Rare vertebral artery - pica jn aneurysm operated by us at ivy hospital mohali with good outcome

A 50 year old female presented to us with sudden onset severe headache followed by loss of consiousness. CT head revealed haematoma in left cerebello-pontine angle. CT angio brain revealed large aneurysm at junction of left vertebral artery - pica jn. Aneurysm was operated successfully via far lateral approach at ivy mohali with good outcome .
1 CT angio brain showing aneurysm at left vertebral artery -pica jn.
2. Post operative CT head showing aneurysm clip in left cp angle.

Rare orbital tumour

RARE M2-M3 JUNCTION ANEURYSM OPERATED AT IVY HOSPITAL MOHALI BY DR VINEET SAGGAR

Most of the aneurysms occur at the bifurcation  of major vessels as we all know.  MCA aneurysms  generally  occur at bifurcation  of  MCA (MIDDLE CEREBRAL ARTERY) . However  this aneurysm was at further branching  of frontal division of MCA at M2-M3 junction and supplying frontal lobe  . It posed a different  challenges  as aneurysm  was embedded in frontal lobe paren chyma . Also vessels beyond bifurcation are very delicate and frontal and temporal trunks generally  trifurcate or more hence aneurysm  is surrounded by multiple  delicate 1-2mm vessels . Clipping  some times carries risk of kinking these vessels . In this case aneurysm  was bilobed and was clipped using two clips to avoid kinking of trifurcation. Patient  had uneventful  recovery.

CT ANGIO  SHOWING RIGHT SIDED M2-M3 JUNCTION ANEURYSM. 

POST OPERATIVE  SCANS  OF THE PATIENT AFTER 48 HRS

Rare intra orbital tumour operated via supra orbital approach

A 50 year old man presented in our opd with complaints of proptosis and progressive visual loss. MRI of orbit revealed intraconal well circumscribed mass on right side . He was operated successfully via supra orbital craniotomy with complete removal of tumour and vision was preserved.

HISTOPATHOLOGY -SCHWANNOMA 

PREOPERATIVE MRI SHOWING LARGE RETROBULBAR INTRACONAL MASS.
POST OPERATIVE CT SHOWING APPROACH  AND COMPLETE  TUMOUR  REMOVAL.

LARGE POSTERIOR FOSSA MENINGIOMA OPERATED BY DR VINEET SAGGAR WITH EXCELLENT OUT COME

A 60 YEAR OLD LADY PRESENTED IN OUR OUR OPD WITH COMPLAINTS OF HEAD ACHE VOMITINGS AND DIFFICULTY IN WALKING . MRI REVEALED LARGE POSTERIOR FOSSA MENINGIOMA . PATIENT WAS SUCESSFULY OPERATED AT IVY HOSPITAL BY DR VINEET SAGGAR

PRE OPERATIVE MRI SHOWIING LARGE TUMOUR IN POST FOSSA

POST OPERATIVE CT SCAN SHOWING COMPLETE TUMOUR REMOVAL

LARGE TEMPORAL MASS OPERATED AT IVY HOSPITAL.

A 56 YEAR OLD LADY PRESENTED IN OUR EMERGENCY  WITH  ALTERED SENSORIUM , HEADACHE , VOMITINGS FOR PAST FEW DAYS. MRI REVEALED LARGE TEMPORAL MASS. PATIENT UNDERWENT SUCCESSFUL TUMOR REMOVAL WITHOUT ANY DEFICIT.

 PREOPERATIVE  MRI SHOWING LARGE TEMPORAL MASS

 POST OPERATIVE MRI SHOWING COMPLETE TUMOUR REMOVAL