Walking Again Without Support: Precision Micro-Neurosurgery Removes High-Risk Cervical Spinal Cord Tumor
01 Patient Presentation & Clinical Challenge
For over six months, 47-year-old Mrs. Rokeya Begum experienced progressive weakness in both legs and tingling clumsiness in her hands, eventually becoming wheelchair-bound. Contrast 3T MRI of the Cervical Spine at DCIMCH revealed a large intradural tumor severely compressing over 75% of her spinal cord at the critical C4–C6 level—millimeters away from nerves controlling breathing and four-limb movement.
02 Multidisciplinary Hospital Intervention
Neurosurgeon Dr. Md. Rashidul Hasan convened a joint pre-operative board with Neuro-Anesthesiology, Internal Medicine, and ICU specialists to plan high-magnification microsurgical excision.
- Under neuro-protective anesthesia inside DCIMCH’s modular Operation Theatre, microscopic dissection separated the tumor capsule cleanly from the delicate cervical cord and nerve roots without vascular injury.
- Overnight post-operative neurological monitoring in the DCIMCH ICU confirmed immediate decompression and intact respiratory drive.
- Bedside neuro-physiotherapy began within 36 hours to retrain balance and grip strength.
03 Recovery Outcome & Follow-Up
Histopathology confirmed a benign schwannoma with complete surgical clearance. By Day 6, Mrs. Rokeya stood beside her bed with minimal support, and at her 6-week OPD chamber review in Building-3 (Room 206), she walked into the consultation room completely unassisted.
“I came to DCIMCH in a wheelchair fearing I would stay paralyzed forever. Walking into Dr. Rashidul Hasan’s chamber on my own two feet six weeks later brought tears to my whole family.”