Dubai man undergoes complex awake brain surgery at NMC, recovers with renewed hope

What initially appeared to be fatigue gradually progressed to more serious neurological symptoms, prompting him to seek help at NMC’s emergency department

In a remarkable demonstration of advanced medical care and patient resilience, NMC Specialty Hospital, Al Nahda, Dubai, has successfully performed a high-precision awake brain surgery on a Dubai-based hotel employee, enabling his recovery from a complex brain tumour while preserving vital motor functions.

Raymundo Omega, a long-time UAE resident and hospitality professional, began experiencing unexplained health concerns last year. What initially appeared to be fatigue gradually progressed to more serious neurological symptoms, prompting him to seek help at NMC’s emergency department.

Advanced diagnostic imaging revealed a lesion deep within the eloquent cortex of the right frontal lobe which a part of the brain that controls voluntary movement. While the imaging suggested it could be something serious, a tissue sample was needed to confirm exactly what it was and what the best form of treatment would be.

Dr Sharath Kumar Maila, specialist neurosurgeon at NMC Specialty Hospital, Al Nahda, took on the complex case. "The tumour’s location made surgery particularly challenging,” he explained. “Our initial goal was to confirm the diagnosis through a biopsy. It was a very delicate process, as the lesion affected the motor cortex in areas that send signals to his muscles to move and areas which plan and coordinate complex movements before they are carried out (Brodmann areas 4 and 6). We had to meticulously plan the biopsy to avoid causing neurological issues. Using a robotic arm guided by neuronavigation, we safely obtained the tissue sample without any neurologic deficits.”

The biopsy confirmed the tumour was a high-grade glioma and highly aggressive, so the goal was to remove as much of it as possible while keeping movement and muscle control intact. Given the tumour’s location, an awake craniotomy or brain surgery while the patient remains awake was deemed the most effective and safest approach.

During surgery, Omega remained conscious during critical phases, allowing surgeons to monitor real-time motor responses and map functional brain areas. “We used a combination of real-time intraoperative ultrasound, fluorescence guidance, and neuronavigation, all working in tandem to guide the procedure,” Dr Sharath noted.

The team achieved a significant tumour resection while preserving the patient’s movement and functionality. Omega was able to walk immediately after surgery and was discharged in stable condition after four days in hospital.

“This was my first surgery, and I was initially very nervous,” said Omega. “But the team at NMC Specialty Hospital, Al Nahda gave me the confidence to move forward. Their care and support were truly exceptional.”

Omega is now undergoing postoperative therapy as part of a comprehensive, multidisciplinary care plan. His case underscores the importance of early intervention, technological innovation, and collaborative care in neurosurgical outcomes.

“When it comes to neurological tumours, timing is everything,” emphasised Dr. Sharath. “Early diagnosis and timely surgical intervention can significantly influence recovery and long-term outcomes. At NMC, we remain committed to delivering patient-focused care using the latest advancements in medical technology.”

For more information on NMC Healthcare, visit: https://nmc.ae/en