Endovascular treatment of large vessel stroke

DSA Showing RT ICA BLOCKAGE 

ANGIO after mechanical thrombectomy

Patient1 week after procedure 

: Gud Afternoon  Winters are here so is stroke . 73 yrs Male Rt Ica thrombosis.

 Pt brought in unconscious state withhemiplegia left side: Pt out side window period Mechanical thrombectomy done

Traumatic fracture dis location with extruded disc operated

A 40 year old man presented to us in emergency with history of fall with traumatic quadriplegia.He was successfully operated via anterior cervical approach . C5-6 Discectomy with fixation was done

PRE OPERATIVE MRI AND CT  SHOWING C56 EXTRUDED DISC AND DISLOCATION OF C5-6

POSTOPERATIVE XRAY SHOWING REDUCED DISLOCATION AND PLATE SCREWS IN SITU

Fluorotic spine still a major cause of cause of morbidity and paraparesis in many areas of Punjab

Fluorotic spine still a major cause of cause of morbidity and paraparesis in many areas of Punjab

A 56 year old man presented in our OPD with history of gradually progressing paraparesis and stiffness in lower limbs for past many years Patient was now bed ridden for past one month and unable to control urination and stools. He belonged to village in Sangrur. MRI done revealed ligamentum flavum thickening at cervico dorsal junction at and lower Dorsal level . Patient underwent laminectomy at both levels using high speed drills and small 1mm roungers. Patient made full functional recovery in two months.

 MRI IMAGES SHOWING LIGAMENTUM FLAVUM THICKENIN AND CANAL COMPROMISE AT TWO LEVELS

POST OPERATIVE XRAYS SHOWING LAMINECTOMY AT CERVICODORSAL JUNCTION AND LOWER DORSAL LEVELS

PATIENT ON SECOND FOLLOW UP

Tuberculosis/potts spine still a cause of morbidity and paraplegia in india

A 70 year old man presented to us in our opd with chief complaints of pain upper back for many months  and gradually progressive weakness in lower limbs with inability to walk. MRI of dorsal spine revealed epidural abcess with vertebral body involvement. Pt was sucessfully operated and D3- D5 fixation was done with removal of epidural mass. Biopsy and Afb staining were positive for  acid fast bacilli pt. made  rapid recovery in pain and weakness in lower limbs.

Preoperative Contrast Mri showing epidural mass with vertebral body involvement .

Post operative X ray showing pedicle screws in D3 and D5 vertebrae.

Every neck pain should not be treated or ignored as pain of cervical spondylosis- Be ware it could be a spinal tumour

A 50 yr old patient presented to us in OPD with complaints of wasting of small muscles of hand. She had dissociate sensory loss on u/l and her DTRs were brisk and planters extensors. A provisional diagnosis of intramedul;ary sol(tumour) was made and MRI Cervical spine was ordered which revealed Large tumour at CV junction . Tumour was operated was us and subtotal removal of intramedullary tumour was dope post operative biopsy was subependymoma which is a less aggresive tumour.

 PATIENT AFTER SURGERY  ON FIRST FOLOW UP

 PRE OPOPERATIVE MRI SHOWING LARGE TUMOUR

INTRAOPERATIVE PICTRES AFTER TUMOUR REMOVAL

Large Growth Hormone producing Pitutary macroadenoma with vision loss operated Dr Vineet Saggar

A 35 year old female with new onset diabetes not controlled by oralhypoglycaemics presented to our endocrinologist . On clinical examination she was found to be having features of Acromegaly. and bitemporal heminopia.
 MRI of sella revealed large pitutary macro adenoma with suprasellar extension compressing optic chiasma.. Hormonal profile revealed increased GH levels >100ng/mi and incresed TSH levels . She was put on Eltroxin 50micrograms/ day and optimized and was taken up for tumour decomporession.

PRE OPERATIVE MRI SHOWING SELLAR AND SUPRASELLAR MASS COMPRESSING CHIASMA

POST OPERATIVE SCAN SHOWING ALMOST COMPLETE TUMOUR REMOVAL WITH SMALL TUMOR REMENENT ON RIGHT SIDE

Cervico dorsal anterior fixation via anterior cervical approach

A 55yr old man presented to us with  complaints of severe neck pain and weakness in limbs pt was on ATT for suspected potts spine fr past two months . Hoe pain and weakness were progressively increasing . Repeat MRI showed epidural abscess at C5-6 levels with destruction of adjacent vertebrae . Patient was operated via anterior cervical approach and C5-6 discectomy with removal of pus and granulation tissue was done. C5 to D1 fixation was also done with  cervical plating system.
 PRE OP MRI IMAGES OF THE PATIENT

POST OP  XRAY IMAGES OF THE PATIENT