Sivashanmugam Dhandapani

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BACKGROUND To study the effect of timing of total enteral feeding on various nutritional parameters and neurological outcome in patients with severe traumatic brain injury (TBI). METHODS One hundred and fourteen patients, in the age group of 20-60 years, admitted within 24 h of TBI with Glasgow Coma Scale (GCS) 4-8 were enrolled for the study. Nineteen(More)
BACKGROUND Spinal dural arteriovenous fistula (SDAVF) is a common type of spinal vascular lesion. However, there has not been any published study on its clinico-radiological characteristics or surgical outcome from India. AIM The aim of this study was to determine the clinico-radiological features of patients with SDAVF, outcomes following surgical(More)
BACKGROUND Lack of risk stratification among patients with varying severities of compound head injury has resulted in too-inconsistent and conflicting results to support any management strategy over another. The purpose of this study was to validate a new clinico-radiological grading scheme with implications on outcome and the need for surgical debridement.(More)
BACKGROUND Homocysteine (tHcy) has been known over the last few decades for its putative impact on vascular diseases, but has not been evaluated much in patients with subarachnoid hemorrhage (SAH). This study was carried out to assess its prognostic impact on the neurological outcome following SAH. METHODS Admission plasma tHcy was evaluated in 90 SAH(More)
BACKGROUND Serum lipid abnormalities are known to be important risk factors for vascular disorders. However, their role in delayed cerebral ischemia (DCI), the major cause of morbidity after subarachnoid hemorrhage (SAH) remains unclear. This study was an attempt to evaluate the spectrum of lipid profile changes in SAH compared to matched controls, and(More)
BACKGROUND Nutritional status and adiposity have not been studied to a significant extent in subarachnoid hemorrhage (SAH). The aim of this study was to determine the trends in anthropometric indices and assess their impact on patients with SAH. METHODS We prospectively studied in 56 patients with SAH, the triceps skinfold thickness (TSF), mid-arm(More)
AIMS AND OBJECTIVES To assess the factors associated with development of pressure ulcer in patients with severe traumatic brain injury (TBI) and study its prognostic significance with respect to neurological outcome at three months. BACKGROUND Patients with severe TBI are prone to develop pressure ulcer due to various factors, which have never been(More)
BACKGROUND Socioeconomic status is an important determinant of the standard of living and health status of people. OBJECTIVES To assess the influence of economic status on the outcome following severe head injury. MATERIALS AND METHODS Adult patients of severe head injury, whose guardians' volunteered information on family income, were enrolled for the(More)
BACKGROUND Despite the substantial impact of cavernous sinus invasion (CSI) in pituitary adenoma surgery, its radiologic determination has been inconsistent and variable, and the role of endonasal endoscopic surgery has been unclear. This is a systematic review and pooled data meta-analysis of the literature to ascertain the best radiologic criteria for CSI(More)
BACKGROUND The role of inflammatory response in the pathophysiology of subarachnoid hemorrhage (SAH) is being increasingly recognized. This study analyzed the impact of cellular and biochemical markers of early inflammatory response to ictus on outcome after SAH. METHODS Patients with SAH were prospectively studied for markers of early cellular,(More)