Unlocking in COVID Times: The Neurosurgical Way
The humankind is facing one of the worst nightmares in the form of the ongoing Corona crisis. The pandemic has spread all across the globe and we are struggling to deal with its might. All nations have made their own strategies to deal with this situation and mainly a phase of lockdown has been the...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2021-04-01
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| Series: | Indian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716937 |
| _version_ | 1818916082814025728 |
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| author | Samir Kumar Kalra Vandana Kalra Raj Kumar |
| author_facet | Samir Kumar Kalra Vandana Kalra Raj Kumar |
| author_sort | Samir Kumar Kalra |
| collection | DOAJ |
| description | The humankind is facing one of the worst nightmares in the form of the ongoing Corona crisis. The pandemic has spread all across the globe and we are struggling to deal with its might. All nations have made their own strategies to deal with this situation and mainly a phase of lockdown has been the savior in most countries, especially India, where it was enforced early and well in time. After a successful lockdown, there is a phase of unlocking, which is equally important. One should exercise caution in that this should be done gradually and phased, with all the precautions in place and without any complacency. Neurosurgeons are faced with a situation pertaining to those afflicted by posterior fossa lesions with hydrocephalus. They are treated with ventriculoperitoneal shunt, but sometimes they develop reverse tentorial herniation. This needs prompt evaluation and intervention and carries a poor prognosis if untreated. Another situation is where bifrontal contusions need decompressive surgery; some patients develop encephaloceles and extradural hematomas following successful surgery and complicate the prognosis. Both situations emerge due to sudden decompression, leading to quick changes in brain pressure and perfusion. The solution is slow and careful decompression, with all precautions in place despite the temptation of eureka moments. A similar response could be desirous over the course of our unlocking period. Hope this wisdom brings us good results in these Corona times. |
| first_indexed | 2024-12-20T00:12:31Z |
| format | Article |
| id | doaj.art-7c530e8298984b138e957cffd32131b4 |
| institution | Directory Open Access Journal |
| issn | 2277-954X 2277-9167 |
| language | English |
| last_indexed | 2024-12-20T00:12:31Z |
| publishDate | 2021-04-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj.art-7c530e8298984b138e957cffd32131b42022-12-21T20:00:28ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672021-04-01100213613710.1055/s-0040-1716937Unlocking in COVID Times: The Neurosurgical WaySamir Kumar Kalra0Vandana Kalra1Raj Kumar2Department of Neurosurgery, Sir Ganga Ram Hospital & Ganga Ram Institute of Medical Education & Research, New Delhi, IndiaDepartment of Radiology, Delhi Heart & Lung Institute, New Delhi, IndiaDepartment of Neurosurgery, UP University of Medical Sciences, Saifai, Etawah, Uttar Pradesh, IndiaThe humankind is facing one of the worst nightmares in the form of the ongoing Corona crisis. The pandemic has spread all across the globe and we are struggling to deal with its might. All nations have made their own strategies to deal with this situation and mainly a phase of lockdown has been the savior in most countries, especially India, where it was enforced early and well in time. After a successful lockdown, there is a phase of unlocking, which is equally important. One should exercise caution in that this should be done gradually and phased, with all the precautions in place and without any complacency. Neurosurgeons are faced with a situation pertaining to those afflicted by posterior fossa lesions with hydrocephalus. They are treated with ventriculoperitoneal shunt, but sometimes they develop reverse tentorial herniation. This needs prompt evaluation and intervention and carries a poor prognosis if untreated. Another situation is where bifrontal contusions need decompressive surgery; some patients develop encephaloceles and extradural hematomas following successful surgery and complicate the prognosis. Both situations emerge due to sudden decompression, leading to quick changes in brain pressure and perfusion. The solution is slow and careful decompression, with all precautions in place despite the temptation of eureka moments. A similar response could be desirous over the course of our unlocking period. Hope this wisdom brings us good results in these Corona times.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716937covid 19reverse herniationupwards tentorial herniation |
| spellingShingle | Samir Kumar Kalra Vandana Kalra Raj Kumar Unlocking in COVID Times: The Neurosurgical Way Indian Journal of Neurosurgery covid 19 reverse herniation upwards tentorial herniation |
| title | Unlocking in COVID Times: The Neurosurgical Way |
| title_full | Unlocking in COVID Times: The Neurosurgical Way |
| title_fullStr | Unlocking in COVID Times: The Neurosurgical Way |
| title_full_unstemmed | Unlocking in COVID Times: The Neurosurgical Way |
| title_short | Unlocking in COVID Times: The Neurosurgical Way |
| title_sort | unlocking in covid times the neurosurgical way |
| topic | covid 19 reverse herniation upwards tentorial herniation |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1716937 |
| work_keys_str_mv | AT samirkumarkalra unlockingincovidtimestheneurosurgicalway AT vandanakalra unlockingincovidtimestheneurosurgicalway AT rajkumar unlockingincovidtimestheneurosurgicalway |