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further explained the case and said, “A multi-disciplinary team approach was adopted and the patient was subjected to pre-operative tumor embolization by the skilful neuro intervention radiology team at MGM. Histopathology further confirmed the nature of this aggressive vascular tumour. Thereafter, a thorou gh surgical planning was done to avoid intra-operative complications associated with the surgical access to the huge skull base tumour. The important neurovascular structures in the vicinity of the relatively inaccessible an atomical areas was a surgical challenge during the operation. The surgical challenge was manifold due to the rel atively inaccessible anatomical site of the skull base. This highly vascular tumour in an advanced stage had close adherence to vital nerves and vessels, connecting the brain through the numerous foramen in the base of skull, which had already begun to show symptoms like bleeding, headache, hearing loss, compromised speech, breat hing difficulty and issues in day to day livi
