Search

Byline: Jitin. Bajaj, Sarat. Chandra, Bhargavi. Ramanujam, Heri. Subianto, Shabari. Girishan, Ramesh. Doddamani, Mohit. Agrawal, Raghu. Samala, Rekha. Dwivedi, Kapil. Chaudhary, Ajay. Garg, Madhavi. Tripathi, C. Bal, Ashima. Nehra, Mehar. [...]

Byline: Omsaran. Kodeeswaran, Jitin. Bajaj, K. Priyadharshan, M. Kodeeswaran This article delves into the profound impact of Indian neurosurgeons on the expansive canvas of neuroendoscopy. By scrutinizing their trailblazing research, [...]

Byline: Jitin. Bajaj, Shashikant. Verma, Vivek. Chaudhary, Namrata. Khandelwal, Jayant. Patidar, Ketan. Hedaoo, Mallika. Sinha, Mukesh. Sharma, Rajeev. Kukrele, Diya. Bajaj, Nishtha. Yadav, Shailendra. Ratre, Vijay. Parihar, Prashant. Yadav, Pawan. [...]

Byline: Jitin. Bajaj Sir, Publicataions are vital for disseminating knowledge, and peer-reviewing is one of the critical parts. Your editorial aptly describes the importance of good and timely reviews, and [...]

Byline: Yad. Yadav, Jitin. Bajaj, Shailendra. Ratre, Nishtha. Yadav, Vijay. Parihar Background: Endoscopic chronic subdural hematoma (CSDH) evacuation is a safe and effective alternative to the conventional burr hole technique. [...]

Intracranial tumors are a common cause of mortality in the pediatric population; therefore, accurate and timely diagnosis is crucial. This article highlights the role of squash cytology in diagnosing pediatric intracranial tumors and its correlation with histopathology. A retrospective analytical study was conducted from April 2022 to August 2023. A total of 70 samples were collected for both intraoperative squash cytology and histopathology. Rapid Papanicolaou and hematoxylin-eosin staining kits were used for cytology, while hematoxylineosin staining was used for histopathological examination. To reduce bias, the histopathology reports were generated by a separate team of pathologists. Among the 70 pediatric patients with intracranial space-occupying lesions, 41 cases were neoplastic and 29 were nonneoplastic. Of the 41 neoplastic cases, 22 were supratentorial and 19 were infratentorial. Pilocytic astrocytoma was the most common pediatric intracranial tumor, followed by medulloblastoma. Squash cytology demonstrated high diagnostic accuracy, with a sensitivity of 97.60%, specificity of 96%, positive predictive value of 97.60%, negative predictive value of 96%, and overall accuracy of 97.13%. A limitation of this study was the unavailability of immunohistochemistry for all cases. Squash cytology provides valuable information about the adequacy of the sample, the etiology, and tumor grade. As a sensitive diagnostic test, squash cytology can improve the prognosis for pediatric patients with intracranial tumors in India and globally. [ABSTRACT FROM AUTHOR]

Byline: Ramesh. Doddamani, Heri. Subianto, Jitin. Bajaj, Shabari. Girishan, Raghu. Samala, Mohit. Agrawal, Bhargavi. Ramanujam, Manjari. Tripathi, Poodipedi. Chandra Background: Patients with temporal lobe epilepsy are subjected to standard temporal [...]

Byline: Yad. Yadav, Jitin. Bajaj, Shailendra. Ratre, Nishtha. Yadav, Vijay. Parihar, Narayan. Swamy, Ambuj. Kumar, Ketan. Hedaoo, Mallika. Sinha Background: Endoscopic third ventriculostomy (ETV) has become a proven modality for [...]

Byline: Mallika. Sinha, Jitin. Bajaj, Ambuj. Kumar, Ketan. Hedaoo, Sandeep. Sharma, Kamesh. Konchada, Shailendra. Ratre, Vijay. Parihar, Narayan. Swamy, Yad. Yadav Background: Lumboperitoneal shunt is a known procedure for communicating [...]

Squash cytology serves as a rapid intraoperative tool for the diagnosis of spinal lesions. However, the presence of fibrous elements and bony spicules can sometimes pose challenges to interpretation. Although another intraoperative diagnostic tool, frozen section, is available, the soft, friable nature and high-water content of tissue can hinder the preparation of good-quality frozen sections. This highlights the need to further explore the utility of squash cytology for the intraoperative diagnosis of spinal lesions. Our study emphasizes the importance of squash cytology in the diagnosis of spinal lesions. A retrospective analytical study was conducted at the Department of Neuropathology at a tertiary hospital in India. A total of 64 samples were collected for intraoperative squash cytology, followed by biopsies for histopathological correlation. Statistical analysis was performed, and various parameters like sensitivity, specificity, and diagnostic accuracy of squash cytology were calculated, with histopathology serving as the gold standard. Out of the 64 patients suspected of having spinal lesions, 39 cases (60.93%) were neoplastic. The mean age of presentation was 37.5 years, with no sex predilection. The most common spinal tumor was schwannoma (10 cases, 15.62%), followed by meningioma (6 cases, 9.37%). Concordance between squash cytology and histopathology was found in 60 cases (93.75%), with histopathology serving as the reference standard. The sensitivity, specificity, and diagnostic accuracy were 94.73%, 96.15%, and 95.31%, respectively. Squash cytology is a rapid, inexpensive, and reasonably accurate intraoperative diagnostic test for spinal lesions. When combined with clinical and radiological correlation, it demonstrates high diagnostic accuracy. [ABSTRACT FROM AUTHOR]

Pilocytic astrocytoma (PA) is a low-grade glial tumor and the most common pediatric intracranial tumor, typically located in the infratentorial region. The cerebellum is the most frequent site for PA, and it usually affects children and young adults. While PA can arise anywhere in the central nervous system, its occurrence in the ventricles, particularly the lateral ventricles, is exceptionally rare, accounting for approximately 4% of all pilocytic tumors. We present a series of three cases with the uncommon intraventricular location of PA and an unusual presentation in old age in one of the cases. Due to its unusual location and unexpected age of presentation, intraventricular PA (IVPA) can be misinterpreted in adults. Some IVPAs are highly vascular, and patients may experience profuse intraoperative blood loss if the tumor is not identified on preoperative imaging. Therefore, we aim to highlight the occurrence of such unusual presentations of IVPA, as very few cases have been reported in the literature. It is essential to consider IVPA in adult patients with calcified intraventricular lesions. [ABSTRACT FROM AUTHOR]

Byline: Jitin. Bajaj, Shailendra. Ratre, Yad. Yadav Background and Introduction: C2 transverse process exostoses are rare lesions. Due to critical structures surrounding them, their excision is challenging. There are sparse [...]

Byline: Jitin. Bajaj, Ramesh. Doddamani, Sarat. Chandra, Shailendra. Ratre, Vijay. Parihar, Yadram. Yadav, Dhananjaya. Sharma Background: Migraine is a common form of primary neurologic headache. Many patients are chronic migraineurs [...]

Byline: Shailendra. Ratre, Yad. Yadav, M. Swamy, Vijay. Parihar, Jitin. Bajaj Background and Introduction: Endoscopic anterior cervical approach has several advantages compared to conventional anterior cervical discectomy and fusion (ACDF). [...]

Byline: Sarat. Chandra, Jitin. Bajaj, Raj. Ghonia, Ramesh. Doddamani Background and Introduction: Presence of multiple aneurysms, especially a combination of anterior and posterior circulation aneurysm in the same patient, is [...]

Byline: Jitin. Bajaj, P. Chandra Background: Endoscopic endonasal transsphenoidal approach has become the workhorse for pituitary adenomas. The residual rates and complications continue to present as challenges for the pituitary [...]

Byline: Ramesh. Doddamani, Manjari. Tripathi, Raghu. Samala, Mohit. Agrawal, Bhargavi. Ramanujam, Jitin. Bajaj, Shabari. Girishan, Madhavi. Tripathi, C. Bal, Ajay. Garg, P. Chandra Background: The management of hypothalamic hamartomas (HH) [...]

Byline: Jitin. Bajaj, Kapil. Chaudhary, P. Chandra, Bhargavi. Ramanujam, Shabari. Girishan, Ramesh. Doddamani, Madhavi. Tripathi, Ashima. Nehra, Manjari. Tripathi Standard treatment of drug-refractory epilepsy, due to left mesial temporal sclerosis, [...]

Byline: Vivek. Tandon, Poodepedi. Chandra, Raghav. Singla, Jitin. Bajaj, Aanchal. Kakkar, Mehar. Sharma, Ashok. Mahapatra, Manjari. Tripathi The associations between gangliogliomas, dysembryoplastic neuroepithelial tumors (DNETs), and cortical dysplasias remain debatable. [...]

Byline: Jitin. Bajaj, Sarat. Chandra, Bhargavi. Ramanujam, Shabari. Girishan, Ramesh. Doddamani, Manjari. Tripathi Background: Patients undergoing epilepsy surgery are on polytherapy. Drug tapering is usually done after 1 year in [...]

Byline: Manmohan. Singh, K. Shabari Girishan, Jitin. Bajaj, Kanwaljeet. Garg Parkinson's disease (PD) and dystonia are common indications for the deep brain stimulation (DBS) procedure. It is very important to [...]