Blast from Past – 90’s Art of Brain AVM Surgery Arteriovenous Malformation of Brain is fascinating surgical entity for vascular Neurosurgeon. This video is from archives of Prof. Naveed Ashraf, operated around two decades ago. Video quality is not crisp (considering today’s 4K) but yet treat to eyes of young daring neurosurgeons especially to be…
Endoscopic Cervical Forminotomy A middle aged lady for left C6 radiculopathy, having compression due to osteophytes, posterior cervical foraminotomy was performed.Pt was pain free post operatively.https://m.youtube.com/watch?v=HNSiyhFDxU8
Intraoperative CT based Excision of Mesial Temporal Glioma A young girl with medical refrectory secondary generalized seizures was admitted via Outpatient Department.Radiology showed non enhancing mesial temporal lobe SOL.Transsylvian access to tumor was used.Navigation with Intraoperative CT with real time update of images helped adequate resection with safety.https://www.youtube.com/watch?v=9oO7uXibx6g
Technique of ICP Catheter Palcement Elevated intracranial pressure (ICP) is seen in many pathological brain conditions including head trauma. Intractable elevated ICP can lead to death or devastating neurological damage either by reducing cerebral perfusion pressure (CPP) and causing cerebral ischemia or by compressing and causing herniation of the brainstem or other vital structures. Elevated…
Intraoperative CT (ICT) Guided Endoscopic Third Ventricular Cyst Excision Image guided surgery is one of the most significant advances in Neurosurgery and enables locating the target lesion and monitor resection by avoiding disruption of hazardous areas. Neuronavigation has drawback of failing accuracy with brain shift as surgery proceeds. If preoperative images are acquired few days…
Anterior Communication Artery Aneurysm Clipping: Left versus Right Pterional Craniotomy A 60Y/Female was presented in Medical Emergency with sudden altered conscious level and vomiting. On Examination her GCS was 12/15 with neck rigidity. CT Scan Brain was done and showed Subarachnoid Hemorrhage. She was consulted by neurosurgery team and found WFNS grade II. She was…
Intracranial Pressure Monitoring: Important Tool in Severe Head Injury Management A young 30 years male was presented with road traffic accident with GCS 6/15. Initial CT Scan showed small frontal contusion with basal cisternal obliteration. So ICP cather was placed and patient was managed conservatively in ICU. Gradually ICP readings began to rise and became…
Neuronavigation assisted Thalamic Tumor Excision A young 35years old male was presented to outpatient department with complaints of progressive right sided weakness for last five months. On examination he had uncrossed right hemiparesis with 4/5 power in leg and 2/5 in arm. His MRI Brain showed non enhancing lesion of left thalamus. Stereotact biopsy using…
Intramedullary Mature Teratoma of the Conus Medullaris A 60 years male was presented in outpatient department with right leg weakness since childhood, and progressive weakness of left leg, pain left leg and sphincteric involvement since two months. Previously he was able to walk with minimal disability, since the weakness of left leg progressed he was…