and were passing slightly more urine than desired and were controlled by medication. On the 10th postoperative day, he returned home on foot.

The child is now happy and is following the pediatrician and endocrinologist for future care. “We were in immense pain to see our child suffer in silence. We are happy to see our son leading a normal life,” concluded the patient’s father.

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