AIIMS Raipur treats one of India's rarest neurological cases using minimally invasive procedure
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The condition, caused by a cerebrospinal fluid (CSF) leak, had severely impacted her quality of life, leaving her unable to perform routine activities.
A multidisciplinary team from the departments of neurosurgery, neurology, and radiology at AIIMS Raipur evaluated the patient. Dr Richa Singh Chauhan, a neuroradiologist, identified the underlying cause as SIH. She pinpointed a rare CSF-venous fistula (CSF-VF) at the right L1 vertebra using advanced neuroimaging and a lateral decubitus Digital Subtraction Myelography (DSM).
In this condition, CSF abnormally drains into the venous system.
The treatment was performed by a team of interventional neuroradiologists led by Dr Nihar Vijay Kathrani. They used a minimally invasive interventional radiology technique via the right femoral venous access to successfully seal the fistula. The patient experienced a complete resolution of her symptoms after the procedure. A follow-up MRI confirmed the normalisation of her intracranial pressure.
The anaesthesia team was led by Prof.
Dr Subrat Singha, head of the Department of Anaesthesiology, along with Dr Vankdavath Lavanya, Dr Ananya Rao, and Dr Hashil.
Prof. Dr NK Bodhey, head of the Department of Radiodiagnosis, said CSF-venous fistula is an extremely rare and recently recognised cause of SIH. He added that fewer than five such cases have been diagnosed and treated in India. This is the first case to be both diagnosed and treated at an AIIMS or Institute of National Importance (INI) in India.
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Lt Gen (retd) Ashok Jindal, executive director and CEO of AIIMS Raipur, congratulated the team. He said the case reflects the institution's multidisciplinary strength and its advanced diagnostic and interventional capabilities. The case sets a new standard in managing rare neurological disorders in India.
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