A successful brain tumour surgery was performed on a five-year-old girl by the doctors at Delhi’s AIIMS on January 4, while keeping her in a conscious state during the course of operation.
In an official statement. the hospital claimed that she was the youngest patient in the world to undergo such a procedure, which is termed as ’awake craniotomy’ (conscious sedation technique) surgery for left perisylvian intraaxial brain tumour.
The child had a history of seizures and her brain MRI showed a tumour in the left side of her brain adjacent to speech/language area, the statement said. The surgery lasted for three hours, including time taken for giving local anaesthesia to the child by neuroanaesthetists.
AIIMS further said in their statement that the tumour was removed successfully by a team of neurosurgeons as she remained conscious throughout the procedure. ”Technological adjuncts viz preoperative functional MRI brain, intraoperative ultrasonography, neuronavigation were used to localise tumour precisely during resection while mapping of functional areas was being carried out under awake conditions. Ice cold saline was used for the brain surface to prevent any seizures during the procedure,” it added.
The official statement also informed that the child is doing well and will be sent home on Monday. A long discussion was held between team members, patient’s family and the child before taking a decision to go ahead with the surgery. They were counselled at length on steps of procedure, it stated.
She was shown common objects, common animals and given some tasks for language and sensorimotor assessments before surgery, which were repeated during the surgical procedure also. She is a first standard student and was quick in identifying the picture of Prime Minister Narendra Modi during the surgery, the statement read.
”Awake surgeries for brain tumours are done for maximising tumour removals and minimising neurological deficits usually. During awake craniotomy, patients should feel a minimum level of pain while being completely able to cooperate in neurological tests, it said.
Dr Deepak Gupta, Professor of Neurosurgery was at the helm of the operation along with his team and the neuroanesthesia team led by Dr Mihir Pandia and Dr Gyanendra Pal Singh.
Dr Gupta said, “Although this method is called awake craniotomy, this method requires even more collaboration in perfect harmony of the surgical and anaesthesia teams than other operations under general anaesthesia.”
”Akshita happens to be the youngest child in the world to undergo successful brain tumour surgery under awake conditions at this age at AIIMS, Delhi,” Dr Gupta added.
(with PTI inputs)
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