Neurosurgeon Fahmida Arab

Very interesting and rare, case of long-standing about 15 months- Post craniectomy Pseudomeningoencephaloventriculocele.
Alhamdliah operated successfully and Ventricular decompression with bone cement cranioplasty done.

Pre and postoperative images of fungating skull mass... Histopathology confirms Sarcoma grade 4...with neuronal differentiation.

Alhamdlilah, an ultimate reward when patient got satisfied and imptoved from from anterior trasthorasic extraperitoneal approach, decmpression plus screw rod fixation for L2 # with maximal cord compression. preop status Frankle Grade A in rt leg.
Frankle grade B in left leg

Postoperative image of same patient after 4 weeks on Follow up.

Its quite risky to operate on intact patient who presented with only headache and occipital cyst with huge triangular meningioma of brain.
Alhamdlilah Gross total excision of tumor plus cyst done at same setting. Postoperative patient is perfectly allright without any defecit.
Histopathology WHO Grade1.

Pre and postopertive images of 15 years yoing girl,presented with headache, vomiting ferver,fits GCS 14/15 and intracerebral absess with extradural emyema.(4 month back had RTA and frontal sinus #).
Alhamdlilah post op GCS was 15/15.
Discharged on 7th post op day with fits free status.

Every case is different.
A cute baby of 3 yrs operated somewhere at 1 month of age for back swelling....(no record available .
intraoperative teatherd cord with terminal lipoma and archnoid cyst.
Now presented with f***l and urinary incontinance,auto amputation of 4th and 5th toes...with deep neuropathic ulcerating wound.
Alhamdlilah on 11th post operative day her ulcerating wound is getting better....
Plan is to follow up for further assessment.

Alhamdlilah same 12 years young boy visited in opd after 6 months,completly healed neuropathic ulcers,moblized without support,no f***l incontinence.,urinary incontinence is in recovery phase.

Another young boy 12 yrs with full blown tetherd cord syndrome(orthopaedic,dermatological ,neuropathatic and uropathic manifestations ).Pre Operative status.

Happiness is when patient improved from GCS 4/15 to 15/15.
30 years young married lady diagnosed case of CA ovaries,operated and radio+ chemotherapy given.
Presented in ER with GCS 4/15.Burr hole aspiration of cystic part done...improved to 7/15.
Very next day Excision of nodule along with cyst done....improved to 15/15.
After a month again present with hemiplegia..
With recureence...reoperated,bone flap removed.
Hemiparesis improved.
Send again for Radio+ chemo.

17 years young boy present with adult onset of generalised seizures.
Alhamdlilah Microscopic gross total excision done.
Post op GCS 15/15.
Histopathology reports Anaplastic oligodendroglioma.

16 years young girls presented with H/O progressive weakness of lower limb,and numbness of feet.
O/E Pre operative power 3/5,hyperflexic deformity of all toes ,high arch feet.
MRI and intraoperative findings consist Conus medularis teratoma
Alhamdlilah gross total microscopic removal done.
patient improved gradually from 2nd posoperative day...
On discharge fully moblized...Power 5/5.
Toes moblized normally.

Alhamdlilah Operated huge nape of nack tumor,Histopathology reports Diffuse large B cell lymphoma.