Rare LENTICULOSTRIATE ARTERY aneurysm operated by https://www.google.co.in/url?sa=t&source=web&rct=j&url=http://www.neurosurgeoninchandigarh.com/&ved=0ahUKEwi4476Ct9HSAhWMOI8KHa-8CQw4ChAWCCkwAQ&usg=AFQjCNEWcxJ03RU0249rCA4HnwzOnKPYww&sig2=G4pqnHFg2a18boTDYOHROgat Chandigarh mohali punjab

A 24year male presented to us in emergency with sudden onset loss of consciousness followed by seizures.  Patient was intubated and CT head was done which revealed  SDH right FTP region, and temporal haematoma and SAH. CT angio revealed aneurysm distal to ICA bifurcation and proximal to MCA BIFURCATION.  Patient was operated via right Forto-temporoparital craniotomy with clipping of aneurysm which was arising from junction of large lenticulostriate branch of right MCA just proximal to bifurcation.  Patient was discharged after one month after surgery without GCS of E4VtM6 with left hemiparesis and is still recovering.

Fig 1-4.CT ANGIOGRAPHY SHOWING aneurysm distal to ICA bifurcation and proximal to MCA BIFURCATION. Lenticulostriate artery aneurysm.

Fig5 plain CT images showing temporal haematoma with SAHIL AND SDH.

FIG 6 CT ANGIOGRAPHY  SHOWING LENTICOSRIATE ARTERY MCA JUNCTION ANEURYSM. 

FIG 6 and 7. POST operative scans.

Giant Distal MCA ANEURYSM (M2-M3) junction aneurysm operated by us with good outcome at chandigarh mohali punjab

A 55 year old lady presented to our opd with severe headache for past two days with two episodes of seizures.  She also complained of numbness and tingling of her left hand and arm. A provisional diagnosis of intracranial SOL was made and MRI was done . MRI showed a giant aneurysm in left MCA . CT ANGIOGRAPHY  revealed  giant aneurysm of left M2 -M3 JUNCTION.  Patient was operated via left fronto temporal craniotomy with clipping of giant MCA ANEURYSM. Patient was discharged 5 days after surgery  without any deficit.

FIG.1-5. CT ANGIOGRAPHY SHOWING GIANT DISTAL MCA ANEURYSM ON LEFT SIDE. FIG 6 POST OP CT. PIC OF PATIENT POST OP.

Large bilobbed MCA bifurcation aneurysm operated by us at Ivy hospital with good outcome

  A 45 year old lady presented to our emergency  with complaints of headache  followed by loss of consciousness  . CT head revealed SAH with large  haematoma  in temoropaietal region. CT Angiography  revealed large bilobbed aneurysm  at MCA bifucation  on right side. Patient  was operated via right Forto-temporoparital craniotomy with clipping of aneurysm  and removal of haematoma. Pt was discharged  without any deficit

Fig. 1 . CT HEAD SHOWING SAH WITH HAEMATOMA

FIG. 2,3. ANGIOGRAM SHOWING LARGE BILOBBED  MCA BIFURCATION ANEURYSM . 

FIG 4 POST OP CT OF THE PT.

PIC 5 PT AT FOLLOW UP.

Large wide necked MCA BIFURCATION ANEURYSM operated by us at ivy hospital mohali chandigarh punjab with good outcome

A 70 year old female presented to us with sudden onset severe headache followed by loss of consiousness. CT angio brain revealed large aneurysm at MCA bifurcation left side and small aneurysm at M2-m3 junction distal  to it. Patient underwent leftpterional craniotomy with clipping of aneurysm. 
CT ANGIO BRAIN SHOWING LARGE ANEURYSM AT MCA BIFURCATION LEFT SIDE WITH SMALLER ANEURYSM DISTAL TO IT AT M2-M3 JUNCTION. IMAGES 12 34

Images 5 and 6 post op ct

Picture 7 patient just before discharge.
POST OP CT

Large Acoustic Schwannoma operated by Dr Vineet Saggar Neurosurgeon mohali chandigarh punjab

A 55 yrs female presented to us with complaints of headache right sided hearing loss and Ataxia. Clinical examination  revealed rt sided senosineural hearing loss with mild facial wakes lmn type and decreased  gag reflex on right side. Crebellar signs were more pronounced on rt side. MRI revealed large CP angle mass on right side compressing  brain stem . Patient underwent  right Retro mastoid Suboccipital craniotomy with complete removal of mass with preservation  of facial nerve  function.

MRI showing right CP angle mass.
CT showing complete  removal of mass.

Rare intra orbital tumour operated via supra orbital craniotomy approach. Chandigarh, mohali, punjab

A 50 year old man presented in our opd with complaints of proptosis and gradually progressive visual loss with restricted ocular movements. MRI of orbit revealed extraconal mass with inferior displacement of superior rectus and superior oblique muscles . Patient underwent supra orbital craniotomy with removal of orbital tumour and vision  and exatraocular movements were preserved along with improvement in ptosis. 

MRI IMAGES SHOWING EXTRACONAL MASS WITH INFERIOR DISPLACEMENT OF SUPERIOR RECTI AND SUP OBLIQUE MUSCLES.

Postoperative picture of the pt showing recovered ptosis and preserved extraocular movements. 

Postoperative CT showing reconstruction of supra orbital rim with plates and screws.

TRANSSPHENOIDAL REMOVAL OF PITUTARY MACRO ADENOMA

A 60 year old female presented to us gradually progressive visual loss.  MRI brain with sellar cuts revealed large pituitary macro adenoma with suprasellar extension compressing chiasma. Patient underwent neartotal removal of macro adenoma via transphenodal  route.
1.MRI BRAIN SHOWING LARGE MACRO ADENOMA WITH SUPRASELLAR EXTENSION.
2.POST OPERATIVE CT SCAN SHOWING  NEARTOTAL REMOVAL OF TUMOUR