A5028209471- Cerebrospinal fluid and hydrocephalus
- Spinal Dysraphism and Malformations
- Head and Neck Surgical Oncology
- Fetal and Pediatric Neurological Disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Spinal Fractures and Fixation Techniques
- Neurosurgical Procedures and Complications
- Osteomyelitis and Bone Disorders Research
- Global Health and Surgery
- Surgical Simulation and Training
- Cervical and Thoracic Myelopathy
- Spine and Intervertebral Disc Pathology
- Medical Imaging and Analysis
- Infectious Diseases and Tuberculosis
- Epilepsy research and treatment
- Pelvic and Acetabular Injuries
- Child Abuse and Related Trauma
- Intracranial Aneurysms: Treatment and Complications
- Pituitary Gland Disorders and Treatments
- Traumatic Brain Injury Research
- Anatomy and Medical Technology
- Artificial Intelligence in Healthcare and Education
- Neurological disorders and treatments
- Vascular Malformations Diagnosis and Treatment
- Tattoo and Body Piercing Complications
Punjab Institute of Cardiology
2022-2024
Pakistan Institute of Medical Sciences
2019-2023
Because nearly 23,000 more neurosurgeons are needed globally to address 5 million essential neurosurgical cases that go untreated each year, there is an increasing interest in task-shifting and task-sharing (TS/S), delegating tasks nonspecialists, particularly low- middle-income countries (LMICs). This global survey aimed provide a cross-sectional understanding of the prevalence structure current TS/S practices LMICs.
Artificial Intelligence (AI) is being used in the field of neurosurgery for improving patient outcomes, reducing risk complications, and increasing efficiency surgical procedures. AI algorithms can analyze data, plan procedures, guide instruments, monitor brain activity, improve post-operative care. The benefits incorporating into neurosurgical practice include pre-operative planning, intraoperative navigation, real-time monitoring, already image segmentation, predictive analytics. potential...
Anterior cerebral artery (ACA) territory infarctions are relatively rare, accounting for 0.3 % to 4.4 of stroke cases, with bilateral occurrences being even rarer. These can lead quadriplegia/paresis. Bilateral ACA possibly caused by vasospasm due subarachnoid haemorrhage (SAH) from ruptured anterior communicating (ACoA) aneurysms or thrombosis in the presence a rudimentary contralateral artery. ACoA aneurysm quadriparesis is extremely unusual, this only second recorded occurrence and...
Abstract Objective The aim of this study was to compare the outcome anterior versus posterior fixation for traumatic subaxial cervical spine subluxation in terms mean intraoperative blood loss, surgical time, and length hospital stay. Materials Methods A prospective observational conducted from August 25, 2022 24, 2023 at Department Neurosurgery, Punjab Institute Neurosciences, Lahore, Pakistan, including 60 patients (30 each group) fulfilling inclusion criteria. Group had fixation, while...
Background and Importance: Ventriculoperitoneal shunt surgery is a widely accepted treatment for hydrocephalus, but it not free from complications. Of all the complications, bowel perforation represents only 0.01-0.07% often presents with asymptomatic anal protrusion of distal end ventriculoperitoneal shunt. The mechanism causing ejection unknown, most theory that after intestinal perforation, tubing propelled out by peristaltic movements in gut. Case Presantation: A case 3.5-year-old boy...
Abstract A 24‐year‐old right‐handed male presented with a 4‐month history of migraine weariness. Typical accompanying symptoms like nausea, vomiting, photophobia and aura were not present. Non‐contrast CT brain revealed left sided large frontotemporoparietal (Galassi Type III) arachnoid cyst. The patient underwent cystoperitoneal shunt.
To appraise the overall outcomes of microsurgical resection low-grade arteriovenous malformations (AVMs) in a low-middle-income country. Data was collected prospectively from three different neurosurgical centres Pakistan for this study and it lasted two years. According to Spetzler-Martin (S-M) grading system, patients diagnosed with cerebral AVMs were divided into classes A, B, C. grade 1 2 included Class A. B contained 3 AVMs, while C 4 5 AVMs. All male female A eligible study. Patients...
Abstract Background An encephalocele is a congenital neural tube defect characterized by herniation of cranial contents through in the cranium and caused failure closure part developing tube. termed as “giant encephalocele” when size larger than head. They depend on sac, percentage tissue content, hydrocephalus, infection, other associated pathologies for favorable neurological outcome. Case presentation We report case four-month-old boy with giant occipital measuring 21 × 15 19 cm size,...
Abstract Background Triple neural tube defects are rare. To the author’s knowledge, there only four reported cases available in literature up to date. Controversies exist with regards development of defects. We revisit multisite closure theory and try explain mechanism our case. Case presentation report a case one-month-old baby boy who presented us three distinct He had occipital cervical encephaloceles along thoracolumbar myelomeningocele accompanied by syrinx mild hydrocephalus. All were...
Neurotrauma is a medical condition that occurs due to an injury the brain or spinal cord. In Pakistan, neurotrauma care significant concern high incidence of traumatic (TBI) resulting from road traffic accidents, falls, and violence.[1] According recent study, Pakistan had 81 TBI cases per 100,000 population, with 15% fatality rate.[2] leading cause mortality morbidity in country, estimated 600,000 reported each year. However, despite TBI, remains inadequate, there need improve quality...
Artificial intelligence (AI) has revolutionized various industries, and health care is no exception. With the advent of AI, neurosurgical critical witnessed significant advancements in diagnosis, treatment, management brain disorders. AI potential to transform way providers approach manage patients, especially those with severe injuries.[1]
Hyperostosis frontalis interna is a benign overgrowth of the inner table frontal bone. Exact etiology unknown. The condition often an incidental finding and requires no treatment unless there are neurological signs symptoms.
A 1-year-old girl presented with an overly enlarged head for 5 months. Negligence of parents regarding treatment this is concerning. Early can avoid a lot complications. Hydrocephalus secondary to aqueductal stenosis was diagnosed after thorough history, examination, and investigations. Endoscopic third ventriculostomy performed.
To acquire a wide range of technical skills, neurosurgeons undergo extensive and drawn-out training. Additionally, neurosurgery necessitates significant amount preoperative, intraoperative, postoperative clinical data collection, decision-making, care, recovery. The significance artificial intelligence in has significantly increased during the past ten years. potential to improve diagnostic prognostic outcomes is quite promising. It important therapy because it helps make crucial decisions...
Abstract Posterior fossa epidural hematomas (EDHs) are much rarer entities than supratentorial EDHs which reported only 4 to 7% in the literature. Due tight space and critical structures posterior fossa, a few cases can go with conservative management but even then patients deteriorate anytime enlargement of hematoma compression effects on brain stem require urgent evacuation. This letter aims provide case young kid who presented initially less-volume EDH later required evacuation because expansion.
Objectives: To determine the incidence of postoperative cerebrospinal fluid (CSF) leaks after endoscopic endonasal transsphenoidal surgery (EETS) for pituitary adenomas without sellar floor reconstruction (SFR). Methods: This retrospective observational study was conducted at Department Neurosurgery, Punjab Institute Neurosciences (PINS), Lahore, Pakistan from January, 2018 to December, 2022. It is a non-probability based consecutive case series. A total 316 patients meeting inclusion...
Encephalocele is a congenital neural tube defect (NTD). The pathophysiology of the NTDs exceedingly complex. Numerous explanations have been proposed to explain it. Double encephaloceles are highly unusual. There only fifteen previously reported cases double encephalocele in medical literature, with this index case being oldest and first from Pakistan. A four-year-old girl presented two occipital scalp swellings infancy. swelling measured about 7x5x3 cm, while suboccipital 7x9x5 cm. skin...
Objectives: To determine the effect of Bilateral Subthalamic Nucleus (STN) Deep Brain Stimulation (DBS) on drug reduction for Parkinson’s disease (PD) in a low-middle-income country. Methods: This retrospective cohort study included 49 patients following interview based questionnaires who underwent bilateral STN DBS at Department Neurosurgery, Punjab Institute Neurosciences, Lahore, Pakistan over five years (July 30, 2018 to June 29, 2023). Patients meeting inclusion and exclusion criteria...
Objectives: To analyze the efficacy of K-line in surgical planning approach selection for ossification posterior longitudinal ligament (OPLL) and outcomes assessment by Nurick grading Modified Japanese Orthopaedic Association (mJOA) scores. Methods: This is a retrospective case series study conducted at Departments Neurosurgery, Punjab Institute Neurosciences, Lahore months January February 2024. Patients with complete records were considered. Google Form was used data. scores calculated...
Chronic osteomyelitis of the skull base is a commonly reported pathology in existing scientific literature, but chronic vault (COSV) rarely documented disease. We report case 38 years old Afghan male with presenting complaint irregular swelling on for six months. The patient had history head trauma one year back compound depressed fracture which been surgically managed then. Physical examination revealed 15 x cm hard, immobile an scar mark over scalp. Neuroimaging was consistent diffuse,...
Objective: To compare correction of kyphotic deformity (KD) and implant failure (IF) in percutaneous short-segment pedicle screws fixation (SSPF) with index level versus long-segment (LSPF) without for traumatic thoracolumbar (TL) fractures. Methods: This prospective study comprised 56 patients who met the study’s inclusion criteria from Department Neurosurgery at Punjab Institute Neurosciences Lahore, Pakistan presented between June 2022 May 2023. We separated them into two groups: Group-A...
Objectives: To evaluate the precision and safety of a novel technique free-hand frameless pinless AXIEMTM-based navigation guided biopsy deep-seated brain lesions in low-middle income country. Methods: This retrospective study included 45 patients who underwent using Medtronic-Stealth S7 system over 5-year period (January 2019 to December 2023) at Department Neurosurgery, Punjab Institute Neurosciences, Lahore, Pakistan. Results: A total were this study. There 4 (8.9%) 1 20 years age group,...
Objectives: To assess the knowledge, attitude and perception of post-graduate residents neurosciences towards research ethics (RE) committees (RECs). Methods: This prospective cross-sectional survey-based study was conducted by Punjab Institute Neurosciences, targeting neuroscience throughout Pakistan during January February, 2024. An English-language general questionnaire, designed to attitudes, perceptions RE RECs, adapted reflect local conditions. The collected responses were analyzed...
Abstract Background Ventriculoperitoneal shunt insertion is widely used in the treatment of different kinds hydrocephalus. Shunt failure one most common complications; however complete intracranial migration rarely reported. Case presentation We report a case an eleven-month-old girl with (Chhabra Shunt). removed this intracranially migrated help endoscope (GAAB) and inserted new (Medtronic Shunt) on opposite side. She had good clinical outcome. Conclusion Complete extremely rare...