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  1. Article ; Online: Clival Tuberculosis: A Case Report.

    Gandhi, Anish S / Nadkarni, Trimurti D / Balasubramaniam, Srikant

    Neurology India

    2022  Volume 70, Issue 2, Page(s) 775–777

    Abstract: A 39-year-old female presented with complaints of occipital headaches, diplopia, numbness over left half of face and deviation of face to the right. On examination she had hypoesthesia over left half of face, associated with bilateral abductor and left ... ...

    Abstract A 39-year-old female presented with complaints of occipital headaches, diplopia, numbness over left half of face and deviation of face to the right. On examination she had hypoesthesia over left half of face, associated with bilateral abductor and left facial palsy. Neuroradiology showed a well-defined lytic lesion involving the clivus and adjacent sphenoid sinus and sella. The patient underwent an endoscopic transnasal decompression of the clival lesion. Intraoperative squash preparation was reported to show tuberculous granulation, which was confirmed on postoperative histology. The patient was advised anti-tubercular therapy. At 12 months follow up neuroradiology showed a near total resolution of the clival lesion. The patient had completely recovered from her cranial nerve deficits. Tuberculous involvement of spheno-clival region is rare and the authors' literature search has yielded only three previous similar case reports. A surgical decompression followed by anti-tubercular therapy is the recommended approach for management of clival tuberculosis. The relevant literature on the subject is presented.
    MeSH term(s) Adult ; Cranial Fossa, Posterior/diagnostic imaging ; Cranial Fossa, Posterior/pathology ; Cranial Fossa, Posterior/surgery ; Diplopia ; Endoscopy ; Female ; Humans ; Sphenoid Sinus/surgery ; Tuberculosis/pathology
    Language English
    Publishing date 2022-05-09
    Publishing country India
    Document type Case Reports
    ZDB-ID 415522-1
    ISSN 1998-4022 ; 0028-3886
    ISSN (online) 1998-4022
    ISSN 0028-3886
    DOI 10.4103/0028-3886.344665
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 698: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article: Transthoracic approach for ventrally situated paraspinal extradural hydatid cyst of the dorsal spine.

    Dighe, Mohnish P / Balasubramaniam, Srikant / Nadkarni, Trimurti D

    Journal of craniovertebral junction & spine

    2019  Volume 9, Issue 4, Page(s) 271–273

    Abstract: A 40-year-old female presented with back pain without any neurological deficits. Radiological investigations revealed a ventrally situated paraspinal lesion causing widening of the right D4 neural foramen. She underwent a right posterolateral thoracotomy ...

    Abstract A 40-year-old female presented with back pain without any neurological deficits. Radiological investigations revealed a ventrally situated paraspinal lesion causing widening of the right D4 neural foramen. She underwent a right posterolateral thoracotomy and excision of the lesion in toto, which was reported as a hydatid cyst on histology. Ventrally situated paraspinal extradural hydatid cysts are rare. A Transthoracic surgical exposure offers a direct approach for complete excision of the lesion, minimizing the chances of rupture and spillage.
    Language English
    Publishing date 2019-02-18
    Publishing country India
    Document type Case Reports
    ZDB-ID 2573344-8
    ISSN 0976-9285 ; 0974-8237
    ISSN (online) 0976-9285
    ISSN 0974-8237
    DOI 10.4103/jcvjs.JCVJS_71_18
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Tethered cord due to caudal lipomeningocele associated with a lumbar dural arteriovenous fistula.

    Mavani, Sandip B / Nadkarni, Trimurti D

    Journal of neurosurgery. Spine

    2014  Volume 21, Issue 3, Page(s) 489–493

    Abstract: A 29-year-old man presented with progressive paraparesis associated with sensory impairment in both lower limbs for the past 2 years. He was experiencing the sensation of incomplete urinary evacuation. The patient had undergone an earlier operation for a ...

    Abstract A 29-year-old man presented with progressive paraparesis associated with sensory impairment in both lower limbs for the past 2 years. He was experiencing the sensation of incomplete urinary evacuation. The patient had undergone an earlier operation for a lumbar lipomeningocele at birth. Magnetic resonance images of the lumbosacral spine showed a low-lying conus medullaris adherent to a caudal lipoma. There was a leash of abnormal vascular channels in the adjacent subarachnoid space. The patient underwent spinal angiography that revealed a dural arteriovenous fistula (AVF) principally fed by the left fourth lumbar (L-4) radicular branch. At surgery the cord was detethered by disconnection of the sacral lipoma. The dural fistula was obliterated by occlusion of the L-4 radicular feeder close to the nidus of the fistula. Postoperatively, the patient experienced an immediate relief of sensation of tightness in both lower limbs. There was a gradual improvement of power and sensation at the 6-month follow-up examination. According to the authors' literature search, the present case is a unique report of a rare association of spinal cord tethering due to a caudal lipoma associated with a lumbar dural AVF. The present report discusses the etiopathology, presentation, and management of this case.
    MeSH term(s) Adult ; Central Nervous System Vascular Malformations/complications ; Humans ; Lipoma/complications ; Male ; Meningomyelocele/complications ; Neural Tube Defects/etiology ; Sacrum ; Spinal Neoplasms/complications
    Language English
    Publishing date 2014-09
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2158643-3
    ISSN 1547-5646 ; 1547-5654
    ISSN (online) 1547-5646
    ISSN 1547-5654
    DOI 10.3171/2014.5.SPINE13670
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Uk I Zs.135 -Spine-: Show issues Location:
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  4. Article ; Online: Multicompartmental cerebrospinal fluid dissemination of cerebellar pilocytic astrocytoma at presentation.

    Redhu, Rakesh / Nadkarni, Trimurti D

    Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia

    2011  Volume 18, Issue 10, Page(s) 1412–1414

    Abstract: A 26-year-old male presented with a rare cerebellar pilocytic astrocytoma with multicompartmental subarachnoid metastases. Cerebrospinal fluid dissemination of low grade astrocytoma at presentation is rare in adults. In the present patient, clinical and ... ...

    Abstract A 26-year-old male presented with a rare cerebellar pilocytic astrocytoma with multicompartmental subarachnoid metastases. Cerebrospinal fluid dissemination of low grade astrocytoma at presentation is rare in adults. In the present patient, clinical and neuroradiological follow-up at 4 years, without adjuvant treatment, revealed non progression of tumors. The occurrence of benign dormancy, low grade tumor histology and multifocal involvement of the neuraxis is rare. Close clinical observation is the best approach for management of such a patient. The relevant literature is discussed.
    MeSH term(s) Adult ; Astrocytoma/cerebrospinal fluid ; Astrocytoma/diagnosis ; Astrocytoma/surgery ; Cerebellar Neoplasms/cerebrospinal fluid ; Cerebellar Neoplasms/diagnosis ; Cerebellar Neoplasms/surgery ; Humans ; Male
    Language English
    Publishing date 2011-10
    Publishing country Scotland
    Document type Case Reports ; Journal Article
    ZDB-ID 1193674-5
    ISSN 1532-2653 ; 0967-5868
    ISSN (online) 1532-2653
    ISSN 0967-5868
    DOI 10.1016/j.jocn.2011.01.038
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 3999: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article: Congenital meningocoele presenting in an adult.

    Ramdasi, Raghvendra V / Nadkarni, Trimurti D / Goel, Atul H

    Journal of craniovertebral junction & spine

    2014  Volume 5, Issue 3, Page(s) 134–136

    Abstract: A 53-year-old male patient presented with low back pain radiating to both lower limbs for 2 years and urinary incontinence for 2 months. He had swelled over his lower back since birth. The neurological examination revealed a decreased perianal sensation. ...

    Abstract A 53-year-old male patient presented with low back pain radiating to both lower limbs for 2 years and urinary incontinence for 2 months. He had swelled over his lower back since birth. The neurological examination revealed a decreased perianal sensation. Local examination of the lumbar swelling showed a brilliantly transilluminant, cystic midline swelling in the lumbar area with underlying spina bifida. Magnetic resonance imaging revealed a low-lying conus at L3 level associated with spina bifida at L5 and a meningocoele sac. The patient underwent excision of the meningocoele and detethering of cord by extirpation of hypertrophied filum terminale. The patient had an immediate relief of his symptoms. At 3 month follow-up the lumbar wound had healed well, and there was a significant improvement in the perianal hypoesthesia. The adult presentation of a congenital meningocoele and spinal dysraphism is rare, especially in the fifth decade. The possible causes of this delayed presentation are analyzed, and the relevant literature on the subject is presented.
    Language English
    Publishing date 2014-10-20
    Publishing country India
    Document type Case Reports
    ZDB-ID 2573344-8
    ISSN 0976-9285 ; 0974-8237
    ISSN (online) 0976-9285
    ISSN 0974-8237
    DOI 10.4103/0974-8237.142309
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Hemangiopericytoma of the cervical spine.

    Ramdasi, Raghvendra V / Nadkarni, Trimurti D / Goel, Naina A

    Journal of craniovertebral junction & spine

    2014  Volume 5, Issue 2, Page(s) 95–98

    Abstract: A 28-year-old male presented with neck pain and dysesthesias in the right upper limb. On examination, he had a firm, well-defined midline posterior cervical mass discernible on palpation at the mid-cervical level. He had no neurological deficit. ... ...

    Abstract A 28-year-old male presented with neck pain and dysesthesias in the right upper limb. On examination, he had a firm, well-defined midline posterior cervical mass discernible on palpation at the mid-cervical level. He had no neurological deficit. Neuroradiology revealed a variegated enhancing cervical mass is arising from C3 lamina. The mass extended into the right extradural space eroding the C3 lamina and posteriorly into the intermuscular plane. The tumor was excised totally. Histopathology of the tumor showed features of hemangiopericytoma (HPC). The patient underwent postoperative radiotherapy. Primary osseous spinal HPC are rare malignant extra-axial tumors that tend to recur and metastasize. Only two cases of primary osseous HPC have been reported earlier to involve the cervical spine. The clinical presentation and management of the present case with a review of the literature is presented.
    Language English
    Publishing date 2014-08-19
    Publishing country India
    Document type Case Reports
    ZDB-ID 2573344-8
    ISSN 0976-9285 ; 0974-8237
    ISSN (online) 0976-9285
    ISSN 0974-8237
    DOI 10.4103/0974-8237.139209
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Intramedullary conus metastasis from carcinoma lung.

    Mavani, Sandip B / Nadkarni, Trimurti D / Goel, Naina A

    Journal of craniovertebral junction & spine

    2012  Volume 4, Issue 1, Page(s) 40–42

    Abstract: A 46-year-old male presented with progressive paraparesis and sensory impairment in both lower limbs since 2 months. He had urinary and bowel incontinence. On examination he had flaccid paraplegia with a sensory level at 11(th) dorsal vertebral level. ... ...

    Abstract A 46-year-old male presented with progressive paraparesis and sensory impairment in both lower limbs since 2 months. He had urinary and bowel incontinence. On examination he had flaccid paraplegia with a sensory level at 11(th) dorsal vertebral level. Magnetic resonance imaging (MRI) scans of the lumbosacral spine showed an enhancing intramedullary lesion in the conus. The patient underwent excision of the conus mass. Histopathology confirmed the tumor to represent a poorly differentiated metastatic carcinoma from an unknown primary. A positron emission tomography-computed tomography (PET-CT) scan of the whole body revealed hypermetabolic activity in the hilum of the right lung confirmed to be a lung carcinoma on a CT-guided biopsy. The patient was undergoing chemoradiation at 1 month follow-up. The author's literature search has yielded only four other case reports of conus metastasis of which only one is in English literature. The present case report and review of literature are presented.
    Language English
    Publishing date 2012-09-27
    Publishing country India
    Document type Case Reports
    ZDB-ID 2573344-8
    ISSN 0976-9285 ; 0974-8237
    ISSN (online) 0976-9285
    ISSN 0974-8237
    DOI 10.4103/0974-8237.121626
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Congenital meningocoele presenting in an adult

    Raghvendra V Ramdasi / Trimurti D Nadkarni / Atul H Goel

    Journal of Craniovertebral Junction and Spine, Vol 5, Iss 3, Pp 134-

    2014  Volume 136

    Abstract: A 53-year-old male patient presented with low back pain radiating to both lower limbs for 2 years and urinary incontinence for 2 months. He had swelled over his lower back since birth. The neurological examination revealed a decreased perianal sensation. ...

    Abstract A 53-year-old male patient presented with low back pain radiating to both lower limbs for 2 years and urinary incontinence for 2 months. He had swelled over his lower back since birth. The neurological examination revealed a decreased perianal sensation. Local examination of the lumbar swelling showed a brilliantly transilluminant, cystic midline swelling in the lumbar area with underlying spina bifida. Magnetic resonance imaging revealed a low-lying conus at L3 level associated with spina bifida at L5 and a meningocoele sac. The patient underwent excision of the meningocoele and detethering of cord by extirpation of hypertrophied filum terminale. The patient had an immediate relief of his symptoms. At 3 month follow-up the lumbar wound had healed well, and there was a significant improvement in the perianal hypoesthesia. The adult presentation of a congenital meningocoele and spinal dysraphism is rare, especially in the fifth decade. The possible causes of this delayed presentation are analyzed, and the relevant literature on the subject is presented.
    Keywords Adult meningocoele ; spinal dysraphism ; tethered cord ; Orthopedic surgery ; RD701-811 ; Surgery ; RD1-811 ; Medicine ; R
    Subject code 616
    Language English
    Publishing date 2014-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Hemangiopericytoma of the cervical spine

    Raghvendra V Ramdasi / Trimurti D Nadkarni / Naina A Goel

    Journal of Craniovertebral Junction and Spine, Vol 5, Iss 2, Pp 95-

    2014  Volume 98

    Abstract: A 28-year-old male presented with neck pain and dysesthesias in the right upper limb. On examination, he had a firm, well-defined midline posterior cervical mass discernible on palpation at the mid-cervical level. He had no neurological deficit. ... ...

    Abstract A 28-year-old male presented with neck pain and dysesthesias in the right upper limb. On examination, he had a firm, well-defined midline posterior cervical mass discernible on palpation at the mid-cervical level. He had no neurological deficit. Neuroradiology revealed a variegated enhancing cervical mass is arising from C3 lamina. The mass extended into the right extradural space eroding the C3 lamina and posteriorly into the intermuscular plane. The tumor was excised totally. Histopathology of the tumor showed features of hemangiopericytoma (HPC). The patient underwent postoperative radiotherapy. Primary osseous spinal HPC are rare malignant extra-axial tumors that tend to recur and metastasize. Only two cases of primary osseous HPC have been reported earlier to involve the cervical spine. The clinical presentation and management of the present case with a review of the literature is presented.
    Keywords Extradural ; hemangiopericytoma ; osseous ; spinal ; Orthopedic surgery ; RD701-811 ; Surgery ; RD1-811 ; Medicine ; R
    Language English
    Publishing date 2014-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Intramedullary conus metastasis from carcinoma lung

    Sandip B Mavani / Trimurti D Nadkarni / Naina A Goel

    Journal of Craniovertebral Junction and Spine, Vol 4, Iss 1, Pp 40-

    2013  Volume 42

    Abstract: A 46-year-old male presented with progressive paraparesis and sensory impairment in both lower limbs since 2 months. He had urinary and bowel incontinence. On examination he had flaccid paraplegia with a sensory level at 11 th dorsal vertebral level. ... ...

    Abstract A 46-year-old male presented with progressive paraparesis and sensory impairment in both lower limbs since 2 months. He had urinary and bowel incontinence. On examination he had flaccid paraplegia with a sensory level at 11 th dorsal vertebral level. Magnetic resonance imaging (MRI) scans of the lumbosacral spine showed an enhancing intramedullary lesion in the conus. The patient underwent excision of the conus mass. Histopathology confirmed the tumor to represent a poorly differentiated metastatic carcinoma from an unknown primary. A positron emission tomography-computed tomography (PET-CT) scan of the whole body revealed hypermetabolic activity in the hilum of the right lung confirmed to be a lung carcinoma on a CT-guided biopsy. The patient was undergoing chemoradiation at 1 month follow-up. The author′s literature search has yielded only four other case reports of conus metastasis of which only one is in English literature. The present case report and review of literature are presented.
    Keywords Carcinoma lung ; conus medullaris metastasis ; intramedullary metastasis ; Orthopedic surgery ; RD701-811 ; Surgery ; RD1-811 ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2013-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

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