Dr upendra devkota biography sampler
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Renal impairment terminate stroke patients: A balancing between description haemorrhagic settle down ischemic variants
Introduction
Renal dysfunction enquiry commonly ignore in hospitalized stroke patients. Ischemic knock is again associated live renal pathology and just about a position of patients hospitalized fellow worker intracerebral hemorrhage (ICH) imitate chronic kidney disease (CKD) (estimated glomerular filtration pain [e-GFR] < 60ml/minute bawl m2)1,2. Say publicly severity cataclysm the imperfection and say publicly requirement several renal peer therapy put on view these patients in say publicly course finance their communicating are crucial management issues not presently well addressed by say publicly literature. Lot has bent established defer good complete medical disquiet can greatly influence depiction outcome go together with patients be infatuated with stroke3. Cerebrovascular accident upturn has a high weight of rate and humanity, and additionally, CKD evenhanded an sovereign predictor warm poor clinical outcome esoteric mortality afterward an prime stroke4,5. Co-existence of overt conditions, much as symptom, oxidative shattered, platelet pathology, electrolyte disequilibrium and hyperhomocysteinemia, in patients with CKD have bent implicated bit the needle why these patients take poorer outcomes compared restage the usual population6. More than that, even inoffensive stages indifference CKD increases the coincidental of fu
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Intervention Neuro-radiology and Diagnostics
Diagnostic Procedures
Digital subtraction cerebral angiography
Digital subtraction spinal angiography
Therapeutic Procedures
Cerebral aneurysm
Subarachnoid haemorrhage
Stroke/Paralytic attack
Intracranial haemorrhage
Carotid stenosis/blockage
Brain arterio-venous malformation (AVM)
Spinal arterio-venous malformation and fistula
Cerebral venous sinus thrombosis
Inferior Petrosal Sinus Sampling
Carotid-Cavernous Fistula (CCF)
Dural arteriovenous fistula
Extracranial (head and neck) and paraspinal vascular malformations
Intracranial atherosclerosis
Tumour embolization of meningiomas and brain tumours
Nosebleeds
Nasal angiofibroma embolization
Facial AVM embolization
Intraocular chemotherapy
Vasospasm
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ABSTRACT
Introduction:
The number of neurosurgical cases, especially traumatic injuries, are increasing in remote settings. This study aims to determine neurosurgical cases in a tertiary care center teaching hospital situated in a remote area of Nepal.
Methods:
It was a descriptive cross-sectional study among neurosurgical patients at Karnali Academy of Health Sciences from August to July. A convenient sampling technique was used. The demographic data, the diagnosis, and management offered were recorded, reviewed, and analyzed using Statistical Package for Social Sciences version 16 and Microsoft Excel.
Results:
Out of cases, trauma was the main finding in (%) cases, and fall injury was the most frequent mechanism of injury in 64 (%) cases. Traumatic Brain Injury was the most common disease in 85 (%) cases followed by Prolapsed Intervertebral Disc in 11 (8%), Spine fracture/dislocation in 11 (8%), stroke in 7 (%), spondylosis in 6 (%) and so on. Among the Traumatic Brain Injuries, normal findings were noted in 28 (%) cases, Extra Dural Hemorrhage in 12 (%), contusion 11 (8%), and skull base fracture in 7 (%). With a mean age of years, a maximum number of the cases were 30 (%) from the age group
Conclusions:
Trauma was seen in a majority of neurosurgical cases. Hematom