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  1. Article ; Online: Spinal cord compression due to primary intramedullary tuberculoma of the spinal cord presenting as paraplegia

    Sudhansu Sekhar Mishra / Deepak Das / Srikanta Das / Itibrata Mohanta / Soubhagya Ranjan Tripathy

    Surgical Neurology International, Vol 6, Iss 1, Pp 42-

    A case report and literature review

    2015  Volume 42

    Abstract: Background: Spinal cord compression can be due to various causes but spinal intramedullary tuberculoma is a rare cause. We report a case that had an intramedullary spinal cord tuberculomas in which the diagnosis was made histologically, without evidence ... ...

    Abstract Background: Spinal cord compression can be due to various causes but spinal intramedullary tuberculoma is a rare cause. We report a case that had an intramedullary spinal cord tuberculomas in which the diagnosis was made histologically, without evidence of symptoms of systemic tuberculosis. This lesion, located in the thoracic region, mimicked as an intramedullary tumor radiologically. Case Description: The patient was a 25-year-old male who presented with a history of progressive paraparesis. Initial diagnosis was made as an intramedullary tumor by magnetic resonance imaging (MRI). The treatment of the patient involved is complete surgical excision of intramedullary lesion followed by appropriate antituberculous therapy. Postoperatively, his neurological symptoms were dramatically improved. With combination of both surgical and medical treatments, excellent clinical outcome was obtained. Conclusion: This case illustrates the risk of misdiagnosis and the importance of histological confirmation of a pathological lesion as spinal cord tuberculoma prior to surgical therapy, which should be kept in mind as a differential diagnosis of the intramedullary spinal cord tumors.
    Keywords Intramedullary ; spinal cord tumor ; tuberculomas ; Medicine ; R ; Surgery ; RD1-811 ; Internal medicine ; RC31-1245 ; Neurosciences. Biological psychiatry. Neuropsychiatry ; RC321-571 ; Neurology. Diseases of the nervous system ; RC346-429
    Subject code 610
    Publishing date 2015-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Intracranial extension of Marjolin′s ulcer of the scalp with a latency of 3 years

    Sudhansu Sekhar Mishra / Mani Charan Satapathy / Prithiwiraj Singh / Satya Bhusan Senapati / Itibrata Mohanta

    Indian Journal of Neurosurgery, Vol 3, Iss 1, Pp 63-

    2014  Volume 64

    Keywords Surgery ; RD1-811 ; Medicine ; R
    Language English
    Publishing date 2014-01-01T00:00:00Z
    Publisher Thieme Medical Publishers
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    Inter-library loan at ZB MED

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  3. Article ; Online: A review of sub acute subdural hematoma (SASDH) with our institutional experience and its management by double barrel technique (DbT)

    Soubhagya R Tripathy / Pankaj K Swarnakar / Sanjib Mishra / Sudhanshu S Mishra / Manmath K Dhir / Sanjay K Behera / Pratap C Nath / Somnath P Jena / Itibrata Mohanta / Deepak Das / Mani C Satapathy / Sitansu K Rout / Bikash R Behera / Deepak K Parida / Tanushree S Rath

    Surgical Neurology International, Vol 7, Iss 29, Pp 767-

    A novel technique

    2016  Volume 774

    Abstract: Background: Subacute subdural hematoma (SASDH) is an entity which is yet to capture the popular imagination among the neurosurgeons. Its management is often equated clinically to that of the chronic subdural hematoma (CSDH). However, their neurological ... ...

    Abstract Background: Subacute subdural hematoma (SASDH) is an entity which is yet to capture the popular imagination among the neurosurgeons. Its management is often equated clinically to that of the chronic subdural hematoma (CSDH). However, their neurological deterioration is usually rapid, which seems to align them with acute subdural hematoma (ASDH). We proceed for their epidemiological evaluation. The advantages of a novel "double barrel technique (DbT)" over the conventional burrhole drainage are also presented. Methods: This retrospective study was conducted on all the patients having clinical and radiological evidence of SASDH, admitted to a tertiary care referral institute, during the period August 2013 to December 2015. Postoperatively, patients were followed-up for 3-24 months. Results: 46.87% of the patients belonged to the 35-54 year age group with a male predominance (3.6:1); 68.7% had a history of alcohol abuse, whereas aspirin users were 25%. 87.5% cases were unilateral, 18.75% were hemispheric, and 46.87% were present on the left side. Altered consciousness (100%) followed by headache (37.5%) were the most common presenting clinical features. Conclusion: SASDH is an uncommon neurosurgical entity (0.89% of traumatic brain injury cases in our study) and mimics both CSDH as well as ASDH. The true incidence of SASDH may have been underestimated due to its clinical imitation with CSDH. This study in a South Asian nation also provides the epidemiological data of this rare neurosurgical entity. Outcome of surgery is good; our retrospective study confirms that "DbT" is an adequate and safe treatment. However, a better designed, randomized control trial will be needed to reinforce our findings.
    Keywords Alcohol ; double barrel technique ; neomembrane ; subacute subdural hematoma ; trivial trauma ; Medicine ; R ; Surgery ; RD1-811 ; Internal medicine ; RC31-1245 ; Neurosciences. Biological psychiatry. Neuropsychiatry ; RC321-571 ; Neurology. Diseases of the nervous system ; RC346-429
    Subject code 610 ; 616
    Language English
    Publishing date 2016-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

    More links

    Kategorien

    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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