On 14-11-2015, a patient from Lamboi Khongnagkhong, Mrs. Ningthoujam Bimola, W/O Angom Deben Singh was brought in Shija Emergency and Trauma Centre with complaints of headache, vomiting multiple times, and tingling sensation with numbness of all limbs since the previous day. The patient was admitted on the same day in Neurosurgery ICU under Dr. Ch. Gautam, Consultant Neurosurgeon (Shija Hospitals). On further investigation the patient was found to be suffering from bleeding inside the brain due to rupture of left internal carotid artery.

The patient underwent an advanced neurosurgery called left pterional craniotomy and clipping of supraclinoid ICA aneurysm on 19th Nov’15. The groundbreaking surgery was performed by a team of doctors led by Dr. Ch. Gautam, MCh (Neurosurgery, CMC – Vellore), Consultant Neurosurgeon, Shija Hospitals.

It is worth mentioning that, Dr. Ch. Gautam had successfully performed surgical cerebral aneurysm clipping on 16-04-2013 for the first time in Manipur. He has successfully performed four such types of difficult neurosurgeries till date.

Previously such patients had to go outside the state for treatment because of inadequate treatment facilities in Manipur. Apart from huge expenses, patient and patient parties are sure to experience lots of inconveniences while travelling to faraway places for treatment.

A cerebral or brain aneurysm is a cerebrovascular disorder in which weakness in the wall of a cerebral artery or vein causes a localized dilation or ballooning of the blood vessel. If an aneurysm ruptures, it leaks blood into the space around the brain. The ruptured aneurysm (hemorrhage) may also damage the brain directly. Before an aneurysm ruptures, the individual may experience symptoms like sudden and unusually severe headache, nausea, vision impairment, vomiting and loss of consciousness.

Dr. Ch. Gautam further stated that Aneurysms may result from congenital defects, pre existing conditions such as high blood pressure and atherosclerosis (the buildup of fatty deposits in the arteries), or head trauma. Cerebral aneurysms occur more commonly in adults than in children but they may occur at any age. They are more common in women than in men, by a ratio of 3:2. Known risk factors for aneurysms include smoking, excessive alcohol consumption and hypertension. Onset is usually sudden and without warning.

The said patient after full recovery from the surgery was finally discharged from Shija Hospitals on 09-12-2015.