PARAGANGLIOMA OF the filum tumour is a scary name. Neurosurgeon Dr Subodh Jain of the CHL-Apollo Hospital in Indore has removed the rare spinal tumour successfully from 44-year-old Chandrakant Mehta. Till now, there are only 10 such cases reported in world medical literature.
Mehta, a businessman from Kusalgarh in Rajasthan, developed pain in his right leg, due to which he had difficulty in walking and passing urine one month ago. When the local doctors could not do much, his brother suggested Dr Jain’s name.
The MRI of the lower spine revealed spinal tumour in the region of Conus-cauda equina but it was not like the common spinal tumours. “We took extra precaution; there was lot of pre-operative thorough work up and discussions with the MRI
specialists, after which we decided to go for microscopic spinal surgery,” said Dr Jain.
“Mehta was cooperative; he was told about all the aspects of the surgery and convinced of its utility,” Dr Jain said. Mehta, who was also present during an interaction with media persons, said, “I thought this has to be operated someday; so I prepared myself to do the operation as soon as possible.” The surgery was performed on September 26.
During the surgery, which lasted for about five hours, the team of doctors removed the tumour completely without injuring the normal spinal nerve roots and without any complications.
The use of microscope during the surgery enabled the team to perform with utmost care without any damage to normal structures. “This was evident from the fact that the patient was able to walk pain free the very next day,” said Jain.
The biopsy of the tumour—filum terminale tumour—later revealed that it was paraganglioma of the filum terminale, which is a
benign tumour with very good prognosis. “The chances of recurrence of this tumour is very low,” Jain added.
Mehta was discharged five days after the surgery and was recuperating at his relatives’ place at Ujjain. “I am too happy; all my problems have vanished after the surgery and I feel, it was a right decision to go for the surgery immediately after the problem was detected,” he said.
The team that successfully conducted the operation included Dr Jain, Dr Manish Lodha (MRI specialist), Dr Vinita Kothari (Histopathologist), Dr Rekha Jamdagni (surgical assistant) and an operation technician Loyal, all from CHL Apollo Hospital, Indore.