North India’s 1st Tennis-Ball-Sized Rare Facial Tumour Removed from 39 Years-Old Kenyan Female at Fortis Vasant Kunj

Fortis Vasant Kunj successfully treated a 39-year-old Kenyan woman suffering from facial nerve schwannoma – an extremely rare tumour which grows on the Facial Nerve eventually causing - facial weakness, headaches, hearing and visual loss. The team of doctors led by Dr Anurag Gupta, Senior Consultant, Neurosurgery along with Dr Yogesh Jain, ENT and skull base Surgeon performed this rare and challenging surgery, to completely excise the tumor - which lasted for 15 hours. The patient was discharged after 12 days in a stable condition with no neurological deficits.

Patient was admitted on 24th May 2024  at Fortis Vasant Kunj, the woman was in a conscious state, irritable, had no vision in both eyes along with complete facial paralysis on the right side with hearing loss.  She revealed that she had complaints of facial weakness, headaches along with hearing loss and visual loss for the past 3 years. She was evaluated with MRI brain and CT angiography brain, which revealed facial nerve schwannoma - a large tumour measuring 64.2 x 49.5 x 41.5 mm (size of a tennis ball) located in an intricate position which eventually caused facial palsy. 

Dr Anurag Gupta, Senior Consultant, Neurosurgery, Fortis Hospital Vasant Kunj said, “The woman had come to us from Kenya, as there she was advised a 2-step surgery each lasting around 20 -22 hours, with low chances of survival. We drilled the bone of her skull as skull base approaches like this allow access to large tumours of the brain without any pressure on brain which can be harmful to the brain. The skull base bone drilling and preparation took nearly 4 hours before we started removing the benign tumour. Had she been not treated on time, she would have developed weakness in her hands and legs, difficulty in swallowing and eventually death due to increased pressure on the brain.

At present, she is conscious, alert, walking on her own, has started seeing some light in the eyes and is eating and talking normally. The surgery had associated risk factors, if delayed or in case unsuccessful - risk of death, permanent paralysis or vegetative state.”