Left Petroclival Lesion

HISTORY:-

1.    Double vision-1 year

2.    Tingling over face-4 months

EXAMINATION:-

1.    Left corneal reflex absent

2.    Left 6^th nerve palsy

INVESTIGATIONS:-

 

 

TREATMENT:-

Left temporal trephine craniotomy with subtemporal intradural approach with tumor excision done

POST-OPERATIVE PERIOD:-

No fresh episodes, left 5^th and 6^th nerve impairment persisted

NCCT Head:-

 

HISTOPATHOLOGY:-

5^TH Nerve shwannoma

Right Posterior Communicating Artery Aneurysm

HISTORY: -

35 yr old gentleman presented with c/c of:-

Sudden onset of headache followed by neck stiffness, vomitings and drowsiness

EXAMINATION:-

•           BP-220/120 mm
•           GCS-E3V5M6
•           NO DEFICITS

 

TREATMENT:-

Right fronto-temporal trephine craniotomy with aneurysmal clipping done

 

POST-OPERATIVE CT SCAN HEAD:-

POST-OPERATIVE COURSE:

Sensorium same as pre-operatively, maintaining vitals, still under treatment.