a case of pineal region sol
TRANSCRIPT
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A CASE OF PINEAL REGION SOL
NS III UNIT-PROF R.A.K
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PRESENTATION
• 31/F
• H/O Dull aching headache-3 yrs
• No h/o seizures/vomiting
• No h/o visual disturbances
• No h/o weakness of limbs
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EXAMINATION
• On examination, On examination, *conscious, *conscious, *oriented *oriented *PERL *PERL *ambulant *ambulant *Cranial nerves normal *Cranial nerves normal *V *VA , A , VVF –F –nonormal rmal *No neurological deficit *No neurological deficit
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INVESTIGATIONS
• CT Brain - hypo dense lesion in posterior third ventricle-pineal region
• MRI Brain -lesion in pineal region
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CT
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MRI
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MRI
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OPTIONS – POSITION,APPROACHES
• Positions- *sitting *lateral *prone
• Approaches *Infratentorial supra cerebellar *Transcallosal interhemispheric *Occipital trans tentorial *Transcortical trans ventricular
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Sitting-infratentorial supra cerebellar approach
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POST OP
• Recovery good
• HPE –Epidermoid cyst