6^th World Congress on Spine and Spinal Disorders October 30-31, 2019 Tokyo,Japan

Biography:

Sukhee Park is affiliated from Catholic Kwandong University School of Medicine, Korea

Abstract:

Biography:

Raman Mohan Sharma is affiliated from J.N.Medical College, India

Abstract:

Biography:

Khoo Yee Hwa has obtained her Medical degree from Volgograd State Medical University, Russia. She has completed her training in Raja Permaisuri Bainun Hospital, Ipoh, before becoming a Medical Officer in Neurosurgery Unit, Queen Elizabeth Hospital, Sabah. She has been actively managing neurosurgical patients from pediatrics group to older patients ward and intensive care unit.

Abstract:

Giant lipoma, especially in children are rare, representing a real diagnostic and therapeutic challenge. Workup to establish the diagnosis is vital. Occurrence of such giant lipoma is a rare as parents would seek medical attention in such cases. This case seen in a five year old is pivotal study in the surgical study of lipomas. This is a case report on 5 years old boy, no known medical illness, from Sandakan. He presented with posterior neck swelling since he was 1 year old. Initially was the size of a golf ball and slowly increasing in size. The swelling did not accompany with pain, abnormal discharge and restricted neck movement. Child is active and cheerful. On examination, it was a solitary mass, over posterior neck, extending from nape of neck, centrally located, measured about 30ï‚´32ï‚´33 cm. The mass is soft in consistency, pedunculated mass, non-tender on palpation, non-erythematous, overlying skin have small pressure ulcer. MRI neck was done and was noted to have soft tissue tumor with no intracranial or intre-spinal involvement. Patient underwent excision of lipoma. The lipoma weighs 2 kg. On histopathology, the diagnosis is fibrolipoma. At sixth month follow up, child was normal without any complications. It can be concluded that giant lipomas of this dimension are a rare occurrence. Especially, these cases are not usually seen in children. Also, such clinical presentation would have the patient seeking medical attention at a very early stage of the tumor. This is an interesting case study due to its rare occurrence.

Biography:

Lalithambigai Gannison has her expertise in a renowned Neurosurgery Department in Kota Kinabalu, Sabah. She has garnered experience as a Junior Resident in the field of Neurosurgery. She has been actively and directly involved in the management of neurosurgery patients and treating patients in a holistic manner. She has been involved in the managements of patients’ requiring intensive care with multidisciplinary approach. She is also currently In Charge of Pediatric Neurosurgery Unit.

Abstract:

Purpose : Extradural hematoma (EDH), a common sequelae of traumatic brain injury, can lead to mortality and disability if a delay in identifying the pathology and subsequent management. In 1920s, mortality rates were reported as 86% and improved to 10% over the new millennium. We review our EDH cases to identify how we can achieve zero mortality, the ultimate goal of management for EDH. Materials and Methods: We retrospectively reviewed all traumatic EDH cases seen in the specialised paediatric neurosurgery department of Sabah Women & Children Hospital from the period of January 2013 to August 2018. Patient’s case records, operative notes and radiological images were traced and reviewed. A total of 101 cases were identified. Results :We had 101 patients ranging from ages of 9 months to 12 years. Out of it, 58 patients (58.41%) were males and 42 were females (41.59%). A total of 37 patients (36.3%) were treated surgically and 64 patients (63.7%) were treated conservatively. About 92 patients (91.09%) presented with supratentorial EDH and 9 patients (8.91%) had infratentorial EDH. Skull fractures were present in 47 children (46.5%). In the paediatric age group, fall from heights were the commonest cause. We achieved zero mortality among our patients who were treated both surgically and conservatively. Conclusion : EDH, a neurotrauma emergency, can be lethal yet the most rewardingly responsive lesions treated by neurosurgeons. Early diagnosis, prompt referrals, early surgical intervention when indicated and good intensive care remain the paramount facets towards achieving zero mortality in EDH. This study proves that our results are comparable to those seen in other neurosurgical centres throughout the developed world. An institutional protocol for EDH may ensure that the ultimate goal of towards ‘zero mortality’ could be achieved systematically and consistently.