scholarly journals AN OBSERVATIONAL STUDY ON ASSESSMENT OF POSTOPERATIVE COMPLICATIONS AMONG PERFORATION PERITONITIS USING CLAVIEN-DINDO CLASSIFICATION IN TERTIARY CARE CENTER OF CENTRAL INDIA

2021 ◽  
Vol 9 (02) ◽  
pp. 922-937
Author(s):  
Ankur Deshwali ◽  
◽  
Sanjay Prasad ◽  
Akhilesh Kumar Patel ◽  
Rohan Chaphekar ◽  
...  
Keyword(s):  
Observational Study ◽  
Abdominal Surgery ◽  
Care Center ◽  
Tertiary Care ◽  
P Value ◽  
Complication Rates ◽  
Medical College ◽  
Sri Aurobindo ◽  
Perforation Peritonitis

Introduction :Surgical team always tries to provide consistently low incidence of major complications for patient undergoing any operation. Clavien-Dindo (CD) classification is the simplest way of reporting all complications. The main aim of this study was to test the usefulness of Clavien-Dindo classification in patients undergoing the abdominal surgery. In this study Clavien-Dindo classification has been used for assessment of postsurgical complications after major abdominal surgery. Material and method: It was an observational study of all perforation peritonitis patients admitted in sri aurobindo medical college and post graduate institute between november 2017 to may 2019 (1 and 1/2 Year) on the basis of Clavien-Dindo classification. Results :This was an observational prospective study was carried out in Department of General Surgery, Sri Aurobindo Medical College and P.G. Institute, Indore, which includes total 60 patients of perforation peritonitis admitted and treated in the department, During the period of November 2017 to May 2019. In our study Most common symptoms in patients presenting with perforation is Abdominal pain in 60 (100%) patients. 45(75%) patients had constipation & obstipation, 41 (68.33%) patients had vomiting ,33(55%) of patients had fever 17 (28.33%) patients had abdominal distensions the other common symptoms. Out of 60 patients, all 60(100%) patients had abdominal tenderness and guarding, 47 (78.33%) patients had absent bowel sounds, 42(70%) patients had tachycardia, 26 (43.33%) patients had hypotension, 23 (38.33%) patients had tachypnoea and 21 (35%) patients had low urinary output. In 16 (26.6%) patients comorbid conditions were present. In 10 (16.66%) patients multiple perforations were found out of which only 01 (10%) patient is haemodynamically stable and 09 (90%) patients were unstable. Complication occurred in 09(90%) patients and no complication were only in 01 (10%) patients. In this group 04(40%) patients got discharged and 6(60%) patient expired. P Value was 0.001 which is significant. In our study most common site of perforation was gastric perforation 30(49.18%) Complication according to clavien -dindo classification 14 out of 60 (23.33%) patients had no complications, 4 (6.66%) had grade I complication, 5 (8.33%) had grade II complications, 12 (20%) had grade III complications, 11 (18.33%) had grade IV complications, and 14 (23.33%) had grade V complication rates. Conclusion :Perforation peritonitis is a life-threatening condition and requires urgent hospital care, resuscitation and surgery. Early resuscitation and surgery are required to decrease morbidity and mortality. On the basis of risk stratification in Peritonitis patients its management requires lots of expensive modalities, skill, monitoring and treatment to provide better care to the patient. For the classification of complications, a new system is proposed by Clavien–Dindo which is very helpful during perforation surgery.Clavien- Dindo classification helps us to distinguish a normal postoperative course and the severity of complications, which allows us to compare postoperative morbidity and evaluate the outcomes. We also recommend a larger study with a bigger sample size for better analysis of clavien-dindo classification of complications and to confirm the findings of our study.

scholarly journals “CLINICAL STUDY OF CLAVIEN-DINDO CLASSIFICATION TO ASSESS THE GRADES OF COMPLICATION AND FACTORS RESPONSIBLE IN CASES OF GASTROINTESTINAL PERFORATIONS IN A TERTIARY CARE CENTRE”

2021 ◽  
pp. 1-10
Author(s):  
Ankur Deshwali ◽  
Rajesh Sharma
Keyword(s):  
Operative Procedure ◽  
Tertiary Care ◽  
P Value ◽  
High Morbidity ◽  
Complication Rates ◽  
Comorbid Conditions ◽  
Tertiary Care Centre ◽  
Chi Square ◽  
Perforation Peritonitis

INTRODUCTION Perforation peritonitis is one of the most common surgical emergencies across the globe. Gastrointestinal perforations have very high morbidity and mortality rates, irrespective of the type of operative procedure performed. The Clavien-Dindo system is nowadays widely used for complications after surgery for grading adverse events (i.e. complications) which occur as a result of surgical procedures and has become the standard classification system for many surgical specialties for open as well as laparoscopic surgeries . In this study, an attempt is made to find out various preoperative and intra operative factors that may responsible for adverse outcome and to identify the best management that could decrease the complication rate with special reference to CLAVIEN-DINDO classification. MATERIALS AND METHODS We did an observational study of 60 perforation peritonitis patients admitted in Department of Surgery, Sri Aurobindo Medical College and Post Graduate Institute, Indore, M.P. between November 2017 to May 2019(1 and 1/2 Year) on the basis of Clavien-Dindo classification.All were studied with respect to clinical features, time of presentation, comorbid conditions, investigations, intervention done, operative findings and postoperative course and all the data was entered in preformed proforma RESULTS Total 60 patients of perforation peritonitis admitted and treated in the department, During the period of November 2017 to May 2019. End of the study concludes the following points: • In my study, most of the cases were between age group 20-39(50%). more common in males 41 (68.33%). who presented after 3 days from onset of symptoms 20 (33.33%) all of them had complications 20(100%). P Value was<0.001 which is significant. In 16 (26.6%) patient’s comorbid conditions were present, out of them 12 (75%) patients were haemodynamically unstable and 9(56.25%) patient expired.In 29 (48.33%) patient size of perforation was more than 1 cm out of which complication observed in 28(96.55%) patient.. P Value was <0.001 which is significant. In 10 (16.66%) patients multiple perforations were found out of which 09 (90%) patients were unstable. Complication occurred in 09(90%) patients . In this group 6(60%) patient expired. P Value was 0.001 which is significant . In 24(40%) patients more than 500 ml intraperitoneal collection was found, out of which complications developed in all 24(100%) patients,. Chi Square Value was 42.8 and P Value was<0.001 which is significant. Complication according to clavien -dindo classification 14 out of 60 (23.33%) patients had no complications, 4 (6.66%) had grade I complication, 5 (8.33%) had grade II complications, 12 (20%) had grade III complications, 11 (18.33%) had grade IV complications, and 14 (23.33%) had grade V complication rates . CONCLUSION Post-operative complications increase due to comorbid conditions, size and number of perforations and it also affects the outcome of the patient. It is observed that with the increase in contamination (intraperitoneal collection) morbidity increases.For the classification of complications, a new system is proposed by Clavien–Dindo which is very helpful during perforation surgery, it is used in all over the world and facilitates in comparisons or evaluation of various surgical . The new classification mainly focuses on the medical perspective, with a major emphasis on the risk, type of anaesthesia and procedures or therapy used to correct a complication. We therefore recommend the use of clavien-dindo classification of complications.

A PROSPECTIVE OBSERVATIONAL STUDY ON SURGICAL INDICATIONS FOR SPLENECTOMY IN A TERTIARY CARE CENTER.

2021 ◽  
pp. 18-19
Author(s):  
Vijaya Bhaskara Reddy. M. G ◽  
Salman Ahmed. F ◽  
Santosh Kumar Rajput ◽  
Ganashyam. K. R
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Recent Trend ◽  
Care Center ◽  
Tertiary Care ◽  
Splenic Abscess ◽  
Surgical Indications ◽  
Spleen Preservation ◽  
Medical College ◽  
Operative Outcomes

Background: Spleen mediates important immunologic, storage and hematologic functions. A person can undergo a splenectomy for various causes which includes both surgical and non surgical. The recent trend being towards spleen preservation, it is necessary to critically analyse the indications for splenectomy and assess if the desired post operative outcomes are achieved by splenectomy. Materials and Methods: This prospective observational study was carried out on patients of Department of General Surgery, Mysore Medical College and Research Institute, Mysore, from august 2017 to November 2019. 45 adult subjects (both male and females) aged ≥ 18 years, who underwent elective or emergency splenectomy for various indications were studied. Results: The most common indication for splenectomy was trauma in 27 patients(60%) followed by splenic abscess(15.6%). Most of the patients underwent emergency splenectomy i.e., 25 cases(55%) . In our study the majority received blood transfusion, 15.5% developed wound infection and 2 cases(4.4%) needed reexploration due to rebleeding.

CLINICO-RADIOLOGICAL PATTERN OF PULMONARY TUBERCULOSIS AMONG ELDERLY AND YOUNG ADULTS IN A TERTIARY CARE CENTER.

2021 ◽  
pp. 68-69
Author(s):  
Neha Damor ◽  
Mahendra Kumar Bainara ◽  
Prem Chand
Keyword(s):  
Young Adults ◽  
Pulmonary Tuberculosis ◽  
Elderly Patients ◽  
Care Center ◽  
Tertiary Care ◽  
Elderly Group ◽  
P Value ◽  
Medical College ◽  
Radiological Pattern ◽  
Male Patients

Background: Clinical and radiographic manifestation of tuberculosis in elderly patients varies from young adults and not specic, often mistaken with other disease which may cause delay of therapy. For this we conducted study on clinical and radiographic manifestation of pulmonary tuberculosis in elderly patients. This study Methods: analyzed 100 pulmonary tuberculosis cases. We divided these patients in 2 groups i.e young adults (aged <60 years) and elderly(aged ≥60 years). This study was conducted in the Department of TB & Respiratory Diseases, RNT Medical College, Udaipur and analyzed by using Microsoft excel. We found that this study is Result: dominated by male patients. Chest pain, cough, dyspnoea, hemoptysis were found in-signicantly, while expectoration was found signicantly higher in young adults (p < 0.01). Fever was more in young whereas anorexia was more common in elderly group and in physical signs, icterus was found signicantly more in young adults as the p value is <0.05. Radiological bilateral involvement was found more in elderly group compared to adults (p = 0.67). Mixed and upper zone in adult patients consist majority patients. Elderly patients of PTB presented Conclusion: with recognized clinical and radiological features of disease.

scholarly journals Myringoplasty in wet and dry ears: an observational study in a tertiary care center

2021 ◽  
Author(s):  
S. Umamaheswara Rao ◽  
K. Samatha Reddy ◽  
Siva Subba Rao Pakanati ◽  
S. Chandramouli
Keyword(s):  
Observational Study ◽  
Otitis Media ◽  
Care Center ◽  
Tertiary Care ◽  
Hearing Threshold ◽  
Chronic Otitis Media ◽  
Hearing Improvement ◽  
Female Ratio ◽  
Medical College ◽  
Maximum Improvement

<p class="abstract"><strong>Background: </strong>Chronic otitis media is the most common cause of hearing impairment in the developing countries with serious effects. The aim of the study was to compare the outcome of myringoplasty in dry and wet ears in tubo-tympanic type of chronic otitis media (COM) with respect to graft uptake and hearing improvement.</p><p class="abstract"><strong>Methods:</strong> This is an observational study done in the department of ENT, Mamata medical college, Khammam, during the study period of September 2019 to February 2021 on 40 patients of tubo-tympanic type COM. On simple random basis selected patients underwent myringoplasty by underlay technique. All patients were evaluated during post-operative follow-up.</p><p class="abstract"><strong>Results:</strong> In our study, majority of patients were in the age group of 26 to 45 years with slight female preponderance, with male to female ratio (0.73:1). In our study, the successful graft uptake was seen 90% in dry ears and 85% in wet ears, which seems to be not significant in difference. With respect to hearing improvement, post-operatively there was significant improvement in both the groups, when compared to pre-operative hearing. The maximum improvement in average hearing threshold after surgery, in dry ears with large perforation (12.66dB) and in wet ears with small central perforation (12.44dB) was almost equal.</p><p><strong>Conclusions: </strong>In this study, the success rate of graft uptake and hearing improvement is found almost equal in dry and wet ears by using underlay technique of myringoplasty. </p>

scholarly journals Clinical, pathological and radiological profile of sinonasal masses in patients presenting to a tertiary care center: a retrospective observational study

2020 ◽  
Vol 6 (10) ◽  
pp. 1859
Author(s):  
Neena Bhalodiya ◽  
Kerul J. Prajapati ◽  
Parth Hingol ◽  
Simple Bhadania
Keyword(s):  
Observational Study ◽  
Care Center ◽  
Tertiary Care ◽  
Surgical Techniques ◽  
Clinical Profile ◽  
Sinus Surgery ◽  
Retrospective Observational Study ◽  
Nasal Discharge ◽  
Medical College ◽  
And Gender

<p class="abstract"><strong>Background:</strong> The study aimed to assess the profile of various pathological conditions that present with nasal mass in Indian patients.</p><p class="abstract"><strong>Methods:</strong> This is a retrospective observational study of 43 patients of sinonasal masses who visited GMERS Medical College and Hospital, Sola, Ahmedabad, India during May 2017 to March 2020. The clinical profile of sinus or nasal masses were observed along with their radiological features on computed tomography scans of paranasal sinuses. The age and gender sub group were also assessed for distribution of these conditions. Most of the patients were managed with surgical techniques.  </p><p class="abstract"><strong>Results:</strong> Overall, clinical profile of 43 patients was observed. The clinicopathological examination aided by endoscopic and imaging studies revealed that 20 (46.5%) patients presented with the non-neoplastic masses and remaining were with neoplastic masses (53.5%). The overall M: F ratio was 1.5:1. Most of the patients belong to         11-30 years age group. The most common symptoms were mass in the nasal cavity and nasal discharge. Polyps were most common lesions seen (25.6%). Surgical intervention in the form of biopsy, excision of mass, functional endoscopic sinus surgery was performed in all patients.</p><p class="abstract"><strong>Conclusions:</strong> This study gives an insight into various lesions presenting as sinonasal masses and their clinical and pathological profile. Overall, surgical management in form of excision by endoscopic or external approach is effective modality of treatment supplemented with appropriate medical management.</p>

scholarly journals Common menstrual disorders in adolescent girls attending a tertiary care center

2020 ◽  
Vol 9 (3) ◽  
pp. 1164
Author(s):  
Hibina K. P. ◽  
Nishi Roshini K. ◽  
Andrews M. A.
Keyword(s):  
Adolescent Girls ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
P Value ◽  
Tertiary Care Center ◽  
Menstrual Disorders ◽  
Cross Sectional ◽  
Medical College ◽  
Medical Disorders

Background: Menstrual disorders are an important cause of concern among adolescent girls. Most problems are physiological but few have underlying pathology which has adverse effect on the future reproductive health Aim of the study was to know the prevalence and to evaluate the underlying cause of the menstrual problems in adolescent girls seeking medical care.Methods: This is a cross sectional study conducted in in 215 adolescent girls aged 13-19 years who sought medical care over a period of 12 months for menstrual complaints from the department of obstetrics and gynecology, Govt. Medical College, Thrissur, a tertiary care center in middle of Kerala, South India. Data was analyzed by SPSS software and p value <0.05 was taken statistically significant.Results: Dysmenorrhea was the most common problem (57.5%), followed by scanty menstruation (35.35%) and 25.2% of girls suffered from premenstrual symptoms. Hypothyroidism was seen in 2.4% of girls 40% were anemic. Statistically significant association was found between hypothyroidism and features of hyperandrogenemia with cycle irregularity. Ultrasonographic evidence of polycystic ovarian morphology was identified among 61.9% girls with irregular cycles.Conclusions: Even though majority of menstrual issues are self-limiting proper evaluation and follow up for medical disorders like hypothyroidism and anemia are important and appropriate intervention is crucial for future reproductive and general health of adolescents presenting with Menstrual disorders.

EPIDEMIOLOGY AND OUTCOMES OF ELECTRIC BURN INJURY AT TERTIARY CARE CENTER IN JODHPUR, RAJASTHAN

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Bharti Saraswat ◽  
Ashok Yadav ◽  
Krishna Kumar Maheshwari
Keyword(s):  
Burn Injury ◽  
Low Voltage ◽  
Care Center ◽  
Tertiary Care ◽  
The Body ◽  
Electrical Injury ◽  
Age Group ◽  
Electric Circuits ◽  
Medical College ◽  
Social Burden

Background- Electric burns and injuries are the result of electric current passing through the body. Temporary or permanent damage can occur to the skin, tissues, and major organs. Methods- This prospective study was carried out on patients admitted in burn unit of department of surgery M.G. Hospital associated with Dr. S.N. Medical College Jodhpur. Records of the patients admitted from January 2018 to December 2018 were studied. Bed head tickets of the patients evaluated in detail. Results- In our study out of 113 patients maximum no. of patients were in age group of 21-30 years 44 (38.94%) followed by age group <11 years in 21 (18.58%) patients and age group of > 60 years in only 3 (2.65%).39 (34.51%) patients were farmer and 15 (13.27%) were electrician in out of 113 total patients, while 37 (32.74%) were without any occupation. 65 (57.52%) cases of high voltage (HV) electrical injury and 48 (42.48%) cases were of low voltage (LV) electrical injury. Conclusion- Morbidity leading to permanent disabilities make the person physically dependent on others. It can be prevented by educating the people about the proper handling to electric circuits & devices. Proper communication among the electricians may help in lowering such accidents. Proper rehabilitation of the handicapped person & employment to the member of the affected family may reduce the social burden caused by such electricity concerned accidents.

scholarly journals Post-Operative Outcomes of Intravenous Lidocaine Infusion on Major Abdominal Surgery in Pediatric Patients: A Randomized Control Trial in a Tertiary Care Hospital

2018 ◽  
Vol 10 (1) ◽  
pp. 23-27
Author(s):  
Nirupama Saha ◽  
Nadiuzzaman Khan ◽  
Mirza Kamrul Zahid ◽  
Shah Alam Talukder ◽  
ASM Meftahuzzaman
Keyword(s):  
Abdominal Surgery ◽  
Tertiary Care ◽  
Major Abdominal Surgery ◽  
P Value ◽  
Care Hospital ◽  
Intravenous Lidocaine ◽  
Operative Outcomes ◽  
Group A ◽  
Randomized Control ◽  
Group B

Background: Post-operative outcomes of a major abdominal surgery depend on careful & effective post-operative management. But it is a critical job especially in children. Obtaining adequate analgesia after major surgery is a problematic issue and postoperative pain still imposes a major burden of suffering in surgical patients.Objectives: The principle objectives of the study is to evaluate the effects of intravenous lidocaine infusion in pain management of pediatric population undergone in major abdominal surgery; to reduce post-operative morbidity & enhance better surgical outcome in children.Methodology: This is a randomized control trial carried out from January 2015-June2015,in a tertiary care hospital among 60 cases of 4 to 14 years children with major abdominal surgery without having any pulmonary, cardiac, hepatic or renal insufficiency. Grouping of patients that is lidocaine infusion group (Group A) and control group (Group B) was made among admitted cases for elective abdominal surgery by simple random technique by means of lottery. For assessment of postoperative pain FLACC Scale was used in both groups. Clinical examination findings & specifically designed data collection sheet with a set questionnaire were used as research instruments. Formulated data was analyzed by SPSS version 17, taking p value <0.05 as significant.Results: It is noted that, after 24 hours of operation most of the patients 56.7% of group A had mild pain whereas 90% patients of group B had moderate pain (p<0.001)& during that time there was no patient with severe pain in group A whereas in group B 10% patients were with severe pain. At 48 hours, pain was absent in 13.3% children of group A and 6.7% in group B. In group A most of the children 76.7%had mild pain compared to moderate pain 18 (60%) in group B children at that hours (P<0.001). Again, regarding required amount of analgesics, patients received I/V lidocaine required less amount of analgesics than its counterpart. In present study, complications was noted only 3.3% patien in group A, where as in the opposite group it was found in 23.3% & p was <0.05. In group A, in 50% patients post operative bowel sound was returned within 72 hours, compared to 73.3% patients in group B. The p value was 0.001. About post-operative hospital stay, 83.3% children of the group A were released from hospital after 5th P.O.D whereas, in group B, only 50% children were released after 7th P.O.D of operation. The P value was 0.03 that is also significant.Conclusion: Intravenous lidocaine could improve immediate and late post-operative pain with early recovery after major abdominal surgery in children & it can contribute to rapid postoperative rehabilitation programs.J Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 23-27

scholarly journals Case Study of Pediatric Cerebral Sinus Venous Thrombosis Center of a Low Middle-Income Country

2021 ◽  
Vol 27 ◽  
pp. 107602962110228
Author(s):  
Bushra Moiz ◽  
Ronika Devi Ukrani ◽  
Aiman Arif ◽  
Inaara Akbar ◽  
Muhammed Wahhaab Sadiq ◽  
...  
Keyword(s):  
Sinus Thrombosis ◽  
Care Center ◽  
Tertiary Care ◽  
Age Groups ◽  
Activated Protein C ◽  
Positive Association ◽  
Cerebral Venous Sinus Thrombosis ◽  
P Value ◽  
Middle Income ◽  
Duration Of Symptoms

Pediatric cerebral venous sinus thrombosis (CVST) is rare but a potentially fatal disease requiring its understanding in local setting. In this study, we observed the clinical course, management, and outcome of pediatric patients with sinus thrombosis in a tertiary care center at Pakistan. Patients between age 0 to 18 years of both genders diagnosed with sinus thrombosis during 2011 to 2020 were included. Data was collected through in-house computerized system and SPSS version 19 was used for analysis. Of 143492 pediatric admissions, 32 (21 males and 11 females) patients with a median (IQR) age of 4.5 years (0-16) had CVST. This is equivalent to 18.5 CVST events per million pediatric admissions. Adolescents were mostly affected, and the overall mortality was 7%. Primary underlying disorders were infections (59%), hematological neoplasms (12.5%), thrombotic thrombocytopenic purpura (3%) and antiphospholipid syndrome (3%). Activated protein C resistance (44%) was the most common inherited thrombophilia. Twenty-one (66%) patients were anemic with a mean (±SD) hemoglobin of 9.0 g/dL (±2.3). Regression analysis showed a positive association of anemia with multiple sinus involvement ( P-value 0.009) but not with duration of symptoms ( P-value 0.344), hospital stay ( P-value 0.466), age ( P-value 0.863) or gender ( P-value 0.542) of the patients. SARS-COV2 was negative in patients during 2020. Adolescents were primarily affected by sinus thrombosis and infections was the predominant risk factor for all age groups, with a low all-cause mortality. A high index of clinical suspicion is required for prompt diagnosis and intervention.

Intracranial Lesions Presenting as Bony Swellings of Scalp – An Observational Study of 13 Cases at King George Hospital, Visakhapatnam, A Tertiary Care Government Hospital

2021 ◽  
Vol 8 (31) ◽  
pp. 2822-2829
Author(s):  
Yarlagadda Srinivas Rao ◽  
Manda Venkata Vijayasekhar ◽  
Patirla Prahalad ◽  
Kadali Satyavaraprasad ◽  
Atla Bhagyalakshmi ◽  
...  
Keyword(s):  
Observational Study ◽  
Tertiary Care ◽  
Neurological Deficits ◽  
Intracranial Tumours ◽  
Medical College ◽  
Long Duration ◽  
Intracranial Lesions ◽  
Histological Characteristics ◽  
Malignant Lesions ◽  
King George Hospital

BACKGROUND The purpose of this study was to evaluate the intracranial lesions eroding the calvarium and presenting as bony swellings of the scalp. This kind of presentation is usually rare. This is because intracranial tumours usually manifest early with focal neurological deficits, seizures or features of raised intracranial pressure. Only a few patients, in whom the intracranial lesions, despite being present for a long duration, do not have neurological manifestations but erode the overlying bone and may present as bony swellings of the scalp. We studied the clinical presentation of such lesions, analysed their radiological and histological characteristics. METHODS This is an observational study from October 2018 to September 2020. A total of thirteen cases were studied in the Department of Neurosurgery, Andhra Medical College, Visakhapatnam, Andhra Pradesh. After clinical examination, an appropriate diagnostic workup was done, and all the cases were taken up for surgery. The clinical behaviour and histopathological features of the lesions were analysed. RESULTS In our study of thirteen cases, the most common cause of an intracranial lesion presenting as bony scalp swelling is meningioma which comprised almost 53.8 %, the second most common lesion is secondaries. Others included fibrous dysplasia and malignant small blue round cell tumour. CONCLUSIONS Intracranial lesions eroding the bone and presenting as scalp swellings are rare. In our study, the spectrum of these scalp swellings has ranged from benign lesions like meningioma to malignant lesions like secondary deposits. KEYWORDS Bony Scalp Lesions, Intracranial Tumours with Bony Erosion, Dumbbell Brain Tumours

Sign in / Sign up

Export Citation Format

Share Document