Dr. Sase Leads Life-Saving Emergency Neurosurgery: Critical Intervention at Synergy Hospital Saves Young Patient!

Patient Name: Gomtesh Bhokare Age: 29 years At Synergy Hospital, we are committed to providing exceptional care and timely interventions, no matter how critical the situation. The following case highlights the expertise of our medical team, led by Dr. Nathanian Sase, and the outstanding teamwork that saved a young patient's life. Patient Overview On July 30th, 2024, a 29-year-old male presented to Synergy Hospital with symptoms of headache, giddiness, and one episode of convulsion. Upon admission, the patient was conscious and well-oriented, with vital signs showing a heart rate of 51/min, blood pressure at 130/80, and SpO2 at 99%. A detailed neurological examination revealed a Glasgow Coma Scale (GCS) score of 15/15, indicating the patient was fully conscious and responsive Initial Diagnosis and Treatment Dr. Nathaniel Sase, neurologist, ordered an immediate CT scan of the brain, which was performed the same day. The scan returned normal results, ruling out any acute abnormalities. Based on the patient's symptoms and presentation, Dr. Sase diagnosed the patient with seizure disorder and initiated treatment, including antiepileptic medications and Mannitol to manage the symptoms. By the next day, the patient reported significant relief from the headache, and his vitals remained stable, with no further convulsive episodes. Deterioration and Critical Intervention Despite initial improvements, patients condition suddenly Deteriorated. On August 2nd, 2024, while undergoing the second CT scan in the hospital’s own imaging unit, the patient’s condition suddenly deteriorated, becoming drowsy and less responsive. He was immediately shifted to the ICU, where his GCS score dropped to 6/15 (E1 M4 V1), indicating a critical decrease in consciousness. Dr. Sase promptly ordered the administration of , Cerebral decongestant and methyl prednisolon, followed by elective intubation and mechanical ventilation. Through quick action and excellent teamwork of the ICU team, the patient was effectively stabilised in the ICU. A repeat CT scan revealed a severe condition: an Cerebellar Infarct coupled with obstructive hydrocephalus, a life-threatening complication that required immediate neurosurgical intervention. Emergency Neurosurgical Response Recognizing the gravity of the situation, a neurosurgical consultation was immediately called. Dr. Abhinandan Patil, an expert neurosurgeon, responded without delay and recommended a ventriculoperitoneal (VP) shunt followed by posterior fossa decompression surgery to relieve the pressure on the brain. With informed consent obtained for this high-risk emergency surgery, the patient was swiftly shifted to the Operating Theatre (OT) the same day. The surgery, performed by Dr. Patil and his skilled team, was successfully completed, and the patient was returned to the ICU for close monitoring. Post-Operative Recovery and Discharge By the next day, the patient began showing signs of improvement, including spontaneous efforts and responsiveness to simple commands. His pupils were bilaterally equal and reacting, a good sign of recovery. On August 3rd, 2024, the medical team planned and successfully performed extubation. In the following days, the patient continued to recover rapidly. By August 4th, 2024, his GCS score had returned to 15/15, indicating that he was fully conscious, well-oriented, and verbalizing normally. Under the attentive care of the ICU team, the patient regained his strength, and after a few more days of rehabilitation, he was able to walk independently. On August 8th, 2024, the patient was discharged from Synergy Hospital in excellent condition, fully recovered from a critical condition that could have otherwise been life-threatening. Conclusion This case is a testament to the timely diagnosis, expert care, and coordinated teamwork at Synergy Hospital. The quick response from Dr. Nathanian Sase and his team, combined with the skilled hands of Dr. Abhinandan Patil, ensured that the patient not only survived a critical situation but also regained full quality of life. This life-saving intervention underscores the hospital’s commitment to excellence in patient care, with state-of-the-art facilities, including a well-equipped Cath Lab, 24/7 physician support, and world-class surgical expertise. At Synergy Hospital, we are dedicated to delivering life-saving interventions with compassion and precision. We are proud of our team’s efforts in this case and will continue to provide exceptional care for all our patients.