Patient from Nepal underwent a Neurological Checkup India

The patient named Uday Basnet, aged 35, and a citizen and an individual from his hometown in Nepal, was diagnosed with mild discomfort, headaches, and seizures and was finally diagnosed with a cavernoma. They got in touch with MediGence via the patient's nephew, as the doctors and the physicians they had gone to earlier could not diagnose it properly and passed it off as a normal headache and gave some medications for the seizures.

The threat of it becoming serious, and the regular occurrence of it after that, enabled them to visit MediGence and get in touch with us to understand what was happening, for assurance and confirmation.

Since the patient's nephew wanted to take his uncle to Delhi for treatment; we gave him the names and contacts of several very good neurosurgeons who were based in Delhi and who could help him get the proper and careful treatment that was needed for this condition. He chose Dr. SK Sogani, who was in the Indraprastha Apollo Hospital, New Delhi. Dr. SK Sogani is one of the best neurosurgeons in Delhi, and he is reputed for his precisions and his dedicated surgeries with immense care.

Meeting Dr. SK Sogani at Apollo Hospital in India

The patient was supposed to arrive on the 22nd of June 2018, after which he was diagnosed and first seen by MediGence. In MediGence, the patient's nephew explained everything about the patient's history and also whatever happened and was going on in his family, for better understanding by MediGence.

The nephew was detailed and thorough and was also careful enough to mention that his uncle had a history of seizures, which is why he was on antiepileptic medications for a long time. They were also wise enough to bring and show the MRI scan that had been taken by the uncle when advised, which showed and diagnosed a cavernoma in the brain. After this encounter with MediGence, the nephew was keen to take his uncle to Delhi, where there would be proper equipment and procedures to help his uncle heal. After which, they chose the hospital in New Delhi.

The Treatment Process

Cavernoma is a highly critical condition that needs to be diagnosed soon if acquired, and it is a fatal condition once it gets beyond repair. Hence, when somebody is diagnosed with Cavernoma, all the factors need to be thought about earlier,

Bleeding, which during the Cavernoma generally does, within a fixed time. If it bleeds slowly, then the body is likely to absorb it fast, and if it bleeds fast, then the risk of more pressure on the brain and hemorrhage is there.
The greater the number of Cavernoma, the greater the risk of hemorrhage.
The presence of other dangerous skin abnormalities, endovascular abnormalities, or venous malformations might make surgery very difficult to perform.
Location is also a major factor, because if the Cavernoma is attached to the medulla or any other place in the spinal cord, then the surgery and operation of that place becomes a challenge for the surgeons operating.

So, based on all these factors, the doctor decided what to do with the patient. So, as per Dr. SK Sogani, the appointment was fixed with the patient and the nephew. After the proper information was exchanged and after reviewing the patient's history, Uday Basnet suggested a change in medications, then to sit back and observe the effects and the changes taking place after the medications.

Recovery

After the patient was thoroughly checked, diagnosed, and advised, he returned to Nepal, satisfied with a good discussion with the doctor about the condition. The patient was then asked to come back for a second diagnosis and follow-up after a gap of 6 months. We wish him well, and we hope his condition is treated quickly and he makes a complete, speedy recovery.

Conclusion

The Uday Basnet situation highlights multiple facets of the need for appropriate evaluation and specialist care when attempting to diagnose and treat difficult conditions such as cavernous malformations. With appropriate guidance and timely treatment, patients will avoid unnecessary procedures or develop a customised plan to support their recovery. With access to an expert physician and India's advanced imaging capabilities, Uday had greater clarity, confidence, and a more defined course of action to get well.