Right Petrous Bone Tumour Excision Surgery

Clinical Case Report: A case of Bilateral Facial Spasms due to Right Petrous Bone Tumour in Meckel’s Cave and Internal Auditory Meatus (IAM) suggested for Craniotomy with Tumor Excision

Based on shared reports, the patient clinically presented with bilateral facial spasms. Upon evaluation, a tumour is suspected to be in the right petrous bone, extending into the right internal auditory meatus (IAM) with involvement of the VII and VIII cranial nerves and extension into Meckel’s cave.

Meckel’s cave (trigeminal cave) is a cerebrospinal fluid-filled dural pouch located in the middle cranial fossa that houses the trigeminal ganglion and the proximal roots of the trigeminal nerve (CNV).

The petrous part of the temporal bone, often called the petrous pyramid, is an exceptionally dense, rock-like structure at the base of the skull, crucial for protecting the inner ear.

We will need to confirm the diagnosis by doing some tests upon the patient’s arrival. We will also need to check the nature of the tumor to find the best line of treatment for him.

Evaluations required to confirm the diagnosis: The patient will need to undergo detailed Physical and Clinical examinations such as MRI of the brain, CT scan of the temporal bone, Biopsy, blood investigations, and other routine tests.

Possible Treatment Plan: The patient may require craniotomy and tumor excision.

Craniotomy and tumour excision is brain surgery to remove a tumor by temporarily removing part of the skull (craniotomy) for access, then excising (removing) the growth, followed by replacing the bone flap, aiming to relieve symptoms and improve prognosis by removing as much tumor as safely possible.

Kindly note: The advised treatment plan is solely based on the reports shared with us; the final line of treatment will be decided post clinical and physical evaluations on your arrival only.

We’d recommend the following hospitals with top doctors as below-

1. Amrita Hospitals, Faridabad // Dr. Anandh Balasubramaniam

2. Sanar International Hospital, Gurugram // Dr. Harnarayan Singh

3. Manipal Hospital, New Delhi // Dr. Anurag Saxena 

4. BLK-Max Super Specialty Hospital, New Delhi // Dr. Anil Kumar Kansal

5. Yashoda Super Specialty Hospital, New Delhi (Indirapuram) // Dr. Dibya Jyoti Mahakul

6. Aster Hospital, Bengaluru // Dr. Ravi Gopal Varma

7. L H Hiranandani Hospital, Mumbai // Dr. Khursheed Ansari

Estimated cost:

The estimated cost of evaluations will be approx. USD 700-800 on an OPD basis.

The Estimated Cost of Surgery (craniotomy and excision) at various hospitals is as below: –

Kindly note: The above rates are on an approximate basis; actual charges will depend upon the final plan confirmed based on medical evaluation at the hospital.

Stay in India: The patient will require 3-5 days for initial evaluations on an OPD basis and will require 4-6 days of hospitalization for surgery. Post-discharge, the patient may require 10-15 days for follow-up and recuperation. Total Length of Stay in India will be approx. 3-4 weeks.

Inclusions:

1. The cost of all investigations related to the surgery (craniotomy and excision)

2. The cost of the treatment.

3. The doctor’s fee and surgery charges.

4. The stay of the patient and 1 attendant during hospital admission.

5. All meals for the patient and the attendant as per the available menu while in hospital.

6. Medical Consumables and Medicines while in hospital.

7. The fee for dieticians and nursing while in hospital.

8. It also includes complimentary Airport Transfers, Forex Services, and assistance.

Exclusions:
1. Any consultation other than in discussion.
2. Extended stay
3. Treatment for any other illness                                                                                                                                                                                           4. If & when the patient is shifted to ICU (Intensive Care Unit), then the attendant has to vacate the room and shift to a Guest House near the Hospital.

On Arrival:

The patient and patient’s attendants will be received at the airport by our Representative. Apart from the medical and nursing team, one Case Manager will take care of all the needs. We shall also assist them with reasonably charged accommodation near the hospital. The patient and attendant may arrange 35-50 USD per day for accommodation and food at the guest house. Hope I have been able to give you a satisfactory answer to the query. Do kindly ask for any clarifications needed. I will be happy to answer and shall look forward to assisting you.

Regards,

Ankush