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Graphic Era Hospital achieves another milestone with successful treatment of two complex cases without opening the brain

Graphic Era Hospital achieves another milestone with successful treatment of two complex cases without opening the brain

Dehradun, Aug 23

Graphic Era Hospital has achieved a remarkable milestone by successfully treating two complex cases of the rare hormonal disorder Cushing’s Disease in Dehradun. The hospital’s experts used advanced technology and surgical skills to give the patients a new lease on life, marking this significant achievement.

In the first case, a 27-year-old woman was brought to the Endocrinology Department at Graphic Era Hospital after long-term weight gain, facial puffiness, irregular menstrual cycles, high blood pressure, and kidney stones. Tests and lab reports confirmed that the patient was suffering from ACTH-dependent Cushing’s Syndrome – Pituitary Microadenoma. A 3-Tesla Dynamic Pituitary MRI revealed a 6 mm tumor, while other organs were normal.

The specialists performed surgery using endoscopic trans-nasal neuro-navigation technology, completing it successfully without opening the brain. After the operation, the patient experienced significant weight loss, normalized blood pressure, regular menstrual cycles, and all hormone levels returned to normal.

In the second case, a 24-year-old woman  with extremely high blood pressure (200/100), headache, weight gain, and irregular menstrual cycles. MRI revealed a 7–9 mm tumor in an unusual location in the pituitary gland, which was also affecting the pituitary fossa bone. Despite multiple medications, her blood pressure remained uncontrolled, and CT scans showed an impact on her heart.

The multi-specialty team performed surgery using endoscopic trans-nasal neuro-navigation technology, again without opening the brain. After surgery, her blood pressure normalized and her menstrual cycles became regular.

In both cases, pituitary microadenomas were diagnosed. The surgeries were done through the nasal route using microscopes and endoscopes, with neuro-navigation helping to accurately locate the tumors while protecting the pituitary gland.

The multi-specialty team included Head of Neurosciences and HOD Neurosurgery Dr. Partha P. Bishnu, Senior Consultant Neurosurgery Dr. Ankur Kapoor, Senior Neurosurgeon and Neuro intervention Specialist Dr. Payoz Pandey, Senior Consultant ENT Dr. Parvendra Singh, Director Endocrinology, Obesity and Diabetes Dr. Sunil Kumar Mishra, and the Neuro-Anesthesia Team.

With the latest technology and expert doctors at Graphic Era Institute of Medical Sciences, new milestones continue to be achieved. Previously, the hospital’s expert doctors had successfully implanted pacemakers in the brain, placed a third pacemaker in complex pediatric cases, replaced two heart valves without open-heart surgery, unblocked the esophagus without surgery, and  performed open-heart surgery through a small 2.5-inch facial incision without cutting bones. Director of Graphic Era Hospital, Dr. Puneet Tyagi, Medical Superintendent, Dr. Gurdeep Singh Jheetay, Dean Dr. S.L Jethani and COO Atul Bahl at a press conference gave details of the achievements.

 

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