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Interesting diagnostic pictures of few patients operated by me in last 3days

This young man was operated 2 days back both for left frontal contusion and right temporal extradural haematoma because of deterioration in Glasgow Coma Scale. 3cm trephine craniotomy was used for r…

Started Mar 7

This young lady got cured of this SOL brain but ----------

This is not at all uncommon. A young lady was operated in 2008 for left frontal mass and survived but the consequences of SOL has left her blind. When a physcian keeps treating a patient with table…

Started Mar 5

Bloggers/Writers needed for Internet news site

Dear Greenstein, Am I the blogger you are looking for? I am interested in writing more and more and since I am a neurosurgeon most of my writings pertain to that subject but I can write on most of is…

Tagged: neuroblogs, neuroscience, on, writing, blogging

Replied Mar 3

Diagnose this swelling in an Indian male boy- painless progressive swelling since early childhood

This child was operated by me few years back. Total excision was done. I will let you know the CT and MRI images of this boy after you have suggested the diagnosis.

Started Feb 26

 

Karam Chand Sharma's Page

Latest Activity

Karam Chand Sharma added a discussion
This young man was operated 2 days back both for left frontal contusion and right temporal extradural haematoma because of deterioration in Glasgow Coma Scale. 3cm trephine craniotomy was used for right temporal extradural haematoma and 5 cm treph…
on Sunday
Karam Chand Sharma added a discussion
This is not at all uncommon. A young lady was operated in 2008 for left frontal mass and survived but the consequences of SOL has left her blind. When a physcian keeps treating a patient with tablets who otherwise would have needed urgent decompre…
on Friday
Dear Greenstein, Am I the blogger you are looking for? I am interested in writing more and more and since I am a neurosurgeon most of my writings pertain to that subject but I can write on most of issues. Is it possible fort you to accomodate my vie…
March 3
Karam Chand Sharma added a discussion to the group Neurosurgery
As time changes the procedures also must change. Certain instruments which have been very useful sice inception have lost their value. The burrs, perforators, bone nibblers, spine cutters which were very essential till today are rarel or not neede…
February 26
Karam Chand Sharma added a discussion
This child was operated by me few years back. Total excision was done. I will let you know the CT and MRI images of this boy after you have suggested the diagnosis.
February 26
Karam Chand Sharma added 2 discussions
February 23
Surely nostalgia about reading printed material will be there with our generation. Change is the rule of nature. The biggest suffere in this whole change will be handwriting. For many of us handwriting reflected the personality behind this which we…
February 21
Karam Chand Sharma added a discussion
Tuberculosis control under a special national programme seems to have seems to have failed. Although it mainly affects lungs extrapulmonary tuberculosis is also rampant. Although positive HIV case have increased chances of getting this disease immun…
February 20
Karam Chand Sharma added a discussion
Recent CECT head showing multiple ring lesions il left cerebellum with surronding edema. This is highly suggestive of tuberculomas in brain. MRI at the time of first admission 6 months back showing cystic cum solid enhancing lesion in left cerebell…
February 19
Karam Chand Sharma added 2 discussions
February 18
The reason to post this patient was that she had a noncontrast MRI cervical spine and it had been reported as intramedullary tumour, however I got a contrast MRI done which confirmed it to be intradural extramedullary well defined tumour. Note the e…
February 17
Somethings are inevitable. Some of us passing through this transition will be nostalgic about books because we have learnt that way. But imagine all that wastage of paper and inreturn deforestation has forever destroyed green foorest cover.E-media i…
February 16
Preoperative localisation with fMRI may not be necessarily at the same site because of CSF drainage and mannitol use so navigation with preoperative images is necessarily accurate. Peroperative use of ultrasound integrated with navigation system may…
February 16
This patient had to be operated for progressive quadriparesis. It turned out to be tubercular infection on histopathology. Two interlaminar fenestrations were done in cervical spine and pus was drained. Granulation tissue was sent for histopathology…
February 16
Dear Dr Saad, I never had this problem but surely in such a situation be ready to convert it into GA. The dose of anticonvulsant is given during surgery as a matter of routine. Laryngeal airway mask is always kept ready. A team of Anaesthetists give…
February 15
Realy dr.Karam this interesting topic in neurosurgery field especially the new evolving technology . I think you did quite good number of cases, i will just ask about the chane of having seizure intraop in awake procedure , and have you got any case…
February 15

Profile Information

Main areas of research:
Instruments for craniotomy
Karam Chand operation for syringomyelia
Growing skull fracture
Intra-arterial chemotherapy
minimal invasive neurosurgery
blog writing
Interests/keywords:
cricket
travel
current affairs
writing
music
Current title/position:
Professor and head of deptt
Postdoc Advisor and University:
VMMC and Safdarjang Hospital, IP University, New Delhi.
Publications:
About 40 mostly in international journals
26 blogs on neurosurgic.com

Karam Chand Sharma's Blog

Karam Chand Sharma

The best way to operate gliomas around eloquent areas of brain

We can be quite accurate in localing gliomas where they are situated in brain with frameless neuronavigation or frame based approach. fMRI is useful but is not accurate to localise speech. The peroperative localisation has therfore become imporatantand is really helpful. The normal position of motor strip and speech area can be marked on scalp but because of shift by tumour these landmarks also change.


The best way to deal with this is doing surgery in awake patient. I have done 40 plu

Continue

Posted on February 14, 2010 at 4:08am — 2 Comments

Karam Chand Sharma

For a wedding in New Zealand

I am fascinated by natural beauty of earth


in New Zealand. Last year I went to Auckland after 17 years and Auckland had changed a lot and like everywhere else lot of construction had taken place. The road leading to underwater world was no more lonely and lot ofbuildings had come up. Despite all that th… Continue

Posted on January 21, 2010 at 9:55am —

Karam Chand Sharma

Neatly trephined bone in a case of cerebellopontine meningioma.

For posterior fossa lesions also only craniotomy should be done. Karam Chand trephine is available in various sizes and it has an adjustable dura guard.

Posted on January 12, 2010 at 8:09am —

Comment Wall (3 comments)

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At 12:10am on March 3, 2010, seepi said…
m sorry......my exams started so i wasnt able to reach dere.........next tym i'll tell u before i plan to cum n will surely make it!!
At 7:13am on January 17, 2010, Karam Chand Sharma said…
Yes, any time you choose, u r welcome.
At 6:57am on January 17, 2010, seepi said…
hello..thanks...r u free on 25 of feb.?i just wanna cum n visit ur department n u... :) ryt now studin in delhi ncr area....
 
 
 

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