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Singh, Ajaydeep
- Acute Head Injury with Pregnancy
Authors
1 Assistant Professor, Department of Neurosurgery, Maharishi Markandeshwar Institute of Medical Science and Research, Mullana, Haryana, IN
2 Assistant Professor, Department of Anaesthesia, Maharishi Markandeshwar Institute of Medical Science and Research, Mullana, Haryana, IN
3 Professor, Department of Department of Obstetrics & Gynaecology, Maharishi Markandeshwar Institute of Medical Science and Research, Mullana, Haryana, IN
Source
Indian Journal of Public Health Research & Development, Vol 11, No 1 (2020), Pagination: 1705-1709Abstract
Introduction: Trauma affects 7-8 % of all pregnancies. A multidisciplinary management of pregnant patients with traumatic brain injury is required, The efforts of the Neurosurgeon, Gynaecologist and Anaesthetist/Intensivist is mandatory. The management is individualized as per the foetal status, gestational age, and maternal injury score.
Materials and Method: We studied 8 patients who were operated for severe head injuries with pregnancy. The main aim of the study was to know the outcome of pregnant females and the neonate in head injury.
Results: The maternal outcome depends solely on the grade and type of the head injury, the fetal outcome depends upon the age of the pregnancy and maternal GCS.
Conclusion: Best management of the maternal and the foetus is achieved with multidisciplinary approach of team. The utmost important is the decision which needs to be taken as early for the low to moderate GCS patients.
Keywords
Caesarean Section, Craniotomy, Pregnancy, Traumatic Brain Injury.
- Effectiveness of Deep Brain Stimulation in Parkinsonism
Authors
1 Assistant Professor, Department of Neurosurgery, Maharishi Markandeshwar Institute of Medical Science and Research, Mullana, Haryana, IN
2 Assistant Professor, Department of Anaesthesia, Maharishi Markandeshwar Institute of Medical Science and Research, Mullana, Haryana, IN
Source
Indian Journal of Public Health Research & Development, Vol 11, No 1 (2020), Pagination: 1710-1717Abstract
Introduction: Deep brain stimulation (DBS) is a neurosurgical procedure indicated for patients with advanced Parkinson’s disease (PD).This study aimed to investigate the relative efficacy and safety of DBS when medical therapy is ineffective in advanced PD.
Material and Method: 50 patients whom were on medical treatment for long and started to have side effects of the drugs were the part of the study to find the improvement in the status in terms of tremors, dyskinesia and rigidity.
Results: Preoperatively and postoperatively comparison in the improvement was done which revealed, improvement was 75%, 61.5% and 58% respectively in tremors, rigidity and dyskinesia. There was statically significantly improvement rigidity, tremor and the dyskinesia, the patients needed smaller doses of the medications and showed less signs of distress.
Conclusion: Our results clearly suggested that with Deep Brain Stimulation patients showed significant improvement with decreased dose of medication.