Sonjjay Pande - Academia.edu (original) (raw)

Papers by Sonjjay Pande

Research paper thumbnail of Evaluation of Parotid Gland Lesions by Hrusg in Adults and Correlation with Fnac Findings

Journal of Evidence Based Medicine and Healthcare, 2019

BACKGROUND With the advent of high-resolution ultrasound, evaluation of superficial soft tissue s... more BACKGROUND With the advent of high-resolution ultrasound, evaluation of superficial soft tissue structures has become very easy. Parotid gland being a superficial structure is easily amenable for high resolution ultrasound evaluation. And in the same sitting, a guided FNAC can be done for pathological characterization of suspected mass. Because of ease of availability, non-ionizing property, repeatability, real time scanning, being less expensive and easy follow up, USG can be used as a first line diagnostic procedure for suspected parotid lesions. METHODS This is a prospective study of 45 patients in the adult age group of 18 years and above, referred to the Department of Radiodiagnosis, NSCB Medical College, Jabalpur, with suspected parotid gland pathology. All these patients underwent USG and then FNAC after proper consent for histopathological examination. After detailed history, correlative laboratory findings, sonography was done with high resolution probe with patient in supine position and head turned to opposite side. Scanning was done by coupling techniques with the use of gel in axial, sagittal & coronal planes. Diagnosis was confirmed on FNAC and clinical correlation. RESULTS Out of a total number of 45 patients who were diagnosed and evaluated for parotid gland lesions by ultrasonography, the most common condition was pleomorphic adenoma followed by infective and inflammatory pathology.

Research paper thumbnail of Role of endoscopic third ventriculostomy in tuberculous meningitis with hydrocephalus

Asian Journal of Neurosurgery, 2016

Hydrocephalus is one of the commonest complications of tuberculous meningitis (TBM). It can be pu... more Hydrocephalus is one of the commonest complications of tuberculous meningitis (TBM). It can be purely obstructive, purely communicating, or due to combinations of obstruction in addition to defective absorption of cerebrospinal fluid (CSF). Endoscopic third ventriculostomy (ETV) as an alternative to shunt procedures is an established treatment for obstructive hydrocephalus in TBM. ETV in TBM hydrocephalus can be technically very difficult, especially in acute stage of disease due to inflamed, thick, and opaque third ventricle floor. Water jet dissection can be helpful in thick and opaque ventricular floor patients, while simple blunt perforation is possible in thin and transparent floor. Lumbar peritoneal shunt is a better option for communicating hydrocephalus as compared to VP shunt or ETV. Intraoperative Doppler or neuronavigation can help in proper planning of the perforation to prevent neurovascular complications. Choroid plexus coagulation with ETV can improve success rate in ...

Research paper thumbnail of Mucoid Degeneration of the Anterior Cruciate Ligament : A Case Report

Journal of Evolution of medical and Dental Sciences, 2015

A case of mucoid degeneration of the anterior cruciate ligament (ACL) is reported based on specif... more A case of mucoid degeneration of the anterior cruciate ligament (ACL) is reported based on specific imaging features on MRI. It is a very rare cause of knee pain and can be diagnosed preoperatively on MRI.

Research paper thumbnail of Piglet Sign of Central Pontine Myelinolysis

Journal of Evolution of medical and Dental Sciences, 2014

A 35 year chronic alcoholic old man, was admitted with altered sensorium since last 3 days. His M... more A 35 year chronic alcoholic old man, was admitted with altered sensorium since last 3 days. His MRI Brain done on Day 3 of admission revealed Hyperintense signal change in pons with partial sparing of the tegmentum, ventrolateral pons and corticospinal tracts on FLAIR and T2 weighted images suggestive of central pontine myelinolysis. The T2W axial images resembled the face of a pig with the temporal lobes representing ears, the carotid arteries the eyes, the abnormal pontine signal representing snout and the fourth ventricle the mouth. Recognition of this pattern -the piglet sign may aid in the differential diagnosis of pontine lesions.

Research paper thumbnail of Mri Evaluation of Epilepsy with Clinical Correlation

Journal of Evidence Based Medicine and Healthcare

BACKGROUND Epilepsy is a chronic disorder characterized by a spontaneous tendency for recurrent s... more BACKGROUND Epilepsy is a chronic disorder characterized by a spontaneous tendency for recurrent seizures. An epileptic seizure is a clinical manifestation of abnormal, excessive neuronal activity arising in the grey matter of the cerebral cortex. Epilepsy is one of the most common conditions to be evaluated by MRI. METHODS This is Hospital Based Prospective Observational study, conducted in the department of radio-diagnosis, NSCB Medical College and Hospital in conjunction with MP MRI and CT Scan Centre, Jabalpur. This study comprised of a total of 150 patients clinically diagnosed as seizures disorder who had undergone MRI examination. RESULTS Cases were divided according to the age ranging from < 1 to 91 years with presenting complaint of seizures. Maximum number of patients was males and in the age group of 16-30 years. MR examination had abnormal findings in 92 out of 150 patients (62%), of which majorly was infective granuloma (35.86%), infarct with gliosis (19.56%), tumours (13.04%), congenital (5.4%), Mets (4.3%), sinus thrombosis (3.2%); miscellaneous causes were 18.47%. GTCS was the most common type with 132 (88%) involving generalized, absence and myoclonic; patients were predominantly males 84 (63.6%), between the age group of 16-30 years. CONCLUSIONS From the present study it was noted that MRI is a very efficient tool in diagnosing the aetiology of epilepsy. Identification of the exact location of the epileptogenic focus is of great help from neurosurgical point of view. Diagnosing and characterizing the abnormalities with great accuracy by MRI not only helps in preoperative cases but also helps to evaluate the post-operative status. It is non-invasive and there is no exposure to ionizing radiation.

Research paper thumbnail of Evaluation of Parotid Gland Lesions by Hrusg in Adults and Correlation with Fnac Findings

Journal of Evidence Based Medicine and Healthcare, 2019

BACKGROUND With the advent of high-resolution ultrasound, evaluation of superficial soft tissue s... more BACKGROUND With the advent of high-resolution ultrasound, evaluation of superficial soft tissue structures has become very easy. Parotid gland being a superficial structure is easily amenable for high resolution ultrasound evaluation. And in the same sitting, a guided FNAC can be done for pathological characterization of suspected mass. Because of ease of availability, non-ionizing property, repeatability, real time scanning, being less expensive and easy follow up, USG can be used as a first line diagnostic procedure for suspected parotid lesions. METHODS This is a prospective study of 45 patients in the adult age group of 18 years and above, referred to the Department of Radiodiagnosis, NSCB Medical College, Jabalpur, with suspected parotid gland pathology. All these patients underwent USG and then FNAC after proper consent for histopathological examination. After detailed history, correlative laboratory findings, sonography was done with high resolution probe with patient in supine position and head turned to opposite side. Scanning was done by coupling techniques with the use of gel in axial, sagittal & coronal planes. Diagnosis was confirmed on FNAC and clinical correlation. RESULTS Out of a total number of 45 patients who were diagnosed and evaluated for parotid gland lesions by ultrasonography, the most common condition was pleomorphic adenoma followed by infective and inflammatory pathology.

Research paper thumbnail of Role of endoscopic third ventriculostomy in tuberculous meningitis with hydrocephalus

Asian Journal of Neurosurgery, 2016

Hydrocephalus is one of the commonest complications of tuberculous meningitis (TBM). It can be pu... more Hydrocephalus is one of the commonest complications of tuberculous meningitis (TBM). It can be purely obstructive, purely communicating, or due to combinations of obstruction in addition to defective absorption of cerebrospinal fluid (CSF). Endoscopic third ventriculostomy (ETV) as an alternative to shunt procedures is an established treatment for obstructive hydrocephalus in TBM. ETV in TBM hydrocephalus can be technically very difficult, especially in acute stage of disease due to inflamed, thick, and opaque third ventricle floor. Water jet dissection can be helpful in thick and opaque ventricular floor patients, while simple blunt perforation is possible in thin and transparent floor. Lumbar peritoneal shunt is a better option for communicating hydrocephalus as compared to VP shunt or ETV. Intraoperative Doppler or neuronavigation can help in proper planning of the perforation to prevent neurovascular complications. Choroid plexus coagulation with ETV can improve success rate in ...

Research paper thumbnail of Mucoid Degeneration of the Anterior Cruciate Ligament : A Case Report

Journal of Evolution of medical and Dental Sciences, 2015

A case of mucoid degeneration of the anterior cruciate ligament (ACL) is reported based on specif... more A case of mucoid degeneration of the anterior cruciate ligament (ACL) is reported based on specific imaging features on MRI. It is a very rare cause of knee pain and can be diagnosed preoperatively on MRI.

Research paper thumbnail of Piglet Sign of Central Pontine Myelinolysis

Journal of Evolution of medical and Dental Sciences, 2014

A 35 year chronic alcoholic old man, was admitted with altered sensorium since last 3 days. His M... more A 35 year chronic alcoholic old man, was admitted with altered sensorium since last 3 days. His MRI Brain done on Day 3 of admission revealed Hyperintense signal change in pons with partial sparing of the tegmentum, ventrolateral pons and corticospinal tracts on FLAIR and T2 weighted images suggestive of central pontine myelinolysis. The T2W axial images resembled the face of a pig with the temporal lobes representing ears, the carotid arteries the eyes, the abnormal pontine signal representing snout and the fourth ventricle the mouth. Recognition of this pattern -the piglet sign may aid in the differential diagnosis of pontine lesions.

Research paper thumbnail of Mri Evaluation of Epilepsy with Clinical Correlation

Journal of Evidence Based Medicine and Healthcare

BACKGROUND Epilepsy is a chronic disorder characterized by a spontaneous tendency for recurrent s... more BACKGROUND Epilepsy is a chronic disorder characterized by a spontaneous tendency for recurrent seizures. An epileptic seizure is a clinical manifestation of abnormal, excessive neuronal activity arising in the grey matter of the cerebral cortex. Epilepsy is one of the most common conditions to be evaluated by MRI. METHODS This is Hospital Based Prospective Observational study, conducted in the department of radio-diagnosis, NSCB Medical College and Hospital in conjunction with MP MRI and CT Scan Centre, Jabalpur. This study comprised of a total of 150 patients clinically diagnosed as seizures disorder who had undergone MRI examination. RESULTS Cases were divided according to the age ranging from < 1 to 91 years with presenting complaint of seizures. Maximum number of patients was males and in the age group of 16-30 years. MR examination had abnormal findings in 92 out of 150 patients (62%), of which majorly was infective granuloma (35.86%), infarct with gliosis (19.56%), tumours (13.04%), congenital (5.4%), Mets (4.3%), sinus thrombosis (3.2%); miscellaneous causes were 18.47%. GTCS was the most common type with 132 (88%) involving generalized, absence and myoclonic; patients were predominantly males 84 (63.6%), between the age group of 16-30 years. CONCLUSIONS From the present study it was noted that MRI is a very efficient tool in diagnosing the aetiology of epilepsy. Identification of the exact location of the epileptogenic focus is of great help from neurosurgical point of view. Diagnosing and characterizing the abnormalities with great accuracy by MRI not only helps in preoperative cases but also helps to evaluate the post-operative status. It is non-invasive and there is no exposure to ionizing radiation.