Welcome User!
Case Study

Mystery of Disappearing Brain Tumour
Dr VP Bansal

Shirish Agrawal, 12 years, came on 17-08-2000, in the early morning, even before the clinic hours with complaint of throbbing headache worse from movement and light,but better by closing eyes; he also had projectile vomiting with headache and was not relieved by vomiting. On this short acute history, I gave him Belladonna 30 and asked them to report after one hour.

After one hour attendant reported that there is no relief, and condition is worse , so without wasting much time, I gave him Bryonia 30. Patient still had no relief and he went to consultant Neurologist who diagnosed it clinically as Vascular Headache.
Neuro physician asked for C T scan.
The Report of CT scan-Dated 19-07-2000:

The sulci and cisterns are completely obliterated. The 3rd and both lateral ventricles are dilated.
Aqueductal Stenosis.
Patient referred to Neurosurgeon who advised MRI.
Report of MRI 22-07-2000
A small, well-defined, nodular, non-enhancing lesion in the posterior 3rdventricular region appearing inseparable from the pineal gland producing marked narrowing of the proximal end of aqueduct of sylvius, suggestive of a pineal neoplasm ? Germinoma.

A follow-up examination after eight weeks was suggested for further evaluation.
Mild to moderate obstructive enlargement of the lateral and 3rd ventricles with mild enlargement of the 4th ventricle.
Then patient was referred to Mumbai for further investigations.
At Mumbai, he consulted Dr C E Deopujari who investigated Shirish Agrawal by all possible means and various reports are normal except report of MRI. He also repeated MRI using contrast media.

Dr C E Deopujari explained to relations that the tumor is within proximal aqueduct causing obstructive Hydrocephalus.
He advised for 3rd ventericulostomy and biopsy / excision of Tumor. He also warned that in posterior 3rd ventricular region it is difficult to operate and surgery is not without risk. Relatives were not ready to take the risk.
Ultimately shunt was placed to drain the hydrocephalus. The pathology was left untreated.
Neuro-surgeon at Mumbai further explained to relatives (04-08-2000), that it is best that you should consult Neuro-surgeon in USA

After Shunt operation, Shirish Agrawal came to me on 21/08/2000 with following complaints.

·         Weakness

·         Lack of concentration

·         Impaired memory

·         Indifferent

·         Grief about shunt and disease

·         Despair

·         Sensitive to noise

·         Anxiety about studies

·         Craving for sour

·         Thirst for cold drink

·         Chilly


O/E Lips dry and cracked. Shunt in place. Myopic. Looks indifferent

21/08/00: Alfalfa q. 10 drops TDS
Report after one week
01/09/00: No change in condition of patient
On basis of totality Nat-mur-30
15/09/00: No change Rx.Nat-mur-200
01/10/00: Rx Sepia- 200
15/10/00: Appetite < weakness >
Weight <. Cheerful Rx Sac-lac.
Aphorism 281
came to my mind.

In order to be convinced of this, the patient was left without any medicine for 8, 10 or 15 days, meanwhile giving him only some powder of Sugar of Milk.

01/11/00: Eruption on skin . Rest -OK Rx Sac-lac
17/11/2000: Patient went for follow up to Mumbai and Neuro surgeon asked for repeat MRI.
They were surprised, as there was no tumor mass in aqueduct.
They repeated MRI. with contrast media and again they were surprised that it was normal!