Publications by authors named "Jitin Bajaj"

This video showcases stereotactic radiofrequency lesioning of the caudal zona incerta (CZi) for parkinsonian tremor in a 70-year-old patient. The preoperative evaluation, including imaging and frame placement, is detailed. The surgical procedure involves meticulous targeting and trajectory planning.

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Article Synopsis
  • - The study reviews the effectiveness of an endoscopic posterior approach for decompressing the cervical spinal cord and roots in 229 patients, particularly focusing on those with myelopathy or radiculopathy caused by posterior compression.
  • - Results showed significant improvement post-surgery, with the average Nurick grade (a measurement of neurological impairment) dropping from 2.72 to 0.78, indicating better outcomes in patients who started with lesser impairments.
  • - While the endoscopic method was found to be safe with few complications, the study has limitations, such as being retrospective and conducted at a single center, suggesting the need for further multicenter research to confirm findings.
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Background And Objectives: Atlantoaxial dislocation (AAD) poses a complex surgical challenge. Surgical approaches vary for reducible and irreducible cases. Challenges persist in reducing the atlantodental interval, especially in cases with oblique or vertical C1-C2 joints.

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Background: Practicing neuroendoscopic skills like hand-eye coordination is mandatory before embarking on actual surgeries. Synthetic models are able alternatives for cadavers and animals. Presently available models in the literature are either very costly or lack a feedback mechanism, which makes training difficult.

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Background: Endoscopic procedures are useful in chronic subdural hematoma especially when there are septations, solid/organized hematoma, and the presence of bridging or neovessels in the cavity. Visualizing the distal hematoma cavity by a rigid scope is challenging in large and curved ones due to the hindrance by the brain surface. Combining rigid endoscopy and brain retractor can overcome this limitation.

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Introduction: Intraoperative squash smear cytology is a useful diagnostic tool in case of CNS lesions. In resource poor countries where frozen section is unavailable, cytology is the mainstay method in giving a rapid intraoperative diagnosis which helps Surgeons regarding the extent of excision. The current study aims to assess the feasibility and accuracy of intraoperative squash cytology in evaluation of CNS tumors.

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Background: Hemispherotomy (HS) is an effective treatment for unilateral hemispheric onset epilepsy. There are few publications for HS in adults, and there is no series comparing adults and pediatric patients of HS.

Objective: To compare the hemispherotomies done in adult patients with pediatric ones in terms of efficacy and safety.

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This article delves into the profound impact of Indian neurosurgeons on the expansive canvas of neuroendoscopy. By scrutinizing their trailblazing research, innovations, new surgical techniques, and relentless dedication to education and training, we aim to unravel the intricacies of their influence on a global scale. The review, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, conducts a comprehensive analysis of the literature related to neuroendoscopy contributed by Indian neurosurgeons.

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Background: Endoscopic chronic subdural hematoma (CSDH) evacuation is a safe and effective alternative to the conventional burr hole technique. Although a rigid endoscope has the advantage of good visualization, there are risks of brain damage due to limited space to accommodate the scope and frequent lens soiling.

Objective: This technical note describes a novel brain retractor to overcome the limitations of rigid endoscopy.

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Background: Spastic limb paralysis because of cerebral injury can cause long-term disability. Its treatment varies from conservative to operative; however, the optimum treatment is yet to be found.

Objective: To test the hypothesis that patients with spastic arm paralysis who receive C7 nerve transection to their paralyzed side might have reduction in spasticity, pain, and improvement in arm function.

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Background: Epilepsy carries a lifetime risk of seizure-related accidents. The risk varies according to the socioeconomic profile of a place. Sufficient data is lacking for epilepsy-related accidents in the pediatric population.

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Occipital pressure ulcers and wound gaping may occur in unconscious and malnourished patients. Most of the time, a large defect requires wound coverage by scalp flaps. This video describes a rotational occipital scalp flap for occipital pressure ulcer and wound gaping in a patient of operated midline posterior fossa mass & ventriculoperitoneal shunt.

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Article Synopsis
  • - The study presents a new surgical technique called minitemporal craniotomy for patients with temporal lobe epilepsy, analyzing outcomes in cases performed without navigation guidance between 2014 and 2019.
  • - A total of 48 patients were operated on, with minimal complications, and an average hospital stay of 4 days, showing a high success rate for seizure control, particularly in those with mesial temporal sclerosis.
  • - The findings suggest that this technique, which relies on surface landmarks, offers effective outcomes and can be implemented in smaller medical centers, improving accessibility to epilepsy surgery.
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Purpose: Acquired brain injury causing spasticity, pain and loss of function is a major cause of disability and lower quality of life. Sacral 1 (S1) neurectomy claims promising outcomes in spastic hemiparesis. This cadaveric study was conducted to study the surgical anatomy, surgical approach and feasibility of S1 neurectomy and contralateral S1 (cS1) transfer.

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Background: Endoscopic third ventriculostomy (ETV) has become a proven modality for treating obstructive and selected cases of communicating hydrocephalus.

Objective: This review aims to summarize the indications, preoperative workup, surgical technique, results, postoperative care, complications, advantages, and limitations of an ETV.

Materials And Methods: A thorough review of PubMed and Google Scholar was performed.

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