Rare Cases

Young patient with Pituitary Macroadenoma treated successfully

An 18-year-old male presented to the emergency with complaints of severe headache and multiple episodes of vomiting for 2 days. On initial assessment in the ER, he had a heart rate of 40 beats per minute. An urgent cardiac evaluation was done which was normal. His blood sugar level at the time of presentation was 85mg/dl for which 25% dextrose was started. In view of low blood sugar, despite dextrose administration, inj hydrocortisone was started and NCCT head was done which was normal.

Treated By - Dr. Manira Dhasmana

A baby weighing 540gm born a year ago at Max Hospital, Shalimar Bagh, turned 1

In a rare case last year, a baby with critically low weight was born, weighing 540gms, at Max Super Speciality Hospital Shalimar Bagh. After being under treatment for almost six months, the child today celebrates her 1 st birthday today.

Treated By - Dr. Kaushaki Shankar

Revision bilateral TKR with No Mobility from the first TKR done outside

A 63-year-old female came to Max Super Speciality Hospital, Shalimar Bagh with severe knee pain, and the patient was bedridden last year. The patient was operated on 1.5 years back outside for bilateral knee joint replacement. The patient walked well for six months, and then she was bedridden because of severe pain in both the knees and deformity.

TAVI with sentinel protection device

A 66-year-old male was admitted to Max Super Speciality Hospital, Shalimar Bagh. He had severe calcified aortic stenosis with LV dysfunction and was not a suitable candidate for surgical valve replacement. The cardiology team at Max Hospital, Shalimar Bagh, led by Dr Naveen Bhamri, Dr Devender Kumar Aggarwal and Dr Sudhansu Sekhar Parida, evaluated the case and performed Transcatheter aortic valve insertion (TAVI) with a sentinel protection device. It was the 16 th TAVI performed by the cardiology team and using the sentinel device this time.

Treated By - Dr. Naveen Bhamri

IgG4 associated Hypertrophic Pachymeningitis: A rare entity

A 53-year-old woman came with with left-sided hemicranial headaches, dull ache, continuous, intermittently pricking pain on the left side orbital region associated nausea, photophobia, and phonophobia for 5 months; increased since 2 days also on the right-sided hemicranial region.

Treated By - Dr. Manoj Khanal

TVD with RA mass associated with severe LV dysfunction treated successfully

A 62-year-old patient was brought to the emergency of Max Super Speciality Hospital, Shalimar Bagh, with oxygen and high inotropic support. He complained of chest pain and dyspnoea on exertion for 5-6 months. He had history of ventricular arrhythmia post CPR at other hospital. He also had comorbidities of Diabetes and hypertension.

Treated By - Dr. Dinesh Chandra

Successful management of syphilis in pregnancy

A 25-year-old woman, 30 weeks pregnant, visited Max Hospital, Shalimar Bagh, for safe confinement. Upon investigations, she and her husband's VDRL test was positive, which was reconfirmed by a positive Treponema Pallidum Haemagglutination (TPHA). There was no history of fever and lymphadenopathy, sore throat, or weight loss. Ultrasound scan indicated normal pregnancy.

Treated By - Dr. Ankita Chandna, Dr. Vandana Boobna

Suffering from Advanced Colonic Cancer Provided a New Lease of Life with Multivisceral Resection

A 60-year-old patient from Haldwani suffered from Colorectal Cancer and experienced recurrent vomiting, along with poor oral intake, leading him to reach a cachectic state (loss of muscle and fat) visited Max Hospital, Vaishali.

Treated By - Dr. Vivek Mangla

Suffering from Severe Blockage in All Major Arteries Underwent Life-Saving Cardiac Surgeries

There has been an alarming rise in the number of patients with cardiac ailments in recent times, there is a dire need to raise awareness around heart health. Instead of deferring and delaying surgeries, timely intervention can save many lives.

Major Liver Resection in a Septuagenarian With Multiple Co-Morbid Illnesses

A 79-year-old male with diabetes, asthma & Parkinsonism, was diagnosed with a large hepatic mucinous cystic neoplasm (HMCN) involving the left lobe of the liver with cholelithiasis and choledocholithiasis on evaluation for abdominal pain and jaundice. He was evaluated by a multidisciplinary team, and his condition was optimised.

Treated By - Dr. Amit Batra, Dr. Vivek Mangla

Acquired Haemophilia: Unusual presentation of IgG4-related disease

A 67-year-old diabetic male with coronary artery disease on dual antiplatelets presented with left submandibular swelling. He had been unwell for the past many months with progressive renal failure, one episode of gastrointestinal bleeding and a pathological fracture of the right hip for which cemented hemiarthroplasty was done. Biopsies taken during upper gastrointestinal endoscopy and during arthroplasty showed reactive tissue at both sites. A renal biopsy was also advised but not done.

Transcranial Direct Current Stimulation (tdcs) : A novel non-invasive treatment for Tourette Syndrome

A 13-year-old boy studying in class 8th, resident of an urban area and belonging to lower middle-class socio-economic status, was referred by the Neurology Department to the Mental Health and Behavioural Sciences Department of Max Super Speciality Hospital, Dehradun, with complaints of vocal and motor tics for a year, along with hyperactivity and inattention. The tics were present in the form of head jerks, eye blinking, face grimaces, sning, spitting, shoulder jerks, limb jerks, and coprolalia, i.e., the use of abusive and obscene words.

Treated By - Dr. Saloni Gupta