Dr V. R. Roopesh Kumar, Director of Neurosurgery at MGM Healthcare, and Mr Nilesh Mundada, COO, MGM Healthcare and Senior Vice President, Finance, MGM Group, said precise diagnosis and complete microsurgical removal were critical in treating a condition reported in only around 45 cases worldwide.
MGM Healthcare has treated an exceptionally rare case involving a cyst with gastric characteristics located in the brain, a condition reported in only around 45 cases worldwide.
The patient, a young IT professional, had presented with weakness in the limbs. The hospital’s medical team identified the condition accurately and carried out a craniotomy with microsurgical removal of the cyst. The procedure required careful handling to prevent any spillage of the cyst contents into the brain.
According to the hospital, the cyst contained acidic fluid with high levels of Amylase. Any release of this fluid into surrounding brain tissue could have caused damage and led to complications including severe seizures.
The case was led by Dr V. R. Roopesh Kumar, Director of Neurosurgery, MGM Healthcare, who had encountered a similar rare case nearly two decades ago. That earlier experience proved important when the cyst revealed a light yellow fluid, unlike the clear and colourless Cerebrospinal fluid usually associated with more common brain cysts.
MGM Healthcare said that if the condition had not been diagnosed correctly, the likely approach would have been to drain the fluid and leave the cyst behind. That could have resulted in long term damage to the brain. After surgery, the patient recovered well and normal function in the limbs was restored.
Dr V. R. Roopesh Kumar said, “What we found in the brain was an enterogenous cyst, that is a cyst lined by tissue similar to the gastrointestinal tract, containing stomach like lining. The cyst could easily have passed off as a typical brain cyst. However, we were alerted by the light yellow colour of the fluid. Fortunately, I had encountered a similar case nearly twenty years ago, and that experience helped in identifying this condition accurately.”
He said the medical team analysed the fluid and sent part of the cyst for biopsy. Both confirmed that the condition was not an Arachnoid cyst, which is typically filled with clear and colourless Cerebrospinal fluid surrounding the brain and spinal cord.
Dr Kumar also said such rare conditions can be linked to developmental anomalies. During early development, the spine and intestine lie close to each other and usually separate as development continues. In some cases, remnants may remain within neural tissues, most often in the spine or lower part of the cranium. Their presence in the upper compartment is extremely rare, which was the case here.
Mr Nilesh Mundada, COO, MGM Healthcare and Senior Vice President, Finance, MGM Group, said, “This case underscores the critical importance of precise diagnosis backed by deep clinical expertise. The ability of our team to identify a rare enterogenous cyst, something that could easily have been mistaken for a routine brain cyst, highlights the strength of multidisciplinary evaluation at MGM Healthcare.”
He added that complete removal of the cyst without any spillage was equally important in preventing possible damage to the brain. The hospital said the outcome reflects the role of advanced diagnostics and specialist surgical care in managing rare neurological conditions.
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