A Case Of Pineal Region Sol
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Transcript of A Case Of Pineal Region Sol
A CASE OF PINEAL REGION SOL
NS III UNIT-PROF R.A.K
PRESENTATION
• 31/F
• H/O Dull aching headache-3 yrs
• No h/o seizures/vomiting
• No h/o visual disturbances
• No h/o weakness of limbs
EXAMINATION
• On examination, On examination, *conscious, *conscious, *oriented *oriented *PERL *PERL *ambulant *ambulant *Cranial nerves normal *Cranial nerves normal *V *VA , A , VVF –F –nonormal rmal *No neurological deficit *No neurological deficit
INVESTIGATIONS
• CT Brain - hypo dense lesion in posterior third ventricle-pineal region
• MRI Brain -lesion in pineal region
CT
MRI
MRI
OPTIONS – POSITION,APPROACHES
• Positions- *sitting *lateral *prone
• Approaches *Infratentorial supra cerebellar *Transcallosal interhemispheric *Occipital trans tentorial *Transcortical trans ventricular
Sitting-infratentorial supra cerebellar approach
POST OP
• Recovery good
• HPE –Epidermoid cyst