Publications by authors named "Girish Menon"

Article Synopsis
  • Brain tumors are challenging to diagnose and classify in oncology, and radiomics—an emerging field that analyzes quantitative features from medical images—may improve treatment planning despite concerns about study methodologies.
  • A systematic review of literature identified 18 studies using radiomic features and machine learning models to classify gliomas, demonstrating their potential in distinguishing tumor subtypes and grades using various imaging techniques like MRI and PET/CT.
  • The findings suggest that radiomics can achieve high classification accuracy that sometimes surpasses traditional diagnostic methods and the performance of less experienced radiologists, highlighting the need for further validation in clinical practice.
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Background: Scheduled CT scan is a routine practice at many centers after traumatic brain injury (TBI), but it has been questioned by few authors. The majority of the studies are reported in mild TBI; however, no specific data exist for the same in moderate and severe TBI.

Methods: This was a single-center and 1-year prospective study.

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  • VP shunts are commonly used to treat infants with aqueductal stenosis, but shunt migration can occur, including rare cases of migration into the thoracic cavity due to negative pressure.* -
  • A one-year-old infant with symptoms of raised intracranial pressure underwent emergency VP shunt placement, which initially went well but later resulted in acute breathing issues due to the shunt migrating into the pleural space.* -
  • Imaging showed that the shunt likely tunneled improperly during the first surgery, leading to its eventual migration over three months, necessitating an emergency revision to address the issue.*
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  • Malignant nerve sheath tumors are aggressive and rare soft tissue sarcomas, making up 5-10% of all such tumors.
  • These tumors can arise sporadically, in patients with neurofibromatosis 1 (NF1), or as a result of radiation therapy, and they often have high rates of recurrence and metastasis.
  • The text discusses a specific case involving a 44-year-old male with NF1, highlighting the unique and rare characteristics of this type of tumor.
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Study Design: A descriptive, quantitative cross-sectional study of the atlantic part (V3) of the vertebral artery (VA).

Purpose: This study aimed to bridge the research gap in the morphometry of the V3 segment of the VA in the South Indian population.

Overview Of Literature: The microsurgical anatomy of this segment of the VA has been explored in various populations, and a thorough understanding of the anatomy and course of the VA, particularly the V3 segment, is essential to prevent iatrogenic complications.

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  • Brown tumors, associated with secondary hyperparathyroidism in chronic kidney disease (CKD), are uncommon but can lead to significant issues, such as neurological deficits and paraplegia.
  • A case study highlights a 35-year-old man with CKD on dialysis who experienced acute paraplegia due to a T8 vertebral body lesion, requiring emergency surgery to relieve spinal cord compression.
  • Diagnosis of brown tumors must be considered in CKD patients, as they can resemble other serious spinal conditions and may cause acute hemorrhage, emphasizing the need for prompt surgical treatment for better recovery outcomes.
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Objective: To (i) correlate preoperative retinal nerve fibre layer (RNFL) thickness with visual parameters in patients with pituitary macroadenomas. (ii) study the predictive role of preoperative RNFL in visual outcome following surgery for pituitary macroadenomas (iii) correlate change in postoperative RNFL thickness (RNFLT) with visual outcome.

Methods: Preoperative and post-operative RNFL thickness of thirty-three consecutive patients operated for pituitary macro adenoma between June 2022 and May 2023 were measured using Optical Coherence Tomography (OCT) and compared with standard visual examination findings and Magnetic Resonance Imaging (MRI) measurements.

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Central nervous system involvement is a rare complication of Waldenstrom macroglobulinemia (WM) accounting for 1-2% cases. This syndrome is called Bing-Neel syndrome (BNS) after the people who first described it in 1936. Although WM has a good prognosis, with the onset of this syndrome, most patients fare poorly with a high mortality rate.

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Article Synopsis
  • The traditional Le Fort level 1 osteotomy is useful for accessing central skull base tumors.
  • A key challenge is keeping the fractured maxilla stable during tumor removal.
  • The authors propose a straightforward technique to help stabilize the down-fractured maxilla effectively.
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Medulloblastoma is the most common malignant pediatric brain tumor. Histological subclassification and adjuvant therapy have improved prognostication and outcome. Extraneural metastasis remains a poor prognostic factor and subcutaneous seeding is rarely encountered and reported in the pediatric population.

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Background: Spontaneous intracerebral hemorrhage (SICH) accounts for about 10-15% of all strokes. Generally, it is a disease of the elderly; worldwide, the incidence of SICH in the young is showing an increasing trend, especially in India and the Asian continent. An attempt is also made to analyze the presence of factors, which may predict the risk of SICH among young hypertensives.

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Background: Traumatic basal ganglia hematomas (TBGH) are rare entities. They are situated in the deep cerebral parenchyma and have also been termed as intermediate coup contusions. Available literature is sparse with regards to the characteristics and prognosis of TBGH.

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Background: Published literature on epidemiological profile of paediatric brain tumours in India is limited. : To present a retrospective analysis of the histological spectrum of 158 paediatric age group central nervous system tumours operated in a single tertiary care hospital in Coastal South India between January 2015 and December 2021.

Material And Methods: Retrospective analysis of the data regarding frequencies of various primary brain tumours among 158 paediatric patients (<18 years of age).

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Background: The commonly observed complications after cranioplasty include infections, intracranial hemorrhage, and seizures. The timing of cranioplasty after decompressive craniectomy (DC) is still under debate, with literature available for both early and delayed cranioplasties. The objectives of this study were to note the overall complication rates and more specifically compare complications between 2 different time intervals.

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Background: Neurosurgical emergencies in the obstetric setting pose considerable challenges. Decision-making involves deliberations on the gestational age, critical nature of the illness, timing of surgery, maternal positioning during neurosurgery, anesthesiologic strategies, monitoring of the pregnancy during surgery, and the mode of delivery. The present study discusses the management and ethical dilemmas encountered during the management of six obstetric patients with neurosurgical emergencies.

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Objective: Various topographical classifications for craniopharyngioma have been proposed based on their relationship with optic chiasm and the third ventricular floor. There is a paucity of literature evaluating the surgical outcome based on tumor topography. This study aims to compare the surgical outcomes of retrochiasmatic craniopharyngiomas (RCPs) and nonretrochiasmatic craniopharyngiomas (non-RCPs).

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ChatGPT (Chat Generative Pre-trained Transformer) is the latest artificial intelligence (AI) tool that has taken the internet by storm. A large language model-based AI tool, ChatGPT is used to generate natural prose-like answers learning from a large database of text. A lot is being written and spoken about the future of academic writing using this tool.

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Objective: The aim of the study was to evaluate the association of the thickness of retinal nerve fiber layer (RNFL) with (i) visual symptoms and (ii) suprasellar extension defined by magnetic resonance imaging (MRI) in patients with pituitary macroadenoma.

Materials And Methods: RNFL thickness of 50 consecutive patients operated for pituitary macroadenoma between July 2019 and April 2021 were compared with standard visual examination findings and MRI measurements such as optic chiasm height, distance between the optic chiasm and adenoma, suprasellar extension, and chiasmal lift.

Results: The study group included 100 eyes of 50 patients operated for pituitary adenomas with suprasellar extension.

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