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Dr Sayuj Krishnan - Brain & Spine SurgeonDr Sayuj KrishnanHomepage

Neuronavigation-guided Microsurgical Resection

Full Recovery After Navigated Glioma Resection

Treated April 2025Low-Grade Frontal Glioma

Rahul S. • Age 32-38 • Jubilee Hills

At a glance

  • Primary procedure: Neuronavigation-guided Microsurgical Resection
  • Condition: Low-Grade Frontal Glioma
  • Recovery timeline: 6 weeks
  • Occupation: Software Architect
  • Location: Jubilee Hills

Being awake during surgery sounded intimidating, but the team kept me relaxed. I was speaking normally the next day and cleared to return to coding in six weeks.

Rahul S.

Case overview

  • Presentation: Intermittent speech arrest and headaches for 3 months
  • Imaging: Left frontal low-grade glioma adjacent to Broca's area
  • Objective: Maximal safe resection with preservation of speech function

Surgical plan

  • Awake craniotomy with direct cortical speech mapping
  • Neuronavigation and intra-operative ultrasound guidance
  • Motor and language monitoring throughout tumour resection

Outcome & follow-up

  • Gross total resection achieved with functional preservation
  • Speech therapy for two weeks; full recovery by week four
  • MRI at 6 months shows no residual tumour
  • Patient remains on low-dose anti-seizure prophylaxis with quarterly follow-ups

Measured Outcomes

  • Gross total resection confirmed on 48-hour MRI
  • Discharged on post-op day 3
  • Returned to work (remote) in 6 weeks

Looking for similar outcomes? Schedule a consultation to review your scans and discuss treatment options with Dr. Sayuj Krishnan.