In a landmark achievement that underscores NewEra Hospital’s commitment to clinical excellence and advanced neurosurgical care, the Department of Neurosurgery at NewEra Hospital, Lakadganj, has successfully performed an exceptionally rare and highly complex en bloc excision of a giant intradural intramedullary spinal cord tumor measuring approximately 13 cm, extending from D9 to L3, in a 20-year-old male patient.
The young patient had been suffering from persistent low back pain, bilateral lower limb pain, tingling, numbness, weakness, and urinary urgency for several years. Detailed evaluation revealed a massive D9-L3 intradural spinal tumor, later confirmed on histopathology as a Myxopapillary Ependymoma (CNS WHO Grade II).
The surgery involved an intricate six-level laminotomy followed by laminoplasty, enabling complete en bloc excision of the tumor while preserving spinal stability and neurological function. The procedure demanded extraordinary microsurgical precision, meticulous planning, and seamless multidisciplinary coordination.
A Rare Achievement in Global Neurosurgery
According to an extensive review of published world literature, only three to four cases of en bloc excision of giant intradural spinal tumors have been reported globally. Of these, only two published cases involve tumors larger than 10 cm in the cervical-thoracic spine, while no published report describes an en bloc excision exceeding 12 cm in the dorsolumbar region.
This remarkable case therefore represents one of the largest successfully excised dorsolumbar intradural tumors reported worldwide, placing NewEra Hospital among the few centers globally to accomplish such a feat.
Expert Team Behind the Success
The surgery was successfully led by Dr. Nilesh Agrawal, Director & Senior Neurosurgeon, along with Dr. Vishal Pishe, Consultant Neurosurgeon.
The treating team was supported by Dr Aditya Atal, Neurosurgeon along with Dr Abhishek Wankar, Neurophysician and Dr Ankit Panjwani, Neurophysician. The dedicated anesthesia team comprising Dr. Sahil Bansal, Dr. Neha Nakade, and Dr. Aditya, together with the highly skilled Operation Theatre nursing and technical staff, played a vital role in ensuring a safe and successful outcome.
Despite the enormous size of the tumor and the complexity of the procedure, the surgical team achieved complete tumor excision while preserving the patient’s neurological function.
Excellent Clinical Outcome
Following surgery, the patient remains neurologically intact, is ambulatory, and is making an excellent postoperative recovery. He has been discharged in a stable condition with ongoing rehabilitation and follow-up.
Leadership Speaks
Speaking on the occasion, Dr. Nilesh Agrawal, Director & Neurosurgeon, NewEra Hospital, said: “The successful removal of such an extensive spinal cord tumor required meticulous microsurgical planning, advanced surgical expertise, and coordinated teamwork. Our objective was not only complete tumor excision but also preservation of neurological function and spinal stability. We are delighted that the patient is recovering well and has retained his neurological function. This case reflects the growing capabilities of NewEra Hospital in managing some of the most challenging neurosurgical conditions.”
Dr. Vishal Pishe, Consultant Neurosurgeon, added:
“Cases of this magnitude are exceptionally uncommon. Every step of the surgery demanded precision and careful execution. Achieving complete tumor removal while maintaining neurological integrity is immensely satisfying and reinforces our commitment to delivering world-class neurosurgical care.”
A Milestone for NewEra Hospital
This extraordinary accomplishment highlights NewEra Hospital, Ramdaspeth as a destination for advanced neurosurgical care, equipped with cutting-edge technology, experienced specialists, and multidisciplinary expertise capable of handling some of the most complex spinal disorders.
The successful management of this rare case stands as yet another testament to the hospital’s mission of bringing international standards of surgical excellence to Central India.