Today I performed my first C1 lateral mass -C2 pedicle screw fixation with C1-2 joint distraction and bone graft placement, along with foramen magnum decompression and reduction of AAD n BI in a patient of AAD with basilar invagination with occipitalized C1 with foramen magnum compression with kinking of cervicomedullary portion of cord and myelomalacia.. Pt extubated immediately in postop period… Everything gone well and patient is fine without any deficit…Grip improved from 40 to 80% and tone came down within 24 hrs after surgery.
Neurosurgery by Dr Pankaj Gupta for case of Brain tumour in 35 years male patient. 35 Yrs male presented with altered sensorium and status epilepticus. after initial management MRI was done which revealed left temporo-parietal glioma (brain tumour). Patient was operated and discharged in 7 days in good condition without any deficit. Biopsy turned out to be GBM (Gr IV Glioma) so patient underwent chemoradiation and he is doing well.
Neurosurgery of slip disc via mini- endoscopy by Dr Pankaj Gupta in Allahabad. A 30 years old male presented with low backacke with radiation to right lower limb. On MRI slip disc at the level of L5-S1 observed. Patient was operated by mini- endoscopic technique called PELD (percutaneous endoscopic transforaminal lumbar discectomy) using 5 mm incision. Surgery was done under local anaesthesia and patient started walking within 3 hours and discharged within 24 hours, doing well. Its first surgery of mini- endoscopy in Allahabad city and Eastern UP as well.
Cervical disc prolapse case handled by Dr Pankaj Gupta in Allahabad. A 62 yrs male presented with neck pain radiating to both upper limbs along with weakness. On MRI there was C3-C4 disc prolapse. Patient was operated by anterior cervical discectomy and fusion using Proless cervical cage and screw. Patient did well and releived symptomatically after surgery and discharged on day 5.
1 month old baby presented with large head size and diagnosed as Congenital Hydrocephalus due to Acqueductal stenosis. patient was operated by endoscopic third ventriculostomy (ETV). patient did well and discharged in 3 days.
Learning endoscopic spine surgery with master of masters – Dr S.M. Rohidas (father of MISS in INDIA)
Glimpse of Neurotrauma conference at RML Lucknow Dr Pankaj Gupta with Prof. Deepak Singh.