Vijay Parihar
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View article: Real-World Outcomes of Endovascular Management of Intracranial Aneurysms: Insights from a Tertiary Care Hospital in Central India
Real-World Outcomes of Endovascular Management of Intracranial Aneurysms: Insights from a Tertiary Care Hospital in Central India Open
Endovascular coiling has emerged as a preferred treatment for intracranial aneurysms (IAs), offering better functional outcomes than surgical clipping. This study examines the demographic and clinical profiles of patients with IAs, evaluat…
View article: Simulating Endonasal Endoscopic Skull Base Surgery on Animal Carcasses: A Prospective Observational Study
Simulating Endonasal Endoscopic Skull Base Surgery on Animal Carcasses: A Prospective Observational Study Open
Background: Proficiency in neuroendoscopic techniques is vital in modern neurosurgery, especially with the rising prominence of endoscopic endonasal procedures. Traditional training methods face challenges due to cadaver scarcity and cost-…
View article: Endoscopic Posterior Cervical Laminoforaminotomy: Minimally Invasive Relief for Cervical Radiculopathy
Endoscopic Posterior Cervical Laminoforaminotomy: Minimally Invasive Relief for Cervical Radiculopathy Open
This case report highlights the use of endoscopic posterior cervical laminoforaminotomy, a minimally invasive surgical technique, to relieve cervical radiculopathy in a 56-year-old male patient. Preoperative imaging confirmed left-sided fo…
View article: A Model with Feedback Mechanism for Learning Hand-Eye Coordination: A Pilot Study
A Model with Feedback Mechanism for Learning Hand-Eye Coordination: A Pilot Study Open
Background: Practicing neuroendoscopic skills like hand-eye coordination is mandatory before embarking on actual surgeries. Synthetic models are able alternatives for cadavers and animals. Presently available models in the literature are e…
View article: Endoscopic hemispherotomy: an illustrative video
Endoscopic hemispherotomy: an illustrative video Open
Endoscopic surgery has brought about a paradigm shift in the field of neurosurgery. It provides a panoramic view, heightened illumination, magnification, and the unique ability to navigate corners, all of which significantly enhance surgic…
View article: Hyperselective Tibial Neurotomy for Relieving Spasticity and Restoring Motor Functions
Hyperselective Tibial Neurotomy for Relieving Spasticity and Restoring Motor Functions Open
Key Messages: Hyperselective peripheral neurotomy is a safe and effective technique for correcting spastic equinovarus deformity. It can reduce spasticity and has the potential to restore lost functions by rebalancing the flexor and extens…
View article: Intraoperative Squash Cytology and Histopathological Correlation of Glial Tumors at a Tertiary Care Hospital
Intraoperative Squash Cytology and Histopathological Correlation of Glial Tumors at a Tertiary Care Hospital Open
Introduction Central nervous system (CNS) tumors account for around 1 to 2% of all neoplasms, commonest of them being gliomas. Gliomas constitute a large, heterogenous group of tumors known for a wide variation in clinical presentation, gr…
View article: A Novel Brain Retractor for Endoscopic Evacuation of Chronic Subdural Hematoma
A Novel Brain Retractor for Endoscopic Evacuation of Chronic Subdural Hematoma Open
Background: Endoscopic chronic subdural hematoma (CSDH) evacuation is a safe and effective alternative to the conventional burr hole technique. Although a rigid endoscope has the advantage of good visualization, there are risks of brain da…
View article: Awake focussed craniotomy for oedematous/large brain lesions
Awake focussed craniotomy for oedematous/large brain lesions Open
Aim: Awake craniotomy has been proven to be safe and effective. It has generally been used for non-edematous conditions. If done in edematous states, large craniotomies are advised. Here, we report the combined use of techniques of awake a…
View article: Endoscope-controlled Access to Thalamic Tumors using Tubular Brain Retractor: An Alternative Approach to Microscopic Excision
Endoscope-controlled Access to Thalamic Tumors using Tubular Brain Retractor: An Alternative Approach to Microscopic Excision Open
Background Surgery for thalamic lesions has been considered challenging due to their deep-seated location. Endoscopic excision of deep-seated brain tumors using tubular retractor has been shown to be safe and effective in prior studies; ho…
View article: Colloid Cyst Presenting as Head Injury
Colloid Cyst Presenting as Head Injury Open
Colloid cysts are mucous- or hyaloid-filled lesions with an outer fibrous layer. These are rare developmental and nonneoplastic malformation. They may be found incidentally, while some cases may present with intermittent headache, rapid ne…
View article: A Study of the correlation between radiological and histopathological findings in intracranial lesions
A Study of the correlation between radiological and histopathological findings in intracranial lesions Open
Objective: This study was conducted to formulate locationwise radiologic diagnostic algorithms and assess their concordance with the final histopathological diagnosis of intracranial mass lesions to evaluate their utility in a rural settin…
View article: Teaching Glasgow Coma Scale Assessment by Videos: A Prospective Interventional Study among Surgical Residents
Teaching Glasgow Coma Scale Assessment by Videos: A Prospective Interventional Study among Surgical Residents Open
Objective Glasgow Coma Scale (GCS) assessment is vital for the management of various neurological, neurosurgical, and critical care disorders. Learning GCS scoring needs good training and practice. Due to limitation of teachers, the new en…
View article: Computerized Tomography-Based Morphometric Analysis of Cervical Spinal Canal in Central Indian Population
Computerized Tomography-Based Morphometric Analysis of Cervical Spinal Canal in Central Indian Population Open
Objective Normal cervical spine canal morphometry is critical for understanding the pathology of certain diseases and for proper preoperative planning. Computerized tomography (CT) scan can replace older conventional radiography techniques…
View article: Practical Aspects and Avoidance of Complications in Microendoscopic Spine Surgeries: A Review
Practical Aspects and Avoidance of Complications in Microendoscopic Spine Surgeries: A Review Open
Introduction Although the indications for endoscopic procedures have increased in recent times, there are also some limitations. This review discusses the practical points to prevent and treat complications in microendoscopic spine surgery…
View article: Anatomical variations of sphenoid sinus on multi-detector computed tomography and its usefulness in trans-sphenoidal endoscopic skull base surgery
Anatomical variations of sphenoid sinus on multi-detector computed tomography and its usefulness in trans-sphenoidal endoscopic skull base surgery Open
Background: Knowledge of sphenoid bone and sinus anatomy and its variations is of central importance in transsphenoidal endoscopic skull base surgery. It allows endoscopic surgeon to safely approach the sella turcica, anterior skull base a…
View article: Lumbar Microendoscopic Discectomy:Clinical Results of 920 Patients
Lumbar Microendoscopic Discectomy:Clinical Results of 920 Patients Open
Introduction: Surgery in properly selected lumbar disk prolapse provides better early results than conservative management. Lumbar microendoscopic discectomy (MED) has been found to be associated with good results. We are reporting our exp…
View article: Whether Superficial Abdominal Reflex is Affected by Subcostal Transverse Abdominal Incisions? A Prospective, Observational Early Experience
Whether Superficial Abdominal Reflex is Affected by Subcostal Transverse Abdominal Incisions? A Prospective, Observational Early Experience Open
Introduction: Superficial abdominal reflex (SAR) is an important part of the neurologic assessment. It is normally present and may be present or absent in various physiological as well as pathological conditions. The presence of an abdomin…
View article: Indigenous Inexpensive Practice Models for Skill Development in Neuroendoscopy
Indigenous Inexpensive Practice Models for Skill Development in Neuroendoscopy Open
Introduction: Neurosurgery is a branch having a tough learning curve. Residents generally get very less hands-on exposure for advanced procedures like neuroendoscopy. With the limited number of cadavers available and ethical issues associa…
View article: Endoscopic Management of Spinal Intradural Extramedullary Tumors
Endoscopic Management of Spinal Intradural Extramedullary Tumors Open
Introduction Posterior midline laminectomy is associated with risks of postoperative instability, spinal deformity, extensive bilateral subperiosteal muscle stripping, partial or total facetectomy especially in foraminal tumor extension, i…
View article: Microendoscopic Removal of Deep-Seated Brain Tumors Using Tubular Retraction System
Microendoscopic Removal of Deep-Seated Brain Tumors Using Tubular Retraction System Open
Background Retraction of the overlying brain can be difficult without causing significant trauma when using traditional brain retractors with blades. These retractors may produce focal pressure and may result in brain contusion or infarcti…
View article: Spontaneous ventral spinal epidural hematoma in a child: A case report and review of literature
Spontaneous ventral spinal epidural hematoma in a child: A case report and review of literature Open
Spontaneous spinal epidural hematoma is very uncommon cause of spinal cord compression. It is extremely rare in children and is mostly located in dorsal epidural space. Ventral spontaneous spinal epidural hematoma (SSEH) is even rarer, wit…
View article: Endoscopic vascular decompression in trigeminal neuralgia
Endoscopic vascular decompression in trigeminal neuralgia Open
Endoscopic vascular decompression is a safe and effective technique for vascular decompression with advantages of better visualization of the entire course of the nerve and vascular conflict without brain retraction. It also helps in bette…
View article: Practical aspects in neuroendoscopic techniques and complication avoidance: a systematic review.
Practical aspects in neuroendoscopic techniques and complication avoidance: a systematic review. Open
Although endoscopic techniques have many advantages including improved visualization and magnification, they are also associated with limitations. The objective of this review is to discuss the practical aspects that can reduce complicatio…
View article: Pneumocephalus in cerebellopontine angle and meningitis secondary to chronic otitis media in a child
Pneumocephalus in cerebellopontine angle and meningitis secondary to chronic otitis media in a child Open
Pneumocephalus is a rare complication of chronic otitis media. Despite its rarity intra-cranial air carries a potential risk of increased intra-cranial pressure or meningitis, which requires immediate therapy. A 10-year-old child presented…