Ventricular shunts are commonly employed in the management of hydrocephalus, Numerous complications such as dissection, migration and malfunction have been reported in the literature. Here we present a case of migration of the peritoneal catheter through anus who attended in our institute. He was managed successfully without further complications.Medicine Today 2015 Vol.27(2): 44-45
Introduction: Surgical outcome of spinal tumour varies depending on a number of factors such as: site of the tumour, compression within the spinal canal, the histological characteristics of the tumour, the neurological progression and initial response to corticosteroid therapy, patient’s age, comorbidity, tumour extension, involvement of neighboring structures and organs etc. Materials & Methods: The 35 patients with spinal tumour underwent surgery by our team in 10 years (January 2009 - December 2018) were reviewed retrospectively. Results: Analysis of the surgical outcome of our spinal tumour patients was done on different variables like age, sex, presenting symptoms, neuroimaging, comorbidities etc. The aim of surgery was decompression of the spinal cord, total removal of the tumour when possible and spinal stabilization when needed. Out of our 35 patients with spinal tumour, extradural tumour comprises 8, intradural extramedullary tumour 25 and intramedullary tumour 2. Conclusion: The aim of this study is to analyze the data to made conclusion for more effective strategy as per site, size, type, resectibility and histological variety to establish and effective treatment protocol and prevention of per-operative and post-operative complications. Intradural extramedullary tumour can be radically resected with no mortality and minimal peri-operative morbidity. But resection of intramedullary spinal tumour is difficult, hazardous and usually incomplete, so needs much more skilled and meticulous surgical hands. Medicine Today 2021 Vol.33(1): 38-41
Background: Meningiomas are the commonest predominantly non malignant brain tumour in adult. Various epidemiological and risk factors are associated with and influencing surgical outcome in the treatment of meningiomas. Objective: The aim of the study is assess surgical oucome by using Glasgow Outcome Scale (GOS) for the cranial meningiomas. Materials and Methods: This prospective study conducted in Neurosurgery Department of Shaheed Shiek Abu Naser Specialized Hospital and others private Medical Colleges in Khulna from Jan 2018 –July2019. Total 21 patients with meningioma underwent surgery are included in the study .The parameters analyzed included age, gender, location of tumor on imaging, histopathological type, and grade of tumor according to the 2007 WHO classification. The surgical outcome was assessed by the Glasgow Outcome Scale (GOS) at the end of the 1st week of convalescence and after 6 weeks following surgery. Favorable and unfavorable outcomes were defined as GOS 4- 5 and GOS 1–3, respectively. Results: Meningiomas are more common in the age group of 40-49 with a female preponderance(61.90%).Headache was the most common symptom and convexity meningiomas were the most common accounting for about 42.85%. Simpson grade I aceieved 10 (47.61%). Simpson II 5(23.80%), Simpson III 2(9.52%), Simpson IV 3(14.28%) and Simpson V 1(0.5%) respectively. Regarding Histopathologcal examination most of the tumours were WHO grade 1(85.71%). Surgical outcome assess by Glasgow Outcome Scale and majority of patients of this study GOS were between 4-5 which was good( 90.47%). Conclusion: The outcome for patients with meningioma is good and is improving. However there remains a significant mortality related to disease process. Bang. J Neurosurgery 2020; 10(1): 57-61
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