Department of Neurosurgery Szmc/h Rahim Yar Khan

27/10/2021

27/10/2021

17/02/2019

WOOD IN HEAD💀
Just few millimeters away from death!!!
Falling on sharp objects is very frequent with children specially when they run holding the
objects in their hands.
NEUROSURGERY TEAM spend hours to remove wood from brain and saved life of boy.
Discharged with no neurological deficits😊

03/12/2018

16 year old girl with spastic paraparesis and diagnosed as a case of extradural cystic spinal tumour. Tumour extending from T6 to T10 vertebra.
Long laminotomy done and cyst excised completely. Laminotomy segment fixed in place again with titanium mini screws & plates to restore near normal anatomy.
Post operative patient neurological status improved.

19/10/2018

One step ahead in spinal surgery...

18 Year old girl with sacrum fracture & L5-S1 dislocation.
Lumbo-Sacro-Iliac Fixation done.
Iliac screws gives perfect & rigid fixation with very good reduction in such sacral fractures.
Its done under special C-arm views like pelvic inlet, obturator outlet(tear drop) & lateral views.
Patient is pain free & walking. 🙂

05/10/2018

18 Year old girl with sacrum fracture & L5-S1 dislocation.
Lumbo-Sacro-Iliac Fixation done.
Iliac screws gives perfect & rigid fixation with very good reduction in such sacral fractures.
Its done under special C-arm views like pelvic inlet, obturator outlet(tear drop) & lateral views.
Patient is pain free & walking. 🙂

22/08/2018

Eat healthy & drive safely 🙂 🐐 🐪 🐄 🐑

05/08/2018

40 year Female with post discectomy discitis & instability is successfully operated for Lumbo-sacral- iliac Fixation and Fusion.
(L4-L5- Ilium Transpedicle Screw Fixation & L5-S1 Fusion)

08/06/2018

Pediatric neurosurgery:
Multiple Brain abscess excision in 1 year old baby with Atrial Septal Defect. Hemiparesis & conscious level improved post operatively.
Picture shared with parents consent.

17/05/2018

First time Minimal Invasive Spine Fixation Surgery:
45 Year male operated for L4 traumatic Fracture Minimal Invasive Transpedicular Fixation.
Surgery done through 4 small 1.5 cm incisions.
This is superior to the conventional surgery in terms minimal blood loss, short duration of surgery, minimal normal tissue trauma and patients with normal neurology can walk very next morning.🙂

16/05/2018

To All 🙂

14/05/2018

Trauma Neurosurgery (Head Injury):
55 year old man operated for Acute Subdural Hematoma, Cerebral Contusions and Subarachanoid Hemorrhage.
He was unconscious with GCS 7/15, anisocoria and right hemiparesis. Immediately intubated/paralysed and shifted to OT for emergent surgery.
Left sided decompressive craniotomy done with evacuation of Subdural Hematoma.
Post operatively kept sedated/Ventilated for 10 days and weaned off gradually after tracheostomy.
He recovered to full consciousness and started oral intake.
Tracheostomy removed and he started talking as well. Cranioplasty will be done soon.🙂
Picture and data shared with patient & family consent.

13/05/2018

Paediatric Neurosurgery:
One year old female baby operated for Endoscopic Third Ventriculostomy (ETV) & Posterior fossa Craniotomy & Excision of Cerebellar Tumour which was causing obstructive hydrocephalus.
Both procedures done in a single setting under same anaesthesia.
Patient was discharged & referred to oncologist after stitches removal.
Biopsy Report: Pilocytic astrocytoma Grade 1.
* Patient picture & scans shared with parents’ consent.

23/04/2018

Cervical disc prolapse C4-5 level in a 40 Year male presented with weakness of all four limbs. Anterior Cervical Discectomy Fusion & Fixation done with PEEK cage implant.

27/02/2018

Anterior Cervical Discectomy Fusion & Fixation with PEEK cage for C5-C6 Disc prolapse & weakness of all four limbs 1/5 power. Power improved to 3-4/5 with in 3 days post operatively.

17/02/2018

Artificial Cranioplasty 💀 with titanium mesh and bone cement. Patient very happy & satisfied with his appearance.

17/02/2018

First case of Posterior Lumbar Interbody Fusion (PLIF) done here this week in a 50 yr old lady with traumatic L4-L5 pars fracture and Spondylolisthesis. 🙂

27/01/2018

2 successful Endoscopic 3rd Ventriculostomy (ETV) done last week to relieve obstructive hydrocephalus in 2 kids. Gold standard procedure in such cases. No need for VP Shunt thus avoiding shunt related complications, decrease cost of treatment and shorter surgery time & hospital stay🙂
* pictures shared with permission of parents.