Haradhan Deb Nath

A giant occipital encephalocele with spontaneous hemorrhage into the sac: A rare case report

In giant encephalocele, head size is smaller than the encelphalocele. Occipital encephalocele is the commonest of all encephalocele. In our case, there was rare association with giant encephalocele with old hemorrhage in the sac. This was a unique presentation. In world literature, there was rare association with giant encephalocele with hemorrhage.

A torcular encephalocele with proAtlas defect and os-terminale

Encephalocele means if meninges and brain tissue protrude out of the cranium. There are different types of encephalocele. The occipital encephaloceles are the most common type. Craniocervical junction and upper cervical spine abnormalities can rarely be associated with occipital encephalocele. We discuss this case because there is rare association between torcular encephalocele and proatlas anomalies.

Outcome of pediatric head injury patients admitted as unknown at a level-i apex trauma centre

Objective: Patients with head injury who are not identified at admission are a challenge to manage and in this backdrop we decided to analyze our data of such pediatric patients for their outcome. Materials and Methods: It was a retrospective study conducted at the level-I trauma center. A total of 12 consecutive pediatric (<20 years) age group patients whose identities were not known at the time of admission were included in the study. Results: All 12 patients were male. The road traffic accident was the most common cause of injury (8, 67%). Mean age of the patients were 16.75 ± 4.45 years. Computerized tomography (CT) scan showed cerebral contusion in four (33%) patients. Six (50%) patients needed surgery and others were treated conservatively. During the course of hospital treatment, one (8%) patient died, two (16%) had good recovery, and four (33%) were moderately disabled. Among the 12 patients identity, eight (67%) could be ascertained. Seven (58%) patients were sent home with their relatives, one (8%) was referred to a district hospital and three (25%) remained as unknown and were referred to destitute home for rehabilitation. Conclusion: Unidentified patients of pediatric age group have better outcome if proper care is provided in time.

Outcome of head injury in unknown patients at Level-1 apex trauma centre

Abstract This was a retrospective study, carried out at the Department of Neurosurgery at Jai Prakash Narain Apex Trauma Centre (JPNATC), All India Institute of Medical Sciences (AIIMS), New Delhi. Many patients with head injury whose identity cannot be ascertained, are admitted in our hospital. Care and management of these neglected patients from pre-hospital till discharge, rehabilitation or death is fraught with many challenges. Very few studies in world literature are available on this subgroup of patients. We analyzed data pertaining to 70 consecutive patients at our hospital. Out of 70 patients, 68 (97%) were male, most were in the age group of 21–30 years 25 (36%). The mean age was 33.7± 14.6 years (range 5–70 yrs). Mean duration of hospital stay was 27.9±52.2 days (range 2–368 days). Principal cause of head injury was road traffic accident seen in 47 patients (67%). Majority of the patients had Glasgow coma scale less than 8 on admission. Forty three patients were treated conservatively and 20 patients needed surgery. Ten patients 10 (14%) died in hospital, 7 (10%) patients had good recovery. During the course of treatment identity of 51 (73%) patients could be established and they were either discharged to home 42 (60%) or referred to their 9 (12%) district hospital. Nine patients(12%) remained unknown and on recovery were sent to destitute homes for rehabilitation.