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| Name | POSTERIOR FALCINE MENINGIOMA |
| Video Uploader | Video From RAVIRAJ GHORPADE BELGAUM ADVANCED NEUROSURGERY |
| Upload Date | This Video Uploaded At 17-07-2020 16:30:02 |
| Video Discription | 63 YRS OLD MALE PRESENTED WITH HISTORY OF FIELD DEFECT IN BOTH EYES SINCE 6 MONTHS. ONE EPISODE OF SEIZURE IN LAST 3 MONTHS WELL CONTROLLED ON AED”S ON AND OFF MILD HEADACHE FOR LAST 6 MONTHS ON EXAMINATION HE WAS CONSCIOUS AND HAD NORMAL NEUROLOGICAL FINDINGS.GCS 15/15 VISUAL FIELD EXAMINATION SHOWED LEFT HOMONYMS QUADRANTOPIA PATIENT WAS INITIALLY EVALUATED AT PERIPHERAL HOSPITAL AND SHIFTED TO OUR HOSPITAL FOR FURTHER MANAGEMENT INVESTIGATED WITH MRI SCAN WHICH SHOWED AN LEFT POSTERIOR 1/3RD FALCINE ATTACHED EXTRA-AXIAL LESION WHICH WAS ENHANCING ON CONTRAST WITH MILD PERILESIONAL EDEMA. PATIENT UNDERWENT INVERTED U SHAPED OCCIPITAL CRANIOTOMY AND INTER HEMISPHERIC APPROACH AND NEAR TOTAL EXCISION OF TUMOUR. SURGICAL PEARLS- 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, NON-STICKING BIPOLAR FORCEPS USE TOTAL INTRAVENOUS ANESTHESIA WITH GOOD ANESTHESIC TEAM,GOOD ICU BACKUP TEAM NEED TO GOOD TO ATTACHEMENT FIRST MEDIALLY TOWARDS TENT COAGULATE THE FEEDERS AND MAKE THE TUMOUR AVASCULAR,LATER REMOVE TUMOUR PIECE MEAL OPTION CAN BE CONTINUING ELECTIVE VENTILATION OVER NIGHT AND EXTUBATE AFTER CT SCAN NEXT MORNING.POST-OP PATIENT WAS NEUROLOGICALLY NORMAL AND HAD NO RECURRENCE OF SEIZURES 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 PLEASE CONTACT FOR ANY QUERIES COMPLETE BRAIN AND SPINE CARE UNDER COMPHRENSIVE MANAGEMENT BY EXPERTS IN THE FIELDS LED BY DR.RAVIRAJ.GHORPADE UNDER ONE ROOF BHS LAKE VIEW GROUP OF HOSPITALS, BELGAUM,KARNATAKA, INDIA ONLY TERITARY CARE HOSPITAL FOR ENDOSCOPIC PROCEDURES DONE IN ALL SPECIALITES OF NEUROSURGERY,E.N.T, GASTRO-ENTEROLOGY,JOINT ARTHOSCOPY,UROLOGY,GYNAECOLOGY Contact- neuroraviraj@rediffmail.com , +91-8762996508 SUBSCRIBE,SHARE & COMMENT FOR THIS VIDEO |
| Category | Science & Technology |
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