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Search Results: 1 - 10 of 462799 matches for " Agrawal A "
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Extensive Supratentorial Hemorrhages Following Posterior Fossa Meningioma Surgery
A Agrawal
Journal of Surgical Technique and Case Report , 2010,
Abstract: Remote supratentorial hematoma soon after posterior fossa surgery for the removal of a space-occupying lesion is a rare but dramatic and dreaded complication, carrying significant morbidity and mortality. A 47-year-old woman presented with headache of 1-year duration that worsened over last 2 months, progressive ataxia of 2 months’ duration, blurring and diminution of vision of 2 months’ duration and forgetfulness of 2 months’ duration. Fundus showed bilateral papille dema, and visual acuity was 6/9 in both eyes. She had left-sided cerebellar signs. There were no focal motor or sensory neurological deficits. MRI brain with contrast showed a large posterior fossa tumor with obstructive hydrocephalus. The patient underwent left paramedian suboccipital craniectomy in prone position with left side up. In the immediate postoperative period, the patient did no recover from anesthesia and was persistently drowsy. Immediate repeat CT scan showed diffuse subarachnoid hemorrhage spread all over the bilateral cerebral hemispheres with diffuse cerebral edema. The patient recovered with conservative management without deficits. This case stresses the importance of early postoperative CT scan and optimal management of the hemorrhage for good outcome.
Bilateral Biconvex Frontal Chronic Subdural Hematoma Mimicking Extradural Hematoma
A Agrawal
Journal of Surgical Technique and Case Report , 2010,
Abstract: Chronic subdural hematoma (CSDH) is one of the most common clinical entities encountered in daily neurosurgical practice. The advent of computed tomography (CT) has made a major impact on the radiological diagnosis of CSDH. Although unilateral chronic isodense subdural hematomas as a result of indirect signs of a space-occupying lesion are easily recognizable on CT, bilateral CSDH may cause considerable difficulty, particularly when it is biconvex in shape as discussed in the present case. A judicious use of magnetic resonance imaging will help in making the diagnosis and for the management of such lesions.
Bilateral Symmetrical Parietal Extradural Hematoma
A Agrawal
Journal of Surgical Technique and Case Report , 2011,
Abstract: The occurrence of bilateral extradural hematomas (EDH) is an uncommon consequence of craniocerebral trauma, and acute symmetrical bilateral epidural hematomas are extremely rare. We discuss the technique adopted by us for the management of this rare entity. A 55-year-old patient presented with history of fall of branch of tree on her head. She had loss of consciousness since then and had multiple episodes of vomiting. Examination of the scalp was suggestive of diffuse subgaleal hematoma. Her Glasgow coma scale was nine and there were no lateralizing signs. Her computed tomography scan showed bilateral, symmetrical, parietal EDH with diastases of coronal suture. The patient underwent bicoronal scalp flap well behind the coronal suture running across the junction of anterior two third and posterior one-third of hematoma to gain bilateral exposure. Initially, left parietal trephine craniotomy was performed and without disturbing the blood clot, left trephine craniotomy was performed and the hematomas were evacuated. Management of bilateral EDH cases requires careful planning, adequate exposure, judicious surgical approach, and time management for good results.
Permanent maxillary first molar with single root and single canal: A case report of a rare morphology
Shigli A,Agrawal A
Journal of the Indian Society of Pedodontics and Preventive Dentistry , 2010,
Abstract: Unusual root canal morphology in multirooted teeth is a constant challenge for diagnosis and successful endodontic treatment. Presence of extra canals, lateral canals, deltas is commonly encountered but the possibility of existence of fewer number of roots and canals also exists. This clinical report presents a maxillary first molar with an unusual morphology of single root with single canal. This report also highlights the role of spiral computerized tomography as a method to confirm the three-dimensional anatomy of teeth.
Prolapse of the small intestine through the peritoneal opening – an unusual cause of post-shunt intestinal obstruction
A Agrawal, MK Chauhan
South African Journal of Child Health , 2010,
Abstract: Ventriculoperitoneal (VP) shunt is the most widely used procedure for the management of hydrocephalus. Various complications, including disconnection, breaking, kinking and tip occlusion of the tube, cerebrospinal fluid loculation, shunt infection, intestinal obstruction, migration of the shunt and perforation of the internal organs, have been described with this invasive procedure. We report a case in which bowel prolapsed through the peritoneal opening and caused intestinal obstruction in a female baby.
A status report on management of cleft lip and palate in India
Gopalakrishna A,Agrawal Karoon
Indian Journal of Plastic Surgery , 2010,
Abstract: Introduction: This national survey on the management of cleft lip and palate (CLP) in India is the first of its kind. Objective: To collect basic data on the management of patients with CLP in India for further evaluation. Materials and Methods: A proforma was designed and sent to all the surgeons treating CLP in India. It was publicized through internet, emails, post and through personal communication. Subjects: 293 cleft surgeons representing 112 centers responded to the questionnaire. Most of the forms were filled up by personal interview. Results: The cleft workload of the participating centers is between 10 and 2000 surgeries annually. These centers collectively perform 32,500-34,700 primary and secondary cleft surgeries every year. The responses were analyzed using Microsoft excel and 112 as the sample size. Most surgeons are repairing cleft lip between 3-6 months and cleft palate between 6 months to 1 year. Millard and Tennison repairs form the mainstay of lip repair. Multiple techniques are used for palate repair. Presurgical orthopedics, lip adhesion, nasendoscopy, speech therapy, video-fluoroscopy and orthognathic surgery were not always available and in some cases not availed of even when available. Conclusion: Management of CLP differs in India. Primary surgical practices are almost similar to other studies. There is a lack of interdisciplinary approach in majority of the centers, and hence, there is a need for better interaction amongst the specialists. A more comprehensive study with an improved questionnaire would be desirable.
Inflatable Indian travel pillow as a pneumatic patient jack
Gopalakrishna A,Agrawal Karoon
Indian Journal of Plastic Surgery , 2006,
Abstract: The Indian travel pillow readily available in the market has been utilized as a patient jack in the operation theatre. This has been used to raise the shoulders of an anaesthetized patient for surgery in the head and neck region and a set of two pillows have been used to prop-up a prone anaesthetized patient. This allows smooth positioning of the patient after intubation without disturbance to the airway with minimal manpower.
Spontaneous subdural hematoma in a young adult with hemophilia
Agrawal D,Mahapatra A
Neurology India , 2003,
Abstract: We report a case of spontaneous acute subdural hematoma in a 30-year-old man, who was diagnosed with hemophilia during his hospital stay. He developed an extradural hematoma following evacuation of the acute SDH, which was also evacuated. He had a good outcome. Management of such a patient is discussed.
TASTE ABATEMENT TECHNIQUES TO INPROVE PALATABILITY OF ORAL PHARMACEUTICALS - A REVIEW
Vijay A. Agrawal
International Journal of Pharmaceutical Research and Development , 2010,
Abstract: Taste is an important parameter in administering drugs orally and is a critical factor to be considered while formulating orodispersible, melt in mouth, buccal tablet and other formulations which comes in contact with taste buds. Undesirable and particularly bitter taste is one of the important formulation problems that are encountered with many drugs. Administration of bitter drugs orally with acceptable level of palatability is a key issue for health care providers. Proven methods for bitterness reduction and inhibition have resulted in improved palatability of oral pharmaceuticals. The problem of bitter and obnoxious taste of drug in pediatric and geriatric formulations is a challenge to the pharmacist in the present scenario. Four fundamental sensations of taste have been described: Sweet and salty, mainly at the tip. Sour, at the sides. Bitter, at the back. The present review depicts the taste-masking techniques like taste masking with flavors, sweeteners, and amino acids, lipophilic vehicles e.g. lipids, lecithin and lecithin-like substances etc and inter coating of drug particles, microencapsulation, inclusion complexes and molecular complexes of drugs with other chemicals, solid dispersions, use of multiple emulsions, liposome’s, prodrugs, taste abatement by ion exchange resins and their applications in pharmaceutical formulation technology, Classification of ion exchange resins, Factors that affect IER process involved in the delivery of cationic drugs.
Complex split-cord malformation associated with situs inversus totalis
Agrawal Deepak,Mahapatra A
Journal of Pediatric Neurosciences , 2007,
Abstract: Although meningoceles are known to be associated with split cord malformations, the association of dextrocardia is extremely rare. The authors report a case of a 15 day male child who had an atretic meningocele in the lumbosacral region along with dextrocardia and a split cord malformation with a posterior spur. This importance of preoperative MRI for proper management of such patients is highlighted in this report.
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