Every neck pain should not be treated or ignored as pain of cervical spondylosis- Be ware it could be a spinal tumour

A 50 yr old patient presented to us in OPD with complaints of wasting of small muscles of hand. She had dissociate sensory loss on u/l and her DTRs were brisk and planters extensors. A provisional diagnosis of intramedul;ary sol(tumour) was made and MRI Cervical spine was ordered which revealed Large tumour at CV junction . Tumour was operated was us and subtotal removal of intramedullary tumour was dope post operative biopsy was subependymoma which is a less aggresive tumour.

 PATIENT AFTER SURGERY  ON FIRST FOLOW UP

 PRE OPOPERATIVE MRI SHOWING LARGE TUMOUR

INTRAOPERATIVE PICTRES AFTER TUMOUR REMOVAL

Large Growth Hormone producing Pitutary macroadenoma with vision loss operated Dr Vineet Saggar

A 35 year old female with new onset diabetes not controlled by oralhypoglycaemics presented to our endocrinologist . On clinical examination she was found to be having features of Acromegaly. and bitemporal heminopia.
 MRI of sella revealed large pitutary macro adenoma with suprasellar extension compressing optic chiasma.. Hormonal profile revealed increased GH levels >100ng/mi and incresed TSH levels . She was put on Eltroxin 50micrograms/ day and optimized and was taken up for tumour decomporession.

PRE OPERATIVE MRI SHOWING SELLAR AND SUPRASELLAR MASS COMPRESSING CHIASMA

POST OPERATIVE SCAN SHOWING ALMOST COMPLETE TUMOUR REMOVAL WITH SMALL TUMOR REMENENT ON RIGHT SIDE