Kavin Devani
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View article: Optic nerve sheath diameter in patients undergoing intracranial tumour resection: Perioperative changes and contributing factors - A prospective observational study.
Optic nerve sheath diameter in patients undergoing intracranial tumour resection: Perioperative changes and contributing factors - A prospective observational study. Open
USG-ONSD demonstrates dynamic changes in patients undergoing intracranial tumour resection. ONSD is affected by the size of the tumour, duration of symptoms, and intraoperative positioning, though the trend is homogenous among supratentori…
View article: Microsurgical Management of Large Superior Hypophyseal Artery Aneurysm Presented with Visual Impairment
Microsurgical Management of Large Superior Hypophyseal Artery Aneurysm Presented with Visual Impairment Open
Superior hypophyseal artery aneurysms are rare. Symptomatic superior hypophyseal artery aneurysm commonly presents with subarachnoid hemorrhage, uncommonly with cranial nerve deficits, and very rarely with visual impairment. Microsurgical …
View article: Advancing Gamma Knife Radiosurgery with Artificial Intelligence: A New Era of Precision and Efficacy
Advancing Gamma Knife Radiosurgery with Artificial Intelligence: A New Era of Precision and Efficacy Open
The recent surge in artificial intelligence (AI) applications is revolutionizing the medical field by offering astute data analysis and decision-making advancements. AI, via its algorithmic techniques, improves its performance over time by…
View article: Para-Falcine Chondroma: An Entity of Unacquaintance—A Case Report and Review of Literature
Para-Falcine Chondroma: An Entity of Unacquaintance—A Case Report and Review of Literature Open
Intracranial chondroma is a benign tumor arising from the rests of embryonic cartilages in the dura or dural folds, choroid plexus or the brain parenchyma. It is rare intracranially, but when it does occur, it is predominantly located at t…
View article: Surgical Strategy and Decision-Making in Recurrent Atlanto-Axial Dislocations: The Role of Traction
Surgical Strategy and Decision-Making in Recurrent Atlanto-Axial Dislocations: The Role of Traction Open
The best candidates who can benefit after redo surgery are the ones who exhibit either clinical and/or radiological improvement on the trial of traction, as the pathological C1-C2 joints are either not fused or have undergone pseudoarthros…
View article: Anesthetic Management of West Syndrome for Functional Hemispherectomy
Anesthetic Management of West Syndrome for Functional Hemispherectomy Open
A bstract Infantile Spasms, first described by Dr. William West comprises of most severe, resistant, and disabling epileptic encephalopathy along with developmental delay, leaving the patient crippled. It often has a syndromic association …
View article: Spinal Arachnoid Cysts—Our Experience
Spinal Arachnoid Cysts—Our Experience Open
Introduction Spinal arachnoid cysts are rare. Most of these lesions are located in the thoracic and thoracolumbar regions. Magnetic resonance imaging is a valuable tool for understanding their location and provides important information re…
View article: Grisel Syndrome and Its Anesthesia Management: A Comprehensive Review
Grisel Syndrome and Its Anesthesia Management: A Comprehensive Review Open
Grisel syndrome is an atraumatic rotatory atlantoaxial subluxation associated with head-and-neck inflammatory conditions. It predominantly affects the pediatric population. Anesthetic management in these patients poses several challenges, …
View article: Anesthesia Management of a Patient with Penetrating Brain Injury with a Knife into the Occipital Region
Anesthesia Management of a Patient with Penetrating Brain Injury with a Knife into the Occipital Region Open
Penetrating brain injuries are rare events in modern times. In this article we present the case of an adolescent with a knife, lodged in the occipital region needing surgical care. The patient was conscious, cooperative, and vitally stable…
View article: Endovascular Management of Falcine Dural Arteriovenous Fistula—A Case Report and Review of Literature
Endovascular Management of Falcine Dural Arteriovenous Fistula—A Case Report and Review of Literature Open
Cranial dural arteriovenous (AV) fistulas are abnormal connections between the branches of dural arteries to dural veins or venous sinuses. They are most frequently located at the transverse sinus and cavernous sinus. They can occur at eve…
View article: Atlantoaxial Instability with Persistent Second Intersegmental Artery
Atlantoaxial Instability with Persistent Second Intersegmental Artery Open
Understanding the anatomy of the vertebral artery is essential while manipulating the craniovertebral joint during surgery. Its anomalous course in congenital atlantoaxial dislocation makes it more vulnerable to injury. Preoperative dedica…
View article: Spontaneous Vertebral Artery Arteriovenous Fistula with Neurofibromatosis Type I and Its Management with Covered Stent
Spontaneous Vertebral Artery Arteriovenous Fistula with Neurofibromatosis Type I and Its Management with Covered Stent Open
Vertebro-vertebral fistulas (VVFs) are uncommon vascular pathology. It can be either primary (spontaneous) or secondary (iatrogenic or mechanical trauma). Spontaneous vertebral arteriovenous malformation is often associated with connective…
View article: Mature Teratoma with Somatic-Type Malignancy: An Entity of Unacquaintance—A Case Report
Mature Teratoma with Somatic-Type Malignancy: An Entity of Unacquaintance—A Case Report Open
Primary intracranial teratomas are nongerminomatous germ cell tumors. They are infrequent lesions along the craniospinal axis, with their malignant transformation extremely uncommon. A 50-year-old-male patient presented with one episode of…
View article: Life-Threatening Intracerebral Hemorrhage in Adult with ITP: Challenging Entity
Life-Threatening Intracerebral Hemorrhage in Adult with ITP: Challenging Entity Open
Intracerebral hemorrhage (ICH) is a rare and fatal complication of immune thrombocytopenia. ICH is more common in children than in the adult population. A 30-year-old male patient, a known case of immune thrombocytopenia, presented with su…
View article: Nonmissile Penetrating Spinal Cord Injury: A Case Report and Review of the Literature
Nonmissile Penetrating Spinal Cord Injury: A Case Report and Review of the Literature Open
The spinal cord can injure due to either blunt or penetrating injury. Most spinal cord injuries are blunt and result from a motor vehicular accident. Penetrating spinal cord injuries (PSI) are a relatively rare entity affecting the young m…
View article: Coexisting spinal enthesopathy syndromes – A rare finding
Coexisting spinal enthesopathy syndromes – A rare finding Open
Ossification of the posterior longitudinal ligament (OPLL) is an uncommon spinal pathology. It can compress the spinal cord and result in a significant neurological deficit. Ossification of the ligamentum flavum (OLF) is a condition charac…
View article: Extra-Axial Cystic Meningioma without Dural Attachment in an Adult: Case Report and Review of Literature
Extra-Axial Cystic Meningioma without Dural Attachment in an Adult: Case Report and Review of Literature Open
Intraparenchymal meningiomas, meningiomas without dural attachment, and cystic meningioma are atypical and extremely rare, especially in adults. Only four cases of intraparenchymal cystic meningioma without dural attachment have been repor…
View article: Life-threatening perforating brain injury by a rusty iron rod – A case report
Life-threatening perforating brain injury by a rusty iron rod – A case report Open
Background: When an object traverses through the cranium leaving behind both an entry and exit wound, it is called perforating brain injury. Perforating open brain injury is rare. A paucity of published literature on such cases and a lack …
View article: Degenerative occipitocervical dislocation – Uncommon entity at extreme of Life
Degenerative occipitocervical dislocation – Uncommon entity at extreme of Life Open
Traumatic occipitocervical dislocation (OCD) has been reported numerous times both in children and adults. Nontraumatic OCD is rare. An 85-year-male referred with 2 months history of motor and sensory complaints in all four limbs. There wa…