Kauvery Kathaigal – 1
A journey through complex health challenges: Glioma, AVN, and ASD closure
Case at a Glance
A middle-aged male driver from Brunei Darussalam presented with a complex multi-system medical history involving a left cerebral glioma causing right-sided hemiparesis, a congenital cardiac defect (ASD), and bilateral Avascular Necrosis (AVN) of the femoral head.
Patient Story
The patient first noticed a sudden onset of giddiness, right-sided facial weakness, dysphasia (difficulty speaking), and weakness in his right upper and lower limbs. Imaging conducted in Brunei revealed a brain tumor in the left cerebrum. Following this diagnosis, the patient traveled to Kauvery Hospital (KCN) for neurosurgical intervention. During his clinical journey, he was also diagnosed with an Atrial Septal Defect (ASD) and debilitating hip pain. Notably, while AVN is a known side effect of the chronic steroid therapy used to manage brain swelling, the patient and his wife observed that his hip symptoms emerged specifically following the administration of the Moderna mRNA COVID-19 vaccine in Brunei.
Treatment Plan and Outcome
- The patient underwent a series of successful interventions at Kauvery Hospital:
- Neurosurgery: Surgical excision of the Glioma at KCN.
- Cardiac Intervention: Successful ASD Device Closure at Heart City.
- Orthopedic Surgery: Core Decompression to treat the AVN and preserve the hip joint.
Conclusion
The patient’s recovery was bolstered by a remarkable level of health literacy; both he and his wife were exceptionally well-informed and articulate regarding every detail of his complex conditions. Their positive outlook and proactive engagement with the medical team at Kauvery Hospital were instrumental in navigating this intricate treatment path. The case highlights the importance of patient education and the success of integrated specialty care.
Knowledge is power, and being an active partner in your own care is the fastest path to recovery.
