In a remarkable demonstration of advanced neurosurgical expertise and timely decision-making, a 54-year-old woman made a strong recovery after undergoing one of the most complex brain surgeries performed at NewEra Hospital, Navi Mumbai. What initially appeared to be a single large brain tumor evolved into a rare, life-threatening neurosurgical emergency involving a massive subdural hematoma and two brain tumors located on opposite sides of the brain.
Thanks to swift diagnosis, meticulous planning, and expert execution, the patient underwent two extremely high-risk brain procedures in a single operative sitting—an approach rarely attempted due to its complexity and risk.
A Challenging Presentation with Rapid Deterioration
Mrs Suman Pokhare, a 54-year-old resident of Koparkhairane, Navi Mumbai, presented with worsening weakness, imbalance while walking, and increasing difficulty in performing daily activities over a period of 15 days. When she arrived at NewEra Hospital, she was barely able to stand or walk independently.
As per the press release, brain imaging revealed a large subacute subdural hematoma on one side of the brain, causing significant compression and demanding urgent surgical evacuation. Simultaneously, scans showed a large brain tumor—nearly the size of a golf ball—on the opposite side of the brain, which independently required surgical removal. Together, these findings transformed the case into a rare and high-risk neurosurgical emergency.
Immediate Stabilisation and Surgical Planning
Given the seriousness of her condition, the medical team initiated immediate treatment in the Emergency Room. Doctors stabilised her with intravenous antibiotics, antiepileptic medications, and supportive care before shifting her to the ICU. As her neurological status continued to worsen due to pressure on the brain, the team planned definitive surgical intervention for the very next morning.
Every moment mattered, and the multidisciplinary team prepared to address not just recovery, but survival.
A Rare One-Stage, High-Risk Brain Surgery
On 12 November 2025, Dr Sunil Kutty, Consultant Neurosurgeon (Brain & Spine) at NewEra Hospital, Vashi, Navi Mumbai, led a highly complex craniotomy—a delicate procedure in which a portion of the skull is temporarily opened to access and treat life-threatening brain conditions.
“What was initially planned as surgery for a dangerous subdural hematoma quickly turned into an intense and defining moment in the operating room,” said Dr Kutty. “As we evacuated the clot, we encountered a hidden tumor infiltrating the brain’s protective covering and compressing the brain. This tumor had been suspected and discussed with the patient and her family, but it was not clearly visible on scans because the blood clot was masking it.”
As the surgery progressed, the team confirmed that the patient had three serious neurological conditions simultaneously: a massive subdural hematoma and two large brain tumors located on opposite sides of the brain. Each of these conditions alone carries a high risk of brain swelling, permanent neurological damage, seizures, paralysis, or even death—and would typically require separate surgeries.
Managing Three Life-Threatening Conditions at Once
Dr Kutty explained that while neurosurgeons occasionally operate on both sides of the brain for bilateral subdural hematomas, dealing with two brain tumors along with an associated subdural hematoma is exceptionally rare.
“Brain tumors occur in about four per one lakh people, and less than one percent of these patients have bilateral brain tumors. Having an associated subdural hematoma makes it even rarer,” he noted.
During the five-hour surgery, the team successfully performed emergency evacuation of the massive subdural hematoma and excised two brain tumors measuring approximately 4.5 cm and 2 cm in diameter, along with their attachments. Completing all procedures in a single operative sitting helped avoid multiple high-risk surgeries, reduced complications, shortened recovery time, and ultimately saved the patient’s life.
“What began as a moment of deep uncertainty ended in survival, recovery, and renewed hope,” Dr Kutty added.
Smooth Recovery and Positive Outcomes
Following surgery, the patient showed steady improvement. On 13 November 2025, doctors shifted her from the ICU to a regular room. Over the next few days, her recovery progressed smoothly. She remained stable, experienced no surgical site pain, and showed no neurological deficits. Importantly, she regained full movement of all four limbs and gradually regained confidence in walking.
Postoperative scans confirmed complete excision of both tumors and full evacuation of the subdural hematoma. She was discharged just three days after surgery. At follow-up in December, she continued to do well, with no new neurological concerns and steady functional recovery.
“These outcomes highlight the critical importance of timely intervention, accurate diagnosis, advanced imaging, and a well-coordinated multidisciplinary approach in managing complex neurosurgical emergencies,” Dr Kutty emphasised.
A Patient’s Gratitude and Renewed Hope
Recalling her experience, Mrs Pokhare said, “I was terrified when I was told that there was not just a brain bleed, but two tumors as well. I could barely walk and feared the worst. Dr Sunil Kutty and his team explained everything patiently and gave me the courage to face the surgery. Today, I am walking, alert, and going home with hope in my heart. I truly feel I have been given a second chance at life.”
Hospital Leadership on Advanced Emergency Care
Dr Mataprasad B Gupta, Vice President and CEO of NewEra Hospital, highlighted the institution’s preparedness to handle such complex cases. “NewEra Hospital is equipped with state-of-the-art facilities, advanced imaging, and highly trained teams capable of managing the most challenging neurological emergencies. In critical moments, quick diagnosis, precise imaging, and seamless coordination make the difference between life and loss. Saving lives in the most complex situations is not just our expertise—it is our commitment.”