Following are the recent cases handled by Dr Pankaj Gupta at Neuro OPD,Allahabad:
This case is post traumatic C5-C6 fracture dislocation and cord contusion with compression. Anterior Cervical C5 corpectomy and expandable cage fixation done.
This case is tuberculosis of spine presented with weakness of both lower limbs and difficulties in urine and stools. Decompression of cord , removal of spinal abscess and pedicle screw fixation done…patient improved and now walking normally.
This case was spondylolisthesis grade 2…patient presented with severe back pain for last 5 yrs…after surgery ( pedicle screw fixation and PLIF cage insertion and reduction of Listhesis done). Post-op patient is absolutely pain free.
Catch me live on 100.3 Vividh Bharati on Sunday 11/9/16 from 9:30-10 am…in Hello Doctor !!
Re-telecast on Saturday 17/9/16…same time…
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Titanium cranioplasty (TC), the operative repair of a skull defect with an ergonomically manufactured plate to restore cosmesis, cranial function and reduce complications is a common neurosurgical procedure. It is technically simple but has high complication rates. This study aimed to determine the incidence and predictors of complications following TC.
All patients undergoing TC over a 42-month period in our institution.
Data was collected from the hospital database and case-notes. 3D CT reconstructions accurately measured defect size and location. Statistical analysis included correlation, independent variable analysis and descriptive methods.
A total of 95 TCs were analysed in 92 patients (3 cases of bifrontal cranioplasty). The commonest indications for TC were bony defect following removal of infected bone flap (n = 20), acute subdural haematoma (n = 18) and post-malignant infarction (n = 11). The commonest site was frontotemporoparietal (n = 61) and the overall complication rate was 30.4%. The commonest complication was infection and the overall removal rate was 8.4%. The mean cranioplasty area was 73.26 cm(2) (range 12.78-178.26 cm(2)). There was a significant relationship between area and length of post-operative hospital stay (p = 0.008, Pearson Rank). There was no significant relationship between area and complications, removal rates or infections. There was no relationship between age and total complications, post-operative hospital stay and infections. There was a non-significant trend for older patients to have their cranioplasty removed.
TC size is predictive of postoperative length of stay. However, the TC size is not predictive of complications or removal rate. Also, there was no association between interval since primary operation and complications. There was a non-significant trend for greater rates of TC removal in the elderly. There were no predictors of complications identified but they are common and patients should be consented accordingly.
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The Neuro OPD Allahabad is a highly integrated department of neurologists with sub-specialization in the evaluation, and treatment of disorders affecting the nervous system. The Clinic offers state-of-the-art expert consultative, diagnostic and therapeutic services for a full range of neurological conditions such as Cognitive Disorders, Epilepsy, Movement Disorders, Multiple Sclerosis, Neurogenetics, Neurorehabilitation, Neuromuscular Disorders, Neuro-Oncology, Neuro-Otology, Sleep Disorders, and Stroke. Patients whose illnesses do not fall into these categories, and those who do not yet have a diagnosis, are seen in the general Neurology clinic. Our department has earned outstanding reputation in subspecialty care of neurological disorders due to a high level of clinical expertise, academic achievement and innovative research. Our most important mission is to provide each patient with the best neurological health care available by combining our extensive experience with the latest advances in neurology. Our faculty and staff work together as a team to bring each patient the highest quality of care in a warm, friendly and professional environment.