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Christudas Orthopaedic Speciality Hospital (COSH)
COSH - Multi Speciality Hospital in Tambaram, Chennai
COSH - Multi Speciality Hospital in Tambaram, Chennai


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Chronic Beryllium Disease Symptoms:

Chronic beryllium disease, or CBD, causes scarring of the lung tissue. It occurs when a person inhales dust or fumes of beryllium — a naturally occuring lightweight material — and has become sensitized to this material. Beryllium is used in various industries, such as electronics, aerospace, dental, atomic energy and defense.

In the early stages, CBD may not cause any noticeable symptoms. However, over time, the following symptoms may develop:

• Shortness of breath with physical activity
• Dry cough that will not go away
• Fatigue
• Night sweats
• Chest and joint pain
• Loss of appetite

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COSH Hospital

Phone:044-2279 0340 / 2239 1577 / 2239 1576 / 2239 1578

Mobile: +91-9841812721
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Cerebrospinal Fluid Leaks Treatment in Chennai:
Cerebrospinal fluid (CSF) depletion may be caused by a leak, a shunt, inadequate production or too-rapid absorption.
Treatment may include:
·         Bed rest
·         Hydration
·         Steroids
·         An epidural blood patch is used in patients with spinal leaks who fail noninvasive measures. #Blood patches are generally thought to be safe but occasional reports of increased CSF pressure and persistent epidural fluid collections have been reported.
·         Surgical repair may be performed in patients with failed epidural blood patches if the site of the leak has been identified. The overwhelming majority of spontaneous leak patients have a spinal-level leak, although they are generally higher than the lumbar level.
·         Open surgical or endoscopic repair of anterior skull base leaks with rhinorrhea. Most cases of traumatic otorrhea resolve spontaneously or with #lumbar spinal drainage.
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COSH Hospital ON AUGUST 15th 2014 - YOUNG AT HEART ~ An Exclusive Health Awareness Programme For SENIOR CITIZENS (60 plus)


Christudas Orthopaedic Speciality Hospital
No 9, Duraiswamy Nagar, IAF Road, Near Madras Christian College, East Tambaram
Chennai - 600059
Phone : 044-22790340 / 044-22391577
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Olfactory Groove and Sphenoid Wing Meningiomas:

The term meningioma is a name for a tumor of the meninges, which are membranes that line the skull and enclose the brain. Meningiomas may arise from any location where meninges exist (eg, nasal cavity, paranasal sinuses, middle ear, mediastinum) and are generally thought to be slow-growing and benign. A meningioma can vary in size from a few millimeters to many centimeters in diameter.

Meningiomas account for 15 to 20% of intracranial #tumors and 90 percent of meningiomas are intracranial. They commonly occur in the fourth through sixth decades of life. They are more common in females and are rare in children.

Olfactory groove meningiomas grow along the nerves that run between the #brain and the #nose, the nerves allow you to smell. They can become large without causing significant neurologic deficits or evidence of increased intracranial pressure. Loss of smell can often be the only symptom. Changes in mental status are seldom striking until the tumor has reached a large size. Once the tumor becomes large it impinges on the optic nerves and chiasm resulting in visual loss.

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Epidural Hematoma Symptoms & Treatment

An epidural hematoma is a type of intracranial hematoma (blood clot or clots) that often results from a skull fracture.

The person may have varying degrees of symptoms associated with the severity of the #head injury. The following are the most common symptoms of a head injury. However, each individual may experience #symptoms differently. With this type of moderate to severe head injury, immediate #medical attention is required. Symptoms may include:

• confusion
• loss of consciousness
• blurred vision
• severe headache
• vomiting
• loss of short-term memory, such as difficulty remembering the events that lead right up to and through the traumatic event
• slurred speech
• difficult walking
• dizziness
• weakness in one side or area of the body
• sweating
• pale skin color
• seizures
• behavior changes including irritability
• blood or clear fluid draining from the ears or nose
• one pupil (dark area in the center of the eye) looks larger than the other eye
• deep cut or laceration in the scalp
• open wound in the head
• foreign object penetrating the head

The #symptoms of a head injury may resemble other problems or medical conditions. Always consult your physician for a diagnosis.

Treatment is individualized, depending on the extent of the condition and the presence of other injuries. Depending on the severity of the injury, treatment may include:

• Observation
• Immediate medical attention
• Stitches
• Hospitalization for observation
• Surgery to remove the blood clot

Head injury may cause the brain to swell. Since the brain is covered by the skull, there is only a small amount of room for it to swell. This causes pressure inside the skull to increase, which can lead to brain damage. If the #patient has a severe #head injury, he/she may require monitoring for increased intracranial pressure (ICP) (pressure inside the skull).

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Dural Arteriovenous Malformations:

A vascular malformation is an abnormal collection or tangle of blood vessels. The malformations restrict or alter blood flow and are associated with the degeneration of neurons.

In arteriovenous malformations (AVMs), arteries, which supply oxygen-rich blood to tissue, are directly interconnected with veins, which move oxygen-depleted blood back to the heart and lungs. The capillaries, the tiny vessels that deliver oxygen to cells and usually separate arteries from veins, are absent. Malformations with such artery-to-vein connections are called #arteriovenous malformations (AVMs).

The symptoms of dural AVMs include #headache, ringing in the ears, #visual problems, and #stroke-like #symptoms, including neurological deficits. Dural AVMs also may bleed, or hemorrhage, a serious neurological problem.

Some dural AVMs – those that do not cause #symptoms and do not appear likely to hemorrhage– can be monitored without treatment. The current #treatment of choice for dural AVMs is endovascular embolization, which involves the insertion of a catheter, or tube, through an artery in the groin. The tube is guided through the circulatory system to the site of the dural AVM, where it delivers a kind of “glue” that embolizes, or blocks, the malformation to bypass it and restore normal circulation. After #embolization, the microsurgical resection of the dural AVM, in which surgeons remove the abnormal vessels, may be more successful. In cases in which the risk of hemorrhage is high, or in which the catheter cannot reach the AVM, treatment may involve only surgical resection. Stereotactic radiosurgery (highly focused radiation) also may be used in specific cases.

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Craniofacial Anomalies – A Small Introduction:

Included under Craniofacial Anomalies are a rather large number of conditions that can affect the shape of a child’s head and face. An extensive review cannot be presented here but rather some basic features.

When a #baby is #born the #skull bone is really a collection of many smaller #bones which abut one another at sites known as sutures. The most noticeable is the anterior fontanel or “soft spot” where four bones meet. As the brain grows, the sutures allow for rapid expansion in a symmetrical fashion. It is the brain that essentially determines the head size and shape under normal circumstances. If for any reason one or more sutures closes to early the brain is forced to grow in a different direction where the bones are not resisting growth. This is like blowing up a balloon but pinching it as it inflates. The air goes in but the balloon inflates in the direction away from where you are pinching it.

This condition is known as #craniosynostosis or #craniostenosis. Some of these conditions are inherited and associated with other developmental problems. The majority however are sporadic and not associated with developmental problems. Certain craniosynostses can be detected at birth while others are not obvious for several months. Since it is in the first year of life that the most rapid #head growth occurs, it is usually the only #significant time to #diagnose and treat these conditions.

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Cranial Gunshot Wounds Treatment:

Virtually all cranial gunshot victims are aggressively resuscitated upon initial arrival at the hospital. If a patient’s blood pressure and oxygenation can be maintained, an urgent CT scan of the brain is obtained. The decision to proceed with #surgical management of the gunshot #wound is based on three factors:

• The level of consciousness (GCS)
• The degree of brainstem neurological function
• The findings on the CT scan.

In virtually all patients who are deeply comatose with #minimal evidence of #brainstem function and no evidence of an intracranial hematoma that might be causing the #coma, a fatal outcome is almost certain. In such patients, aggressive #treatment is rarely pursued because of the futility of the situation. If, however, there is a hematoma seen on the CT scan, emergent #craniotomy and clot evacuation may be warranted, as some of these individuals will make a significant recovery. For other patients who exhibit purposeful motor activity, urgent and aggressive #neurosurgical care is provided, when indicated.

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Congenital Malformations of the Head and Spine:

Pediatric neurosurgeons can correct a variety of malformations of the bone and soft tissue of the head and spine, including neural tube defects such as spina bifida. Each year, one in a thousand babies are born with spina bifida (meningomyelocele), a malformation of the bones (vertebrae) and/or skin surrounding the spine that can lead to serious infections, problems with bladder and bowel function, hydrocephalus, and paralysis. In most cases, surgical correction of the neural tube defect can prevent such complications.

Other #congenital problems that may be treated by a #pediatric #neurosurgeon include:

• Chiari malformation, a condition in which portions of the base of the spine protrude into the upper spine, where they may compress the brain or spinal cord. Left untreated, this condition can lead to neck pain, hoarseness, upper-respiratory tract infections, and progressive weakness of the arms and legs. Chiari malformation also may block the flow of cerebrospinal fluid (CSF), leading to hydrocephalus. Treatments often focus on removing portions of the bone and soft tissue to relieve pressure on the spinal cord and brain, as well as providing new pathways to drain CSF. Encephaloceles is a condition similar to chiari malformation that affects the passageway between the nose and the front or back of the #head.

• Encephaloceles can lead to infections and hydrocephalus. Surgical treatment of this condition involves removing bone and soft tissue or drainage of CSF.

• Tethered spinal cord, the attachment of the spinal cord to surrounding tissue. Failure to detect a tethered spinal cord can lead to a sudden catastrophic injury during childhood or adolescence, such as paralysis. Tethered spinal cord can be diagnosed through the detection of certain #skin abnormalities along the midline of the back. Diagnosis may be confirmed by magnetic resonance imaging (MRI), and surgery is usually indicated to prevent neurological damage.

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Concussion - Everyone Must Know This:

The brain floats within the skull, surrounded by cerebrospinal fluid, which cushions it from the light bounces of everyday movement and the fluid may not be able to absorb the force of a sudden hard blow or a quick stop.

A violent jar or shock to the head can cause a concussion, a type of traumatic brain injury (TBI).

A #concussion causes at least a temporary loss in brain function. Although losing consciousness is a common sign of a concussion, it’s possible to suffer a concussion without being completely knocked out.

Although not usually life-threatening, a concussion can have serious effects. Most people with mild injuries make a complete recovery, but it’s important to seek #medical attention and to allow enough time for the #healing process.

Each year, minor incidents of TBI happen to over one million people in the United States. These minor injuries result in the treatment and release from #hospital #emergency departments. Another 230,000 people are hospitalized each year with TBI. Of these people, 99,000 will show a lasting disability.

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