Indian Journal of Neurosurgery最新文献_第9页

Mast Cell-Rich Pleomorphic Pineocytoma: A Rare Entity 富含肥大细胞的多形性松果体细胞瘤:一种罕见的实体

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Indian Journal of Neurosurgery Pub Date : 2022-12-27 DOI: 10.1055/s-0042-1756489

H. Gulwani, Suneeta Gupta, Shilpa Pareta

{"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":null,"pages":null},"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}

引用次数: 0

Mini-Perforated Craniotomy with Subperiosteal Drainage 骨膜下引流小穿孔开颅术

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Indian Journal of Neurosurgery Pub Date : 2022-12-23 DOI: 10.1055/s-0042-1758632

J. Bajaj, Y. Yadav

引用次数: 0

Therapeutic Neurointervention through Transradial Approach: Preliminary Experience from a Tertiary Care Center 经放射状途径治疗性神经干预:来自三级保健中心的初步经验

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Indian Journal of Neurosurgery Pub Date : 2022-12-23 DOI: 10.1055/s-0042-1758778

V. Bhatia, Ajay Kumar, Mohd Yaqoob Wani, Navneet Singla, A. Prabhakar, M. Karthigeyan, Rajeev Chauhan

{"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":null,"pages":null},"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}

引用次数: 0

Is Preoperative Facial Palsy a Deterrent to Facial Nerve Preservation after Gross-Total Removal of Giant Vestibular Schwannomas? 巨大前庭神经鞘瘤全部切除后，术前面神经麻痹是否会阻碍面神经的保存?

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Indian Journal of Neurosurgery Pub Date : 2022-12-23 DOI: 10.1055/s-0042-1757919

Debabrata Sahana, Sanjeev Kumar, Lavlesh Rathore, Jatinder Mittal, Rajiv Sahu, Amit Jain, Manish Tawari

{"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":null,"pages":null},"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}

引用次数: 0

Mini-Perforated Craniotomy with Subperiosteal Drain for Evacuation of Chronic Subdural Hematoma: A New Technique and Clinical Study 小穿孔开颅骨膜下引流治疗慢性硬膜下血肿新技术及临床研究

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Indian Journal of Neurosurgery Pub Date : 2022-12-23 DOI: 10.1055/s-0042-1758658

Deniz Şirinoğlu, Buse Sarigul, M. V. Aydın

{"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":null,"pages":null},"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}

引用次数: 1

Gender Differences in Executive Functions of Patients Operated for Mild to Moderate Epidural Hematoma 轻中度硬膜外血肿手术患者执行功能的性别差异

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Indian Journal of Neurosurgery Pub Date : 2022-12-23 DOI: 10.1055/s-0042-1757918

Shweta Singh, Seema Rani Sarraf, A. Tripathi, B. Ojha, Amandeep Singh

{"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":null,"pages":null},"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}

引用次数: 0

Neurosurgery in India: Perspective of a Veteran Neurosurgeon 印度的神经外科:一位资深神经外科医生的观点

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Indian Journal of Neurosurgery Pub Date : 2022-12-01 DOI: 10.1055/s-0042-1760341

Sushil Kumar

引用次数: 0

Impact of the COVID-19 Pandemic and Lockdown on Non-COVID Neurosurgical Patients: Lessons Learned COVID-19大流行和封锁对非COVID-19神经外科患者的影响:经验教训

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Indian Journal of Neurosurgery Pub Date : 2022-11-24 DOI: 10.1055/s-0042-1757203

R. Arora, Jitendra Shakya, Rajkumar Pannem, Suresh Sharma, S. Sadhasivam, V. Rawat, Rajashekhar Rekhapalli, R. Sihag, R. Mittal

{"title":"Impact of the COVID-19 Pandemic and Lockdown on Non-COVID Neurosurgical Patients: Lessons Learned","authors":"R. Arora, Jitendra Shakya, Rajkumar Pannem, Suresh Sharma, S. Sadhasivam, V. Rawat, Rajashekhar Rekhapalli, R. Sihag, R. Mittal","doi":"10.1055/s-0042-1757203","DOIUrl":"https://doi.org/10.1055/s-0042-1757203","url":null,"abstract":"Abstract Objective The COVID-19 pandemic has challenged the basic functioning of the health care system. There has been an adverse impact on non-COVID-19 patients due to a shift in healthcare delivery, which is underreported. This study aims to explore the impact of the pandemic on various aspects of non-COVID neurosurgical patients. Methods This descriptive cross-sectional study was conducted with a structured questionnaire to assess the physical, economic, and psychological impacts of the COVID-19 pandemic and lockdown measures on neurosurgical patients presenting to our hospital after a nationwide lockdown. Results Among 203 patients, non-neurotrauma and neurotrauma cases were 175 (86%) and 28 (16%), respectively. Among non-neurotrauma patients, 130 (64%) patients had cranial pathology. All 56 (27.6%) preoperative patients experienced rescheduling of surgery. Among 52 postsurgical patients, 47 (90%) had their adjuvant therapy delayed. Forty patients experienced deterioration in their neurological symptoms. Seventy-six (37%) patients sought medical attention from private hospitals. A severe contraction of income (≥ 25% of the income before lockdown) was experienced by families of 29 (14.3%) patients. Severe and very severe stress have been experienced by 24 (11.8%) and 14 (6.9%) patients, respectively. Severe and very severe anxiety was experienced by 32 (15.8%) and 9 (4.4%) patients. Conclusion The COVID-19 pandemic and nationwide lockdown had a tremendous impact on the physical, social, and psychological well-being of patients with non-COVID illnesses. We are yet to face the long-term implications of the delay due to this pandemic in scheduled surgical and adjuvant treatments of non-COVID neurosurgical patients.","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86723956","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}

引用次数: 1

Bilateral Hypoplasia of the Internal Carotid Artery with Subarachnoid Hemorrhage and Distal Posterior Cerebral Artery Aneurysm 双侧颈内动脉发育不全伴蛛网膜下腔出血及大脑后动脉远端动脉瘤

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Indian Journal of Neurosurgery Pub Date : 2022-11-24 DOI: 10.1055/s-0042-1756506

Pushpraj Patil, P. Sarma

{"title":"Bilateral Hypoplasia of the Internal Carotid Artery with Subarachnoid Hemorrhage and Distal Posterior Cerebral Artery Aneurysm","authors":"Pushpraj Patil, P. Sarma","doi":"10.1055/s-0042-1756506","DOIUrl":"https://doi.org/10.1055/s-0042-1756506","url":null,"abstract":"Bilateral internal carotid artery (ICA) hypoplasia is a rare congenital anomaly. Their actual incidence is higher than what is reported as majority of them remains asymptomatic during lifetime. 1 It is important to differentiate congenital ICA hypoplasia from acquired causes of ICA stenosis like moyamoya disease. The most conclusive differentiating point is the size of the carotid canal that in congenital cases cannot be clearly made out. 2 Further unlike the supraclinoid stenosis of ICA in moyamoya disease, ICA hypoplasia here is much more proximal just distal to its point of origin. 3 Our case was a 27-year-old primigravida, who presented with severe headache. No other relevant positive points were there in the history. Clinical examination revealed neck rigidity. She was conscious, alert, oriented with no de ﬁ cits. Computed tomographic (CT) brain showed extensive intra ventricular hemorrhage involving the lateral and third ventricles, specks of blood in the basal cisterns, and mild hydrocephalus. Bone windows revealed bilateral atretic carotid canals ( ► Fig. 1 ). CT angiography revealed hypoplasia of bilateral ICA that were only 1 to 1.5 mm in diameter and ended in string like structures on both sides. An aneurysm was seen arising from the distal cortical branches of the right P4 segment of posterior cerebral artery (PCA) ( ► Fig","PeriodicalId":53938,"journal":{"name":"Indian Journal of Neurosurgery","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75576439","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}

引用次数: 0

Unexpected Prolonged Survival in a Case of Cerebellar GBM: An Interesting Case with Literature Review 小脑GBM的意外延长生存:一个有趣的病例与文献回顾

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Indian Journal of Neurosurgery Pub Date : 2022-10-11 DOI: 10.1055/s-0042-1744246

Maruti Nandan, A. Patnaik, R. Sahu, Priyadarshi Dikshit, V. Maurya, K. Das, Raj Kumar

引用次数: 0