Friday, 15 January 2016

Cervical sub epe ndymoma operated with good outcome

Following case is a learning process fr all of us plz dont attribute all neck pain to cervical spondylosis A forty five year female presented to us with diagnosis of cervical spondylosis on xray pt had wasting of small muscles of hand and dissociative  anaesthesia
Pt was clinically diagnosed as harbourind intramedullary sol and confirmed on mri.patient underwent subtotal tumour removal  as part of the tumour was stuck to medulla oblongata
. Biopsy was subependymoma a relatively less aggresive tumor with long term survival

MRI SHOWING LARGE CERVICAL  INTRAMEDULLARY  TUMOUR


INTRA OPERATIVE PICTURES OF THE SURGERY

Sunday, 11 January 2015

Multiple Aneurysms clipped successfully by Dr Vineet saggar

A forty eight year old lady was admitted at our hospital with sudden onset severe headache  followed by loss of consciousness.CT angiogram of the brain revealed an unruptured Ant Choroidal arter aneurysm and ICA bifurcation aneurysm on right side . Both the aneurysms were successfully clipped by DR Vineet Saggar . Post cooperatively patient developed severe vasospasm which was managed  with nimodipine and patient finally recovered with residual weakness on left side.
Post operative picture of the patient few months after discharge





CT Angiogram images showing Anterior choroidal and ICA bifurcation aneurysms


Post operative Scans showing two aneusrysm clips in situ

Sunday, 20 April 2014

RARE SKULL BASE TUMOUR OPERATED AT IVY HOSPITAL VIA OSTEOPLASTIC MAXILLOTOMY APPROACH

RARE SKULL BASE TUMOUR OPERATED AT IVY HOSPITAL VIA OSTEOPLASTIC MAXILLOTOMY APPROACH
Neuro surgical procedures are one of the most technically demanding and complex surgical  procedures . For most of the patients undergoing a neurosurgical procedure is equivalent of having a second life . However with latest advancement in surgical field mortality and morbidity following neurosurgical procedure have declined significantly.  As neurosurgical procedures are rapidly getting refined tumours and areas of brain previously thought inaccessible or in operable are being rapidly approached with excellent results. Skull base tumours have been always approached with caution because of technical difficulty in approaching such tumours and their proximity to vital structures of brain.
A rare skull base tumour was recently operated at IVY hospital by Senior Neurosurgeon  Dr Vineet Saggar . Complete tumour removal was achieved and patient was sucessfuly discharged within few days . He was ably supported by excellent plastic surgery team headed by Dr Rahul Goyal which played huge role in minimizing scarring to facial region as approach to tumor of skull base required a facial incision.
 A 28 year old male presented to Dr Vineet Saggar with complaints of lossof vision in right eye and swelling around right  eye. His MRI was already done and it revealed large skull base tumour behind face and nose extending to other side . A nasal endoscopic bipopsy was taken at some other hospital had revealed a benign ( non cancerous) tumour of nerves (schwannoma). He had shown to many private and government hospitals but was reffered to AIIMS as they told him it was difficult to approach this tumour and it may not be possible to remove it completely. However this tumour was completely removed at IVY Hospital by Dr Vineet Saggar via OSTEOPLASTIC MAXILLOTOMY a rare and technically demanding  Skull base approach . Patient was discharged 6 days after surgery.
PRE OPERATIVE CT  SCAN SHOWING LARGE TUMOUR BEHIND FACE AND NOSE UPTO SKULL BASE





POST OPERATIVE SCAN OF PATIENT SHOWING COMPLETE TUMOUR REMOVAL


INTRAOPERATIVE PICTURE OF THE PATIENT
POST OERATIVE PICTURE OF THE SAME PATIENT BEFORE DISCHARGE


Dr Vineet Saggar is senior consultant Nuro and spinal surgery at IVY HOSPITAL. He is specially trained in skull base and Aneurysm surgeries and complex spinal surgeries

Dr. Vineet Saggar (MCh)
Neuro Surgeon / Spinal Surgeon
Chandigarh, Mohali -
Ivy Hospital Sector 71
+91-9855990990