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Malay's
Malay's
Malay's
Malay's
Neoplasms (Brain Tumors)
A case of sphenoidal wing meningioma
PRE OPERATIVE POST OPERATIVE
Case of Dorsum Sella Meningioma
PRE OPERATIVE POST OPERATIVE
Case of Acoustic Neuroma
PRE OPERATIVE POST OPERATIVE


Post operative C.T. Scan on long term follow up
A case of Desmoplastic infantile ganglioglioma in a 4 months old boy
PRE OPERATIVE MRI POST OPERATIVE CT
Olfactory groove MENINGIOMA
PRE OPERATIVE IMAGE POST OPERATIVE IMAGE
Case of headache & Convulsion, Right Sided Weakness, Right Planter Upgoing

Patient :
Arjun Singh (33 Years)
Bagdogra Vhutnihut village
Cultivator , married with 3 children

Investigation Done :
CT Scan head Pain and contrast done Right frontal convexity Huge big meningioma with mid line shift & man effect

Treatment Done :
Right frontal craniotomy + total resection of the tumor done

Histopathology :
Conformed meningioma angioblastic

Post Opperative :
CT Scan on 23/12/09
No Evidence of any recurrence of tumor seen
Inference :
Patient is Cured
(No Headache , No Convulsion , No Neuro deficit)
PRE OPERATIVE POST OPERATIVE
A 30 Year old man who had an intracranial space occupying lesion. A left parietal craniotomy was done.


GLIOMA

Clinical Presentation and Investigations

  • A 18 yrs old boy presented with a history of Headache,vomiting,and fever for the last three months . No H/O of convulsion or any other visual defects. On admission patient was alert,conscious,well oriented.On examination pupil was B/L reactive. Bilateral papilloedema with bilateral parotid swelling. B.P.-130/90 , pulse rate- 90/min.
  • Was Suggested a C.T.Scan of the head(P&C) which suggested large irregular cystic S.O.L. with marginal enhancement and perifocal oedema causing mass effect and midline shift.---?GLIOMA

Course and Management

  • The patient was managed surgically. Left parietal craniotomy with evacuation of cystic and solid part of the tumor done with microscope under G.A. The post operative recovery was uneventful except two episodes of convulsion and a bout of fever.Removal of stiches were done without any complication.
  • On discharge patient was conscious , alert and oriented. The patient was moving all four limbs . B.P.-110/80 , Pulse - 94/min , Temperature - 98 F


Pre Operative Images


Post Operative Images

Cavernous Angioma in Posterior Fossa

The patient presented with the h/o recurrent headache , vomiting and ataxia for the last threee months. Previously she was managed by a physician who suggested a C.T.Scan which revealed acute intracerebellar haemorrhage with perilesional oedema and extension into 4th ventricle involving cerebellum. Finally when the patient came to us , A repeat C.T. and a M.R.I. suggested a Posterior Fossa space occupying lesion with MRI features suggestive of cavernous angioma with areas of focal hemorrhage.

Course and Management
The patient was told to undergo a 4 vessel angiogram but the patient's gurdian wanted some time to arrange for some funds. Suddenly after few days the patient developed a bout of severe headache with drowsiness. She was then rushed to the O.T. and operated upon. A midline posterior fossa craniotomy was done and the S.O.L. was resected completely under the surgical microscope. Postoperative recovery was uneventful but eventually she recovered well. She was finally discharged during which she was alert , conscious , and well oriented.


Pre Operative Images

 


Post Operative Images

Septum Pellucidum Meningioma

Clinical Findings and Investigations

  • History of GTCS for the last 3 years
  • She also gave history of headache with Vertigo & Vomiting since 23 years
  • MRI findings on 17.02.10 suggested Right Pariental / Paramedian Convesity and Septum Pellucidum SOL Herniating into left Cerebral Parenchyma and causing midline shift of 8mm -------- MENINGIOMA
  • Treated operatively on 19.02.10 - under G/A, Right Fronto Parietal Craniotomy and removal of Tumour done, Dural Close done.
  • Post operatively managed with Anti-Biotics, Cerebral Decongestants and other supportive measures. Vital parameter is OK and the patient is discharged..


Pre Operative Images

 
 


Post Operative Images

 
 
Posterior Fossa epidermoid

Chief Complains and Clinical Findings

  • Persistant head ache , neck pain and stiffness over the entire body and electric shock like sensation over the body around the last six months. clinically found to have UMN type of quadriplegia.Her planter were bilateral and upgoing and there was sensory impairment in the form of diminished pin prick sensation around C3 C4 level and there was nystagmus in all direction.

Investigations

  • CT scan of the brain (Plain & contrast) including C1-C2 revealed that large multilobulated uniformly hyperdense SOL in Cervico-medulary region occupying posterior fossa as well as upper Cervical canal & causing mass effect with mild obstructive hydrocephalus ? Meningioma.
  • MRI scan of brain (Plain & Contrast) gave the impression of a Midline posterior fossa SOL arising from the vermis showing Central mixed intense fluid with an acentric nodule with mass effect is suggesting the possibility of a
    ?Haemangioblastoma
    ? Pilocytic Asterocytoma
    Post operative Histopathology suggested a epidermoid cyst

Management

  • The patient was managed surgically.The treatment modality was:- Sub-occipital midline post fossa Craniotomy & C1 posterior arch removed
    + near total removal of SOL done with the help of microscope.
  • The lesion was well delineated thick capsule with intrinsic greenish solid mass along with gel like substance. The lesion was attached to the brain stem.

Histopathology

  • Sections show a cyst containing eosinophilic proteinacious material and wall shows keratin flakes. Features are consistent with epidermoid cyst


Pre Operative Images

 


Post Operative Images

 
     
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