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H S Bhatoe

Publications and source records attributed to H S Bhatoe.

15 recordsLinked to original sources
PubMed2000

Trichinoechinococcosis T-5. Case report.

Echinococcosis affecting the spine is rare. The authors present the case of a 23-year-old man in whom features of thoracic spinal cord compression were demonstrated. Magnetic resonance imaging of the thoracic spine revealed an extradural cystic lesion involving the spine and paraspinal musculature. At surgery echinococcosis was confirmed, and subsequent histopathological examination also revealed Trichinella infestation of the paraspinal musculature. After undergoing decompressive surgery and albendazole therapy, the patient made a remarkable improvement. Although primary echinococcosis can affect the spine, concomitant infestation with Trichinella has not been reported. Surgery has to be followed by albendazole therapy.

Adult↗
PubMed1999

Primary brainstem injury: benign course and improved survival.

Primary brainstem injury following head injury is a rare event. The victims often have features of supratentorial injury, and a primary isolated injury to the brainstem occurring due to shearing stresses or to injury from the tentorial edge is extremely rare. In the presence of supratentorial injury, these patients may have altered sensorium. Isolated brainstem injury may manifest itself as internuclear ophthalmoplegia, anisocoria, rigidity and cerebellar tremor. Such injuries are now being diagnosed more often due to improved imaging techniques. We treated nine such cases who had sustained primary brainstem injury in road traffic accidents, all but one of whom were subsequently independent. Primary brainstem injuries need not be associated with poor prognosis and mortality and may run a benign course with good quality of survival.

Adult↗
PubMed1999

Movement disorders caused by brain tumours.

Movement disorders are uncommon presenting features of brain tumours. Early recognition of such lesions is important to arrest further deficit. We treated seven patients with movement disorders secondary to brain tumours over a period of seven years. Only two of these were intrinsic thalamic tumours (astrocytomas) while the rest were extrinsic tumours. The intrinsic tumours were accompanied by hemichorea. Among the extrinsic tumours, there was one pituitary macroadenoma with hemiballismus and four meningiomas with parkinsonism. Symptoms were unilateral in all patients except one with anterior third falcine meningioma who had bilateral rest tremors. There was relief in movement disorders observed after surgery. Imaging by computed tomography or magnetic resonance imaging is mandatory in the evaluation of movement disorders, especially if the presentation is atypical, unilateral and/or accompanied by long tract signs.

Adenoma↗
PubMed1998

Hypodense meningiomas.

While majority of the meningiomas can be diagnosed on contrast enhanced computerised tomography (CT) scans, few of them can have atypical appearances, which may be difficult to distinguish from those seen in glial tumours. Six atypical cases of meningioma having hypodense appearances on CT scan are described.

Brain Neoplasms↗
PubMed1997

Mutism, oropharyngeal apraxia and dysarthria after posterior fossa tumour excision.

Mutism and oropharyngeal apraxia are unusual complications of surgery on the cerebellum. They usually occur in children undergoing surgery for midline cerebellar tumours. Adults are rarely affected. The pathophysiology of the syndrome, which is reversible, is uncertain with possible involvement of vermian and paravermian structures. Two patients--one child and one adult--who developed mutism after cerebellar surgery are presented.

Adult↗
PubMed1996

Cerebellopontine angle metastasis from clear-cell renal carcinoma presenting as bleeding from the ear.

Metastatic lesions in the cerebellopontine angle are rare. We encountered one such metastatic lesion from clear-cell renal carcinoma that had a striking clinical appearance, bleeding from the ear and multiple lower cranial nerves' involvement. While the overall prognosis in CNS metastasis from systemic malignancy is gloomy, useful palliation can be achieved in patients with solitary lesions.

Adenocarcinoma, Clear Cell↗
PubMed1995

Epidural spinal tuberculoma.

Epidural tuberculoma in the spine is a rare lesion and its pre-operative distinction from tumour is usually not possible. One such case who presented with radiological appearance suggestive of spinal tumour is described.

Adult↗
PubMed1994

Post lumbar puncture discitis and vertebral collapse.

Discitis and vertebral collapse are rare but serious complications of lumbar puncture. Clinical profile, management and course of post lumbar puncture discitis in five patients is presented. Such a complication should be kept in mind whenever any invasive procedure is carried out on the spine.

Adult↗
PubMed1992

Air in epidural haematomas.

Air in epidural haematoma is an uncommon finding. It is usually seen if epidural haematoma is associated with fracture involving one of the air sinuses, but can be seen at times in the absence of any demonstrable fracture on the CT scan. Seven such cases are described in the present communication and the significance of this finding discussed.

Female↗