Nagpur Docs Save Tribal Schoolboy with Ultra-Rare Brain Condition
Nagpur: A 15-year-old tribal schoolboy from a residential school (ashram shala) in Gadchiroli has made a full recovery after undergoing a highly complex brain procedure at Government Medical College and Hospital (GMCH), Nagpur, for a rare and life-threatening condition that affects barely 1 in 1 lakh people.
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The boy was brought to GMCH's emergency department late at night in a semi-conscious, stuporous state by his teacher, after he complained of a severe headache and vomiting. A quick CT scan revealed a large haemorrhage—bleeding deep inside his brain.
Suspecting an underlying vascular anomaly, doctors immediately referred him to the
department. An advanced brain vessel scan (DSA angiography) revealed a
(pAVF)—a rare defect where an artery connects directly to a vein in the brain, bypassing the normal capillary network.
This creates a dangerously high-pressure system that can rupture, leading to a potentially fatal brain bleed.
"This is an extremely rare condition. It's seen in less than 1% of brain vascular malformations. What made this case even more urgent was the presence of multiple venous aneurysms, which could rupture again at any time, causing permanent disability or death," said Dr Jawahar Rathod, head of interventional radiology at GMCH, who led the procedure.
A swift decision was taken to perform a life-saving embolisation procedure. In this delicate, minimally invasive surgery, doctors navigated a microcatheter through the brain's blood vessels and injected a special medical glue to block the abnormal artery-vein connection and the balloon-like weak spots (aneurysms).
"The entire team worked against time. We super-selectively blocked the abnormal blood flow using glue and excluded the fistula from the brain's circulation.
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This stopped the bleeding and saved the boy's life," explained Dr Vinod Khandait, an interventional cardiologist, who coordinated the multi-departmental response.
The entire treatment, including diagnostics, surgery, ICU care, and post-operative recovery, was provided completely free of cost under the
(MJPJAY).
"This case shows the true potential of a public healthcare system when departments work together seamlessly. Not only was this a very rare diagnosis, but it was managed in a timely manner and at no cost to the family. The boy has now fully recovered and is walking home," said Dr Raj Gajbhiye, dean, GMCH Nagpur.
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