MBBS,MS Ophthalmology .
No. | Journal Code | Department | Type | Download | |
---|---|---|---|---|---|
1 | 64 | Center for Neurosciences | National | Download | |
Publication/Talk Title : Simultaneous Living Donor Liver Transplant with Sleeve Gastrectomy for Metabolic Syndrome and NASH-Related ESLD-First Report from India Journal Published : Indian Journal of Gastroenterology |
Conditions/Procedures | No. of Cases Treated | International Success Rate | KDAH Success Rate |
---|---|---|---|
Craniovertebral Junction anomalies | >150 | 90% | 90% |
Brain Tumours |
>1800 | 94% complication rate 3%-5% |
95% complication rate 5%-8% |
Spinal Cord Tumours | >240 | 98% | 98% |
Refractory Trigeminal Neuralgia | >500 | 96% | 98% |
Ischemic and Haemorrhagic Stroke | >500 | 90% | 90% |
Minimal Invasive spine | >1500 | 96% | 96% |
Deep brain stimulation | >100 | 98% | 98% |
Surgery For Epilepsy | >150 | 95% | 94% |
Awake Neurosurgery | >300 | 95% | 94% |
Stereotactic Radiosurgery | >100 | 98% | 97% |
Endoscopic surgery for pituitary tumours | >100 | 94% | 94% |
A 87 year old women suffering from left Trigeminal Neuralgia for last 10 years was admitted with us recently.
She had tried conservative treatment with medicines.
She had relief with medicines for 8 yrs, but since last 2 yrs the medicines were not giving her relief of pain.
She was seen by Dr Abhaya Kumar, Consultant Neurosurgeon at KDAH.
Gold standard surgical treatment for Trigeminal Neuralgia is Microvascular decompression of trigeminal nerve.
Since this patient was elderly and not fit for open surgical treatment we decided to do percutaneous balloon compression of trigeminal nerve after discussion with the patient and her relative.
This procedure was done successfully and patient had excellent relief of pain.
Balloon compression treatment for Trigeminal neuralgia is a simple day case procedure done under local anesthesia or mild sedation. Success rate is around 90% with this procedure.
For more information on Trigeminal Neuralgia and different treatments available at KDAH, please refer patient's guide.
All Treatment modalities are available at KDAH.
A 87 year old women suffering from left Trigeminal Neuralgia for last 10 years was admitted with us recently. She had tried conservative treatment with medicines. She had relief with medicines for 8 yrs, but since last 2 yrs the medicines were not giving her relief of pain.
She was seen by Dr Abhaya Kumar, Consultant Neurosurgeon at KDAH. Gold standard surgical treatment for Trigeminal Neuralgia is Microvascular decompression of trigeminal nerve. Since this patient was elderly and not fit for open surgical treatment we decided to do percutaneous balloon compression of trigeminal nerve after discussion with the patient and her relative. This procedure was done successfully and patient had excellent relief of pain. Balloon compression treatment for Trigeminal neuralgia is a simple day case procedure done under local anesthesia or mild sedation. Success rate is around 90% with this procedure.
Helen, 49 years old female patient came to Kokilaben D Ambani Hospital with upper backache since 8 years on and off. No history of weakness or paresthesia. Neurologically there was no deformity or tenderness. MRI spine showed a large solid heterogeneously enhancing tumour of size 8.5 x 8.0 x 10 cm arising from right sided Thoracic (T6) nerve root with widened neural foramina causing displacement of spinal cord to left with mild compression.
MRI
Fig 1 – MRI sagittal view of complete spine showing Intradural component of tumour at T5-T6 level
Fig 2- MRI Spine coronal view showing hyperintense tumor in posterior mediastinum extending from T2 to T9 level on right side.
Fig 3 - MRI Spine coronal view showing heterogenous enhancement of tumour with dumbbell shaped tumour causing widening of neural foramina.
Fig 4 - MRI Spine axial view showing heterogenous enhancement of tumour with dumbbell shaped tumour causing widening of neural foramina.
She underwent Right sided thoracotomy with excision of mediastinal mass and intradural T5-T6 neurogenic tumour by Dr Abhaya Kumar on 28/12/2016.
Postoperatively, ICD was removed and patient was discharged on 10th day without any deficit and total tumour excison.
Histopathology report showed bening schwannoma.