Background: Gliosarcoma (GS), a subtype of glioblastoma (GBM), is rare primary neoplasm the central nervous system. Certain features like temporal lobe affinity, tendency for extraneural metastasis and poorer outcome compared to GBM indicate that GS may indeed be separate clinicopathologic entity. This led us revisit this entity in our settings. Materials Methods: Between 2009 2014, 16 cases histologically proven GSs (14 primary, two secondary) were treated. Patient data retrieved...

Introduction: Surgical management of foramen magnum (FM) tumors is challenging by virtue their location and vital neurovascular relationships. The ideal approach to anterior/anterolateral continue evoke controversy even in the modern era. In this article, we present discuss our experience surgical these tumors. Materials Methods: This retrospective study includes 29 consecutive patients (mean age 36.6 years, M: F = 2.63:1) extramedullary at magnum, operated center, between 2007 2012....

Pineal region tumors often present with hydrocephalus. Endoscopic third ventriculostomy (ETV) and simultaneous tumor biopsy remain a minimally invasive procedure offering both diagnostic therapeutic advantages in the management of these tumors. However, different operative techniques have been described literature.The aim is to study ETV success rate, rate biopsy, complications, follow-up patients pineal managed using single burr hole technique.The was performed by retrospectively reviewing...

Insular high-grade gliomas are uncommon and constitute approximately 10% of all intracranial gliomas. Several publications in the recent years have thrown substantial light understanding insular low-grade However, there is a paucity information concerning spectrum lesions affecting insula, mode presentation vis-à-vis gliomas, survival rates to modern therapy.We aim highlight various clinical patterns, histo-pathological patients with lesions. Also, we explore factors that govern favourable...

Remote cerebellar hemorrhage (RCH) is an extremely rare and potentially devastating complication of supratentorial spinal surgeries. While there are numerous postulates explaining the patho-physiology behind this phenomenon, including most popular CSF over drainage theory, exact cause for same still largely unknown. In report, we present 2 cases remote encountered following different surgical procedures. One patient had preceding pterional craniotomy ruptured anterior communicating artery...

We report a case of an anomalous single midline vertebral artery (VA) in atlanto-axial dislocation (AAD). The left VA coursed the at craniovertebral junction as there was no right VA. internal carotid also not formed. This 34-year-old male patient who presented with features high cervical myelopathy. On evaluation, he had fixed AAD. There inadvertent intra-operative injury, which sealed to control brisk bleeding require stenting ultimately. Patient did survive and expired after 5 days due...

Hemorrhage associated with meningiomas is extremely rare and most commonly occurs in convexity of higher grade or the angioblastic variety. Moreover, bleeding a meningioma usually form subdural hematoma subarachnoid hemorrhage. We report case giant left medial sphenoid wing histopathological diagnosis meningothelial type apoplexy. A 54-year-old female presented clinical features suggestive Her neuroimaging demonstrated large an intratumoral bleed mass effect. Gross total excision tumor was...

Brainstem gliomas are relatively rare in adults (<2% of all gliomas). Exophytic focal brainstem lesions, which project into the 4th ventricle or cerebellopontine angles. These exophytic lesions usually low-grade histology (pilocytic astrocytoma ganglioglioma) and have a better outcome compared with as whole. Glioblastoma is commonest primary glial cell neoplasm mostly occurs supratentorial compartment. It rather uncommon seldom has been described having an growth pattern. Here we describe...

Hemifacial spasm (HFS) is a benign condition characterized by unilateral, involuntary, paroxysmal clonic and tonic contractions of the facial muscles. This usually results from focal demyelination at root entry zone 7th cranial nerve secondary to vascular loop compression, hence, it responds microvascular decompression (MVD) surgery, similar trigeminal neuralgia. Herein, we report an interesting clinical finding contralateral dry eye in case HFS, which has not been described previously...

Germ cell tumors (GCTs) are rare intracranial with a strong predilection for children. Commonly, these arise either in the suprasellar or pineal region. The basal ganglia-thalamus complex represents site of nonmidline GCTs. Such ganglionic GCTs have been reported to produce certain interesting clinico-radiological features, knowledge which may provide important diagnostic clues preoperatively. We present case 9.5-year-old boy who presented right hemiparesis and precocious puberty. Imaging...

Central nervous system aspergillosis is rare with reported mortality rate of 13-50% involving foci in paranasal sinuses and even higher rates (80-100%) patients immune-compromised status. Modern day imaging offers an opportunity for early diagnosis, but findings are minimal. A typical finding that a space occupying mass lesion iso-hypointense signal on T1-weighted sequences extreme hypointense appearance T2-weighted. This results from the concentration ferromagnetic substances...

Trans -sellar trans-sphenoidal encephalocele is an extremely rare entity. We present the case of 18-month old boy who presented with a trans-sellar, associated cleft lip, palate and microphthalmia. This patient was treated successfully by trans-cranial extra-dural route. In this paper, we discuss clinico-radiological findings as well various surgical options in managing these lesions briefly review literature.

Purpose : To establish the relation between Anemia and cognitive function. Approach Published articles from Pubmed other Internet sources were used to anemia cognition. Finding There are various factors like RBC, hemoglobin iron content which affects cognition indirectly. Whereas some such as defect in gene, directly Conclusion not only physical health, but also mental health contents affect function while due causes anemia, functions. Cognition of infant is affected by maternal anemia.

Multifocality and metastasis from insular glioma are extremely rare. Pathological insights elaboration of the clinical course this condition will contribute to their better understanding.Among 123 consecutively operated gliomas, 5 patients (4.2%) presented with a multifocal tumor. The clinico-radiological, histo-molecular, treatment outcomes were noted compared unifocal cohort.Among five patients, all males involved right lobe. Three synchronous tumors, while two developed metachronous...

Primary extramedullary tumors involving multiple compartments around the spine are a technically demanding group of whose extent traverses beyond normal confines those anatomical regions which fall in common domain neurosurgeons. In following series, we present 12 patients who were diagnosed with primary spinal multicompartmental extension, and surgical management was facilitated by combined multidisciplinary approach surgeons other superspecialties. This assistance from inception to...

A bstract Arachnoid cysts (ACs) are benign, extra-axial, developmental derived from the arachnoid membrane. These often develop in cisternal spaces and rarely involve fourth ventricle. When they do, their differential diagnosis can be challenging. Although surgical treatment has to proactive, there appears a lack of consensus regarding best strategy. Here we report 16-year-old boy with hydrocephalus ataxia setting ventricular AC. direct approach through midline suboccipital corridor enabled...

Brachial plexus repair forms an unmet need in terms of posttraumatic rehabilitation, especially the young population, wherein incidence accidents is high. This leads to decrease number functionally active years after accident. We encountered interesting case posterior cord injury predominantly affecting shoulder abduction beyond 15°. An electrodiagnostic study showed a complete lack conduction within axillary nerve with reduced velocity radial nerve. took patient up for long head triceps...

Acromesomelic dysplasia Maroteaux type (AMDM) is a rare autosomal recessive osteochondrodysplasia. The responsible gene, AMDM in human beings, has been mapped on 9p13-q12 chromosome by homozygous mapping and pathogenic mutation was later identified natriuretic receptor B (NPR-B) which implicated the regulation of skeletal growth. Till now, around 40 to 50 cases have described world literature. Association congenital craniovertebral (CV) junction anomaly not reported. Here we are presenting...

Extra-adrenal paragangliomas (EAPs) are benign tumors of neuroendocrine origin. These mostly arise from the carotid body and jugular bulb area. EAP affecting spine filum terminale, known as cauda equine paraganglioma is rarely encountered in clinical practice. In this report, we present a case 28-year-old lady with at L2/3 level who presented low back pain radiation to both legs for 4 year duration. The patient underwent laminoplasty total excision tumor. Following surgery, backache...

The Journal is the primary organ of Continuing Paediatric Medical Education in Sri Lanka. journal also has a website. Free full text access available for all readers.The Lanka Child Health now indexed SciVerse Scopus (Source Record ID 19900193609), Index Medicus South-East Asia Region (IMSEAR), CABI (Centre Agriculture and Bioscience International Global Database), DOAJ Google, as well Google Scholar.The policies are modelled on Committee Publication Ethics (COPE) Guidelines Principles...

Postoperative pain and cerebrospinal fluid (CSF) leak are common known complications of spinal surgery, both having a synergistic effect on each other. Thus, need to be dealt simultaneously. Double drug impregnated autologous coagulum patch (DDIAC) is novel method which reduced incidences postoperative CSF leaks as well pain.Twenty-seven patients undergoing lumbar disc surgery without instrumentation were included randomized into DDIAC single (SDIAC) group. The assessed postoperatively with...

Background: Neonatal sepsis and meningitis is an important cause of neonatal mortality morbidity especially in the developing countries. Bacteriological profile antibiotic sensitivity pattern may vary from one region to another. Aims Objectives: We have planned this study know etiological agent with its evaluate some other associated risk factors meningitis. Materials Methods: This observational, cross-sectional was done for a period 1 year SNCU NICU district Medical College West Bengal...