Dr. Vikas Gupta
Director & HOD
Neuro-Surgery & Interventional
& Endovascular Neuro-Surgery
BLK Centre for Neurosciences
“After 2 years of a mistaken
tumour surgery and lifetime
national walked back home
straight without any
external support. This was
made possible by a team of
neurosurgeons at BLK Super
Speciality Hospital with the
help of a simple procedure
called Digital Spine
Analysis (DSA) and
embolisation of venous
malfunction to correct the
abnormal flow of blood
between his spinal artery
Bekzod Abdulakhatov, a 35-year old former athlete had a common birth
defect which could have been easily diagnosed and treated at an
adolescent age. However, it went unnoticed for 33 years. And when
diagnosed, it was mistaken for a tumour near the spine for which he had
to undergo critical open surgery at his hometown Tashkent some years
back to remove the tumour. The surgery went wrong to an extent that
Bekzod was reduced to wheelchair and lost his movement completely.
For all the following years, he had to suffer for something which is easily
curable - Spinal Arteriovenous Malformation (AVM) - a rare, abnormal
tangle of blood vessels on, in or near the spinal cord.
AVMs are defects of the circulatory system that are generally believed to
arise during embryonic or foetal development, or soon after birth. It is an
abnormal connection between arteries and veins bypassing the
capillary system. As a result, they can cause intense pain, bleeding or
lead to other serious medical problems.
In Bekzod’s case, spinal neurovascular angiogram at the neurovascular
cath lab revealed too many blood vessels cluttered in one area. This
AVM was stuck to his spine and spreading in between his spinal discs
like parasites. Not only was Bekzod's AVM misdiagnosed, but it was also
not cured from the roots.
Although, after the surgery the blood clot around his spine was absent
for a few weeks, it reappeared and started to choke on his spinal cord
with enough high pressure to cripple him.
Dr. Vikas Gupta, Director & HOD, Neuro-Surgery, Interventional
& Endovascular Neuro-Surgery and the team carried out eight hour
long embolisation procedure to correct the anomaly. For this, a C1
catheter was used to cannulate bilateral spinal radicular vessels from
D7 to L3. A large arteriovenous malformation in nature was found fed
by Radicals of D11-12 and L1. At-least four radicals were embolised
with 50% glue. This cut the blood supply from the selected arteries to
the affected area of the spine and prevented increased malformation.
This automatically released the pressure and gave strength to his spine
to conduct voluntary movement in his limbs.
He was kept under observation and monitored closely in NSICU. Power
in both lower limbs improved slightly (grade 3/5 at knee joint) in first
few days. Bekzod stood first time after two years on his own and walked
free to return home.