In a significant achievement in advanced neurovascular treatment, doctors at Indira Gandhi Government Medical College and Hospital (IGGMCH), Nagpur, have successfully treated a patient suffering from a rare and potentially life-threatening brain vascular disorder through two sessions of minimally invasive endovascular embolization. The patient was diagnosed with a high-grade Dural Arteriovenous Fistula (DAVF), an abnormal connection between arteries and veins surrounding the brain.

 

The patient had initially presented with Parkinsonian features, and detailed investigations subsequently revealed the complex vascular abnormality. The treatment was carried out by the Department of Interventional Radiology under the guidance of Dr Dinesh Sharma, Interventional Radiologist. The team performed the procedure in two carefully planned sessions using advanced catheter-based techniques to block the abnormal vascular connections, thereby avoiding conventional open brain surgery. Following the two procedures, doctors achieved complete angiographic closure of the fistula. The patient showed symptomatic improvement without any associated neurological deficits and was discharged in an intact neurological condition.

 

Dr Dinesh Sharma said the case was particularly challenging because of the high-grade nature of the fistula and its presentation with Parkinsonian features. Dr Bhavna Sonawane, Head of the Department of Radiology, said the case highlighted the importance of advanced imaging, accurate diagnosis and minimally invasive interventions in treating complex neurovascular disorders. Dr Vaishali Shelgaonkar, Head of the Department of Anaesthesiology, emphasised the importance of meticulous anaesthetic planning, continuous monitoring and coordinated teamwork in successfully managing complex neurointerventional procedures. Dean Dr Ravi Chauhan described the achievement as a reflection of IGGMCH's commitment to bringing advanced treatment facilities to patients. Medical Superintendent Dr Shende also appreciated the dedication and coordinated efforts of the medical teams.