Patient Name: Mrs. Jannet Wardlow
Age: 53 Years
Condition: Left Cavernous Sinus Meningioma with Orbital Extension
Service: Neuro Surgery 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:

Right Specialist Selection

Coordinated consultations with:
 Neurosurgeon
 Neurologist
 Ophthalmologist
Ensured multi-disciplinary evaluation for accurate diagnosis

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.

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

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

Hospital  Surgeon Selection

✔ Treatment executed at a leading neurosurgery centre of excellence
✔ Best-fit surgeon selected based on case complexity

Surgical Management

✔ Complex neurosurgery successfully performed
✔ Tumor excision completed with precision

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