M. Sarwar, L. Tripathy, Gobinda Pramanick, S. Chatterjee
Abstract Schwannoma of greater superficial petrosal nerve (GSPNS) is a rare tumor of middle cranial fossa. We report a case of GSPNS presenting with twitching of face and eyelid. We describe its characteristic radiological appearance. Total excision of the GSPNS was done through a subtemporal approach with complete relief of symptoms. GSPNS is a rare tumor of middle cranial fossa. Preoperative diagnosis may be misleading. A high index of suspicion is important to make a correct diagnosis and choose an appropriate approach for surgery as it is amenable to complete excision.
{"title":"The Greater Superficial Petrosal Nerve Schwannoma: A Brief Report","authors":"M. Sarwar, L. Tripathy, Gobinda Pramanick, S. Chatterjee","doi":"10.1055/s-0042-1759490","DOIUrl":"https://doi.org/10.1055/s-0042-1759490","url":null,"abstract":"Abstract Schwannoma of greater superficial petrosal nerve (GSPNS) is a rare tumor of middle cranial fossa. We report a case of GSPNS presenting with twitching of face and eyelid. We describe its characteristic radiological appearance. Total excision of the GSPNS was done through a subtemporal approach with complete relief of symptoms. GSPNS is a rare tumor of middle cranial fossa. Preoperative diagnosis may be misleading. A high index of suspicion is important to make a correct diagnosis and choose an appropriate approach for surgery as it is amenable to complete excision.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":"26 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85087358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tejaswi Vadlamani, Nishant S. Yagnick, Rakesh Kagita, S. Sinha
Abstract Spinal arachnoiditis can occur as a delayed sequel of meningitis. Cerebrospinal fluid flow disturbances and adhesive loculations can cause cord compression and traction on roots causing the symptoms. The surgical treatment of this condition is often considered a limited option, because of the high chances of recurrence of symptoms and adhesions, often considered as surgical failure. Here, we report a patient with extensive lumbar–sacral adhesive arachnoiditis successfully treated with limited adhesiolysis under neuromonitoring and cystoperitoneal shunt placement.
{"title":"Surgical Management of Lumbar Adhesive Arachnoiditis Postmeningitis: A Bermuda Triangle?—Case Report and Review of Literature","authors":"Tejaswi Vadlamani, Nishant S. Yagnick, Rakesh Kagita, S. Sinha","doi":"10.1055/s-0042-1756508","DOIUrl":"https://doi.org/10.1055/s-0042-1756508","url":null,"abstract":"Abstract Spinal arachnoiditis can occur as a delayed sequel of meningitis. Cerebrospinal fluid flow disturbances and adhesive loculations can cause cord compression and traction on roots causing the symptoms. The surgical treatment of this condition is often considered a limited option, because of the high chances of recurrence of symptoms and adhesions, often considered as surgical failure. Here, we report a patient with extensive lumbar–sacral adhesive arachnoiditis successfully treated with limited adhesiolysis under neuromonitoring and cystoperitoneal shunt placement.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":"53 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83829359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. P. Patankar, Shivani R. Chaudhary, Kashyap Patel
Abstract Introduction Microdiscectomy, as of now, is considered the gold standard for the treatment of herniated lumbar disc. It preserves motion at the spinal segment and does not alter the local spinal anatomy significantly, resulting in a “functional and mobile” spine. Development of increasingly better-quality implants has seen their indiscriminate use in cases without any demonstrable instability. We see an increasing number of patients of lumbar disc prolapse being treated by fixation and fusion procedures, without any clear indication or evidence supporting such practice. This adds to the operating time, blood loss, cost of surgery and leads to loss of motion at the spinal segment resulting in a “stiff and immobile spine.” Our 10-year experience of treating lumbar disc herniation by micro-discectomy makes a strong case for preserving the spinal motion segment wherever possible and to use fixation very judiciously only in cases of proven instability. Materials and Methods A total of 295 cases of lumbar disc prolapse operated by the first author from January 2013 to April 2022 were analyzed. All the patients had unilateral or bilateral radicular pain. Preoperatively instability was ruled out by dynamic X-rays. All the patients were operated in prone position on Wilson's frame. Microdiscectomy was done through the inter-laminar space. Patient outcomes and complications were analyzed. Results There was no mortality in our series. All the patients had significant relief of lower limb pain with improved visual analog scale scores postoperatively. The patients were followed up for 6 months. There were complications in 17 patients, all of which were treated successfully with a good outcome. None of the complications were attributable to failure of doing fixation. Conclusion Lumbar disc prolapse can be treated effectively by microdiscectomy. Fixation should be reserved for only those cases with demonstrable preoperative instability.
{"title":"Microdiscectomy for Lumbar Intervertebral Disc Prolapse: Is Fixation Required?","authors":"A. P. Patankar, Shivani R. Chaudhary, Kashyap Patel","doi":"10.1055/s-0042-1759617","DOIUrl":"https://doi.org/10.1055/s-0042-1759617","url":null,"abstract":"Abstract Introduction Microdiscectomy, as of now, is considered the gold standard for the treatment of herniated lumbar disc. It preserves motion at the spinal segment and does not alter the local spinal anatomy significantly, resulting in a “functional and mobile” spine. Development of increasingly better-quality implants has seen their indiscriminate use in cases without any demonstrable instability. We see an increasing number of patients of lumbar disc prolapse being treated by fixation and fusion procedures, without any clear indication or evidence supporting such practice. This adds to the operating time, blood loss, cost of surgery and leads to loss of motion at the spinal segment resulting in a “stiff and immobile spine.” Our 10-year experience of treating lumbar disc herniation by micro-discectomy makes a strong case for preserving the spinal motion segment wherever possible and to use fixation very judiciously only in cases of proven instability. Materials and Methods A total of 295 cases of lumbar disc prolapse operated by the first author from January 2013 to April 2022 were analyzed. All the patients had unilateral or bilateral radicular pain. Preoperatively instability was ruled out by dynamic X-rays. All the patients were operated in prone position on Wilson's frame. Microdiscectomy was done through the inter-laminar space. Patient outcomes and complications were analyzed. Results There was no mortality in our series. All the patients had significant relief of lower limb pain with improved visual analog scale scores postoperatively. The patients were followed up for 6 months. There were complications in 17 patients, all of which were treated successfully with a good outcome. None of the complications were attributable to failure of doing fixation. Conclusion Lumbar disc prolapse can be treated effectively by microdiscectomy. Fixation should be reserved for only those cases with demonstrable preoperative instability.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":"15 3 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80481471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pineal region tumors constitute a rare group of neoplasms. Primaryneuronaltumor that intrinsicallyarisefromthepineal gland are referred to as pineal parenchymal tumors (PPTs). Their neuropathological spectrum is divided into well-differentiated “ pineocytoma ” (World Health Organization [WHO] grade I), pineal parenchymal tumors of intermediate differentiation and papillary tumor of pineal region (WHO grades II and III), and poorly differentiated “ pinealoblastoma ” (WHO grade IV). 1 Pleomorphic cytological variant of pineocytoma has been rarely reported in the medical literature mainly in form of case reports. A 45-year-old man with a recent history of right-sided stroke presented to the neurosurgery department with complaint of headache for last 1 month. Multislice computed tomography (CT) imaging revealed an ill-de fi ned hyperdense space-occupying lesion with internal calci fi cation. The tumor was located in the region of pineal gland with extension into the adjacent lateral ventricle and resultant mild obstructive hydrocephalus. MRI scan revealed a hyperdense nodular lesion measuring 24 (cid:1) 18mm with scant peritumoral edema ( ► Fig. 1A and 1B ). Following placement of a ventriculo peritoneal shunt, stereotactic biopsy was performed and submitted to the pathology department. Histopathological examination revealed a pineal parenchymal neoplasm with varied morphology. In some areas, the tumor cells were small and uniform resembling pinealocytes, and
{"title":"Mast Cell-Rich Pleomorphic Pineocytoma: A Rare Entity","authors":"H. Gulwani, Suneeta Gupta, Shilpa Pareta","doi":"10.1055/s-0042-1756489","DOIUrl":"https://doi.org/10.1055/s-0042-1756489","url":null,"abstract":"Pineal region tumors constitute a rare group of neoplasms. Primaryneuronaltumor that intrinsicallyarisefromthepineal gland are referred to as pineal parenchymal tumors (PPTs). Their neuropathological spectrum is divided into well-differentiated “ pineocytoma ” (World Health Organization [WHO] grade I), pineal parenchymal tumors of intermediate differentiation and papillary tumor of pineal region (WHO grades II and III), and poorly differentiated “ pinealoblastoma ” (WHO grade IV). 1 Pleomorphic cytological variant of pineocytoma has been rarely reported in the medical literature mainly in form of case reports. A 45-year-old man with a recent history of right-sided stroke presented to the neurosurgery department with complaint of headache for last 1 month. Multislice computed tomography (CT) imaging revealed an ill-de fi ned hyperdense space-occupying lesion with internal calci fi cation. The tumor was located in the region of pineal gland with extension into the adjacent lateral ventricle and resultant mild obstructive hydrocephalus. MRI scan revealed a hyperdense nodular lesion measuring 24 (cid:1) 18mm with scant peritumoral edema ( ► Fig. 1A and 1B ). Following placement of a ventriculo peritoneal shunt, stereotactic biopsy was performed and submitted to the pathology department. Histopathological examination revealed a pineal parenchymal neoplasm with varied morphology. In some areas, the tumor cells were small and uniform resembling pinealocytes, and","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":"2878 1","pages":"090 - 092"},"PeriodicalIF":0.2,"publicationDate":"2022-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86512135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mini-Perforated Craniotomy with Subperiosteal Drainage","authors":"J. Bajaj, Y. Yadav","doi":"10.1055/s-0042-1758632","DOIUrl":"https://doi.org/10.1055/s-0042-1758632","url":null,"abstract":"Chronic subdural hematoma","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":"20 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75135242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Bhatia, Ajay Kumar, Mohd Yaqoob Wani, Navneet Singla, A. Prabhakar, M. Karthigeyan, Rajeev Chauhan
Abstract Aim The aim of this study was to assess the safety and feasibility of radial access for therapeutic neurointervention procedures. Methods The retrospective evaluation of 20 patients taken for therapeutic neurointervention through transradial access at our institute was done from July 2021 to April 2022. Results Therapeutic neurointervention procedures were attempted in 20 patients (age, 24–74 years; mean age, 48.4 years; 13 (65%) females using a transradial approach. The radial artery's mean diameter was 2.135 mm. The right radial access was taken in 18 (90%) cases. Indications for treatment were ruptured aneurysm in 13 (65%), mechanical thrombectomy in 5 (25%), flow diversion for a recanalized aneurysm in 1 (5%), and balloon occlusion test in 1 (5%) case. The procedure was successful through the transradial approach in 18 (90%) procedures. Failure was seen in two cases that were completed after conversion to the transfemoral approach. The reason for access conversion was a severe spasm in both cases. No significant access site complications were seen in the study cohort. Conclusion A radial access route is a promising approach for therapeutic interventions with a high success rate and minimal access site complications. Interventionists should get accustomed to this approach as primary or alternative access for neurointervention.
{"title":"Therapeutic Neurointervention through Transradial Approach: Preliminary Experience from a Tertiary Care Center","authors":"V. Bhatia, Ajay Kumar, Mohd Yaqoob Wani, Navneet Singla, A. Prabhakar, M. Karthigeyan, Rajeev Chauhan","doi":"10.1055/s-0042-1758778","DOIUrl":"https://doi.org/10.1055/s-0042-1758778","url":null,"abstract":"Abstract Aim The aim of this study was to assess the safety and feasibility of radial access for therapeutic neurointervention procedures. Methods The retrospective evaluation of 20 patients taken for therapeutic neurointervention through transradial access at our institute was done from July 2021 to April 2022. Results Therapeutic neurointervention procedures were attempted in 20 patients (age, 24–74 years; mean age, 48.4 years; 13 (65%) females using a transradial approach. The radial artery's mean diameter was 2.135 mm. The right radial access was taken in 18 (90%) cases. Indications for treatment were ruptured aneurysm in 13 (65%), mechanical thrombectomy in 5 (25%), flow diversion for a recanalized aneurysm in 1 (5%), and balloon occlusion test in 1 (5%) case. The procedure was successful through the transradial approach in 18 (90%) procedures. Failure was seen in two cases that were completed after conversion to the transfemoral approach. The reason for access conversion was a severe spasm in both cases. No significant access site complications were seen in the study cohort. Conclusion A radial access route is a promising approach for therapeutic interventions with a high success rate and minimal access site complications. Interventionists should get accustomed to this approach as primary or alternative access for neurointervention.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":"341 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73754469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Background Although rare in small vestibular schwannomas, preoperative facial nerve paresis is often present in giant schwannomas. Preserving facial nerve function in these cases remains a herculean task. This study evaluates the facial functions after complete tumor removal and whether preoperative facial nerve involvement affects postoperative functional status. Methods This retrospective study from January 2014 to August 2021 excluded nongiant tumors (< 4 cm), neurofibromatosis type 2 cases, incomplete removals, redo surgeries, deaths, and cases done without nerve monitoring. These were grouped into preoperative facial palsy present (PFP) and no preoperative facial palsy (NFP). Facial nerve functions were assessed on first postoperative day, at the time of discharge, and at last follow-up and dichotomized into two groups: nondisfiguring (House–Brackmann [HB] grades I–III) and disfiguring (HB grades IV–VI). The cohort outcomes of patients with nondisfiguring PFP (HB grades I–III) were also analyzed. Results There were 88 cases (PFP, n = 57; NFP, n = 31). Facial nerve was preserved anatomically in 62 (70.45%) patients (PFP, n = 38; NFP, n = 24) without any statistical difference ( p = 0.29). Statistically significant disfiguring facial outcomes (HB IV, V, VI) were seen in patients with preoperative facial palsy ( p = 0.01); however, a comparison of facial functions in patients with only nondisfiguring PFP with those in NFP group did not show the statistical difference ( p = 0.12). Conclusions Facial nerve palsy present before surgery does not seem to be a deterrent to intraoperative preservation of facial nerve during complete removal of giant vestibular schwannomas. Patients with nondisfiguring facial palsies have postoperative facial functions comparable to those without facial palsy.
背景:虽然在小的前庭神经鞘瘤中很少见，但在巨大的神经鞘瘤中经常出现术前面神经麻痹。在这些病例中保留面神经功能仍然是一项艰巨的任务。本研究评估肿瘤完全切除后的面部功能，以及术前面神经受累是否影响术后功能状态。方法2014年1月至2021年8月的回顾性研究排除了非巨大肿瘤(< 4 cm)、2型神经纤维瘤病、不完全切除、重做手术、死亡和未进行神经监测的病例。这些患者被分为术前面瘫患者(PFP)和无术前面瘫患者(NFP)。术后第一天、出院时及最后随访时评估面神经功能，并将其分为两组:未毁容组(House-Brackmann [HB]分级I-III)和毁容组(HB分级IV-VI)。非毁容性PFP患者(HB等级I-III)的队列结果也进行了分析。结果共88例(PFP, n = 57;NFP, n = 31)。解剖保留面神经62例(70.45%)(PFP, n = 38;NFP, n = 24)，差异无统计学意义(p = 0.29)。术前面瘫患者的面部毁容结局(HB IV、V、VI)有统计学意义(p = 0.01);而非毁容型PFP组与非毁容型PFP组的面部功能比较无统计学差异(p = 0.12)。结论术前面神经麻痹不影响巨大前庭神经鞘瘤完全切除术中保留面神经。非毁容性面瘫患者的术后面部功能与非面瘫患者相当。
{"title":"Is Preoperative Facial Palsy a Deterrent to Facial Nerve Preservation after Gross-Total Removal of Giant Vestibular Schwannomas?","authors":"Debabrata Sahana, Sanjeev Kumar, Lavlesh Rathore, Jatinder Mittal, Rajiv Sahu, Amit Jain, Manish Tawari","doi":"10.1055/s-0042-1757919","DOIUrl":"https://doi.org/10.1055/s-0042-1757919","url":null,"abstract":"Abstract Background Although rare in small vestibular schwannomas, preoperative facial nerve paresis is often present in giant schwannomas. Preserving facial nerve function in these cases remains a herculean task. This study evaluates the facial functions after complete tumor removal and whether preoperative facial nerve involvement affects postoperative functional status. Methods This retrospective study from January 2014 to August 2021 excluded nongiant tumors (< 4 cm), neurofibromatosis type 2 cases, incomplete removals, redo surgeries, deaths, and cases done without nerve monitoring. These were grouped into preoperative facial palsy present (PFP) and no preoperative facial palsy (NFP). Facial nerve functions were assessed on first postoperative day, at the time of discharge, and at last follow-up and dichotomized into two groups: nondisfiguring (House–Brackmann [HB] grades I–III) and disfiguring (HB grades IV–VI). The cohort outcomes of patients with nondisfiguring PFP (HB grades I–III) were also analyzed. Results There were 88 cases (PFP, n = 57; NFP, n = 31). Facial nerve was preserved anatomically in 62 (70.45%) patients (PFP, n = 38; NFP, n = 24) without any statistical difference ( p = 0.29). Statistically significant disfiguring facial outcomes (HB IV, V, VI) were seen in patients with preoperative facial palsy ( p = 0.01); however, a comparison of facial functions in patients with only nondisfiguring PFP with those in NFP group did not show the statistical difference ( p = 0.12). Conclusions Facial nerve palsy present before surgery does not seem to be a deterrent to intraoperative preservation of facial nerve during complete removal of giant vestibular schwannomas. Patients with nondisfiguring facial palsies have postoperative facial functions comparable to those without facial palsy.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":"11 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84595140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract Purpose Chronic subdural hematoma (cSDH) is a frequent disease of the elderly with favorable outcomes. The main choice of treatment is surgery. Along with many surgical techniques described for evacuation of cSDH, we are presenting the preliminary outcomes of a novel surgical method, mini-perforated craniotomy with a subperiosteal drain. Materials and Methods Patients in whom cSDH with thickness of >10 mm was observed in computed tomography (CT) scans with parenchymal compression and/or midline shift were included in this study. Age, sex, complaint, neurological status, and medical history were recorded along with CT findings. Mini-perforated craniotomy was performed on all patients. A subperiosteal drain was used. The postoperative follow-up period was 3 months. Results Ten cSDH patients who were admitted to Prof. Dr. Cemil Tascioglu City Hospital between December 2020 and May 2021 were included in this study. The mean age was 64.3 ± 6.272, and the most common admission complaint was a headache. Postoperatively, one patient showed acute rebleeding after the operation due to dual anticoagulant therapy. Besides, in 3 months follow-up, rebleeding, subdural or epidural effusion, wound infection, or cosmetic problems were not observed. Conclusion Mini-perforated craniotomy with a subperiosteal drain may be an alternative method for evacuation of cSDH with low complication rates especially when the hematoma is suspected to be septated.
{"title":"Mini-Perforated Craniotomy with Subperiosteal Drain for Evacuation of Chronic Subdural Hematoma: A New Technique and Clinical Study","authors":"Deniz Şirinoğlu, Buse Sarigul, M. V. Aydın","doi":"10.1055/s-0042-1758658","DOIUrl":"https://doi.org/10.1055/s-0042-1758658","url":null,"abstract":"Abstract Purpose Chronic subdural hematoma (cSDH) is a frequent disease of the elderly with favorable outcomes. The main choice of treatment is surgery. Along with many surgical techniques described for evacuation of cSDH, we are presenting the preliminary outcomes of a novel surgical method, mini-perforated craniotomy with a subperiosteal drain. Materials and Methods Patients in whom cSDH with thickness of >10 mm was observed in computed tomography (CT) scans with parenchymal compression and/or midline shift were included in this study. Age, sex, complaint, neurological status, and medical history were recorded along with CT findings. Mini-perforated craniotomy was performed on all patients. A subperiosteal drain was used. The postoperative follow-up period was 3 months. Results Ten cSDH patients who were admitted to Prof. Dr. Cemil Tascioglu City Hospital between December 2020 and May 2021 were included in this study. The mean age was 64.3 ± 6.272, and the most common admission complaint was a headache. Postoperatively, one patient showed acute rebleeding after the operation due to dual anticoagulant therapy. Besides, in 3 months follow-up, rebleeding, subdural or epidural effusion, wound infection, or cosmetic problems were not observed. Conclusion Mini-perforated craniotomy with a subperiosteal drain may be an alternative method for evacuation of cSDH with low complication rates especially when the hematoma is suspected to be septated.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":"55 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83348765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shweta Singh, Seema Rani Sarraf, A. Tripathi, B. Ojha, Amandeep Singh
Abstract Background Impairment in neurocognitive functions are commonly followed by Epidural hematoma (EDH) . This cross-sectional study was aimed to study gender differences in neurocognitive functions in mild to moderate epidural hematoma patients (43 male and 19 female patients) post-surgery using standardized assessment tools of comprehensive neurocognitive function attention, speed, working memory, fluency, set-shifting, perseveration, planning and response inhibition. Methods Descriptive statistics, i.e., mean and standard deviation (SD) values were computed, and a t -test was applied for further exploration. Results The analysis of results shows that on the test of working memory, female group scored better as significant differences were found on N-Back (2 Back versions) and digit span-backward. On the verbal fluency test (COWA), significant difference was found as females scored higher than the male group on total responses. However, the male group was higher in total time and error than the female group on the test of sustained attention and divided attention. Conclusion This study shows interesting results in terms of gender differences in executive function of patients operated for mild to moderate epidural hematoma. These findings have significant clinical and implications for planning intervention. The neuropsychological rehabilitation of patients operated for mild to moderate epidural hematoma has a crucial role in enhancing their recovery and overall functioning. Inputs about gender differences in neuro psychological functioning of these patients would help in decision making regarding neuropsychological rehabilitation incorporating the gender related differences too in their intervention plan.
{"title":"Gender Differences in Executive Functions of Patients Operated for Mild to Moderate Epidural Hematoma","authors":"Shweta Singh, Seema Rani Sarraf, A. Tripathi, B. Ojha, Amandeep Singh","doi":"10.1055/s-0042-1757918","DOIUrl":"https://doi.org/10.1055/s-0042-1757918","url":null,"abstract":"Abstract Background Impairment in neurocognitive functions are commonly followed by Epidural hematoma (EDH) . This cross-sectional study was aimed to study gender differences in neurocognitive functions in mild to moderate epidural hematoma patients (43 male and 19 female patients) post-surgery using standardized assessment tools of comprehensive neurocognitive function attention, speed, working memory, fluency, set-shifting, perseveration, planning and response inhibition. Methods Descriptive statistics, i.e., mean and standard deviation (SD) values were computed, and a t -test was applied for further exploration. Results The analysis of results shows that on the test of working memory, female group scored better as significant differences were found on N-Back (2 Back versions) and digit span-backward. On the verbal fluency test (COWA), significant difference was found as females scored higher than the male group on total responses. However, the male group was higher in total time and error than the female group on the test of sustained attention and divided attention. Conclusion This study shows interesting results in terms of gender differences in executive function of patients operated for mild to moderate epidural hematoma. These findings have significant clinical and implications for planning intervention. The neuropsychological rehabilitation of patients operated for mild to moderate epidural hematoma has a crucial role in enhancing their recovery and overall functioning. Inputs about gender differences in neuro psychological functioning of these patients would help in decision making regarding neuropsychological rehabilitation incorporating the gender related differences too in their intervention plan.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":"474 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2022-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86738860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NFL-derived markers correlate with magnetic resonance imaging (MRI)-derived markers and predicts white matter degeneration and functional outcome at 6 to 12 months. Usual diagnostic methods for neurocysticercosis include computed tomography, MRI, and blood/serum based immunological tests. Neurosurgery is rapidly evolving specialty and neurosurgeons are passionate professionals in learning the complex procedures. [Extracted from the article]
{"title":"Neurosurgery in India: Perspective of a Veteran Neurosurgeon","authors":"Sushil Kumar","doi":"10.1055/s-0042-1760341","DOIUrl":"https://doi.org/10.1055/s-0042-1760341","url":null,"abstract":"NFL-derived markers correlate with magnetic resonance imaging (MRI)-derived markers and predicts white matter degeneration and functional outcome at 6 to 12 months. Usual diagnostic methods for neurocysticercosis include computed tomography, MRI, and blood/serum based immunological tests. Neurosurgery is rapidly evolving specialty and neurosurgeons are passionate professionals in learning the complex procedures. [Extracted from the article]","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":"94 1","pages":"193 - 194"},"PeriodicalIF":0.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73587888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：