Patient Name: Mrs. Jannet Wardlow
Age: 53 Years
Condition: Left Cavernous Sinus Meningioma with Orbital Extension
Service: Neurosurgery Management – Med Access India
Patient Background:
Mrs. Jannet Wardlow, a 53-year-old patient, presented with severe neurological symptoms, including: Severe neck and back pain
Pain radiating to upper and lower limbs. Tingling, numbness & weakness. Significant mobility limitation – wheelchair dependent. Her condition was complex and required advanced neurological evaluation and
intervention.
Clinical Challenges
Severe nerve compression symptoms
Progressive neurological deficit
Diagnostic complexity (spine vs brain origin)
Need for high-risk neurosurgical intervention
Med Access Case Manager-Led Medical Case Management A dedicated Case Manager ensured structured, end-to-end coordination:
1. Right Specialist Selection
✔ Coordinated consultations with:
Neurosurgeon
Neurologist
Ophthalmologist
�� Ensured multi-disciplinary evaluation for accurate diagnosis
2. Accurate Diagnosis Establishment
Under Case Manager supervision, advanced diagnostics were conducted:
CT Brain Scan
MRI Orbit Scan
�� Final Diagnosis:
Left Cavernous Sinus Meningioma (CSM) with Orbital Extension
✔ Identified the true cause of neurological symptoms
3. Treatment Strategy Planning
After expert discussions:
�� Surgical intervention recommended:
Left Pterional Craniotomy + Orbitotomy with Tumor Excision
✔ Carefully planned due to complex location near critical nerves and eye
4. Patient Education & Decision Support
Case Manager ensured:
✔ Detailed explanation of procedure
✔ Access to educational resources (videos/articles)
✔ Clear understanding of risks, benefits & recovery
�� Patient was fully informed and confident before surgery
5. Hospital & Surgeon Selection
✔ Treatment executed at a leading neurosurgery centre of excellence
✔ Best-fit surgeon selected based on case complexity
6. Surgical Management
✔ Complex neurosurgery successfully performed
✔ Tumor excision completed with precision
7. Recovery & Rehabilitation Support
✔ Post-operative care coordination
✔ Mobility & recovery guidance
✔ Do’s & Don’ts explained in detail
Outcome
✅ Accurate diagnosis of rare brain tumor
✅ Successful high-risk neurosurgery
✅ Relief from neurological symptoms
✅ Improved mobility and quality of life
Role of Med Access Case Manager
This case highlights the power of Medical Case Management:
✔ From unclear symptoms → precise diagnosis
✔ From immobility → recovery pathway
✔ From confusion → structured treatment
�� The Case Manager ensured every decision was timely, accurate, and patient-focused
Case Significance
✔ Neurological symptoms may not always originate from spine
✔ Multidisciplinary diagnosis is critical
✔ Complex neurosurgeries require expert coordination
✔ Case Manager-led care ensures better outcomes in high-risk cases