Nikhil neuro care-Brain+spine, superspecality hospital

09/02/2024

Operated...Pt recovered well.. discharged

09/02/2024

Intra cranial bleed..

24/06/2023

22/06/2023

Vertebral body augmentation --kyphoplasty for vertebral body metastatic fractures..

05/09/2021

37 yrs male ,fall from height had odontoid fracture ....no deficit,neurologic examination is normal... Patient under went C1 lateral mass and C2 pedicle screw fixation under NEURONAVIGATION ..post op pt stable no deficits ,except pain at surgical site...

Odtoin is the area ,and part of spine wr useful for movement of neck side to side if der is unstable fracture at this site it need to be fixed to prevent further instability and weakness of limbs ,,other spinal cord related problems..

01/09/2021

32 Y,female...denovo hypertensive...came with decreased responsiveness follow by vomitings..no previous comorbidities...GCS at presentation e3v2m5,PEARL,Rt side grade 2 power...intubated initially managed conservatively for about 10days ,,pt had improved ,to e3vtm6,,last night again had GCS fall to e2vtm5 pearl,rt side paucity...pt as emergency underwent left FTP craniotomy and evacuation of hemtoma ..
Initial ct angio brain done its normal...
Hypertensive bleed ,,is one of the major morbid condition wr pt loose lyf ... immediate action is mandatory to save pt, lyk bp control, antiedema and if meets criteria shud undergo surgical intervention ...today 2nd day of surgery... spontaneous eye opening +,,still M5 score ..hope for recovery

23/08/2021

75 yrs male, presented with complaints of headache since 3days,,on and off vomitings,,No major or noticebale trauma history...Right side hemiparesis,,kco HTN ,CAD on tab.ecosprin ,stopped 1month back..GCS E4V4M6,Pearl,RT UL grade 3,RT LL garde 1...CT taken showed Left FTP chronic SDH... Usually in elderly people bleed in the brain can be due to trival trauma to head ,,slow chronic bleed due to shearing force of head and can be due to antiplatelets use,acute bleed can chage to chronic later after 1 r 2months ,some times 6months and present with complaints lyk above...
PATIENT UNDERWENT LEFT PARIETAL SINGLE BURR HOLE CRANIECTOMY AND EVACUATION OF CHRONIC SDH...with one small burr we can evacuate the sdh give proper saline wash .. immediate post op pt extubated, GCS E4V4M6 Pearl,Rt side both UL and LL improved to grade 4..

21/08/2021

65 yrs male ,,came with complaints of low back ache since 3yrs,,with paresthesia of left lower limb ,,mild walking difficulty..No other complaints..Since 2 months his symptoms have aggrevated .O/E power 5/5 in all limbs,,left foot Dorsi flexion and EHL weakness+,,MRI lumbo scaral spine showed L4-L5 disc prolapse ,,intially managed conservatively with medicines, physiotherapy..As der was no symptomatic relief ,,underwent endoscopic left partial hemi laminectomy and L4-L5 discectomy...
Disc related problems and one of the major concern morbidity that makes pts lyf style discomfort ,sleep disturbances , walking difficulty etc..so shud be focused on this.

17/08/2021

Clips used for Aneurysm..one r two clips are used usually