Objective This study was conducted to assess the outcome in patients with hydrocephalus who underwent ventriculoperitoneal (VP) shunt surgery. Methods retrospective at neurosurgery department of a tertiary care hospital. The time frame three years and five months from January 2017 May 2020 follow-up six months. Results included 1030 patients, out whom 64.2% were male 35.8% female. While majority more than 11 age (466), did not have any significant impact on most common cause congenital...

To determine the impact of helmet wearing on traumatic brain injury.We analyzed 400 cases injury (TBI) in motorbike riders with and without helmet, from July 2017 to December 2020 presenting neurosurgery department at Jinnah Postgraduate Medical Center (JPMC), Karachi, Pakistan. The medical records were for CT scan findings, length hospital stay, complications (mortality disability), Glasgow Coma Scale (GCS) outcome score (GOS) time discharge.A total patients head due accidents included all...

To assess outcomes in surgically managed patients with depressed skull fractures and associated moderate to severe head injury.The study was conducted the Department of Neurosurgery Jinnah Postgraduate Medical Centre, Karachi, from January 2016 December 2017. We analyzed 90 fracture 2015 2016. The selected for this belonged all age groups clinically palpable confirmed by CT brain bone window. Outcome assessed Glasgow outcome score.Total were included study. Sixty (66.7%) male 30 (33.3%)...

Diffuse axonal injury (DAI) is a common presentation in neurotrauma. Prognosis variable but can be dependent on the initial of patient. In our study, we evaluated outcome diffuse injury.This study was conducted at tertiary care center from September 2018 to December 2019 and included 133 adult patients with moderate or severe head (GCS ≤ 12) diagnosed have DAI basis MRI. At 3 months, result assessed using Extended Glasgow Outcome Scale (GOS-E).There were total 97 (72.9%) males 36 (27.1%)...

The objective was to use the Rotterdam score, which is based on a CT scan, assess outcomes of traumatic brain injury patients.This research, included 319 head trauma patients, carried out at neurosurgery department tertiary care hospital between June 2019 and December 2020. score calculated for each patient basis first scan after injury. Glasgow Outcome Score used results three months following injury.In our there were 270 male patients (84.6%) 49 female (15.4%). mean age 37.4 ± 15.4 years...

Cranial firearm injuries (CFAIs) are expected to be frequent during warfare; however, it is becoming increasingly common among civilian population in our part of the world. These associated with significant morbidity and mortality addition financial loss. The objective study evaluate pattern gunshot cranium their outcome.The was conducted on 114 patients presenting CFAIs Jinnah Postgraduate Medical Centre, Karachi, Pakistan, between June 2015 January 2019. Patients were evaluated respect...

To understand the differences between operative versus conservative treatment in terms of outcome measured according to American Spinal Injury Association (ASIA) impairment scale (AIS) patients with gunshot acquired spinal cord injuries.A total 168 were included this retrospective study. The AIS score was recorded for all survivors who provided consent after emergence from shock. Demographic information and level injury also recorded. Patients categorized management approach, at 6-month...

To assess the real challenges faced by neurosurgery residents in developing countries with limited resources and massive workload.This is a cross-sectional study based on questionnaire filled trainees Pakistan directed at their training, stress factors, surgical competency, research interest, job satisfaction, future endeavors.A total of 75 participated study; 73.3% were male. About 61.3% working for more than 72 hours per week. Average sleeping day less 7 92% trainees. Only 78.6% able to...

Objective: Skull fractures are common in pediatric age group. The surgical management of paediatric patients with a skull fracture differs among institutions and surgeons. Our object this study was to assess the pattern outcome population.
 Material Methods: This conducted department neurosurgery tertiary care hospital from June 2018 April 2020. We included 152 children between ages 5 11 years who were brought head trauma diagnosed have on computerized tomography (CT) Scan brain.
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Introduction: Traumatic brain injury (TBI) is a leading cause of global morbidity and mortality in both adults children. As with other severe injuries, the outcome TBIs also gravely related to quality emergency care. Effective care significantly contributes reduced mortality. This study was ensued evaluate characteristics Pakistan their outcomes department (ED).
 Methods: retrospective review included records all TBI patients seen Neurosurgical ED Jinnah Postgraduate Medical Centre,...

Background: The insertion of an external ventricular drain (EVD) is a fundamental neurosurgical procedure predominantly performed by junior trainees. It vital for managing conditions like hydrocephalus, intracranial hypertension, traumatic brain injury, and others. procedure's success heavily relies on the precise identification anatomical landmarks trainee's experience. Objective: This study aims to assess precision safety EVD placement in patients treated first-year (R1) second-year (R2)...

Ventriculoperitoneal (VP) shunt placement is the most frequently used treatment for hydrocephalus. This procedure not always free of complications, and patients may need additional surgeries to overcome these complications. We are presenting case a seven-month-old baby who underwent myelomeningocele repair VP 13 days ago now presents with inguinal swelling extending into scrotum. The radiological workup revealed that peritoneal end had migrated scrotum, causing hydrocele. was relocated...

Objectives: The objective of the study is to identify risk factors associated with chronic subdural hematoma (CSDH) in Pakistani population, compare various surgical techniques commonly used its management, and analyze outcomes patients, including early, that is, at time discharge, late, disability status patients on follow-up after ≥6 weeks. Materials Methods: This retrospective was carried out a tertiary care hospital Pakistan between March 2023 October included 100 CSDH. All underwent...

Traumatic brain injury (TBI) is a leading cause of mortality and morbidity worldwide, with road traffic accidents being the predominant in Pakistan. Computed tomography (CT) scans have become cornerstone investigation for all TBIs, but their widespread use raises concerns about cost-effectiveness, radiation exposure, incidental findings. This study aimed to validate applicability Canadian CT head rule (CCHR) New Orleans Criteria (NOC) Pakistani population compare sensitivity specificity.

Background Children and young people (CYP) with primary brain tumour (PBT) are at high risk for developing late effects, potentially affecting long-term quality of life (QoL). In low-income middle-income countries, QoL has not been studied in depth CYP. the present study, CYP treated PBTs Pakistan were evaluated regarding (A) mean change scores pretreatment 12 months post-treatment (B) predictors post-treatment. Methods A prospective cohort study was conducted from November 2020 to July...

Prolapse of intervertebral disc is a common pathology seen in the neurosurgery field but intradural lumbar herniation rare entity encountered only during surgical treatment prolapse. We present 30-year-old male who reported lower back pain radiating to right limb for last 2.5 years. The started after brief history weight lifting. There were no associated motor or sensory deficits. magnetic resonance imaging lumbosacral spine showed prolapse at level L4-L5. patient underwent laminectomy and...

Objectives: We determined the Outcome of subaxial cervical injury management in adults through anterior approach open reduction and fixation < 72 hours.
 Material Methods: A total 71 patients declared to have a recent chronicle traumatic spine with conventional diagnosis by Magnetic Resonance Imaging (MRI) X-Ray anteroposterior lateral views. ASIA Impairment Scale was used for assessment done at time admission after six months.
 Results: Mean age our study 38.54 ± 5.47 years....

Objective: Diagnosis of supratentorial space occupying lesion is a frequent dilemma in neurosurgical practice. MR spectroscopy that an advanced imaging sequence can prove to be decisive such cases. The objective the study determine diagnostic accuracy MRS differentiating supra-tentorial brain lesions taking histopathology as gold standard
 Material and Methods: cross sectional was conducted at Department Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi from August 2018 July...

Objective: To determine the outcome of Transpedicular Fixation via Posterior Approach for Dorsal and Lumbar Spine Tuberculosis. Material/Methods: This study was cross-sectional conducted from 01/02/2015 to 30/7/2020 in department neurosurgery. A total 36 patients with dorsal lumbar spine tuberculosis were operated on transpedicular fixation. Assessment scores used pre-operative post-operative kept follow-up till six months after surgical procedure. Variables like age, gender, spinal level,...

Objective: To determine the surgical Outcome for a prolapsed lumbar intervertebral disc based on visual analog score.
 Materials and Methods: A prospective study was conducted in Department of Neurosurgery at Jinnah Postgraduate Medical Centre, Karachi. total 55 patients were included study. Questionnaires used to collect demographic data, presenting symptoms, level herniated discs. The underwent different interventions then these followed 2 weeks postoperatively outcome assessed using...

Objective: To explore the result and frequency of different problems that occur in early post-operative period incidence these complications our community. It will give insight drive further development care myelomeningoceles as well unique emerge patients post-operatively. Materials Methods: At Jinnah Postgraduate Medical Center Karachi, Department Neurosurgery, this prospective, observational study was carried out over 12 months. Patients both genders from 1 month to 2 years age, diagnosed...

This study compared the accuracy of intraoperative lateral fluoroscopic images versus postoperative computed tomography (CT) 3D studies in treatment thoracolumbar spinal fusions.In a tertiary care hospital (study duration 6 months), we use with CT scans 64 patients thoracic or lumbar fractures undergoing fusions.Out patients, 61% were followed by 39% fractures. In spine, screw placement utilizing fluoroscopy was 97.4%, while reduced to 84.4%. Of just 4 (6.2%) demonstrated pedicle cortex...

To determine the diagnostic accuracy of SLR test in elderly patients suffering from lumbar disk herniation with sciatica and low back pain, using magnetic resonance imaging (MRI) as gold standard.A cross-sectional study was conducted at Jinnah Postgraduate Medical Center a total 120 patients, above 60 years age, symptomatic were enrolled. performed results recorded. MRI spine undertaken for confirmation herniation.The sensitivity older is 33.3%. A decrease an increment age also noted.It...

Objective: To determine the frequency of different neuropsychological impairments in traumatic head injury survivors compared to those without a history trauma. Materials and Methods: A case-control study was done Karachi, Pakistan, during February 2023 March 2023, with participants aged 18 above, both genders, or trauma forming case control groups, respectively. Individuals congenital neurological impairment were not included. Screening tools included ESS, UNS, GAD-7 scale, PHQ-9. Results:...