Browsing by Author "Apoorva Kumar"

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Five years' experience at a single centre of craniocerebral injury from winnowing fan blades
(2010) Apoorva Kumar; Ravi Shankar; Rajendra P. Pandey; Virendra Keshri; Kulwant Singh; Vivek Sharma
India, an agriculture-based country, relies heavily on indigenous farm machinery. In our study we present 31 patients with winnowing fan blade head injury, operated on at our centre between 2004 and 2008. The mechanism and nature of the injuries, operative methods, outcome and methods of prevention are discussed with special reference to the occurrence of this type of injury in the pediatric population. © 2009 Elsevier Ltd. All rights reserved.
Scissors in brain: An unusual presentation of tribal culture in India
(Turkish Neurosurgical Society, 2011) Apoorva Kumar; Rajendra Pandey; Kulwant Singh; Vivek Sharma
AIm: To observe the neurological complications arising from various tribal practices and their management. Penetrating head injuries comprise only a small number of total head injuries. A penetrating head injury by deliberate attempt to treat an ailment is almost unheard of. MaterIal and Methods: We present here a case of penetrating head injury caused by stabbing a scissor in head by a local witch doctor in order to treat a psychiatric ailment. Results: The patient was taken up for for surgery and managed accordingly. Relevant literature was reviewed regarding various foreign bodies in traumatic missile and non missile brain injuries and their surgical management.
Spinal arachnoid cyst
(2011) Apoorva Kumar; Ridip Sakia; Kulvant Singh; Vivek Sharma
Preoperative, operative and postoperative radiological examinations and operative notes of 31 patients with spinal arachnoid cyst operated on during 2002-2009 at the Institute of Medical Sciences, Banaras Hindu University, were evaluated. Sixteen patients were male and 15 were female. All patients were managed surgically: extradural arachnoid cysts were managed by excision and intradural arachnoid cysts were managed by marsupialization. There was no recurrence in the 4 years of follow up. © 2011 Elsevier Ltd. All rights reserved.
Surgery in hydrocephalus of tubercular origin: Challenges and management
(Springer-Verlag Wien, 2013) Apoorva Kumar; Kulwant Singh; Vivek Sharma
Background Hydrocephalus of tubercular origin is one of the most dreaded and difficult to manage complications of brain tuberculosis. Traditionally, the management has been ventriculoperitoneal shunting, but in recent years emerging interest is in endoscopic ventriculostomy. In this article, we discuss the management protocol of hydrocephalus in various stages of disease. Methods A total of 424 cases of tubercular origin hydrocephalus were managed between years 2000 and 2009. Initially the cases were managed by ventriculoperitoneal shunting, which was followed by use of endoscopic third ventriculostomy. Drug-resistant cases were also encountered and managed according to drug sensitivity. Results The results provided through evaluation of retrospective data showed a highmortality in cases of hydrocephalus of acute origin if endoscopic third ventriculostomy was performed. The cerebrospinal fluid protein level and neurological status of the patient determined the success or failure of the procedure. For better management, patients were divided into six groups and their management underlined. Conclusion The cases of tubercular meningitis with aqueductal stenosis presenting in early stages should be given a trial of endoscopic third ventriculostomy where chronic burnt-out cases or cases with communicating hydrocephalus should be managed by ventriculoperitoneal shunting. © Springer-Verlag Wien 2013.