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BSTRACT
Nonsyndromic craniosynostosis (NSC) is more common than syndromic craniosynostosis and predominantly involves single suture. It affects sagittal, coronal, metopic, and lambdoid sutures in the decreasing order of frequency. A surgery for NSC is generally recommended to avoid potential neurodevelopmental delays and sequelae of raised intracranial pressure. Open calvarial vault reconstruction, strip craniectomy with/without the use of a postoperative molding helmet, strip craniectomy with spring implantations, endoscopic suture release, and cranial distraction osteogenesis are various surgical options used for NSC cases. The ideal age for intervention is 6–12 months for open procedures and 3–4 months for endoscopic approaches. The management is directed toward minimizing operative trauma and improving the neurocognitive outcome. The role of nonsurgical intervention by the use of genetic manipulation is still not a reality because of the nature of disease and time of presentation.
Tuberculosis of spine, known as Pott’s spine, is a significant health risk. Misdiagnosis or delayed diagnosis with lack of timely interventions lead to serious neurological complications and is associated with morbidity and mortality. We present a case of Pott’s spine who developed tubercular meningitis with decreased vision due to primary optic atrophy, to highlight the significance of thorough clinical and neuroradiological workup with instillation of prompt antitubercular therapy in patients of central nervous system tuberculosis (CNS TB). This association of Pott’s spine with decreased vision secondary to primary optic atrophy due to tubercular involvement of the second cranial nerve is very rare. Here, associated risk factors, varied clinical presentations, complications, and treatment of CNS TB are reviewed.
Gastrointestinal autonomic nerve tumours (GANTs) are uncommon stromal tumors of the intestinal tract. They can involve any part of the gastrointestinal system, but are very rarely seen in the Colon. We report a unique case of Gastrointestinal Autonomic Neural Tumour (GANTs) of colon extending from ascending colon to 2/3rd of the transverse colon. A 50-year-old male patient was admitted with complaint of pain in right side of abdomen. USG revealed f/s/o lymphoma/Carcinoma Colon. CECT Abdomen revealed? Lymphoma? Carcinoma extending from ascending colon to 2/3rd of the transverse colon with Lymphadenopathy. Exploratory Laparotomy was performed followed by Right Hemicolectomy. Histopathology and Immunohistochemistry confirmed the colonic lesion to be a Gastrointestinal Autonomic Neural Tumour. Literature review of the few reported cases has suggested radical surgical excision to be the best approach. Prognosis tends to be favourable after resection. Gastrointestinal Autonomic Neural Tumour. Literature review of the few reported cases has suggested radical surgical excision to be the best approach. Prognosis tends to be favorable after resection.
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