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Two cases of cystic brainstem schwannomas protruding into the fourth ventricle are described. Both patients presented with hemifacial spasm. While there is only one previous case report of an intraventricular brainstem schwannoma, there has been no prior description in the literature of hemifacial spasm associated with such a tumor. The clinical,(More)
Vehicular ad-hoc networks (VANETs) offer a vast number of applications without any support from fixed infrastructure. These applications forward messages in a multi-hop fashion. Designing an efficient routing protocol for all VANET applications is very hard. Hence a survey on routing protocols based on various parameters of VANET is a necessary issue in(More)
BACKGROUND The perioperative course of patients undergoing intracranial surgery is frequently complicated by hypertensive episodes. Dexmedetomidine (DEX), an alpha-2 adrenoreceptor agonist, is gaining popularity in neuroanesthesia, because its sympatholytic and antinociceptive properties may improve hemodynamic stability at critical moments of surgery. We(More)
The network structures have changed significantly in the recent years. In spite of the wireless network challenges namely: changes in network topology, high error rates, power restrictions, bandwidth constraints and issues with link capacity, these networks have become popular. Researchers have contributed to a great extent to solve these challenges with(More)
Primitive neuroectodermal tumour (PNET) is a rare tumour mainly found in children under ten years old. It may be broadly categorised into those occurring from the central or peripheral nervous system of which the majority arise centrally. We report a 61 year-old lady who had previous lobular breast cancer presenting with a rapidly expanding lesion in her(More)
OBJECTIVE A combination of analgesics with different mechanisms of action may improve postoperative pain control and reduce the incidence of side effects. This study was designed to assess the efficacy of preoperative administration of rofecoxib (Vioxx; Merck & Co., Inc., Somerset, NJ) in reducing pain and opioid requirements after single-level lumbar(More)
We report a case of radiation necrosis occurring 47 years after resection and radiotherapy for a juvenile pilocystic cerebellar astrocytoma, the longest yet reported. The patient presented with progressive lower cranial nerve dysfunction, and eventually died from cardiopulmonary arrest secondary to aspiration. The presentation, diagnosis, pathological(More)
In this paper, a coordination strategy for determining collision free path of end effectors of two manipulators involved in coordinated manipulation is proposed. This strategy consists of collision checking and path planning modules. Collision checking is done by modeling the links and environment of manipulator using sphere swept volume technique and(More)
BACKGROUND Surgery induces a variety of metabolic, endocrine, and immune changes collectively known as the "stress response," which may often lead to prolonged postoperative convalescence. Anesthetic management may modulate this physiological response, thus affecting the postoperative course. We hypothesized that the intraoperative administration of(More)