Explanipedia

Disappearance of Lateral Spread Response: Reliability as a Prognostic Marker in Hemifacial Spasm Open

Soumya Ranjan Rana, Vikas Janu, Raghavendara Kumar Sharma, Mayank Garg, Suryanarayanan Bhaskar , et al. · 2025

Intraoperative neuromonitoring (IONM) using lateral spread response (LSR) has been mostly studied as a tool in optimizing the benefits of microvascular decompression (MVD) in cases of hemifacial spasm (HFS). Although evidence suggests its …

Endemic fluorosis and its impact on cases of cervico-dorsal ossification of the posterior longitudinal ligament Open

Sudha Rana, J. Mistry, Vikas Janu, Pavan Gabra, Raghavendra Kumar Sharma , et al. · 2025

Objectives: This study has been centered in the state of Rajasthan, to consolidate the significance of high fluoride consumption and endemicity in causing ossification of the posterior longitudinal ligament (OPLL) and tries to identify flu…

Posttraumatic Atlantoaxial Rotatory Subluxation in a Child Open

Pradeep Kumar Gunasekaran, Bharat Choudhary, Sivanesan Sivagnanaganesan, Sarbesh Tiwari, Vikas Janu , et al. · 2025

Approach to Surgical Clipping of Ruptured Aneurysms for Young Neurosurgeons Open

Deepak Kumar Jha, Azad Kumar Mourya, Suryanarayanan Bhaskar, Mayank Garg, Raghavendra Kumar Sharma , et al. · 2025

Background: Advancements in endovascular technology have changed the management strategy of ruptured aneurysms, and the art of surgical clipping is progressively diminishing. However, there will always be a role of clipping, especially for…

Anesthesia management of an infant with moyamoya disease posted for encephaloduroarteriomyosynosteosis procedure Open

Ruchi Pathak, Manbir Kaur, Ghazala Shabeen, Vikas Janu · 2025

Telemedicine in Follow-up after Spine Surgery: Need of the Hour Open

Pankaj Totala, Vikas Janu, Raghavendra K. Sharma, Mohit Agrawal, Mayank Garg , et al. · 2024

Purpose There is an acute shortage of neurosurgeons and spine surgeons especially in rural areas of low- and middle-income countries including India. Patients of spine surgery need to travel long distances for follow-up at tertiary care ho…

Assessment of verbal (conventional) training versus models training for head frame fixation in neurosurgery Open

Mohit Agrawal, Varidh Katiyar, Raghavendra Kumar Sharma, Vikas Janu, Pankaj Totala , et al. · 2024

Cranial immobilization is an essential first step in cranial surgeries. Complications related to head fixation frames are under-reported and given less importance during training. Authors report their experience of using verbal (Convention…

C2 Vertebra: An Enigma for Young Spine/Neurosurgeons Open

Mayank Garg, Raghavendra Kumar Sharma, Vikas Janu, Mohit Agrawal, Ashutosh Jha , et al. · 2024

Background Instrumentation of C2 vertebra is considered the most difficult for young neurosurgeons and trainees due to its complex anatomical structures, variety of surgical approaches and techniques, and proximity to important neurovascul…

Endoscopic Endonasal Transpterygoid Translacero-Cavernous Resection of Knosp 4 Functioning Pituitary Macroadenoma Open

Jaskaran Singh Gosal, Pavan Gabra, Simran Bhalla, Raghavendra Kumar Sharma, Vikas Janu , et al. · 2024

Bipolar Cautery in Aneurysms: Effective but Underutilised Technique Open

Vikas Janu, Raghavendra Kumar Sharma, Mohit Agrawal, Ashutosh Jha, Jigish Ruparelia , et al. · 2023

A BSTRACT Background: Bipolar cautery for aneurysms is an effective technique, described in the literature about 50 years back by Yasargil, however, there is an inadequacy of articles highlighting the technique. Materials and Methods: Oper…

Manual Instruments as an Alternative to Drilling for Bony Exposure in Skull Base Surgery: Concept and Technique Open

Deepak Kumar Jha, Mohit Agrawal, Jaskaran Singh Gosal, Vikas Janu, Dhruv K. Agrawal , et al. · 2023

Background Drilling in neurosurgery is an integral part of surgical exposure, especially in skull base approaches and craniovertebral junction (CVJ) surgeries. Most of such drillings are done in close proximity to the neurovascular structu…

Skull Base Dural Reflection Models: Tool for Training at Resource Scarce Centres Open

Deepak Kumar Jha, Vikas Janu, Suryanarayanan Bhaskar, Jaskaran Singh Ghosal, Surajit Ghatak · 2023

Background Skull base dural reflections are complex, and along with various ligaments joining sutures of skull base, are related to most important vessels like internal carotid arteries (ICA), vertebral arteries, jugular veins, cavernous s…

Rare diagnoses are not rare now – Think beyond tuberculosis, PDLM in a young child Open

Lokesh Saini, Divya Agarwal, Debasish Barman, Sarbesh Tiwari, Vikas Janu , et al. · 2023

Simulation of surgery for supratentorial gliomas in virtual reality using a 3D volume rendering technique: a poor man's neuronavigation Open

Jaskaran Singh Gosal, Sarbesh Tiwari, Tarunesh Sharma, Mohit Agrawal, Mayank Garg , et al. · 2021

OBJECTIVE Different techniques of performing image-guided neurosurgery exist, namely, neuronavigation systems, intraoperative ultrasound, and intraoperative MRI, each with its limitations. Except for ultrasound, other methods are expensive…

Endoscopic transcortical transventricular management of cystic craniopharyngioma: Outcome analysis of 32 cases at a tertiary care center Open

Somil Jaiswal, Manish Jaiswal, Pooja Jaiswal, Ankur Bajaj, Chhitij Srivastava , et al. · 2020

Background: Microsurgical resection has been considered the gold standard treatment of craniopharyngioma, but lately, it has found less favor due to its morbidity and is being replaced by minimally invasive cyst drainage procedures. We pre…

Congenital skull anomaly with multiple brain stones and symptomatic meningioma of medial sphenoid wing Open

Monali Chaturvedi, Vikas Janu, Rima Kumari, Sujata Chaturvedi, Mukul Jain , et al. · 2018

Intracranial calcifications are not uncommon and are mostly seen with intracerebral hematomas, tuberculomas, and brain tumors. These lesions may be intra- or extra-axial and occasionally pose challenge in the diagnosis. We report a case of…

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