S100B and optic nerve sheath diameter correlation in head injury patients with contusions.

Unlabelled: S100B is a biochemical marker of head injury and optic nerve sheath diameter (ONSD) is a non-invasive bedside technique to detect intracranial pressure. We aim to demonstrate whether ONSD correlates with S100B protein in head injury patients with contusions and also whether the grade of contusion correlates with S100B protein. This is a prospective study done on head injury patients aged between 18 and 75 years having isolated contusions admitted within 24 h of injury.

The Role of Medical Treatment in Chronic Subdural Hematoma.

Surgery is the standard treatment for chronic subdural hematoma (CSDH), one of the common problems in neurosurgical practice. Although medical treatment was used by some authors and found some positive results, it is not accepted by many authors. The aim of this review is to give overall view of the medical management of CSDH.

Acquired Chiari I Malformation with Syringomyelia Secondary to Colloid Cyst with Hydrocephalus-Case Report and Review of Literature.

Introduction: Acquired Chiari malformation and associated syringomyelia have been previously described following lumbar puncture/drainage, lumboperitoneal shunts, and spontaneous cerebrospinal fluid leakage. In addition to these etiologies, space-occupying lesions such as meningiomas, epidermoid cysts, medulloblastomas, and arachnoid cysts are rare causes of acquired Chiari malformation and syringomyelia. We report a rare case of colloid cyst with hydrocephalus causing secondary Chiari malformation with syringomyelia.

Postoperative hematoma involving brainstem, peduncles, cerebellum, deep subcortical white matter, cerebral hemispheres following chronic subdural hematoma evacuation.

Among the intracranial hematomas, chronic subdural hematomas (CSDH) are the most benign with a mortality rate of 0.5-4.0%.

Clival giant cell tumor - A rare case report and review of literature with respect to current line of management.

Giant-cell tumor (GCT) involving the skull base is rare. Sphenoid bone is the most commonly involved bone followed by petrous temporal bone. Histopathology and radiological features of these lesions are similar to GCT involving bone elsewhere.

Predictors of visual outcome with transsphenoidal excision of pituitary adenomas having suprasellar extension: A prospective series of 100 cases and brief review of the literature.

Objective: The aim was to assess the factors influencing the visual outcome following trans-sphenoidal excision of pituitary adenomas.

Materials And Methods: One hundred consecutive patients of pituitary adenomas with suprasellar extension (SSE) were operated by trans-sphenoidal approach from July 2003 to December 2006. There were 52 male and 48 female patients with a mean age of 42.

Paired Colloid Cysts in the Third Ventricle.

Background: Colloid cyst is the most common neoplastic lesion of the third ventricle, and the occurrence of 2 colloid cysts in the ventricular system is rare.

Case Report: We present a 35 year old female patient with paired colloid cysts of the third ventricle who presented with obstructive hydrocephalus and were treated surgically with the transcallosal interhemispheric transforaminal approach. Until now only 3 patients of dual or paired colloid cysts of different ventricles were reported.

Parietal pilomyxoid astrocytoma with recurrence in 10 months: A case report and review of literature.

Pilomyxoid astrocytoma (PMA) is a new entity described in WHO 2007 classification of brain tumors. Pilocytic astrocytoma (PA) and PMA share many histopathological features with a few differences in histopathology and behavior of the tumor. This tumor is commonly located in the hypothalamic chiasmatic region.

Pleomorphic xanthoastrocytoma with anaplastic features: A rare case report and review of literature with reference to current management.

Pleomorphic xanthoastrocytoma (PXA) is an uncommon tumor constitutes less than 1% of all astrocytic glial neoplasms was first reported in 1979. PXA commonly occurs in young patients and manifests itself first as seizures followed by focal neurological deficits. The role of radiotherapy or chemotherapy has not yet been established because of the relative infrequency of this disease.

Morphometric analysis of posterior fossa in Indian CP angle acoustic schwannoma patients.

Aim: To study the morphometry of posterior fossa in Indian CP angle schwannoma patients in order to know its influence on the extent of excision of the CP angle acoustic schwannomas.

Materials And Methods: One hundred cases of cerebellopontine angle schwannomas treated surgically by the senior author and 20 controls between January 2006 and June 2011 were consecutively investigated with computed tomography (CT) using the high-resolution CT bone windows before surgery. Evaluation of anatomic parameters of the petrous bone and posterior fossa cavity were done in all patients and controls.

Nonsurgical Treatment of Chronic Subdural Hematoma with Steroids.

Objective: Some studies demonstrated the role of steroids in medical management of chronic subdural hematoma (CSDH). Aim of our study is to evaluate the role of steroids in medical treatment of CSDH and to evaluate the subgroup of patients who respond to steroids.

Methods: This prospective case study was done for 26 months from April 2013 to May 2015.

Third ventricular cavernous malformation: an unusual lesion.

Cavernomas constitute 5-10% of all the vascular malformations of the CNS. They commonly present during the 2nd and 5th decades of life. Intraventricular cavernomas constitute rare pathological entity, constituting 2.

Primary Ewings sarcoma of cavernous sinus in an infant: a case report and review of literature.

Ewing's / peripheral primitive neuroectodermal tumor (pPNET) of the cavernous sinus are extremely uncommon. We present clinical, radiological, pathological findings of Ewing's / pPNET involving the cavernous sinus in an eleven-month-old infant presenting with proptosis and 6th nerve palsy. MRI Contrast scans showed a well-defined, homogenously enhancing mass involving the right cavernous sinus location.

Unilateral contiguous two level thoracic ossified hypertrophied facet joints with compressive myelopathy.

Ossified hypertrophy of the facet joints in the thoracic region is very uncommon. We present a rare case of thoracic unilateral ossified hypertrophied facet joints with compressive myelopathy in a patient with scoliosis. The diagnosis is made with computed tomography and magnetic resonance imaging studies of the dorsal spine.

Primary telangiectatic osteosarcoma of occipital bone: a case report and review of literature.

Telangiectatic osteosarcoma (TOS), an uncommon variant of osteosarcoma, involving skull bones is extremely rare. We present clinico-pathological, imageological and treatment outcome of a primary TOS of occipital bone in a 30-year-old woman and review the previously reported skull bone TOS. We suggest that TOS should be included in the differential diagnosis of destructive lytic lesions involving the skull bones.