Rare intra orbital tumour operated via supra orbital approach

A 50 year old man presented in our opd with complaints of proptosis and progressive visual loss. MRI of orbit revealed intraconal well circumscribed mass on right side . He was operated successfully via supra orbital craniotomy with complete removal of tumour and vision was preserved.

HISTOPATHOLOGY -SCHWANNOMA 

PREOPERATIVE MRI SHOWING LARGE RETROBULBAR INTRACONAL MASS.
POST OPERATIVE CT SHOWING APPROACH  AND COMPLETE  TUMOUR  REMOVAL.

LARGE POSTERIOR FOSSA MENINGIOMA OPERATED BY DR VINEET SAGGAR WITH EXCELLENT OUT COME

A 60 YEAR OLD LADY PRESENTED IN OUR OUR OPD WITH COMPLAINTS OF HEAD ACHE VOMITINGS AND DIFFICULTY IN WALKING . MRI REVEALED LARGE POSTERIOR FOSSA MENINGIOMA . PATIENT WAS SUCESSFULY OPERATED AT IVY HOSPITAL BY DR VINEET SAGGAR

PRE OPERATIVE MRI SHOWIING LARGE TUMOUR IN POST FOSSA

POST OPERATIVE CT SCAN SHOWING COMPLETE TUMOUR REMOVAL

LARGE TEMPORAL MASS OPERATED AT IVY HOSPITAL.

A 56 YEAR OLD LADY PRESENTED IN OUR EMERGENCY  WITH  ALTERED SENSORIUM , HEADACHE , VOMITINGS FOR PAST FEW DAYS. MRI REVEALED LARGE TEMPORAL MASS. PATIENT UNDERWENT SUCCESSFUL TUMOR REMOVAL WITHOUT ANY DEFICIT.

 PREOPERATIVE  MRI SHOWING LARGE TEMPORAL MASS

 POST OPERATIVE MRI SHOWING COMPLETE TUMOUR REMOVAL

LARGE PITUTARY TUMOUR REMOVED VIA TRANS SPHENOIDAL ROUTE

DONT IGNORE VISUAL LOSS IT MAY BE FIRST SIGN OF PITUTARY TUMOUR

A sixty year old female present to us in OPD with gradually progressive visual loss for past 6 months for which she was prescribed glasses.  But for past one week  she had developed complete visual loss in one eye and only perception of light in other. MRI revealed a large Pitutary tumour compressing the chiasma . Tumour was removed via trans sphenoidal route and vision of the patient was restored


PRE OP MRI PICS SHOWING LARGE PITUTARY MASS

 POST OPERATIVE MRI SHOWING COMPLETE TUMOUR REMOVAL

A 35 year old female with new onset diabetes not controlled by oralhypoglycaemics presented to our endocrinologist . On clinical examination she was found to be having features of Acromegaly. and bitemporal heminopia.
 MRI of sella revealed large pitutary macro adenoma with suprasellar extension compressing optic chiasma.. Hormonal profile revealed increased GH levels >100ng/mi and incresed TSH levels . She was put on Eltroxin 50micrograms/ day and optimized and was taken up for tumour decomporession.

PRE OPERATIVE MRI SHOWING SELLAR AND SUPRASELLAR MASS COMPRESSING CHIASMA

POST OPERATIVE SCAN SHOWING ALMOST COMPLETE TUMOUR REMOVAL WITH SMALL TUMOR REMENENT ON RIGHT SIDE

RARE SKULL BASE TUMOUR OPERATED AT IVY HOSPITAL VIA OSTEOPLASTIC MAXILLOTOMY APPROACH

Neuro surgical procedures are one of the most technically demanding and complex surgical  procedures . For most of the patients under going a neurosurgical procedure is equivalent of having a second life . However with latest advancement in surgical field mortality and morbidity following neurosurgical procedure have declined significantly.  As neurosurgical procedures are rapidly getting refined tumours and areas of brain previously thought inaccessible or in operable are being rapidly approached with excellent results. Skull base tumours  have been always approached with caution because of technical difficulty in approaching such tumours and their proximity to vital structures of brain.

      A rare skull base tumour was recently operated at IVY hospital by Senior Neurosurgeon  Dr Vineet Saggar . Complete tumour removal was achieved and patient was sucessfuly discharged within few days . He was ably supported by excellent plastic surgery team headed by Dr Rahul Goyal  which played huge role in minimizing scarring to facial region as approach to tumor of skull base required a facial incision.

 A 28 year old male presented to Dr Vineet Saggar with complaints of lossof vision in right eye and swelling around right  eye. His MRI was already done and it revealed large skull base tumour behind face and nose extending to other side . A nasal endoscopic bipopsy was taken at some other hospital had revealed a benign ( non cancerous) tumour of nerves (schwannoma). He had shown to many private and government hospitals but was reffered to AIIMS as they told him it was difficult to approach this tumour and it may not be possible to remove it completely. How ever this tumour was completely removed at IVY Hospital by Dr Vineet Saggar via OSTEOPLASTIC MAXILLOTOMY a rare and technically demanding  Skull base approach . Patient was discharged 6 days after surgery.

 PRE OPERATIVE CT  SCAN SHOWING LARGE TUMOUR BEHIND FACE AND NOSE UPTO SKULL BASE

POST OERATIVE PICTURE OF THE SAME PATIENT BEFORE DISCHARGE

POST OPERATIVE SCAN OF PATIENT SHOWING COMPLETE TUMOUR REMOVAL

  

 Dr Vineet Saggar is senior consultant Nuro and spinal surgery at IVY HOSPITAL . He is specially trained in skull base and Aneurysm surgeries and complex spinal surgeries