Patient Name: Ms. Lamin Nanah
Age: 26 Years
Condition: Left Cavernous Sinus Meningioma with Orbital Extension
Service: Neuro-Oncology Surgery Management – Med Access India
Patient Background
Ms. Lamin Nanah, a 26-year-old patient, presented with:
• Left eye proptosis (bulging of the eyeball)
• Progressive swelling over 2 years
• Complete vision loss in left eye
• Prior steroid treatment with no improvement
She was suspected to have an orbital tumor and required advanced evaluation.
Clinical Challenges
• Long-standing untreated tumor
• Vision already compromised
• Tumor located in critical skull base region
• High-risk surgical planning required
Med Access Case Manager-Led Medical Case Management A dedicated Case Manager ensured structured and seamless care:
1. Multi-Specialist Coordination
✔ Arranged consultations with:
• Neurosurgeon
• Neurologist
• Ophthalmologist
👉 Ensured a comprehensive multidisciplinary evaluation
2. Accurate Diagnosis Establishment
Under Case Manager coordination:
• CT Brain Scan
• MRI Orbit Scan
👉 Final Diagnosis:
Left Cavernous Sinus Meningioma (CSM) with Orbital Extension
✔ Identified exact tumor origin and spread
3. Treatment Strategy Planning
After expert discussions:
👉 Recommended procedure:
Left Pterional Craniotomy + Orbitotomy with Tumor Excision
✔ Carefully planned due to proximity to optic nerve and brain structures
4. Patient Education Decision Support
Case Manager ensured:
✔ Detailed explanation of surgery
✔ Access to educational materials
✔ Clarity on risks, outcomes & recovery
👉 Patient was fully informed and confident
5. Hospital & Surgery Coordination (Key Role)
✔ Selected top neurosurgery centre of excellence
✔ Managed:
• Admission process
• Coordination with doctors & nursing team
• Daily updates on treatment progress
👉 Case Manager visited daily to ensure smooth execution
6. Surgical Management
✔ Complex neurosurgery successfully performed
✔ Tumor excision completed
7. Recovery & Post-Operative Care
✔ Continuous monitoring
✔ Recovery guidance & precautions
✔ Do’s & Don’ts explained clearly
Outcome
✅ Accurate diagnosis of rare skull-base tumor
✅ Successful surgical intervention
✅ Stabilization of condition
✅ Structured recovery pathway
Role of Med Access Case Manager
This case demonstrates the impact of Case Manager-led care:
✔ Coordinated multiple specialists
✔ Ensured timely diagnosis & surgery
✔ Provided continuous patient support
✔ Maintained transparency at every step
Case Significance
✔ Eye symptoms can indicate deeper neurological conditions
✔ Early expert evaluation is critical
✔ Complex tumors need multidisciplinary planning
✔ Case Manager ensures end-to-end seamless experience