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Biomedical subjects

P Baghai

Publications and source records attributed to P Baghai.

5 recordsLinked to original sources
PubMed1987

Magnetic resonance imaging and intraoperative neurosonography in syringomyelia.

Treatment of syringomyelia remains a difficult and controversial problem. However, the recent advent of magnetic resonance imaging (MRI) and intraoperative ultrasound allows a more precise approach to the diagnosis and management of this disorder. Experience with 27 cases of syringomyelia has shown that MRI is superior to all other forms of diagnostic imaging for the exact anatomical delineation of syrinxes and other spinal cavities. One-third of the syrinxes demonstrated by MRI were either not adequately visualized or missed by myelography and/or computed tomographic scanning. Intraoperative ultrasound has been used to allow more precise operative approaches to the syrinx as well as to guide the exact placement of shunt tubes into syrinx cavities. A method has also been developed to allow intraoperative ultrasound of the spinal cord with patients in the sitting position.

Adult↗
PubMed1983

Fetal neurosurgery.

Advances in antenatal diagnostic techniques coupled with innovative neurosurgical techniques have led to the consideration of treatment of major congenital neurological anomalies in utero. The rationale for such fetal neurosurgical intervention rests in the possibility of halting the progressive neurological deterioration and ameliorating the sequelae associated with severe congenital hydrocephalus and neural tube defects. Although the concept of in utero treatment of neurological anomalies remains more theoretical and experimental than clinically practical, preliminary evidence from both the laboratory and the clinic has begun to emerge to support continued efforts in this field. This review focuses on the role of neurosurgeons in surgery in utero. Emphasis is placed on advances in antenatal diagnosis, current research in surgery in utero, and potential clinical applications of fetal neurosurgery.

Amniotic Fluid↗