Janam Shrestha
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View article: Unusual presentation of Chronic Subdural hematoma as Isolated Oculomotor palsy
Unusual presentation of Chronic Subdural hematoma as Isolated Oculomotor palsy Open
Isolated oculomotor palsy (ONP) is an unusual presentation in chronic subdural hematomas (CSDH) and is very rare as an initial manifestation. Most commonly, ONP is caused by ischemic microangiopathy, posterior communicating artery aneurysm…
View article: Venture of a Tertiary Care Neurosurgical Center in Course of COVID-19 Lockdown without RT-PCR
Venture of a Tertiary Care Neurosurgical Center in Course of COVID-19 Lockdown without RT-PCR Open
“I will not permit considerations of age, disease or disability, creed, ethnic origin, gender, nationality, political affiliation, race, sexual orientation, social standing or any other factor to intervene between my duty and my patient.” …
View article: A Case of Dorsal Spine Rhabdomyosarcoma in a 2 years old Child
A Case of Dorsal Spine Rhabdomyosarcoma in a 2 years old Child Open
Rhabdomyosarcoma is highly aggressive malignant form of mesenchymal tumor arising from skeletal muscle cells rhabdomyoblast, that have failed to fully differenciate. It is most commonly seen in the children before 12 year of age. Primary s…
View article: Surgical Management among Patients with Spontaneous Supratentorial Intracerebral Haemorrhage Admitted in a Tertiary Care Centre: A Descriptive Cross-sectional Study
Surgical Management among Patients with Spontaneous Supratentorial Intracerebral Haemorrhage Admitted in a Tertiary Care Centre: A Descriptive Cross-sectional Study Open
Introduction: Spontaneous intracerebral haemorrhage is the second most common form of stroke and the most deadly one. An understanding of changing trends in the epidemiology of intracerebral haemorrhage prevalence, its risk factors, curren…
View article: Engineering and Innovations in Neurosurgery
Engineering and Innovations in Neurosurgery Open
Introduction: Modern technology engineered and developed with artificial intelligence have significantly improved the nature of diagnosis and treatment of patients. Healthcare facility has changed significantly in the past few decades beca…
View article: An Audacious Voyage during COVID-19 Pandemic in Management of Patients with Aneurysmal Subarachnoid Hemorrhage at Annapurna Neurological Institute and Allied Sciences
An Audacious Voyage during COVID-19 Pandemic in Management of Patients with Aneurysmal Subarachnoid Hemorrhage at Annapurna Neurological Institute and Allied Sciences Open
Introduction: Aneurysmal Subarachnoid Hemorrhage(SAH) is a neurosurgical emergency for which testing for COVID PCR was not an option and was unlikely to change the management of the case. Hence, all surgeries were performed without COVID P…
View article: Locally Engineered Detachment System Rescuing Aneurysm Coiling when Regular Balt Coil Release Device Used to Detach Balt Coils Had a Technical Error
Locally Engineered Detachment System Rescuing Aneurysm Coiling when Regular Balt Coil Release Device Used to Detach Balt Coils Had a Technical Error Open
While performing posterior communicating aneurysm coiling, the framing of the aneurysm was performed but the coil detachment device was having an error which was only known when the coil was released into the aneurysm. The biomedical engin…
View article: Central Pontine Myelinolysis in Association with Correction of Hypokalemia with Asymptomatic Case of Gastroesophageal Reflux Disease
Central Pontine Myelinolysis in Association with Correction of Hypokalemia with Asymptomatic Case of Gastroesophageal Reflux Disease Open
This case report has described the patient having the central pontine myelinolysis (CPM) associated with hypokalemia correction with asymptomatic history of gastroesophageal reflux disease (GERD). It was suspected that due to GERD and vomi…
View article: Remote Cerebellar Hemorrhage after Removal of Large Convexity Meningioma
Remote Cerebellar Hemorrhage after Removal of Large Convexity Meningioma Open
Remote cerebellar hemorrhage is a rare postoperative complication. It can occur after infratentorial or supratentorial craniotomies, later being more common. Remote cerebellar hemorrhage is considered to be a self-limited and benign …