Best Neuro Endovascular Surgeon in Salem
Top Neuro Endovascular Surgeon in Salem
Name
Dr. Hariharasudan Ranganathan
Institute / Department
Neuro Surgery
Qualification
MS.,Mch(Neurosurgery)
Designation
Brain, Spine & Neuro Endovascular Surgeon
Years in Practice
5
Associations (Nos)
Indian Medical Association IMA)
Medical Happenings
A Case of Ruptured intra-cranial Aneurysm
49 year old lady came to emergency in an unconscious state with two days history of severe headache and two episodes of vomiting on the day of admission. Her CT brain revealed a right Sylvian fissure grade III Sub arachnoid hemorrhage. An aneurysm rupture was suspected and patient underwent Digital subtraction angiography. Angiogram revealed a multiple lobed right Middle cerebral artery bifurcation aneurysm.
She underwent clipping of aneurysm and post clipping she was monitored in hospital for vasospasm for ten days. Her post-operative period was uneventful and she was discharged on 11th post op day with no weakness of limbs or speech difficulties. She was able to return to all her routine activities the very next day.
Our teams of critical care Physicians, Interventional Radiologist and Neurologist / Neurosurgeons are able to provide quality care 24/7 at an affordable cost to the people of Salem at par with care available in METRO Cities.
Spinal Stabilization for Paraplegia in Chronic Liver Disease / Hepatic Failure Patient
44 year old male in liver failure with L1 vertebral body fracture following a trivial fall. He was paraplegia post fall and referred to us for surgical stabilisation of the spine. Patient had a platelet of 30,000 and Hb of 8 due to Chronic Liver Disease and related portal hypertension, splenomegaly. After explaining in detail regarding the complications and post op liver failure he was taken up for surgery. Since it was a transition segment 4 level pedicle screws was planned.
Case was discussed with Anesthesia team and Gastroenterologist. Since there was splenomegaly and patient already in liver dysfunction any platelet transfusion will not improve his levels. So, he was planned for surgery with 2 single donor platelet and 4 fresh frozen plasma on flow. The procedure was completed in 1.30 hrs and patient extubated by 2 hrs and shifted to ward after observing for any liver failure signs. He went in for liver failure on second post op day and platelets dropped to 10k and bilirubin to 15 and Hb to 6. All these were previously anticipated and managed very well by Dr. Gopalakrishnan. He was mobilised and weight bearing exercises started on 5th Post Operative Delirium.. Now the patient is walking on his own. We wanted to highlight the outcome of this patient which was possible only due to the team effort.
CURE FOR SEIZURE DISORDER
38 Years old male patient from Calcutta came to us with history of Seizure for 8 years
duration. He was on 6 anti-epileptic drugs. To know the exact pathology, he was
evaluated with PET / MRI / EEG. The images were overlapped and he was found to have a
right posterior temporal Dys-embyroblastic Neuro-endocrine tumor (DNET) / Focal Cortical
dysplasia. He underwent surgical lesionectomy of the same.
Post-operative EEG the very next day was normal. Patient didn’t have any seizure episode
and all his seizure medications were stopped. His biopsy was confirmation of Focal
cortical dysplasia. This is to show that certain seizure disorders are curable with the
correct diagnosis.
A Case of Ruptured intra-cranial Aneurysm
49 year old lady came to emergency in an unconscious state with two days history of severe headache and two episodes of vomiting on the day of admission. Her CT brain revealed a right Sylvian fissure grade III Sub arachnoid hemorrhage. An aneurysm rupture was suspected and patient underwent Digital subtraction angiography. Angiogram revealed a multiple lobed right Middle cerebral artery bifurcation aneurysm.
She underwent clipping of aneurysm and post clipping she was monitored in hospital for vasospasm for ten days. Her post-operative period was uneventful and she was discharged on 11th post op day with no weakness of limbs or speech difficulties. She was able to return to all her routine activities the very next day.
Our teams of critical care Physicians, Interventional Radiologist and Neurologist / Neurosurgeons are able to provide quality care 24/7 at an affordable cost to the people of Salem at par with care available in METRO Cities.
Spinal Stabilization for Paraplegia in Chronic Liver Disease / Hepatic Failure Patient
44 year old male in liver failure with L1 vertebral body fracture following a trivial fall. He was paraplegia post fall and referred to us for surgical stabilisation of the spine. Patient had a platelet of 30,000 and Hb of 8 due to Chronic Liver Disease and related portal hypertension, splenomegaly. After explaining in detail regarding the complications and post op liver failure he was taken up for surgery. Since it was a transition segment 4 level pedicle screws was planned.
Case was discussed with Anesthesia team and Gastroenterologist. Since there was splenomegaly and patient already in liver dysfunction any platelet transfusion will not improve his levels. So, he was planned for surgery with 2 single donor platelet and 4 fresh frozen plasma on flow. The procedure was completed in 1.30 hrs and patient extubated by 2 hrs and shifted to ward after observing for any liver failure signs. He went in for liver failure on second post op day and platelets dropped to 10k and bilirubin to 15 and Hb to 6. All these were previously anticipated and managed very well by Dr. Gopalakrishnan. He was mobilised and weight bearing exercises started on 5th Post Operative Delirium.. Now the patient is walking on his own. We wanted to highlight the outcome of this patient which was possible only due to the team effort.
CURE FOR SEIZURE DISORDER
38 Years old male patient from Calcutta came to us with history of Seizure for 8 years duration. He was on 6 anti-epileptic drugs. To know the exact pathology, he was evaluated with PET / MRI / EEG. The images were overlapped and he was found to have a right posterior temporal Dys-embyroblastic Neuro-endocrine tumor (DNET) / Focal Cortical dysplasia. He underwent surgical lesionectomy of the same.
Post-operative EEG the very next day was normal. Patient didn’t have any seizure episode and all his seizure medications were stopped. His biopsy was confirmation of Focal cortical dysplasia. This is to show that certain seizure disorders are curable with the correct diagnosis.
