Chandigarh- Neurosurgery

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neurosurgical services in tricity and online consultation. I keep on posting interesting cases as well for patient awareness. Call for appointments.

20/09/2022

Few gliomas operated recently. All of them were high grade, therefore it is very necessary not to give any additional deficit to patient for their limited life span. I go for radical gross total excision to give maximum benefit to patient for extension of their life span before recurrence.

11/07/2022

L5S1 listhesis. My favourite fusion technique here is TLIF. You have to go very lateral to locate Pedicle of listhised vertebra. If you are really confused about the anatomy you can proceed for Laminectomy first. Do put free bone grafts in addition to cage filled with bone. It really helps in faster inter body fusion. Ambulate patient early and avoid CSF leak at any cost.

06/07/2022

Craniopharyngioma operated after a while. In pre-op scan pituitary gland is seen separately from the tumour. Main complaint of the patient was progressive decreasing vision. Right pterional craniotomy wax done and optics-carotid and inter optic windows were used for tumour removal. Near total tumour excision was achieved. Sharing pre operative MRI and post operative CT images. Patient improved in vision post operatively.

19/05/2022

Case of ACom aneurysm. Pt was already in poor GCS and tracheotomised. I was called upon to clip the aneurysm. It was tricky one where aneurysm fundus was close to opposite A2 and clip was not holding to the base. Finally could apply clip after tricky dissection of base of aneurysm from origin of opposite A2. Post op CT was good with no infarction and lax brain. Pt could not be saved though and succumbed on POD4. Lesson learned’ You do your best n leave the rest to GOD’.

16/05/2022

You can not hide your failures by telling non sense to patient. At the end of the day you have to justify yourself only. This gentleman was operated twice for pituitary macroadenoma without even touching the adenoma. We did it endoscopically by transsphenoidal approach n did complete tumor excision with immediate improvement in vision. So guys answer to yourself n none other.

23/04/2022

When not so much cases are happening, a simple glioma surgery also gives you a lot of satisfaction. My principal is near total excision or biopsy alone, nothing in between.

20/02/2022

C3-4 ossified disc with myelopathy. Sometimes operating at a peripheral facility can be a tricky affair without adequate facilities. Here I distracted the disc space and give multiple nicks with No 11 blade in the herniated disc component to make it soft and grippable with disc forcep. It worked and I could remove the whole compressing element without any new deficit. Was fortunate to get patient extubated on table and now recovering well with physiotherapy help.

29/01/2022

Another interesting ACA aneurysm done. It was located on unnamed bifurcation of left ACA which was not visible on angiogram. These locations are difficult to approach as they are beneath the genu. I opted pterional craniotomy and followed A2 till the point of bifurcation. Needed a lax brain and gyrus re**us suctioning to reach the aneurysm. Finally good outcome and Pt extubated immediately post-op.

25/12/2021

C2 schwanomma grown in size over a long period and compressing the cord and pushing to left. Vertebral artery pushed by tomour but not engulfed. Arachnoid dissection is important in these cases and tumour just pops out after that. Origin from right C2 dorsal root. Excellent outcome after surgery.

23/11/2021

Vertebral artery aneurysm from an unnamed medial branch right at foremen magnum. Far lateral approach was used and vertebral artery and aneurysm dissected. Single clip applied at base of aneurysm. Patient extubated immediately post-op and doing well without any deficit.

24/10/2021

My sincere thanks to all my followers to make this page a strong 1500 member’s community. Many more milestones to come.

16/10/2021

Pituitary tumours are one of its king among cranial tumours. Located deep inside but since the advent of trans-sphenoidal approach they have become easy to tackle. However CSF leak considerations are very important to achieve good results else it can ruin a good surgical outcome. Did two cases with my ENT colleague and had fantastic results.

Address

Mohali
160065

Telephone

9646123949

Website

http://Rakeshredhu.in/

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