Minimally invasive Paediatric Neurovascular Surgery

 Background

2 years old boy from South 24 Parganas (West Bengal), was suffering from frequent convulsions and was referred to CMRI hospital.

Investigation and Diagnosis

A series of tests including a Computed Tomography (CT) scan, CT Angiography and Magnetic Resonance angiography detected a bulging blood vessel in his brain. The investigations revealed a giant aneurysm, 10 times larger than what is usually seen. A brain aneurysm is a bulge or ballooning in a blood vessel in the brain. The width of the affected vessel in the boy’s brain was around 1cm. If not treated on time, the condition could have caused speech impairment, paralysis and even death.

Brain aneurysms form and grow because blood flowing through the blood vessel puts pressure on a weak area of the vessel wall. If the brain aneurysm ruptures, it causes haemorrhagic stroke.

Treatment

Led my Neurologist Dr. Deep Das, a multi-disciplinary team took charge of this case and decided on a minimally invasive endovascular approach. A small puncture was made in his groin and a catheter was inserted. The catheter was used to implant a device that would block the abnormal blood flow into the affected vessel. An endovascular flow diverter was implanted to regulate blood flow and prevent aneurysm entry of blood thereby encouraging its shrinkage over time shrink over time. The procedure lasted over 90 minutes.

Recovery

Post-surgery, the young patient, showed no signs of deficits, affirming the success and precision of the treatment. The child was discharged after a few days and is living a healthy life now.

This breakthrough signifies a paradigm shift in paediatric neuro interventional care, potentially revolutionizing treatment options for children with complex neurological conditions.