Hellow guys, Welcome to my website, and you are watching BRAINSTEM GLIOMA. and this vIdeo is uploaded by RAVIRAJ GHORPADE BELGAUM ADVANCED NEUROSURGERY at 2020-07-20T06:11:58-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | BRAINSTEM GLIOMA |
| Video Uploader | Video From RAVIRAJ GHORPADE BELGAUM ADVANCED NEUROSURGERY |
| Upload Date | This Video Uploaded At 20-07-2020 13:11:58 |
| Video Discription | 52 YRS OLD MALE PRESENTED WITH HISTORY OF SWAYING WHILE WALKING. LEFT UPPER AND LOWER LIMB MILD WEAKNESS PROGRESSING SLOWLY HAD RIGHT FACIAL ASYMMETRY ,SLURRING OF SPEECH ON EXAMINATION HE WAS CONSCIOUS GCS 15/15 HAD CROSSED CRANIAL NERVE DEFICITS WITH RIGHT FACIAL NERVE PARESIS AND RIGHT HYPOGLOSSAL NERVE WEAKNESS. PATIENT WAS INITIALLY EVALUATED AT PERIPHERAL HOSPITAL AND SHIFTED TO OUR HOSPITAL FOR FURTHER MANAGEMENT INVESTIGATED WITH MRI SCAN WHICH SHOWED AN VARIEGATED INTENSITY LESION IN THE PONTO-MEDULLARY JUNCTION EXPENDING THE BRAINSTEM. INTRA-AXIAL LESION WHICH WAS ENHANCING ON CONTRAST WITH MILD PERILESIONAL EDEMA AND WITH THICK WALLS. PATIENT UNDERWENT MIDLINE OCCIPITAL CRANIOTOMY AND NEURO-NAVIGATION GUIDED APPROACH AND NEAR TOTAL EXCISION OF TUMOUR. PRE-OPERATIVE STEROIDS AND INCENTIVE RESPIROMETER PRACTICE FOR THE PATIENT WOULD BE IDEAL FOR POST-OP RECOVERY POSITION-USE NEUTRAL PRONE POSITION WITH HEAD ABOVE HEART LEVEL BY 30 DEGREES BASIC REQUIREMENTS- THREE PIN FIXATOR,GOOD SUCTION AND CAUTERY SYSTEM, HIGH SPEED DRILL,ULTRASONIC ASPIRATOR,NEURO-NAVIGATION, MICROSCOPE GOOD LEYLA RETRACTOR SYSTEM MAY REQUIRE TWO SNAKE ARMS, NON-STICKING BIPOLAR FORCEPS USE TOTAL INTRAVENOUS ANESTHESIA WITH GOOD ANESTHESIA TEAM,GOOD ICU BACKUP TEAM OPTION CAN BE CONTINUING ELECTIVE VENTILATION OVER NIGHT AND EXTUBATE AFTER CT SCAN NEXT MORNING. POST-OP PATIENT WAS NEUROLOGICALLY STABLE AND HAD NO FRESH NEUROLOGICAL DEFICITS POST-OP CT SCAN SHOWED GOOD EXCISION OF TUMOUR WITH NO RESIDUE OF LESION EXCEPT FOR MINIMAL TUMOUR BED BLEED. POST-OP PATIENT HAS MADE COMPLETE IMPROVEMENT BUT RESIDUAL LEFT HEMI-PARESIS WAS PRESENT COMPLETE BRAIN AND SPINE CARE UNDER COMPREHENSIVE MANAGEMENT BY EXPERTS IN THE FIELDS LED BY DR.RAVIRAJ.GHORPADE UNDER ONE ROOF BHS LAKE VIEW GROUP OF HOSPITALS, BELGAUM,KARNATAKA, INDIA Contact- neuroraviraj@rediffmail.com , +91-8762996508 SUBSCRIBE,SHARE & COMMENT FOR THIS VIDEO |
| Category | Science & Technology |
| Tags | Science & Technology Download MP4 | Science & Technology Download MP3 | Science & Technology Download MP4 360p | Science & Technology Download MP4 480p | Science & Technology Download MP4 720p | Science & Technology Download MP4 1080p |
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