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  1. Article: Intracerebral pial arteriovenous fistula with large venous varix: A rare case report.

    Panigrahi, Souvagya / Mishra, Sudhansu S / Das, Srikant / Parida, Deepak K

    Surgical neurology international

    2013  Volume 4, Page(s) 22

    Abstract: Background: Intracerebral pial arteriovenous fistulas (AVFs) are rare vascular lesions of the brain. These lesions are composed of one or more direct arterial connection to a single venous channel without true intervening nidus and usually have ... ...

    Abstract Background: Intracerebral pial arteriovenous fistulas (AVFs) are rare vascular lesions of the brain. These lesions are composed of one or more direct arterial connection to a single venous channel without true intervening nidus and usually have associated venous varix or giant venous aneurysms. Intracerebral varices are occasionally associated with high-flow AVF, and usually treated by interrupting the feeding arteries leaving the varices intact.
    Case description: We report a rare case of a 24-year-old male with a single-channel pial AVF of the left cerebral hemisphere, which was fed by the left anterior cerebral artery (ACA) and was associated with large venous varix and continuous varicose venous dilatation. This superficially located varix was over 6 cm in diameter posing significant mass effect and had calcified walls. Direct surgical flow disconnection followed by removal of large varix resulted in complete disappearance of pial AVF without complication.
    Conclusion: Though endovascular occlusion of feeding arteries offers a simple and safe option, direct surgical removal should be considered in rare cases of intracerebral superficially located large AVF with calcified wall and mass effect.
    Language English
    Publishing date 2013-02-27
    Publishing country United States
    Document type Case Reports
    ISSN 2229-5097
    ISSN 2229-5097
    DOI 10.4103/2152-7806.107891
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Multifocal Ewing's sarcoma, presenting radiologically as extradural hematoma.

    Mishra, Sudhansu S / Parida, Deepak K / Senapati, Satya B / Patra, Sunil K

    Neurology India

    2012  Volume 60, Issue 3, Page(s) 361–362

    MeSH term(s) Bone Neoplasms/diagnostic imaging ; Bone Neoplasms/physiopathology ; Child ; Female ; Hematoma, Epidural, Cranial/physiopathology ; Humans ; Knee Joint/diagnostic imaging ; Radiography ; Sarcoma, Ewing/diagnostic imaging ; Sarcoma, Ewing/physiopathology ; Tomography Scanners, X-Ray Computed
    Language English
    Publishing date 2012-05
    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 10.4103/0028-3886.98546
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Anterior cervical osteophytes with multilevel disc prolapse causing progressive dysphagia and quadriparesis.

    Mishra, Sudhansu S / Das, Srikant / Behera, Sanjay K / Parida, Deepak K

    Neurology India

    2012  Volume 60, Issue 3, Page(s) 366–367

    MeSH term(s) Aged ; Decompression, Surgical ; Deglutition Disorders/diagnosis ; Deglutition Disorders/etiology ; Deglutition Disorders/surgery ; Humans ; Intervertebral Disc Displacement/complications ; Magnetic Resonance Imaging ; Male ; Osteophyte/complications ; Quadriplegia/diagnosis ; Quadriplegia/etiology ; Quadriplegia/surgery ; Sacrococcygeal Region/pathology ; Sacrococcygeal Region/surgery ; Tomography, X-Ray Computed
    Language English
    Publishing date 2012-05
    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 10.4103/0028-3886.98549
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Giant thoracolumbar extradural arachnoid cyst: an uncommon cause of spine compression.

    Panigrahi, Souvagya / Mishra, Sudhansu S / Dhir, Manmath K / Parida, Deepak K

    Neurology India

    2012  Volume 60, Issue 5, Page(s) 540–542

    MeSH term(s) Adolescent ; Arachnoid Cysts/etiology ; Humans ; Magnetic Resonance Imaging ; Male ; Spinal Cord/pathology ; Spinal Cord Compression/complications ; Tomography, X-Ray Computed
    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 10.4103/0028-3886.103217
    Database MEDical Literature Analysis and Retrieval System OnLINE

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

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

    Surgical neurology international

    2016  Volume 7, Issue Suppl 28, Page(s) S767–S774

    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.
    Language English
    Publishing date 2016-11-09
    Publishing country United States
    Document type Journal Article
    ISSN 2229-5097
    ISSN 2229-5097
    DOI 10.4103/2152-7806.193730
    Database MEDical Literature Analysis and Retrieval System OnLINE

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