Cerebellar Liponeurocytoma

Cerebellar Liponeurocytoma A middle aged lady presented to OPD with history of headache and diplopia of 6 weeks that was progressive. On examination she had 6th nerve palsy and positive cerebellar signs. CT Scan brain showed Mixed density Cerebellar SOL with mild distortion of fourth ventricle and moderate Hydrocephalus. MRI brain showed mixed intensity Right…

Radiofrequency Rhizotomy for TGN

Trigeminal Neuralgia Trigeminal neuralgia (TGN), also known as tic douloureux, is sometimes described as the most excruciating pain known to humanity. Trigeminal neuralgia is sudden, severe facial pain. It’s often described as a sharp shooting pain or like having an electric shock in the jaw, teeth or gums. It usually happens in short, unpredictable attacks that…

Blast from Past – 90’s Art of Brain AVM Surgery

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…

Mesial Temporal Lobe Glioma

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 Placement

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…

ICT based Cervico-Dorsal Junction Dislocation Fixation

ICT Based Cervico-Dorsal Dislocation Fixation Cervico-Dorsal Dislocation Injuries are around 3 to 9% of cervical injuries. But these injuries may pose difficult problem of missing pathology on X-rays especially in unconscious patient. The possibility of this junctional area injury should be borne in mind in head and chest injury patient specially when not fully conscious.…