Publications by authors named "Gyani J S Birua"

Article Synopsis
  • * A case study reports a 14-year-old boy diagnosed with diabetes insipidus, initially thought to have a high-grade glioma in the left frontal region, but was later confirmed to have a germinoma through histopathology.
  • * Post-surgery, the patient experienced improvement in his hypernatremia and successfully managed his condition with a small dose of desmopressin, highlighting the unique presentation of this germinoma without typical involvement in key brain regions.
View Article and Find Full Text PDF

 Intracranial meningiomas constitute a third of all brain tumors and are among the most common indications for neurosurgical procedures performed worldwide. Most meningiomas present with an indolent, longstanding history. However, the data on outcomes of emergency surgeries for meningioma is limited.

View Article and Find Full Text PDF

Introduction: Meningiomas in children are rare, constituting less than 5% of all paediatric brain tumours and less than 2% of all meningiomas. Multiple meningiomas (synchronous or metachronous) are even more uncommon, typically occurring due to radiation exposure or in patients with phacomatoses like Neurofibromatosis II. This report presents the case of a child with metachronous meningiomas without dural attachment in unusual locations, along with their management.

View Article and Find Full Text PDF

Introduction: Meningiomas located in the posterior fossa and involving the sinodural angle at the junction of the transverse and sigmoid sinuses are uncommon and present unique challenges due to their complex anatomical location. Despite their distinctive features, they are frequently categorized with tentorial meningiomas in the literature.

Materials And Methods: This retrospective study conducted at a tertiary care center involved 64 patients with sinodural meningiomas who underwent surgical treatment between 2010 and 2023.

View Article and Find Full Text PDF

Objective: Rosai-Dorfman disease (RDD) is a rare benign proliferative disorder of histiocytes. The study discusses the intracranial RDD approach, its management, and its outcome.

Methods: It is a retrospective study performed in a tertiary center, the National Institute of Mental Health and Neuroscience, Bangalore, from January 2010 to December 2022.

View Article and Find Full Text PDF

Mirror movements, characterized by involuntary symmetrical movements in contralateral body parts during intentional movements, have been associated with various neurological conditions. Limited dorsal myeloschisis (LDM), a rare form of spinal dysraphism, is defined by a focal closed midline defect and a fibro-neural stalk connecting the skin lesion to the underlying cord. We present a unique case of a 4-year-old girl with cervical LDM exhibiting mirror movements.

View Article and Find Full Text PDF

Introduction: Resection of meningiomas (THMs) at the torcular Herophili poses challenges to surgeons due to complex regional anatomy. The current study aims to evaluate factors affecting the extent of resections, progression-free survival, and the role of radiation.

Methods: We did a retrospective study of all the THM patients treated at our institute between May 1987 and June 2022.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigated the rate and factors related to shunt revision in pediatric patients over a 5-year period at a single institution.
  • Out of 1112 patients who had shunt surgery, 934 met the criteria, with a shunt revision rate of 10.2%, showing that younger age, right-sided shunts, and late surgeries were linked to higher failure rates.
  • The findings suggest that addressing modifiable risk factors could enhance the longevity of shunts, with obstruction and malposition being common causes of failure.
View Article and Find Full Text PDF

Background: Benign Nerve sheath tumors (NST) comprise almost one-third of primary spinal tumours. The majority are sporadic. They have low rates of recurrence but an occasional recurrence may need re-surgery.

View Article and Find Full Text PDF

Background: Cerebral vasospasm (CVS) due to injuries to arteries of the circle of willies has been reported in transsphenoidal pituitary surgeries. However, the incidence of delayed vasospasm following endoscopic transsphenoidal surgery is rare.

Materials And Methods: Total 569 pituitary adenomas were operated on by endoscopic transsphenoidal approach from January 2016 to February 2020.

View Article and Find Full Text PDF

Multiple intracranial cavernomas are rare and occur mostly in familial cases. Clinical presentation with simultaneous rupture of two or more lesions has only been reported in four cases to date. A 15-year-old boy presented with simultaneous right frontal and superior vermian hematomas with hydrocephalus.

View Article and Find Full Text PDF

Parenchymal perianeurysmal cysts are rare. We report a case of 50-year-old woman who presented with persistent headaches and episodes of vomiting for the last 2 months. Magnetic resonance imaging of the brain showed a well-defined solitary cystic lesion with a mural nodule measuring 5.

View Article and Find Full Text PDF

Introduction: Rhabdoid Meningiomas (RM) are rare malignant type of meningiomas, classified as grade III in the WHO classification. Only a few case series have been reported, and factors affecting prognosis are still unclear.

Methods: We did a retrospective chart review of all the RMs diagnosed in our institute between 2007 and 2019.

View Article and Find Full Text PDF

Aim: To find out the epidemiology of spinal injury in North East India.

Material And Methods: This study is a retrospective hospital-based analysis of spine injury patients admitted to Central Referral Hospital, Sikkim Manipal University from July 2013 to June 2017July 2013 to June 2017.

Results: During the study period 57 patients with spinal injury were admitted and treated.

View Article and Find Full Text PDF