CMT patient C-section at Midnapore Medical College: A rare surgical feat in West Bengal
Synopsis
Key Takeaways
Doctors at Midnapore Medical College and Hospital in West Bengal have successfully performed a Caesarean section on a 25-year-old woman diagnosed with the rare hereditary neurological condition Charcot-Marie-Tooth (CMT) disease, with both the mother and newborn reported to be in good health. The procedure, completed on 25 August, is believed to be the first of its kind performed on a CMT patient in the district.
Who the Patient Is
Sonamoni Giri, a resident of Mohanpur in the Egra area of East Midnapore, was admitted to Midnapore Medical College for the second time during her pregnancy. Medical evaluations during this admission confirmed she was living with CMT disease — a hereditary disorder affecting the peripheral nerves that causes progressive weakness in the hands and feet, difficulty walking, and impaired movement. Giri, who already has a daughter, described walking as extremely difficult due to the condition.
Why This Surgery Was Medically Complex
The central challenge, according to the surgical team, was the administration of anaesthesia. In CMT patients, the peripheral nerve involvement can extend to respiratory muscles, significantly raising the risk of complications during and after surgery. This made close monitoring essential at every stage of the procedure.
Although the Caesarean section itself lasted approximately one-and-a-half hours, the medical team spent nearly four to five hours on pre-operative preparation and anaesthesia-related monitoring to minimise potential risks. This level of preparation underscores how atypical and high-stakes the procedure was.
What the Doctors Said
Suman Chatterjee, head of the hospital's anaesthesia department, and Professor Bijoy Kumar Bandopadhyay led the procedure. 'The risk was considerable, but we succeeded,' the doctors said, adding that both the mother and child are healthy following the surgery. Hospital officials confirmed that the mother and newborn remain under medical observation.
Significance of the Procedure
CMT disease affects roughly 1 in 2,500 people globally, making it one of the most common inherited neurological disorders — yet surgical interventions on CMT patients, particularly obstetric ones, remain rare and are not well-documented in district-level government hospitals in India. This is the first such recorded case in Midnapore district, according to hospital sources. The success of this procedure is notable not only for the patient's outcome but for what it demonstrates about the capacity of public health institutions in West Bengal to manage complex neurological comorbidities in obstetric care.
Both mother and child are currently healthy and under observation, with the medical team continuing to monitor for any post-operative neurological developments.