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Wednesday, April 25, 2012

Left Petroclival Lesion



HISTORY:-
1.    Double vision-1 year
2.    Tingling over face-4 months

EXAMINATION:-
1.    Left corneal reflex absent
2.    Left 6th nerve palsy

INVESTIGATIONS:-




TREATMENT:-
Left temporal trephine craniotomy with subtemporal intradural approach with tumor excision done

POST-OPERATIVE PERIOD:-
No fresh episodes, left 5th and 6th nerve impairment persisted

NCCT Head:-


 
HISTOPATHOLOGY:-
5TH 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.