Neuro Case Studies

One patient, 47 years, female, came to the OPD with headache and vomiting since 3 months. On MRI scan of brain, left skull base meningioma was revealed. She was operated successfully and tumour excised completely with no post-operative complications. She was discharged on the tenth day after removal of sutures without any neurological deficit.

One patient, 40 years, male, had come to the O.P.D with complaints of left side weakness and headache. On MRI scan of the brain, a large meningioma on the right parietal region was revealed. He was operated and meningioma completely excised with no post-operative complications and discharged on the tenth day without any neurological deficit.

One pateint, 22 years, male, had come to the emergency due to road traffic accident. On arrival in Emergecy department, GCS scale was E1V1M1, pupil sizes were 3mm and 2.5mm, left and right respectively, both showing sluggish reaction. His vitals were unstable. CT. scan of his brain revealed a deep seated contusion with diffuse axonal injury along with right cerebral infarction due to raised ICP and odema. A large right parietal decompressive craniotomy was done. Bone flap was kept in the abdominal wall. Post-operatively he was in ventilator for 3 to 4 weeks.Slowly he improved. He was walking with support and talking when he was discharged after a period of 5 months.

One patient, 35 years, male, had come to the emergency with chief complaints of Aphasia and right side weakness. CT scan of the brain showed intra-cerebral bleed in the left parieto-occipital region. D.S.A revealed a large arterio-venous malformation with multiple feeders from MCA, VA. He was operated for A.V.M and total excision could be done. He was discharged after 3 weeks with improvement in his right side weakness and speech.

One pateint, male, had come to the emergency with complaints of headache and vomiting. CT scan of the brain showed subarachnoid haemorrhage. MRI brain and angiography revealed right ICA Aneurysm. He was operated with clipping of aneurysm done successfully. He was discharged after 3rd week with no post-operative complications.

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