Explanipedia

Minimally invasive mastery: transorbital endoscopic excision of the paramedian epidermoid Open

Ravi Sankar Manogaran, Abhishek Shukla, Kalyana Sundaram Chithambaram, Anant Mehrotra, Nidhin Das K , et al. · 2025

Endoscopic minimally invasive skull base surgery using the transorbital neuroendoscopic technique for cavernous sinus epidermoid serves as a pivotal link to open transcranial surgeries. This method involves a minimally invasive transorbita…

Anterior Skull Base Defect Repair: Utilizing Middle Turbinate Flap in a Paediatric Patient Open

Koray Das, Nazrin Hameed, Mohit Sinha, Kalyan Chidambaram, Moh. Aqib , et al. · 2025

Middle turbinate flap is a mucoperiosteal flap which is freely available in the fiield of surgery during enodscopic anterior skullbase surgery, still its uses are understated in the literature. Here we are describing a case of pediatric me…

Management of internal carotid artery bifurcation aneurysm- A clinicoradiological outcome assessment over the last seven years from a tertiary care centre Open

Ravi Ranjan, Nitish Ranjan, Ved Prakash Maurya, KamleshSingh Bhaisora, Arun Kumar Srivast , et al. · 2024

Background Internal Carotid Artery (ICA) bifurcation aneurysms are relatively an uncommon entity. These aneurysm contributes less than 5% of the total intracranial aneurysms in the available literature. They are noticed in relatively young…

Study of Molecular Markers in Glioma and Their Association with Clinicopathological Features Open

Alka Singh, Anurag Singh, Awadhesh Kumar Jaiswal, Sarita Agrawal, Sushila Jaiswal · 2024

Context: Central nervous system tumors are a major cause of morbidity and mortality worldwide. The most prevalent type of primary brain tumor is glioma. The exploration of significant genetic, epigenetic, and transcriptional abnormalities …

Thoracic hypertrophied ligamentum flavum: A retrospective study of pre-operative factors and surgical outcome Open

Nitish Ranjan, Abhishek Shukla, Pawan Kumar Verma, Soumen Kanjilal, Ashutosh Kumar , et al. · 2024

Objectives: Thoracic hypertrophied ligamentum flavum (HLF) is a rare cause of thoracic myelopathy which requires surgical treatment. The study aims to analyze the pre-operative factors and surgical outcomes in patients with thoracic myelop…

Correction: Occipital encephalocele: a retrospective analysis and assessment of post-surgical neurodevelopmental outcome Open

Soumen Kanjilal, Pawan Kumar Verma, Shreyash Rai, Ashutosh Kumar, Kamlesh Singh Bhaisora , et al. · 2024

Prevalence and Clinical Course of Water and Electrolyte Disturbances Following Transsphenoidal Pituitary Adenoma Surgery in Immediate and Early Postoperative Period: A Prospective Observational Study Open

Shivendu Bhardwaj, Awadhesh Kumar Jaiswal, Subhash Chand Yadav, Devendra Gupta, Rajanikant R Yadav , et al. · 2024

Introduction: Transsphenoidal pituitary adenoma surgery (TSS) was commonly associated with water and electrolyte disturbances (WEDs) in the postoperative period, which could lead to prolonged hospital stay, readmission and is rarely life t…

C2 Nerve Sheath Tumors: An Analysis of Radiological – Intraoperative Concordance for Intradural Extension and Systematic Review Open

Guramritpal Singh, Ashutosh Kumar, Pawan Kumar Verma, Kamlesh Singh Bhaisora, Anant Mehrotra , et al. · 2024

Background: Nerve sheath tumors (NSTs) of C2 nerve-root are clinically and radiologically distinct from NSTs of rest of the spine. On imaging, they appear to have a major intradural component in addition to the large extradural part. Thus,…

Under recognized yet a clinically relevant impact of aneurysm location in Distal Anterior Cerebral Artery (DACA) aneurysms: insights from a contemporary surgical experience Open

Abhishek Haldar, Kuntal Kanti Das, Soumen Kanjilal, Kamlesh Singh Bhaisora, Ashutosh Kumar , et al. · 2024

Background Aneurysms of the distal anterior cerebral artery (DACA) are rare but challenging. Even though it is known that aneurysm location on the DACA territory has treatment considerations, the literature is unclear about its clinical an…

Long-term follow-up in high-grade meningioma and outcome analysis Open

Rana P. Singh, Soumen Kanjilal, Anant Mehrotra, Shagun Misra, Pooja Tataskar , et al. · 2024

Objectives: The determinants of progression-free survival (PFS) and overall survival (OS) for higher-grade meningiomas have not been clearly established and to summarize the long-term clinical outcome for patients with grade 2 or 3 meningi…

A case report of obsessive-compulsive disorder in craniopharyngioma: Moderating effect of tumor Open

Ankita Saroj, Sujita Kumar Kar, Awadhesh Kumar Jaiswal · 2024

An institutional study on accuracy of freehand cervical C1 C2 screws placement by knock and drill technique in craniovertebral anomalous bony anatomy: An evaluation of more than 600 screws based on SGPGI screw accuracy criteria Open

Sudhir Bisan Sasapardhi, Pawan Kumar Verma, Arun Kumar Srivastava, Kuntal Kanti Das, Ashutosh Kumar , et al. · 2024

Purpose: To assess the accuracy of freehand cervical C1 C2 screws placement by knock and drill (K and D) technique in craniovertebral anomalous bony anatomy. Materials and Methods: From January 2017 to December 2022, 682 consecutive C1 C2 …

Extradural Anterior Clinoidectomy: The “Key Stone” of Clinoidal Meningioma Resection Open

Soumen Kanjilal, Kuntal Kanti Das, Arun Kumar Srivastava, Anant Mehrotra, Kamlesh Singh Bhaisora , et al. · 2024

Meningiomas based on the anterior clinoid process, also called clinoidal meningiomas (CMs), are daunting tumors, often regarded second only to petroclival meningiomas in terms of surgical complexity involved. Despite oftentimes confusion w…

Comparison of Cardiac Indices Using Two Different Concentrations of Topical Adrenaline during Endoscopic Transsphenoidal Pituitary Surgery: A Prospective Randomized Observational Study Open

Archana Gautam, Rudrashish Haldar, Shashi Srivastava, Devendra Gupta, Awadhesh Kumar Jaiswal , et al. · 2023

Introduction Adrenaline-soaked wicks are often employed to decongest nasal mucosa during transsphenoidal pituitary surgeries to ensure proper hemostasis and visibility of the operating field. Considerable debate exists regarding the optimu…

Stereotactic biopsy for brain lesions: Doing more with less Open

Mayank Singh, T. P. Waseem Ahamed, Ved Prakash Maurya, Pragya Gupta, Kamlesh Singh Bhaisora , et al. · 2023

Objectives: Stereotactic biopsy (STB) is a potential diagnostic tool considering its minimal invasiveness, high diagnostic yield, and minimal associated complications. Over the years, various frame-based instrument systems and frameless st…

Prognostic Significance and Clinicopathological Correlations of Epigenetic MGMT Gene Silencing in High Grade Diffuse Gliomas: Experience from a Tertiary Care Centre Open

Alka Singh, Anurag Singh, Sarita Agrawal, Awadhesh Kumar Jaiswal, Sushila Jaiswal · 2023

Glioblastoma is the most aggressive and commonest primary malignant brain tumour. Current standard of care includes surgery, radiation, and alkylating agent chemotherapy. Despite multimodal treatment, the survival of glioblastoma patients …

Endoscopic intradural extramedullary lesion excision: Results of augmented duroplasty with artificial dura Open

Anant Mehrotra, Ashutosh Kumar, Vandan Raiyani, Ranapratap Singh, Pawan Kumar Verma , et al. · 2022

Objectives: Prevailing techniques of dural closure in endoscopic spine surgery (ESS) for intradural extramedullary (IDEM) tumor excision increase the steep learning curve and operative time. We aimed to assess the efficacy of augmented dur…

Abstract 72: Prevalence, course, and predictive factors of water and electrolyte disturbances (WEDs) following transsphenoidal pituitary surgery (TSS) in patients with pituitary adenoma Open

S Bhardwaj, Awadhesh Kumar Jaiswal, S. Yadav, Roomi Yadav · 2022

Background: TSS is commonly associated with various WEDs in postoperative period, which can lead to prolonged hospital stay, readmission and rarely be life threatening. There is scarcity of prospective studies regarding various factors whi…

Lesional Temporal Lobe Epilepsy: Does the “Uncommon” Differ from the Common? Open

Ashutosh Kumar, Suyash Singh, Anant Mehrotra, Lily Pal, Shweta Katiyar , et al. · 2022

Objectives This study aims to evaluate the subgroup consisting of uncommon pathological entities presenting with temporal lobe epilepsy (TLE). Methodology Twenty-four consecutively operated patients of lesional temporal lobe epilepsy were …

Anterior Skull Base Meningioma: Surgical Approach and Complication Avoidance Open

Bhawan Nangarwal, Jaskaran Singh Gosal, Kuntal Kanti Das, Deepak Khatri, Kamlesh Singh Bhaisora , et al. · 2022

Introduction Endoscopic endonasal approach (EEA) and keyhole transcranial approaches (TCAs) are being increasingly used in anterior skull base meningioma (ASBM) surgery. Objective We compare tumor resection rates and complication profiles …

Intracranial Arachnoid Cyst: Management Experience of Nearly Two Decades from a Tertiary Healthcare Centre Open

Guramritpal Singh, Ved Prakash Maurya, Waseem Ahamed TP, Prabhakar Mishra, Mayank Singh , et al. · 2022

Added value of 3D-DRIVE and SWI Magnetic Resonance Imaging Sequences in Intraventricular Neurocysticercosis (IVNCC): An Institutional Experience from Northeast India Open

Deb Kumar Boruah, Bidyut Bikash Gogoi, Kuntal Kanti Das, Kalyan Sarma, Pranjal Phukan , et al. · 2021

Background: Prompt diagnosis and early treatment institution are important in intraventricular neurocysticercosis(IVNCC) as compared to the parenchymal or racemose form because it is associated with a poorer patient prognosis. Intraventric…

Orbital tumors Open

Priyadarshi Dikshit, Maruti Nandan, D Balachandar, Awadhesh Kumar Jaiswal, Sanjay Behari · 2021

Orbit can be home for a spectrum of tumors with almost every orbital structure having the potential to harbor a neoplastic process. Surgical exposure and resection of orbital tumors can often be tricky due to the intricate anatomy of the r…

Clinical experience and management outcome of WHO grade II pediatric intramedullary ependymomas: A descriptive study Open

Yashveer Singh, Ved Prakash Maurya, Arun Kumar Srivastava, Kuntal Kanti Das, Kamlesh Singh Bhaisora , et al. · 2021

A bstract Background: Intramedullary ependymom‑a is a rare primary tumor in the pediatric population. The World Health Organization (WHO) grade II pediatric intramedullary ependymoma (PIME) is the most common in frequency, though it is a l…

Trends in clinico-epidemiology profile of surgically operated glioma patients in a tertiary care center over 12 years—through the looking glass! Open

Suyash Singh, Harsh Deora, Azfar Neyaz, Kuntal Kanti Das, Anant Mehrotra , et al. · 2021

Endoscopic Keyhole Approach for Intracranial Epidermoid Open

Pawan Kumar Verma, Amanjot Singh, Priyadarshi Dikshit, Kuntal Kanti Das, Anant Mehrotra , et al. · 2021

Objective In contemporary neurosurgical practice, keyhole endoscopic approach has established its role in various neurosurgical pathologies. Intracranial epidermoid is an ideal pathology for endoscopic keyhole approach as epidermoid is wel…

Evaluation of BRAF Gene Status in Gliomas Open

Awadhesh Kumar Jaiswal, Awadhesh Kumar Jaiswal, Sarita Agrawal, Sushila Jaiswal, Kuntal Kanti Das , et al. · 2021

Background: Development of different molecular markers has given a new insight in the glioma management. KIAA1549-BRAF gene fusion has a diagnostic and prognostic significance. Aim: The aim of this study was to determine the KIAA1549-BRAF …

Clinicoradiological Features and Treatment Outcome of Supratentorial Intraparenchymal Epidermoid Cyst: A Report of Five Cases and Literature Review Open

Ashutosh Kumar, Ved Prakash Maurya, Soumen Kanjilal, Kamlesh Singh Bhaisora, Jayesh Sardhara , et al. · 2021

Objectives Intraparenchymal epidermoid cysts (IECs) are rare lesions. They represent less than 1% of the intracranial epidermoid cysts. The supratentorial IEC is a clinically and prognostically distinct subset. Given the rarity, most of th…

Type I Chiari Malformation Without Concomitant Bony Instability: Assessment of Different Surgical Procedures and Outcomes in 73 Patients Open

Kamlesh Rangari, Kuntal Kanti Das, Suyash Singh, Krishna Kumar, Kamlesh Singh Bhaisora , et al. · 2021

Minimally symptomatic patients and PFBDD predict a poor short-term postoperative outcome. PFBD appears to be a durable procedure while PFBDD group is marred by complications and late deteriorations. PF does not provide any better results t…

Is the Tradition of Nasal Packing Just an Illusion of Permanence or a Necessary Evil? Open

Arulalan Mathialagan, Suyash Singh, Awadhesh Kumar Jaiswal, Ravi Sankar Manogaran, Prabhakar Mishra , et al. · 2021

Background Nasal packing after an endoscopic endonasal approach (EEA) is a routine practice. There is a very urgent need for a level-I recommendation pertaining to the necessity of these packs and, if required, then the timing of its remov…

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