2 research outputs found
The Comparison of Outcome of Ventriculoperitoneal Shunts vs. Endoscopic Third Ventriculostomy in Patients with Idiopathic Normal Pressure Hydrocephalus
No full textObjective: To compare functional outcomes in terms of INPGHS score and overall improvement in patients of iNPH treated with ETV vs. VP shunting.
Materials & Methods: A Randomized control trial was conducted for 6 months at the Department of Neurosurgery, Rawalpindi Medical University and Allied Hospitals, Rawalpindi. 62 patients (31 in each group) were enrolled & allocated into two groups. In group A patients ETV was done and in group B VP shunting. Post-operatively, Patients were followed up for 1 month.
Results: The mean age of the patients in the ETV & VP shunting groups was 63.19 ± 6.95 & 63 ± 6.82 years respectively. Males were 64.5% (n = 20) in both groups. Improvement was noted in 9 (29%) patients in the ETV group & 15 (48.4%) patients in the latter group (p-value = 0.118).
Conclusion: Ventriculoperitoneal shunts are superior to endoscopic third ventriculostomy in terms of functional neurological outcomes and improvement in symptoms.
Keywords: Endoscopic Third Ventriculostomy, Ventriculoperitoneal Shunt, Idiopathic Normal Pressure Hydrocephalus Grading Scale (iNPHGS), Aqueductal CSF Stroke Volume (ACSV)
Juvenile Ossifying Fibroma in a 14-year-old female: A Case Report
No full textJuvenile Ossifying Fibroma is a rare benign bone neoplasm affecting age-group of 5-15 which tends to mimic malignant lesions. This is in opposition to its conventional variant which occurs mostly in middle aged cohort and is relatively docile. It's aetiology remains unknown and it is characterized by substitution of normal bone by mineralized fibrous tissue. The rapid progression, aggressive nature and high recurrence potential are features that makes JOF of vying attention. Additionally it's prognosis being greatly dependent on time and type of intervention employed is widely documented. In this study JOF with a history of only 7 months is reported in a 14 year old female. The affected bone was maxilla with dental and palatal involvement. Partial Maxillectomy and BIPP for reconstruction were applied as treatment of choice for this patient. Yearly follow up protocol for next 5 years was devised. No post op complications were observed
