FOR THE FIRST TIME IN INDIA PINHOLE SURGERY FOR RARE BRAIN DISORDER PERFORMED THROUGH WRIST AT STAR HOSPITALS

The Department of Neuroimaging and Interventional Radiology at STAR Hospitals performed a complex Neuroendovascular Intervention -Pinhole Surgery for blood vessel disorders of brain, through a small artery in the wrist-radial artery.

The patient was suffering with an extremely rare disorder of blood vessels of brain called as Dural Arteriovenous Fistula (incidence of 0.15 to 0.29 per 100,000 persons per year). In this condition an abnormal connection between arteries of the brain and veins called “fistula” is formed, this causes swelling of the brain tissue that can manifest as headaches, seizures and even life-threatening Haemorrhage within the brain if left undiagnosed.

The patient was a 55-Year-Old male from Hyderabad who presented to the Hospital with complaints of difficulty in talking and fits/seizures. He underwent an MRI scan of the brain that showed swelling of the brain tissue. Further an angiogram of the blood vessels of the brain confirmed the diagnosis of Dural Arteriovenous Fistula.

Dr. Shahyan Siddiqui, Neuro and Interventional Radiologist, who performed the Surgery said, “As the angiogram also was done through the radial artery, we decided to treat the condition through same route. The abnormal connection called fistula was closed by navigating tiny tubes called microcatheter and hair thin microwires into the abnormal arterial and venous connections and injecting liquid embolic agent that sealed them instantly.”

He also added that following the procedure patient could be mobilized within a few hours. He could sit in the bed and do his basic activities without any hindrance. Unlike the traditional pin hole surgeries done through the artery of the groin (femoral artery)where patient has to be immobilized for at least 12 hours, a urinary catheter is to be placed, causing lot of discomfort to the patient. Pinhole surgery done though transradial route further improves patients comfort and safety over an open brain surgery.

The patient was also suffering from Chronic Kidney Disease. He was managed comprehensively by a multidisciplinary team consisting of nephrologist -  Dr. Rajsekhara Chakravarty, Neurologist - Dr.G.V. Subbaiah Chowdhary and Neurointerventional Radiologist - Dr. Shahyan Siddiqui, and was discharged within 48 hours.

Dr. G.V. Subbaiah Chowdary, Consultant Neurologist, said "Mutlidisciplanary discussion and planning between Neurology, Neurosurgery and Neurointerventional Radiology to formulate individualized treatment plans like in this case is the our core approach for every patient"

Dr. Gopichand Mannam, Managing Director, STAR Hospitals, said, "At STAR institute of neurosciences, we endeavour to be a centre of excellence and provide personalized, innovative and cutting-edge treatments, surgical procedures to our patients on par with any international standards"

ABOUT DR. SHAHYAN SIDDIQUI

• Completed his M.B.B.S., and M.D. from Dr.NTR University of Health Sciences. He further underwent his D.M. (Neuroimaging and Interventional Radiology) superspecialisation at the National Institute of Mental Health and Neurosciences, (NIMHANS)Bengaluru. A Quartiary referral centre in Asia.
• Here he was trained in all aspect of diagnostic neuroradiology complex neurovascular and pain interventions in addition to peripheral vascular, body interventions.
   

ABOUT STAR HOSPITALS

STAR Hospitals, strategically located at Banjara Hills, Hyderabad, provides ethical and personalised care within an infrastructure on par with the best institutions around the world. We bring together a dedicated team of expert physicians, nurses and other healthcare professionals to provide the highest standards of medical treatment. Our multidisciplinary services offer extensive and state-of-the-art medical care. Our full range of primary and specialty healthcare services enable cross-specialty consultation, which assures comprehensive treatment for each patient. Established by a team of well-known medical specialists, the hospital is based on a foundation of Empathy which translates into a lifelong commitment to serving the community. We aim to provide high-quality healthcare to as many patients as we can, which is facilitated by more than 310 beds at Star Hospitals, one of the highest numbers in the city.