Rare brain surgery at Apollo Hospitals

Rare brain surgery at Apollo Hospitals, OMR saves a 54 year old man

CA team of surgeons at Apollo Speciality Hospital OMR, a part of Apollo Hospitals Group - Asia’s largest most trusted multi-specialty chain of hospitals performed a first of its kind, rare surgery on a 54 year old man whowas suffering froma condition where a part of his brain was oozing out through a hole in the ear.

Mr. Loganathan, 54 year old, an auditor in a private company in Erode, was suffering from severe periodical headaches and right ear pain/block for the past one year. Though the patient visited several hospitals in an around Tamil Nadu, the reason for his head or ear ache could not be diagnosed. One of the hospitals even performed a tympanomastoidectomy for Right Chronic Otitis media considering this as an ear infection. Few months later, the patient started developing further complications including a clear watery discharge from his right ear and persistent headache. Patient later consulted couple of other hospitals before presenting himself to Apollo Hospitals OMR, Chennai.

On investigating the patient Dr. Krishnakumar, HOD, ENT, ApolloSpeciality Hospitals OMR, identified a pink, pulsatile, soft, insensitive mass, which did not bleed on touch filling the external auditory canal. A CT scan and a Brain MRI revealed a huge defect(hole) in the upper wall of the inner ear (right side) through which a small portion of the brain’s temporal lobe was prolapsing out.

On observing this condition Dr. Krishnakumar K, HOD, ENT, Apollo Speciality Hospitals, OMR and Dr. Joy Varghese, Senior Consultant, Neuro Surgeon &Interventionalist, Apollo Speciality Hospitals, OMR performed a procedure to close the defect (hole) in the ear’s acoustic canal containing the brain tissue that was exposed. Dr. Joy Varghese,Neurosurgeon opened/removeda small piece of the skull and peeled out the inner softer portion of the skull (the hard part was replaced from where it was removed from) and used it to seal the  hole (10mmx6mm) in the ear after removing the prolapsed part of the brain.ENT surgeon Dr.Krishna Kumar meticulously removed the prolapsed brain tissue and sealed the defect from below. Efforts of both the expert surgeons saved the 54 year old man from a life-threatening problem. 

 Dr. Krishnakumar HOD, ENT, Apollo Speciality Hospitals, OMR explained, “It was an eight hour complicated surgery that saved the patient. Such occurrence is incredibly rare in adults, but the tough membrane around that part of the brain can occasionally rupture under pressure. The cause of this hole in his ear might have been a result of an accident that the patient met with 10 years ago or even a prolonged ear infection.If left untreated the patient might have had sequence of seizures and eventually collapsed.”

Speaking About the procedure, Dr Joy Varghese and team at Apollo Speciality Hospitals, OMR, said. “In this case the protrusion was a part of the temporal lobe, that is responsible for memory and emotions, removal of this would not affect the patient because it was such a small area and it was scarred.Timely treatment Post-operative period was uneventful, with a very smooth recovery from anesthesia and complication free postoperative stay. Patient is recovered well and was discharged, a week after surgery.”

ABOUT APOLLO HOSPITALS

It was in 1983, that Dr. Prathap C Reddy made a pioneering endeavor by launching India’s first corporate hospital - Apollo Hospitals in Chennai. Over the years Apollo Hospitals has established itself as home to the largest cardiac practice in India with over 160,000 cardiac surgeries. Apollo Hospitals is also the world’s largest private cancer care provider and runs the world’s leading solid organ transplant program.

As Asia’s largest and most trusted healthcare group, its presence includes 9,215 beds across 64 Hospitals, 2,500 Pharmacies, over 90 Primary Care and Diagnostic Clinics, 110  plus Tele medicine Centres and 80 plus Apollo Munich Insurance branches spanning   the length and breadth of the Country.  As an integrated healthcare service provider with Health Insurance services, Global Projects Consultancy capability, over 15 medical education centres and a Research Foundation with a focus on global Clinical Trials, epidemiological studies, stem cell & genetic research Apollo Hospitals has been at the forefront of new medical breakthroughs with the most recent investment being that of commissioning the first Proton Therapy Center across Asia, Africa and Australia in Chennai, India. Every four days, the Apollo Hospitals Group touches a million lives, in its mission to bring healthcare of International standards within the reach of every individual. In a rare honour, the Government of India issued a commemorative stamp in recognition of Apollo's contribution, the first for a healthcare organization. Apollo Hospitals Chairman, Dr. Prathap C. Reddy, was conferred with the prestigious Padma Vibhushan in 2010. For more than 30 years, the Apollo Hospitals Group has continuously excelled and maintained leadership in medical innovation, world-class clinical services and cutting-edge technology. Our hospitals are consistently ranked amongst the best hospitals globally for advanced medical services and research.

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