Publications by authors named "Kanwaljeet Garg"
Background: Traumatic brain injury (TBI) management guidelines vary across regions and there is limited research on real-world adherence to these guidelines. We conducted a global survey to assess the adherence of neurosurgeons to TBI guidelines and evidence-based medicine (EBM).
Method: A 24-item survey was created using Google Forms, covering demographic information, neurotrauma training, basic knowledge of EBM, surgical and in-hospital management.
Background And Objectives: Ewing's sarcoma (EWS) is a malignant round-cell tumor arising from the bone and soft tissue. It is a disease of children and young adults. EWS affecting the central nervous system (cranial and spinal column) is relatively rare with an annual incidence of approximately one case per million in the Western population.
View Article and Find Full Text PDFBackground: A glaring gender inequality persists in global neurosurgery, influenced by various factors, including the notion that female neurosurgeons have lower academic output. This study aims to compare the research output of female and male neurosurgeons at the leading academic institutions in India.
Methods: The pertinent details regarding female neurosurgeons were collected from the Neurological Society of India (NSI) and Women In Neurosurgery (India) database.
Article Synopsis
- Cervical flexion-induced myelopathy, or Hirayama disease (HD), primarily affects young males aged about 17.8 years, leading to asymmetric weakness and wasting in distal upper limbs, with future emphasis on early diagnosis and treatment.
- Retrospective analysis of 140 patients showed that nearly half had unilateral symptoms, and most had ongoing progression of the disease; abnormal electromyography findings were common, with significant MRI changes noted.
- Early identification and management of HD are crucial to prevent severe disability, emphasizing the need for dynamic MRI and aggressive treatment strategies in affected individuals.
Comparison of functional outcomes and patient satisfaction in patients with lumbar canal stenosis with and without concomitant obesity following lumbar decompression surgery and their correlation with BMI.
J Clin Neurosci
November 2024
Article Synopsis
- Obesity is linked to Lumbar Canal Stenosis (LCS) and can worsen patient mobility, making surgical decisions complicated for patients with both conditions.
- A study included 55 patients who underwent spinal decompression surgery, comparing those with obesity and those without, focusing on changes in body mass index (BMI) and patient satisfaction one year post-surgery.
- Results showed that obese patients lost weight and reduced BMI significantly after surgery, similar to non-obese patients in terms of improvement in mobility and satisfaction, suggesting that obesity should not prevent surgical treatment.
Article Synopsis
- Primary non-Hodgkin's lymphoma, specifically diffuse large B-cell lymphoma (DLBCL), can present as mass lesions similar to meningioma in immunocompetent patients, making diagnosis difficult.
- A case of a young female with DLBCL showed involvement of the scalp and brain, initially resembling a meningioma, and despite surgical intervention, she developed systemic disease two months post-surgery.
- Proper diagnosis typically requires histological examination after tumor resection, and early initiation of chemotherapy is crucial for managing this rare condition.
Article Synopsis
- Supratentorial intraventricular tumors are rare, usually benign neoplasms located in the lateral and third ventricles of the brain, commonly diagnosed after reaching a larger size that causes symptoms; this study analyzes surgical methods and outcomes for these tumors in both pediatric and adult patients.
- The research included 165 patients from a tertiary care hospital, comparing demographic, clinical, and surgical data while noting a higher incidence in males, with pediatric patients often experiencing longer hospital stays and distinct tumor characteristics compared to adults.
- The findings suggest that these tumors are more prevalent in children, highlighting the importance of optimal surgical resection techniques to improve recovery outcomes and reduce recurrence rates.
Background: Radiation induced changes (RIC) are the most common complications observed post Gamma Knife radiosurgery (GKRS) and may be observed within 6-18 months post procedure. It has been observed that almost one-third of RICs are symptomatic and half of them are persistent. There is no way to predict which patients will develop these changes and to what extent.
View Article and Find Full Text PDFBackground: Craniovertebral junction (CVJ) tumors are challenging due to their unique anatomical location. This study aimed to evaluate the complexities in dealing with such precarious CVJ extradural lesions over the decade.
Methods: Twenty-seven patients of extradural CVJ tumors operated between 2009 and 2018 were included.
Background: Traumatic brain injury (TBI) is a leading cause of morbidity in all age groups worldwide. Decompressive craniectomy (DC) is a salvage procedure in patients with TBI. The outcome and quality of life following DC is questionable.
View Article and Find Full Text PDFIntroduction: This study compares the effectiveness of virtual reality simulators (VRS) and a saw bone model for learning lumbar pedicle screw insertion (LPSI) in neurosurgery.
Methods: A single-center, cross-sectional, randomized controlled laboratory investigation was conducted involving residents and fellows from a tertiary care referral hospital. Participants were divided into two groups (A and B).
Background: Intracranial mesenchymal chondrosarcoma (IMC) is a rare malignant tumor in pediatric population. IMC can present as extra- or intra-axial lesion in pediatric patients, though the former is commoner causing raised intracranial pressure (ICP). Radiological diagnosis is a challenge in these cases, as is it difficult to differentiate these from other extra-axial neoplasms due to the wide differential diagnosis in pediatric population.
View Article and Find Full Text PDFBackground: In neurosurgical practice, continuous care after discharge and the ability to detect subtle indicators of clinical deterioration are mandatory to prevent the progression of a disease. The care of 'unknown' patients discharged to rehabilitation homes may not have this privilege, especially in resource-poor countries such as India.
Objective: We have attempted to study the causes and outcomes of re-admissions of 'unknown' patients with previous traumatic brain injury (TBI) to estimate the quality of nursing care in our rehabilitation centers.
Cranial nerve palsies can be presenting signs of intracranial aneurysms. There is a classic pairing between an aneurysmal vessel and adjacent nerves leading to cranial neuropathy. Isolated abducens nerve palsy can be a localizing sign of an unruptured vertebrobasilar circulation aneurysm.
View Article and Find Full Text PDFBackground: Though currently considered a 'black box,' machine learning (ML) has a promising future to ameliorate the health-care burden of stroke which is the second leading cause of mortality worldwide. Through this study, we sought to review the most influential articles on the applications of ML in stroke.
Methods: Web of Sciences database was searched, and a list of the top 50 most cited articles, assessing the application of ML in stroke, was prepared by 2 authors, independently.
Introduction: This survey was conducted to explore the perceptions of undergraduate (UG) medical students regarding enrolling in a neurosurgical training program. The purpose was to understand' expectations, reasons, apprehensions, and variables influencing students' decisions to pursue a career in neurosurgery. The results shed light on students' perceptions and can help educational institutions and training programs draw in and encourage aspiring neurosurgeons.
View Article and Find Full Text PDFObjective: The objective of this study was to analyze the potential and convenience of using mixed reality as a teaching tool for craniovertebral junction (CVJ) anomaly pathoanatomy.
Methods: CT and CT angiography images of 2 patients with CVJ anomalies were used to construct mixed reality models in the HoloMedicine application on the HoloLens 2 headset, resulting in four viewing stations. Twenty-two participants were randomly allocated into two groups, with each participant rotating through all stations for 90 seconds, each in a different order based on their group.