CNN Central News & Network–ITDC India Epress/ITDC News Bhopal: The Neurosurgery Department at Bhopal Memorial Hospital & Research Centre (BMHRC) has successfully performed surgeries to treat two severe and rare conditions located at the extremely sensitive craniovertebral (CV) junction — the junction of the head and neck — giving new life to the patients. Both surgeries were performed by Dr. Sandeep Sorte (Head of Neurosurgery), Associate Professor Dr. Saurabh Dixit, and Assistant Professor Dr. Saurabh Gupta. Professor Dr. Saifullah Tipu and Associate Professor Dr. Kanika Suhag from the Anesthesia Department played a crucial role during the procedures. The treatments were provided under the Ayushman Bharat scheme. The surgical team also included Neurosurgery residents Dr. Sanjay Sharma, Dr. Rajiv Minj, Dr. Aaves Khan, and Dr. Satyam Jain.

Successful Complex Spinal Tumor Surgery at CV Junction

At BMHRC, a 39-year-old male patient was treated for a rare type of spinal tumor located at the CV junction. The pressure from the tumor was causing continuous weakness in his right arm and leg, along with difficulty in walking, progressing toward paralysis. Investigations revealed that the tumor was near the C1 vertebra, the topmost and highly sensitive bone in the neck, directly below the brainstem. Even minor disturbances in this area can affect breathing, balance, mobility, and multiple autonomic body functions.

Using an advanced procedure, the surgical team removed a small upper portion of the spine to safely access the tumor. They carefully excised it, relieving the pressure on the nerves. This surgery is considered extremely complex due to the delicate nerves and structures in the region. According to medical literature, such tumors are extremely rare, occurring in only a few cases per 100,000 population. Congenital structural abnormalities, abnormal cell growth in bone or nerve tissues, or long-term infections are considered the main causes. Post-surgery, the patient’s condition has improved.

Successful Surgery for 17-Year-Old with CV Junction Irregularity

In the second case, a 17-year-old male with irregular development at the CV junction underwent successful surgery. Since birth, the bones at the head-neck junction had developed abnormally, placing excessive pressure on his spinal cord. Following a recent fall, his condition became critical. He developed rapid weakness in all four limbs and became completely unable to walk or even sit up in bed. Without immediate treatment, he risked permanent paralysis.

Given the severity, doctors decided to operate. The procedure involved stabilizing the bone at the back of the head to the upper cervical vertebra using a specialized screw-and-rod system, relieving nerve pressure and stabilizing the junction. This surgery is highly challenging because the CV junction lies at the critical interface between the brain and spinal cord, controlling multiple vital body functions. The BMHRC team completed the surgery successfully. The patient can now sit up with support, and continuous improvement is expected with physiotherapy.

BMHRC Leadership Statement

On this occasion, Dr. Manisha Srivastava, Director-in-Charge of BMHRC, said that CV junction surgeries are extremely sensitive and can only be performed by highly skilled surgeons. These two successful surgeries reflect the excellence of our team. She added that BMHRC remains committed to providing the best treatment using advanced technology and expert specialists in the future.

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