A 50-year-old Pakistani national, Ali Mullah working with RAK Ceramics, was brought back to life at the RAK Hospital where he underwent two vital surgeries involving critical and intricate location of posterior brain circulation.
The patient had poorly controlled diabetes and hypertension which put him at a high risk for brain stroke. The chances of his survival were minimal or he would have suffered permanent neurological damages.
Describing the patient’s condition, Dr Hillol Kanti Pal, Head Neurosurgeon at the RAK Hospital, said Mullah was brought to the hospital after having suffered a mild stroke which later on progressed in a step-ladder-pattern classical of ‘Ischemic stroke’, worsening the condition to coma in next 96 hours.
Initially, Mullah suffered from dizziness, then vomiting and then he became unsteady.
By the time he was admitted to the hospital, the blood flow to the back of the brain had ceased resulting in more than 50 per cent of his hind brain permanently damaged with resultant massive swelling.
“The intracranial pressure rose as the swelling blocked the flow of CSF resulting in acute hydrocephalus and coma.”
“Therefore to get him out of the situation, we had to perform two surgeries, firstly a neurosurgical procedure in which part of the skull was removed to allow the swollen brain room to expand, followed by a diversionary shunt surgery after 48 hours, to drain excess fluid from the brain into the abdominal cavity,” he added.
Dr Pal said the location of the surgery was unusual as the posterior portion of the skull was decompressed. “It was a difficult decision as massive strokes of the posterior circulation along with coma usually affect critical brainstem structures responsible for consciousness. Complete recovery from such a condition is unusual.”
Looking sound, Ali Mullah said he was very reluctant in getting regular health checks done and had always ignored good control of his diabetes and blood pressure.
“The result was the massive stroke that could have led to my death or made me permanently disabled.” Mullah believes that the successful, timely and accurate treatment had helped him lead a normal life. “I have started eating regular food, my balance and coordination has improved and I will be rejoining my duties this September.”