Wednesday 25 December 2013

Miracle of the little girl with the gigantic head: Roona, two, has successful surgery to reduce huge swelling.

             Global attention: Images showing Roona's plight, such as this one, attracted international sympathy                                       Lying on her hospital bed, Roona Begum almost looks likes any other two-year-old.
But her appearance today is a drastic transformation to how the toddler looked just a few months ago after her head swelled to twice its size.
These dramatic series of images chart her journey which has seen her undergo numerous operations on her skull.  Doctors carried out her latest reconstructive surgery on Friday and the results are clear to see in these pictures taken of Roona at a hospital in New Delhi, India, on Christmas Day. More pic below
                                                CHRISTMAS DAY: Two-year-old Roona Begum is pictured in her hospital bed in New Delhi, India, after her latest reconstructive surgery                                                                 Life saving operations: Roona, pictured with her mother Fatima Begum, will still have a larger than average head but she will be able to live a normal life                                                                 Doctors at the Fortis Memorial Research Institute removed bone from Roona's skull in her latest operation on Friday                        Roona's father, Abdul Rahman, said: 'We are happy. She is much better now. There was a time when she was unrecognisable.'
Roona, who lives with her impoverished parents in a village in India's remote northeast, was born with hydrocephalus, a potentially fatal condition that causes cerebrospinal fluid to build up on the brain.
Her condition caused her head to swell to a circumference of 94 centimetres (37 inches), putting pressure on her brain and making it impossible for her to sit upright.
Images showing Roona's plight attracted international sympathy which prompted the Fortis Memorial Research Institute in New Delhi to treat her rare condition for free.                                                                  Rahman, who works as a labourer earning around £2 a day, said: 'We are very poor. We were not in a position to arrange for all the treatment. But so many people came forward to help.'
Roona was admitted to the hospital in April and underwent several rounds of surgery in May and June when doctors drained excess fluid from her head and dramatically reduced the size of her skull to 58 centimetres. 
She spent 105 days in total at the hospital before being discharged in August.
But she returned to the same hospital earlier this month to have part of her bone removed from her skull which was then rebuilt.
'When she came in first, her condition was very critical. We were not sure if she would make it. But, she has responded very well to the treatment,' Dr Sandeep Vaishya, Director of Neurosurgery at Fortis, said in November.
'She still has an unusual skull size, but she is healthy. She is doing well.'
Roona will likely have to undergo another procedure early next month to compress her head further.
Although Roona's skull is likely to remain large, she has a good chance of developing normally, provided her neck muscles can grow strong enough to support her head, doctors have said.

JUNE: Doctors reshape Roona's skull after water on her brain which caused her skull to balloon - called hydrocephalus - had been drained leaving her disfigured      NOVEMBER: Roona pictured in before her bone corrective surgery at Fortis Memorial Hospital  last month       MAY: The toddler's head has been reduced from 37ins to around 21ins through a series of life-saving surgeries                     MAY: Roona pictured aged 18-months at the ICU ward of Fortis Memorial Research Institute after the first round of surgery on May 29, 2013, in Gurgaon, India                                                                                                                                                                                                                                                                                                                                                               posted by Emanto Ngaloru  Dec 25, 2013.  

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