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Papers by Naseer Hassan Neurosurgeon

Research paper thumbnail of Catheter Drainage for Chronic Subdural Hematoma

Objective: To evaluate the functional outcome of patients having chronic subdural hematoma (CSDH)... more Objective: To evaluate the functional outcome of patients having chronic subdural hematoma (CSDH) in terms of Glasgow Outcome Scale subjected to single burr-hole craniostomy and catheter drainage without prior subdural space irrigation.Materials and Methods: This study was performed in Neurosurgery Department, PGMI Lady Reading Hospital, Peshawar, Pakistan from January 01, 2016 to December 31, 2016. Through a Descriptive Case Series, 116 patients presenting with CSDH were included in the study in a consecutive manner, subjected to single burr hole craniostomy and catheter drainage and followed up for up to 06 weeks.Results: The mean age group of the sample was 37.31 +/- 10.74 years, of which 69% were male and 31%female patients respectively. At the presentation, there were 37.06% of patients in Class I group with GCS13-14, 47.41% of patients in Class II group with GCS 9-12 and 15.52% of patients in Class III group with GCS 3-8. On follow up, Glasgow Outcome Score of the sample was 4...

Research paper thumbnail of EXTRA DURAL HEMATOMA SURGICAL OUTCOME USING GLASGOW COMA SCALE IN A TERTIARY CARE HOSPITAL OF KHYBER PAKHTUNKHWA

Methodology: This was a case series study conducted in Neurosurgery Department, Lady Reading Hosp... more Methodology: This was a case series study conducted in Neurosurgery Department, Lady Reading Hospital (LRH) Peshawar, from 1 st January 2009 to 30 th September 2009. Total 145 consecutive patients of acute extradural hematoma were admitted and their baseline GCS was recorded. They were operated by consultant neurosurgeon. Post-operative outcome including good recovery, moderate disability, severe disability, persistent vegetative state and death were recorded. Results: Out of 145 cases, 82% were male and 18% were female. Majority of the cases were less than14 years old. Fall was the cause of EDH in 60% patients, road traffic accident (RTA) in 26% and physical assault was the mode of injury in 14%. Interval between injury and surgery of more than 8 hours was recorded in majority of the cases. Parietal lobe was the commonest site of EDH. Craniotomy was performed in 80% cases and craniectomy in 20% cases. Post-operative GCS of 13-15 was noted in 123 (85%) cases compared to GCS at arrival of 13-15 in 72 (50%) cases. Post-operatively, good recovery was noted in majority of the cases (n=123, 85%) having higher GCS scores (13-15). Conclusion: Surgical outcome in EDH patient is affected by GCS. Lower GCS have poor outcome. Good recovery was noted in maximum cases.

Research paper thumbnail of Catheter Drainage for Chronic Subdural Hematoma

PAKISTAN JOURNAL OF NEUROLOGICAL SURGERY, 2019

Objective: To evaluate the functional outcome of patients having chronic subdural hematoma (CSDH)... more Objective: To evaluate the functional outcome of patients having chronic subdural hematoma (CSDH) in terms of Glasgow Outcome Scale subjected to single burr-hole craniostomy and catheter drainage without prior subdural space irrigation.

Research paper thumbnail of Cubitus varus deformity of humerus correction with modified lateral closed edge osteotomy

Pakistan Journal of Surgery , 2009

cosmetic deformity (cubitus varus or valgus) and poor functional outcome. The cubitus varus is th... more cosmetic deformity (cubitus varus or valgus) and poor functional outcome. The cubitus varus is the most common delayed complication. Immediate and delayed causes of this deformity are medial angulation, posteromedial rotation, medial cortical communition, overgrowth of the capitulum and osteonecrosis or delayed growth of the medial condyle. The medial angulation is the major determinant for deformity while medial rotation contributes to it. 3,4,5 This usually occurs in patients who receive initial treatment by traditional bonesetters or inexperienced orthopedists. Open reduction in such circumstances may not be easy and effective. Correction of malunited supracondylar fracture after inappropriate treatment is sometimes difficult to manage. The lateral closing edge osteotomy is a commonly accepted method for correction of the cubitus varus deformity. 6 The osteotomy needs fixation to prevent loss of correction achieved. Fixation by two screws with a figure of eight tension

Research paper thumbnail of Causes of Carpal Tunnel syndrome (CTS

Pakistan Journal Of Neurological Surgery, 2014

Objective: To know about the pathological causes of carpal tunnel syndrome. Materials and Methods... more Objective: To know about the pathological causes of carpal tunnel syndrome. Materials and Methods: This is retrospective cross sectional study on the patients operated by the senior author at his private clinic between January 2008 and March 2014. All the patients operated for carpal tunnel syndrome during the study period were included while those managed conservatively were excluded from the study. Preoperatively all patients had undergone Nerve conduction studies and the procedure was performed under local anaesthesia. The pathology responsible for causing CTS was noted. Results: A total of 73 patients were operated for CTS during the study period by the senior author. There were 18 males and 55 females with a male to female ratio approaching 3.0:1. The age range was from 24-58 years with a mean age of 43.6 ± 4 years. The pathology was hypertrophied transverse carpal ligament in 66 (90%) cases, abnormal vessels in 1 (1%), neuroma in 1 (1%), fracture distal end of the radius in 2 (5%), ganglion compressing the nerve in 1 (1%), post cellulitis in 1 (1%) and direct trauma to the nerve in 1 (1%). Conclusion: Thickened ligamentum flavum is the most common cause of carpal tunnel syndrome and space occupying lesion constitute a considerable percent of pathology.

Research paper thumbnail of Catheter Drainage for Chronic Subdural Hematoma

Objective: To evaluate the functional outcome of patients having chronic subdural hematoma (CSDH)... more Objective: To evaluate the functional outcome of patients having chronic subdural hematoma (CSDH) in terms of Glasgow Outcome Scale subjected to single burr-hole craniostomy and catheter drainage without prior subdural space irrigation.Materials and Methods: This study was performed in Neurosurgery Department, PGMI Lady Reading Hospital, Peshawar, Pakistan from January 01, 2016 to December 31, 2016. Through a Descriptive Case Series, 116 patients presenting with CSDH were included in the study in a consecutive manner, subjected to single burr hole craniostomy and catheter drainage and followed up for up to 06 weeks.Results: The mean age group of the sample was 37.31 +/- 10.74 years, of which 69% were male and 31%female patients respectively. At the presentation, there were 37.06% of patients in Class I group with GCS13-14, 47.41% of patients in Class II group with GCS 9-12 and 15.52% of patients in Class III group with GCS 3-8. On follow up, Glasgow Outcome Score of the sample was 4...

Research paper thumbnail of EXTRA DURAL HEMATOMA SURGICAL OUTCOME USING GLASGOW COMA SCALE IN A TERTIARY CARE HOSPITAL OF KHYBER PAKHTUNKHWA

Methodology: This was a case series study conducted in Neurosurgery Department, Lady Reading Hosp... more Methodology: This was a case series study conducted in Neurosurgery Department, Lady Reading Hospital (LRH) Peshawar, from 1 st January 2009 to 30 th September 2009. Total 145 consecutive patients of acute extradural hematoma were admitted and their baseline GCS was recorded. They were operated by consultant neurosurgeon. Post-operative outcome including good recovery, moderate disability, severe disability, persistent vegetative state and death were recorded. Results: Out of 145 cases, 82% were male and 18% were female. Majority of the cases were less than14 years old. Fall was the cause of EDH in 60% patients, road traffic accident (RTA) in 26% and physical assault was the mode of injury in 14%. Interval between injury and surgery of more than 8 hours was recorded in majority of the cases. Parietal lobe was the commonest site of EDH. Craniotomy was performed in 80% cases and craniectomy in 20% cases. Post-operative GCS of 13-15 was noted in 123 (85%) cases compared to GCS at arrival of 13-15 in 72 (50%) cases. Post-operatively, good recovery was noted in majority of the cases (n=123, 85%) having higher GCS scores (13-15). Conclusion: Surgical outcome in EDH patient is affected by GCS. Lower GCS have poor outcome. Good recovery was noted in maximum cases.

Research paper thumbnail of Catheter Drainage for Chronic Subdural Hematoma

PAKISTAN JOURNAL OF NEUROLOGICAL SURGERY, 2019

Objective: To evaluate the functional outcome of patients having chronic subdural hematoma (CSDH)... more Objective: To evaluate the functional outcome of patients having chronic subdural hematoma (CSDH) in terms of Glasgow Outcome Scale subjected to single burr-hole craniostomy and catheter drainage without prior subdural space irrigation.

Research paper thumbnail of Cubitus varus deformity of humerus correction with modified lateral closed edge osteotomy

Pakistan Journal of Surgery , 2009

cosmetic deformity (cubitus varus or valgus) and poor functional outcome. The cubitus varus is th... more cosmetic deformity (cubitus varus or valgus) and poor functional outcome. The cubitus varus is the most common delayed complication. Immediate and delayed causes of this deformity are medial angulation, posteromedial rotation, medial cortical communition, overgrowth of the capitulum and osteonecrosis or delayed growth of the medial condyle. The medial angulation is the major determinant for deformity while medial rotation contributes to it. 3,4,5 This usually occurs in patients who receive initial treatment by traditional bonesetters or inexperienced orthopedists. Open reduction in such circumstances may not be easy and effective. Correction of malunited supracondylar fracture after inappropriate treatment is sometimes difficult to manage. The lateral closing edge osteotomy is a commonly accepted method for correction of the cubitus varus deformity. 6 The osteotomy needs fixation to prevent loss of correction achieved. Fixation by two screws with a figure of eight tension

Research paper thumbnail of Causes of Carpal Tunnel syndrome (CTS

Pakistan Journal Of Neurological Surgery, 2014

Objective: To know about the pathological causes of carpal tunnel syndrome. Materials and Methods... more Objective: To know about the pathological causes of carpal tunnel syndrome. Materials and Methods: This is retrospective cross sectional study on the patients operated by the senior author at his private clinic between January 2008 and March 2014. All the patients operated for carpal tunnel syndrome during the study period were included while those managed conservatively were excluded from the study. Preoperatively all patients had undergone Nerve conduction studies and the procedure was performed under local anaesthesia. The pathology responsible for causing CTS was noted. Results: A total of 73 patients were operated for CTS during the study period by the senior author. There were 18 males and 55 females with a male to female ratio approaching 3.0:1. The age range was from 24-58 years with a mean age of 43.6 ± 4 years. The pathology was hypertrophied transverse carpal ligament in 66 (90%) cases, abnormal vessels in 1 (1%), neuroma in 1 (1%), fracture distal end of the radius in 2 (5%), ganglion compressing the nerve in 1 (1%), post cellulitis in 1 (1%) and direct trauma to the nerve in 1 (1%). Conclusion: Thickened ligamentum flavum is the most common cause of carpal tunnel syndrome and space occupying lesion constitute a considerable percent of pathology.