Dr. Mehul Baldha - Neurosurgeon - Brain & Spine surgeon

Relaxing 🌳

In this patient, there are 3 aneurysms, one left MCA bifurcation which is ruptured with SAH in left sylvian, and two on ICA, cavernous and supraclinoid. Hunt and hess scale is 3. What will be the best plan for management ?

Sublabial transseptal transsphenoidal approach to pituitary 🧠

Olfactory groove meningioma
⚫️ The patient was present with headaches, loss of smell sensations, and visual field defects.
⚫️ The MRI was shoving a huge olfactory groove meningioma.
⚫️ The tumor was removed with bifrontal craniotomy and an inter-hemispheric approach. ⚫️The patient tolerated the procedure well, and there were no added post-surgery neuro deficits. He was discharged on day 3.
⚫️ The follow-up scans show no tumor residual. There was an improvement in visual field defect and relief of headache. He can now work and do his daily living needs without any problem.

Spinal intramedullary dermoid is an uncommon benign tumor, usually seen in young children. Like epidermoid cysts, they have a lining of stratified squamous epithelial cells; unlike epidermoid cysts, they also contain sebaceous glands, sweat glands and hair follicles. cysts enlarge by desquamation of normal cells and secretion of dermal elements into the cystic cavity. Spinal dermoid cysts are often asymptomatic and discovered incidentally. If symptomatic, motor disturbances, pain, sensory disturbances and bowel or bladder dysfunction may be present, which is the indication of surgery.
In this photograph, you can see the pearly white appearance of desquamated epithelial content and hairs inside the tumor.

Correct head position simplifies the approach and facilitates exposure of aneurysm neck and arterial branches. For anterior circulation aneurysm, we give 10-15 extension which makes the frontal lobe falling away from the base, minimising the manual retraction, and 10-15 degree contralateral rotation, which makes the ACP perpendicular to floor and facilitates exposure of lateral wall of the ICA easily. For distal aneurysm more rotation is helpful.

This is a huge fusiform aneurysm of the intracranial ICA. This type of cases are very rare and extremely challenging to treat. It is life threatening when it bursts and bleeds. I am grateful to have an experience of such highly complex cases and it is only possible at a high volume centre like KEM hospital.



સામાન્ય ભાષામાં, આ મગજની રક્તવાહિનીની દીવાલનું ફુગ્ગા જેવું વિસ્તરણ છે, જેને "એન્યુરિઝમ" કહેવાય છે. હાઈ બ્લડ પ્રેશરને કારણે તે ફાટી શકે છે અને હાઈ પ્રેશર સાથે રક્તવાહિનીમાંથી લોહી મગજની ઉપર વહી શકે છે જે જીવન માટે જોખમી બની શકે છે. આ બલૂન ફાટી ન જાય તે માટે તેને સર્જરી દ્વારા રીપેર કરવામાં આવે છે.

Our Biplane Angiography System expands our diagnostic and treatment options for neurovascular problems, including stroke, aneurysms, Vascular malformations and AV fustulas. Benefits include:

👉🏻Procedure times are shorter because two angles of the imaging area are captured simultaneously.
👉🏻Less contrast dye is required and radiation exposure is reduced.
👉🏻The images show spatial relations more accurately, allowing physicians to rapidly target problem areas.

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Breaking some records 🧠
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LAAL ISHQ 🧠
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in neurosurgery, every is major surgery, this
paeudomeningocele with brain herniation through defect,
developed after decompressive craniectomy for hypertensive intraparençhymal
bleed in a young adult. decompressive craniectomy is
though very simple surgery but you can see what sequella can occur
and to which extent the can suffer. each surgery is major
surgery, each step is an important step.

65 year old male, altered sensorium and not obeying commands, diagnosed with hypertensive posterior fossa bleed, operated immediately and clot evacuated. Uneventful surgery, he recovered rapidly within days, went home by walking, fully conscious. 🧠
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Bifrontal hyperacute extradural hematoma..
Death was just a step away, however timely evacuation resulted in good recovery..
“prevention is better then cure, wear⛑”

Dr. Mehul Baldha - Neurosurgeon - Brain & Spine surgeon updated their phone number.

Dr. Mehul Baldha - Neurosurgeon - Brain & Spine surgeon updated their phone number.

Dr. Mehul Baldha - Neurosurgeon - Brain & Spine surgeon updated their phone number.

Dr. Mehul Baldha - Neurosurgeon - Brain & Spine surgeon updated their phone number.