Minor girl overcomes crippling disability after rare surgery at SKIMS

A rare surgery performed at SKIMS Soura has helped an 11-year-old girl to overcome crippling disability, hospital authorities said on Friday.

In a statement, SKIMSspokesperson said the Department of Neurosurgery, SKIMS conducted a rareprocedure on the girl hailing from north Kashmir. 

   

“She was admitted onFebruary 20 in the Department of Neurosurgery and had weakness in the rightside of her body for last few months and speech difficulties. After a series oftests she was diagnosed as a case of Moyamoya disease,” the statement said.

“Sheunderwent a complex surgical procedure; encephalo myosynangiosis andencephalo-duroarteriosynangiosis where, the blood vessels near the external earand temporalis muscles were used for augmenting the blood supply of brain.”

Thespokesperson said the procedure took five hours and was performed for the firsttime in the state.

The neurosurgical teamcomprised Prof. Altaf Ramzan, HOD Neurosurgery, Dr. Nayil Khursheed  and Dr. Kaiser Kariem along withneuro-anaesthetists Dr. Zulfikar Ali, Dr Sohail and Dr Zaka. ‘The patient isshowing a remarkable recovery of her lost functions.”

 Giving details, Dr. Nayil Khursheed, as perthe statement, said that the moyamoya syndrome is a cerebrovascular diseasethat predisposes affected patients to stroke in association with progressivestenosis of the intracranial internal carotid arteries which supply the bloodto the brain.

The characteristicappearance of the collateral vessels on angiography is likened to “somethinghazy, like a puff of cigarette smoke,” which, in Japanese, is moyamoya.

Originallyconsidered to affect predominantly persons of Asian heritage, moyamoya has nowbeen observed throughout the world in people of many ethnic backgrounds,including American and European populations.

The incidence peaks in twoage groups: children who are approximately five years of age and adults intheir mid- 40s. There are nearly twice as many female patients as malepatients. The common symptoms are weakness of one side of body, headache,seizures, speech disturbances, memory loss and sometimes psychiatric symptoms.

DirectorSKIMS, Dr. Omar Javed Shah complimented the surgical team for conducting theexcellent and rare procedure. “The department has come a long way since itsinception in 1982 and we look forward through these stalwarts who has made thedepartment of neurosurgery a centre of excellence by the dint of their hardwork and expertise which facilitates patient care,” he said.

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