Publications by authors named "Rajeev Sreenath"
Objectives: The utility of intraoperative electrocorticography (ECoG)-guided resective surgery for pediatric long-term epilepsy-associated tumors (LEATs) with antiseizure medication (ASM) resistant epilepsy is not supported by robust evidence. As epilepsy networks and their ramifications are different in children from those in adults, the impact of intraoperative ECoG-based tailored resections in predicting prognosis and influencing outcomes may also differ. We evaluated this hypothesis by comparing the outcomes of resections with and without the use of ECoG in children and adults by a randomized study.
View Article and Find Full Text PDFObjective: We sought to analyze the evolution of hydrocephalus and enumerate its predictive factors in posterior fossa tumors in children and adults. We also validated the modified Canadian Preoperative Prediction Rule for Hydrocephalus (mCPPRH) and Frankfurt grading systems as tools to predict cerebrospinal fluid (CSF) diversion in children and adults, respectively.
Methods: A retrospective review of patients with posterior fossa tumors operated between 2012 and 2019 was performed.
Anterior midline skull base meningiomas involving olfactory groove, planum sphenoidale, and tuberculum sellae were usually managed with bifrontal craniotomy until the dawn of advanced microsurgical techniques. With the emergence of microsurgical techniques, midline meningiomas could be tackled solely from a unilateral pterional approach. We present our experience with pterional approach in managing anterior skull base midline meningiomas, including the technical nuances and outcomes.
View Article and Find Full Text PDFArticle Synopsis
- - Electrical injuries are severe, especially high-voltage ones, leading to significant tissue damage and a range of severe complications, including high mortality rates.
- - A case study is presented about a 16-year-old male who sustained a high-voltage electrical injury affecting his left arm and abdomen, resulting in severe injuries but preventing contamination of the abdominal cavity.
- - The patient's treatment involved several surgeries such as bowel resection, reconstruction of the abdominal wall, skin grafting, and ultimately, amputation of his left arm above the elbow.