Karachi doctors successfully performed an ‘awake brain surgery’ in which the patient remained conscious and spoke with his family throughout the procedure, marking a major milestone for Pakistan’s healthcare industry.
The surgery was performed by the team of neurosurgeons at Memon Medical Institute (MMI) Hospital – a non-profit, not-for-profit hospital that provides both public and private services – in Karachi.
The patient talked to his son on the phone as surgeons operated on his brain, using an advanced approach that helps protect essential functions by checking the patient’s speech and movement throughout the entire procedure.
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Awake surgery is performed when a tumour lies close to brain regions responsible for speech, movement or vision. Surgeons keep the patient awake and pain-free to test these abilities in real time during surgery.
The patient had a low-grade tumour in the left fronto-parietal region, an area that controls language and right-side motor power. Even minor damage here can cause severe disability, the doctors explained.
To avoid complications, the team continuously asked the patient to speak, raise his hand and respond to simple instructions. These steps helped surgeons identify safe areas and protect healthy tissue throughout the operation.
Doctors said the brain has no pain receptors, so the patient did not feel discomfort during the procedure. Strong local anesthesia was applied on the scalp, making the surgery safe and more controlled.
Dr Muzaffer, the neurosurgeon leading the procedure, said the patient stayed stable from start to finish. He confirmed the man recovered without weakness or speech difficulty, calling the outcome a significant medical achievement for the healthcare industry of Pakistan.
The surgical team used intraoperative ultrasound to accurately locate the tumour and guide careful removal.
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Awake brain surgery in Karachi is performed at very few advanced centres due to the high expertise, technology and coordination required. The successful operation highlights growing national capability in complex neurosurgical care.
Dr Muzaffer said the case demonstrates that Pakistani patients can receive treatment following global standards without travelling abroad.
He added that strong planning, teamwork and improved technology are strengthening the country’s neurosurgery field.