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  1. Article ; Online: COVID-19: And this shall also pass.

    Hegde, Thimappa

    Neurology India

    2020  Volume 68, Issue 2, Page(s) 276–277

    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Disease Outbreaks/prevention & control ; Humans ; India/epidemiology ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-15
    Publishing country India
    Document type Journal Article
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.284357
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 698: Show issues Location:
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  3. Article ; Online: COVID-19

    Hegde, Thimappa

    Neurology India

    And this shall also pass

    2020  Volume 68, Issue 2, Page(s) 276

    Keywords Neurology ; Clinical Neurology ; covid19
    Language English
    Publisher Medknow
    Publishing country in
    Document type Article ; Online
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.284357
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    Zs.A 698: Show issues Location:
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  4. Article ; Online: LIFE a GIFT

    Thimappa Hegde

    Indian Journal of Neurosurgery, Vol 1, Iss 2, Pp 187-

    2012  Volume 188

    Keywords Surgery ; RD1-811 ; Medicine ; R
    Language English
    Publishing date 2012-01-01T00:00:00Z
    Publisher Thieme Medical Publishers
    Document type Article ; Online
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  5. Article: Malignant bihemispheric cerebral edema after cranioplasty - An extension of the Monro-Kellie doctrine and predictive factors.

    Bhatjiwale, Mrudul Mohinish / Mariswamappa, Kiran / Chandrachari, Komal Prasad / Bhatjiwale, Mohinish / Joshi, Tanvi / Hegde, Thimappa / Kulkarni, Akshay Vijay

    Surgical neurology international

    2023  Volume 14, Page(s) 271

    Abstract: Background: Several changes in normal pressure dynamics on the brain occur with a decompressive craniectomy and subsequent cranioplasty. Dead space volume is an important factor contributing to intracranial volume postcranioplasty. A decrease in this ... ...

    Abstract Background: Several changes in normal pressure dynamics on the brain occur with a decompressive craniectomy and subsequent cranioplasty. Dead space volume is an important factor contributing to intracranial volume postcranioplasty. A decrease in this volume due to negative suction drain along with relative negative pressure on the brain with the loss of external atmospheric pressure may lead to fatal cerebral edema.
    Case description: A 52-year-old gentleman with a 210 mL volume and middle cerebral artery territory infarction underwent an emergency craniectomy and 6 months later a titanium mold cranioplasty. Precranioplasty computed tomography (CT) scan evaluation revealed a sunken skin flap with a 9 mm contralateral midline shift. Immediately following an uneventful surgery, the patient had sudden fall in blood pressure to 60/40 mmHg and over a few min had dilated fixed pupils. CT revealed severe diffuse cerebral edema in bilateral hemispheres with microhemorrhages and expansion of the sunken right gliotic brain along with ipsilateral ventricular dilatation. Despite undergoing a contralateral decompressive craniectomy due to the midline shift toward the right, the outcome was fatal.
    Conclusion: Careful preoperative risk assessment in cranioplasty and close monitoring postprocedure is crucial, especially in malnourished, poststroke cases, with a sinking skin flap syndrome, and a long interval between decompressive craniectomy and cranioplasty. Elective preventive measures and a low threshold for CT scanning and removal of the bone flap or titanium mold are recommended.
    Language English
    Publishing date 2023-08-04
    Publishing country United States
    Document type Case Reports
    ISSN 2229-5097
    ISSN 2229-5097
    DOI 10.25259/SNI_391_2023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: LIFE a GIFT

    Hegde, Thimappa

    Indian Journal of Neurosurgery

    2012  Volume 01, Issue 02, Page(s) 187–188

    Language English
    Publishing date 2012-07-01
    Publisher Thieme Medical and Scientific Publishers Private Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2698542-1
    ISSN 2277-9167 ; 2277-954X
    ISSN (online) 2277-9167
    ISSN 2277-954X
    DOI 10.4103/2277-9167.102293
    Database Thieme publisher's database

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  7. Article ; Online: Development and Validation of a Multivariable Model to Predict Surgical Outcome in Patients with Chiari malformations.

    Kumar, Shishir / Chandrachari, Komal P / Mariswamappa, Kiran / Pillai, Shibu V / Vijayendra, Vishwas H / Lale, Sathyanarayana / Hegde, Thimappa

    Neurology India

    2022  Volume 70, Issue 3, Page(s) 905–912

    Abstract: Background: Surgical outcome predictive models for Chiari malformations (CM) which are applicable to all age groups and simple enough to use on outpatient basis are lacking.: Objective: The aim of this study was to develop and validate a preoperative ...

    Abstract Background: Surgical outcome predictive models for Chiari malformations (CM) which are applicable to all age groups and simple enough to use on outpatient basis are lacking.
    Objective: The aim of this study was to develop and validate a preoperative index for predicting long-term outcomes in Chiari 1 (CM1) and Chiari 0 (CM0) malformations.
    Materials and methods: It was a single-institution, ambidirectional, cohort study from 2014 to 2019, having patients between 5 to 70 years. Outcome was assessed using Chicago Chiari outcome score (CCOS) over 2 years follow-up. Preoperative clinical and radiological factors were analyzed using Chi-square test and Mann Whitney U test, in relation to CCOS and those attaining P value ≤0.05, were used to develop model - Chiari Outcome Predictive Index (COPI). COPI was internally validated using 10-fold cross-validation and c-statistic for discrimination.
    Results: A total of 88 patients (66 in development and 22 in validation cohort) were included in the study. Outcome was negatively associated with presence of motor, sensory or cranial nerve symptoms, poor functional status, basilar invagination, and tonsillar descent. It was positively associated with shorter duration of presenting symptom (<9 months) and syrinx diameter <6 mm. COPI predicted CCOS with 91.1% accuracy (10-fold cross-validation). It had excellent discrimination for improved outcome (c = 0.968 in development and 0.976 in validation cohort), at threshold index of -1.
    Conclusions: COPI is simple tool that can be administered in outpatient setting. It can facilitate evidence-based preoperative counseling of patients, to help them develop reasonable expectations regarding surgical outcomes.
    MeSH term(s) Arnold-Chiari Malformation/complications ; Coat Protein Complex I ; Cohort Studies ; Decompression, Surgical ; Humans ; Magnetic Resonance Imaging ; Retrospective Studies ; Syringomyelia/surgery ; Treatment Outcome
    Chemical Substances Coat Protein Complex I
    Language English
    Publishing date 2022-07-21
    Publishing country India
    Document type Journal Article
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.349662
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 698: Show issues Location:
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  8. Article ; Conference proceedings: Phineas Gage Revisited: An “Indian Crowbar Case”

    Shetty, Sathwik R. / Wadhwa, Susheel / Ganigi, Praveen M. / Hegde, Thimappa / Bopanna, Kanjithanda M.

    Journal of Neurological Surgery Part B: Skull Base

    2017  Volume 78, Issue S 01

    Event/congress Presentation Abstracts 27th Annual Meeting North American Skull Base Society, The Roosevelt New Orleans New Orleans, Louisiana, 2017-03-03
    Language English
    Publishing date 2017-03-01
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article ; Conference proceedings
    ZDB-ID 2654269-9
    ISSN 2193-634X ; 2193-6331
    ISSN (online) 2193-634X
    ISSN 2193-6331
    DOI 10.1055/s-0037-1600739
    Database Thieme publisher's database

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    Zs.A 3425: Show issues Location:
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  9. Article: Bow hunter's stroke - a rare presentation of CV junction anomaly: case report.

    Shetty, Sathwik Raviraj / Shankaraiah, Banuprakash Albur / Hegde, Thimappa / Nagarajaiah, Rajesh Karalumangala

    Neurology India

    2012  Volume 60, Issue 5, Page(s) 520–521

    MeSH term(s) Adolescent ; Atlanto-Axial Joint/injuries ; Atlanto-Axial Joint/pathology ; Cerebral Angiography ; Cerebral Infarction/diagnosis ; Cerebral Infarction/etiology ; Decompressive Craniectomy ; Electroencephalography ; Female ; Humans ; Magnetic Resonance Imaging ; Stroke/complications ; Stroke/diagnosis ; Stroke/surgery ; Vertebrobasilar Insufficiency/complications ; Vertebrobasilar Insufficiency/diagnosis ; Vertebrobasilar Insufficiency/surgery
    Language English
    Publishing date 2012-09
    Publishing country India
    Document type Case Reports ; Letter
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.103204
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  10. Article ; Online: Bow hunter′s stroke - A rare presentation of CV junction anomaly

    Sathwik Raviraj Shetty / Banuprakash Albur Shankaraiah / Thimappa Hegde / Rajesh Karalumangala Nagarajaiah

    Neurology India, Vol 60, Iss 5, Pp 520-

    Case report

    2012  Volume 521

    Keywords Neurology. Diseases of the nervous system ; RC346-429 ; Neurosciences. Biological psychiatry. Neuropsychiatry ; RC321-571 ; Internal medicine ; RC31-1245 ; Medicine ; R
    Language English
    Publishing date 2012-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
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