Right FrontoParietal Craniotomy with Excision of Space occupying Lesion by Dr.Nikhil Chamankar скачать в хорошем качестве

Right FrontoParietal Craniotomy with Excision of Space occupying Lesion by Dr.Nikhil Chamankar

In today's video we are going to present case of a young lady following up with us for the last 1 year... She suffered from convulsions and was detected with Neurocysticercosis {NCC} She was treated for the same..Later the same year she was detected with pulmonary TB and was treated for the same. A year later she again developed seizures. Repeat MRI showed 2 cystic lesions with peripheral contrast enhancement.Radiologist suspected Nocardiosis She was again thoroughly investigated with CSF analysis and Cultures.But no organism was isolated. Here are some of the preoperative MRI images. Image 12345 We initially had the plan of only doing cyst aspiration in the fear of causing neurodeificits to the young lady. So we performed a craniotomy and tried aspiration with the help of brain needle. The wall and the contents of the cystic cavity were thick and could not be aspirated. We then proceeded with excision of the lesions. The smaller lesion was excised first.Thick caseous yellow coloured fluid was seen coming out of the cavity. After excision of the smaller cyst the larger cyst was dissected all around and excised intoto Post operatively patient made an uneventful recovery and there were no neurodeficits Analysis revealed AFB in microscopic analysis and HPR showed chronic granulomatous changes. BrainSpine et al Clinic 100 feet Road opposite Sankhe Hospital Vasai west 7058889975 www.brainspineetal.com