Pravesh Rajbhandari
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View article: Longterm follow up of Deep Brain Stimulation versus Lesioning in the treatment of Parkinson's Disease: A single center study
Longterm follow up of Deep Brain Stimulation versus Lesioning in the treatment of Parkinson's Disease: A single center study Open
Introduction: Parkinson’s disease (PD) is a neurodegenerative disorder characterized primarily by loss of dopamine neurons in the Substantia Nigra Pars compacta resulting in various symptoms like bradykinesia, rigidity and tremor. Surgical…
View article: Twig-like MCA: A Rare Vascular Anomaly
Twig-like MCA: A Rare Vascular Anomaly Open
Twig-like middle cerebral artery (T-MCA) or rete mirabile anomaly is a rare vascular anomaly with clinical relevance characterized by the replacement of the M1 segment by a plexiform network of small vessels. With an incidence ranging from…
View article: Intraoperative electrocorticography-guided resection of the epileptogenic zone in an unusual porencephalic cyst: case report and literature review
Intraoperative electrocorticography-guided resection of the epileptogenic zone in an unusual porencephalic cyst: case report and literature review Open
Introduction: Porencephalic cysts resulting from perinatal artery infarctions typically manifest as large cysts accompanied by pre-existing neurological deficits. A small porencephalic cyst without any neurological deficit is a rare cause …
View article: Augmenting Cerebral Perfusion Via Bypass Technique in symptomatic intracranial atherosclerotic disease
Augmenting Cerebral Perfusion Via Bypass Technique in symptomatic intracranial atherosclerotic disease Open
In Nepal, acute ischemic stroke (AIS) holds the sobering distinction of being the fifth leading cause of mortality and the third most prevalent source of disability. This underscores a pressing health concern that demands attention and pro…
View article: Importance of Suspecting a Hemorrhagic Intracranial Lesion as Metastatic Choriocarcinoma
Importance of Suspecting a Hemorrhagic Intracranial Lesion as Metastatic Choriocarcinoma Open
Though the brain metastasis from gestational trophoblastic neoplasia is rare, incidence is 3-21.4%. In this article, we report the rare case of a young female, presented with the features of raised Intracranial Pressure (ICP) with intracra…
View article: Efficacy of Radiofrequency Ablation in Chronic Pain Management
Efficacy of Radiofrequency Ablation in Chronic Pain Management Open
The aim of this study is to determine the efficacy of radiofrequency ablation in management of chronic pain. Radiofrequency ablation in pain management was done in 21 patients who were experiencing chronic pain in different regions of the …
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: The Race with Time and the Hurdles to Overcome in the Management of Acute Ischemic Stroke in Nepal
The Race with Time and the Hurdles to Overcome in the Management of Acute Ischemic Stroke in Nepal Open
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View article: An eminent rendezvous with a series of cranial vault remodeling for Craniosynostosis
An eminent rendezvous with a series of cranial vault remodeling for Craniosynostosis Open
In defiance with the meager tally of craniosynostosis, the surgical treatment of non syndromic craniosynostosis is one of the most common stratagem detained by craniofacial surgeon. By dint of the onerous anatomy secondary to the imperfect…
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: Azathioprine in the Treatment of Multiple Sclerosis: A Single Center Experience from Nepal
Azathioprine in the Treatment of Multiple Sclerosis: A Single Center Experience from Nepal Open
Introduction: Azathioprine is used as an off - label drug for the treatment of multiple sclerosis. It is one of the oldest and most widely used immunosuppressants that targets T and B lymphocytes and thus reduces the relapse and slows down…
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: 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: Unusual case of spontaneous bilateral basal ganglia bleed
Unusual case of spontaneous bilateral basal ganglia bleed Open
Hypertension is the most prevalent determinant condition embarking on the development of spontaneous intracerebral hemorrhage. Usually, the presentation is a unilateral hematoma. Spontaneous bilateral intracerebral hemorrhage is an outstan…
View article: Cerebral venous sinus thrombosis as a complication of COVID-19 infection – A case report
Cerebral venous sinus thrombosis as a complication of COVID-19 infection – A case report Open
High index of suspicion of CVST is necessary when a patient presents with unexplained neurological manifestation following a recent COVID-19 infection to prevent from life-threatening complications. Furthermore, clinicians should not under…
View article: An unusual case of spontaneous bilateral basal ganglia bleed
An unusual case of spontaneous bilateral basal ganglia bleed Open
Spontaneous bilateral intracerebral hemorrhage is an outstandingly infrequent context. Ensuing hypertension, trauma inflicted to the brain case is another common cause that out turn into the sequelae of bilateral intracerebral hemorrhage. …
View article: Ganglioglioma Arising from the Septum Pellucidum
Ganglioglioma Arising from the Septum Pellucidum Open
A 24-year-old gentleman presented to us with complaints of occasional headache for 2 years. Magnetic resonance imaging showed enhancing supra sellar mass with nonenhancing cystic components, extending superiorly up to the body of bilateral…
View article: Carotid stenting in Nepal: Our experience with two cases of carotid stenosis
Carotid stenting in Nepal: Our experience with two cases of carotid stenosis Open
Carotid artery stenosis is one of the important risk factors for stroke. Carotid endarterectomy and carotid artery stenting are the available treatment options for managing carotid artery stenosis patients. The technology shift towards car…
View article: Caring of Neurosurgical Patients with External Ventricular Drain
Caring of Neurosurgical Patients with External Ventricular Drain Open
An external ventricular drain (EVD), also known as a ventriculostomy or extraventricular drain, is a device used in neurosurgery to treat hydrocephalus which can lead to raised intracranial pressure when the normal flow of cerebrospinal fl…
View article: Economic Burden Associated with Neurocysticercosis at a Tertiary Care Neurological Center in Nepal
Economic Burden Associated with Neurocysticercosis at a Tertiary Care Neurological Center in Nepal Open
Introduction: Neurocysticercosis (NCC) is the most common parasitic disease of the central nervous system and is a major cause of epilepsy and neurological morbidity in humans in endemic areas of the world. This study was conducted to esti…
View article: Prevalence of Anxiety and its Associated Factors Among Patients Admitted at a Tertiary Neurosurgical Center in Kathmandu, Nepal
Prevalence of Anxiety and its Associated Factors Among Patients Admitted at a Tertiary Neurosurgical Center in Kathmandu, Nepal Open
Introduction: The co-existence of anxiety disorders in patients with neurological and neurosurgical disease is in association with barriers to treatment and worsening medical outcomes. This study aims to identify the prevalence and correla…
View article: Demographics and Pharmacotherapy in Neurocysticercosis: A hospital Based Study
Demographics and Pharmacotherapy in Neurocysticercosis: A hospital Based Study Open
Introduction: Neurocysticercosis (NCC) is one of the commonest preventable cause of seizure. It is due to development of the larval form of Taenia solium. This disease is endemic in south east Asia including Nepal and has been considered a…
View article: Mechanical Thrombectomy for Acute Ischemic Stroke in Nepal
Mechanical Thrombectomy for Acute Ischemic Stroke in Nepal Open
Stroke is one of the leading causes of mortality and the number one cause of dependency in the world. Endovascular therapy has emerged as promising treatment strategy in the patient with acute ischemic stroke due to large vessel occlusion …
View article: Bilateral Striopallidodentate Calcinosis in Female: A case report
Bilateral Striopallidodentate Calcinosis in Female: A case report Open
Bilateral striopallidodentate calcinosis (BSPDC) is associated with many neurological and psychiatric abnormalities and most commonly present with extra pyramidal symptoms and can be idiopathic or associated with endocrinopathy, frequently…
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 …
View article: Vitamin-D in Nepal: are we really vitamin-D deficient?
Vitamin-D in Nepal: are we really vitamin-D deficient? Open
Background: Recently, there have been a surge in research worldwide regarding relation of vitamin D with several diseases. Many neurological diseases like multiple sclerosis, Alzheimer’s disease as well as other diseases like cardiovascula…
View article: Acute stroke management
Acute stroke management Open
When acute ischemic stroke presents within the time window of 3–4.5 hours, it can be treated with IV tissue plasminogen activator (tPA) with the best outcomes.1 Stroke exhibits a decreasing trend in high-income countries, e.g., stroke has …
View article: Technical Notes and Result of Stereotactic Evacuation of Hematoma in Spontaneous Supratentorial Intracerebral Hematoma
Technical Notes and Result of Stereotactic Evacuation of Hematoma in Spontaneous Supratentorial Intracerebral Hematoma Open
Primary intracerebral hematoma constitutes about 10-15% of all strokes and is associated with high mortality and severe disability. Surgical treatment of intracerebral hemorrhage is quite controversial. It is believed that minimal invasive…
View article: Initial experience with aneurysm coiling in Nepal
Initial experience with aneurysm coiling in Nepal Open
The aim of this study is to show the result of aneurysm coiling despite the difficulty in initiating neurointervention in Nepal. It is a retrospective study where only aneurysm that has undergone coiling are taken from 2017 to 2018.A total…