Siddharth Vankipuram

University College London

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Bal Krishna Ojha

King George's Medical University

Somil Jaiswal

King George's Medical University

Manish Jaiswal

King George's Medical University

Chittij Srivastava

King George's Medical University

Anil Chandra

King George's Medical University

Ankur Bajaj

King George's Medical University

Sunil Kumar Singh

All India Institute of Medical Sciences

Ajeet Ramamani Tiwari

All India Institute of Medical Sciences Raipur

Aniruddha Prabhakar Chaphekar

Topiwala National Medical College & BYL Nair Charitable Hospital

Devbrata Adhikari

Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College

Cooperative Institutions

King George's Medical University

Topiwala National Medical College & BYL Nair Charitable Hospital

University College London

National Hospital for Neurology and Neurosurgery

Creative Commons

Post Graduate Institute of Medical Education and Research

Cancer Institute (WIA)

Victor (Japan)

University of Liverpool

Dr. Ram Manohar Lohia Institute of Medical Sciences

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Radiation-induced supratentorial osteosarcoma following curative treatment of infratentorial ependymoma in a child

Journal of Pediatric Neurosciences (2020)

Siddharth Vankipuram Manish Jaiswal SunilK Singh Sumaira Qayoo Bal Krishna Ojha

The development of secondary neoplasms following therapeutic cranial irradiation is rare and quite often lethal. Meningiomas, sarcomas, and high-grade gliomas are the most common tumors that manifest as a result of radiation therapy. We report the case of an 11-year-old child who presented with symptoms of supratentorial space-occupying lesion 7 years after curative surgery and cranial irradiation for a posterior fossa ependymoma. Magnetic resonance imaging of the brain revealed a right-sided temporoparietal dural-based contrast-enhancing lesion with evidence of overlying bone and skin involvement. The histological report of ependymoma from the previous surgery led us to suspect that we were dealing with a recurrence until the histopathology of the second surgery revealed highly malignant osteosarcoma. The child recovered fully and underwent chemotherapy, but ultimately succumbed to the disease. We report this case to highlight the importance of recognizing these neoplasms and to review its management.

Ependymoma

Histopathology

10.4103/jpn.jpn_8_20

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A Successful Strategy for Surgical Treatment of Boerhaave’s Syndrome Sans Thoracotomy

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH (2015)

Devbrata Adhikari Ajeet Ramamani Tiwari Siddharth Vankipuram Aniruddha Prabhakar Chaphekar Ritesh Satardey

Boerhaave's syndrome is a rare life threatening condition that is often misdiagnosed and fatal if not treated promptly. While the gold standard is early surgical intervention, recent studies have showed success with conservative management. We report a case of Boerhaave's syndrome that was managed conservatively by decompressive gastrostomy, feeding jejunostomy, bilateral intercostal drainage tubes with added proximal diverting cervical esophagostomy. The patient recovered completely and stoma closure was done two months later.

Jejunostomy

Thoracotomy

Conservative Treatment

Stoma (medicine)

Tracheotomy

10.7860/jcdr/2015/13517.6263

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Citations (3)

Small Intestinal Obstruction Secondary to Jejunal Trichobezoar Removed Per Anum Without an Enterotomy: A Case Report

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH (2015)

Devbrata Adhikari Siddharth Vankipuram Ajeet Ramamani Tiwari Aniruddha Prabhakar Chaphekar Ritesh Satardey

Trichobezoars can rarely present with obstruction. This is usually due to collection of a hair ball in the stomach. We encountered an interesting case of small bowel obstruction due to a jejunal trichobezoar. The treatment generally is an enterotomy with removal of the hair ball. We report a case of a 29-year-old post partum female who presented to us with sub acute intestinal obstruction. Exploratory laparotomy revealed an impacted mass in the distal jejunum which was removed per anum without an enterotomy. Postoperative gastroscopy did not show trichobezoar in the stomach. This case highlights the importance of trichobezoar as a differential diagnosis in young women with small bowel obstruction that can be treated without an enterotomy and avoiding the risks and morbidities associated with it.

Enterotomy

Exploratory laparotomy

Jejunum

10.7860/jcdr/2015/11529.5694

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Citations (10)

Giant Lumbosacral Neural Tumours with Extraspinal Extension: An Illustrative Case Series and Review of Surgical Approaches

Brain and Spine (2024)

James Samarasekara Siddharth Vankipuram Adrian T. H. Casey Antonino Russo Vittorio Russo

Lumbosacral joint

10.1016/j.bas.2024.103704

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Do Glioblastomas with Syndromic Association Have Better Prognosis? A Case of Supratentorial Glioblastoma with Embryonal Tumor Differentiation in a Child with Multiple Enchondromatosis

Journal of Pediatric Neurosciences (2019)

Siddharth Vankipuram Sushant Kumar Sahoo Shalini Bhalla Chittij Srivastava

Glioblastoma (GBM) is an aggressive cancerous neoplasm of the brain that has numerous morphological subtypes. Primitive neuroectodermal differentiation (hereafter, referred to as embryonal tumor [ET] differentiation) in GBM is one of them and is known to occur in adults. Their presentation in pediatric population is rare and can be a source of diagnostic confusion. The dual pathology leads to doubts where one could ask whether it is ET differentiation in GBM specimen or glial differentiation in ET specimen. This histological discrimination has a bearing on the treatment regimens and prognosis. We report a case of a 10-year-old boy presenting with a supratentorial GBM, isocitrate dehydrogenase wild type with ET differentiation, and multiple benign bony lesions of both extremities. He underwent surgical excision for the brain neoplasm followed by radiotherapy and has shown prolonged survival with no recurrence. In this article, we discuss prognostic factors associated with long-term survival of these tumors.

Isocitrate dehydrogenase

Neoplasm

Confusion

10.4103/jpn.jpn_82_19

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Citations (1)

Management of Chiari 1 Malformation and Hydrocephalus in Syndromic Craniosynostosis

Journal of Pediatric Neurosciences (2022)

Siddharth Vankipuram Jonathan R. Ellenbogen Ajay Sinha

Chiari 1 malformation and hydrocephalus are frequent findings in multi-suture and syndromic craniosynostosis patients. In this article, we review the pathogenesis, clinical significance, and management options for these conditions with comments from our own experience. The role of premature fusion of skull base sutures leading to a crowded posterior fossa and venous outflow obstruction resulting in impaired cerebrospinal fluid (CSF) absorption is highlighted. Management options are unique in this group and we advocate early (prior to 6 months of age) posterior vault expansion by distraction osteogenesis (DO) in the management of Chiari 1 malformation. Foramen magnum decompression is recommended for a select few either as part of posterior vault expansion or at a later date. Treatment of hydrocephalus, utilizing a ventriculoperitoneal (VP) shunt with preferably a programmable high-pressure valve and anti-siphon device, is required in a small percentage of cases despite successful posterior vault expansion. Patients need to be carefully selected and managed as hydrocephalus often serves as an important cranial vault growth stimulus. Further, they require careful monitoring and thought to ensure the management of these conditions and the timing of any intervention provides the optimal long-term outcome for the patient.

Cranial vault

Foramen magnum

Posterior cranial fossa

Chiari Malformation

10.4103/jpn.jpn_49_22

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Citations (7)

Multiplanar spinopelvic fracture reduction and dual triangular osteosynthesis stabilization for complex multiplanar sacropelvic fractures

British Journal of Neurosurgery (2024)

Siddharth Vankipuram Pratipal Kalsi Zhengyue Grace Yang Vittorio Russo Antonino Russo

Sacropelvic fractures with multidirectional instability require complex reduction and stabilisation techniques. Triangular osteosynthesis reconstruction is an established technique but hardware failure rates remain high and screw trajectories unfamiliar to spine surgeons. Our technique allows de-rotation of the pelvis, fracture reduction in both vertical and transverse planes, immediate weight bearing and is more reproducible for complex spine surgeons.

Osteosynthesis

Fracture reduction

Complex fracture

10.1080/02688697.2024.2348606

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Citations (0)

Spinal cord abscess secondary to infected dorsal dermal sinus in an infant: uncommon presentation of a known entity

BMJ Case Reports (2017)

Siddharth Vankipuram Sushanta K. Sahoo Chittij Srivastava Bal Krishna Ojha

Infection along the congenital dermal sinus tract is well known. However, congenital dorsal dermal sinus presenting with intramedullary abscess is quite rare. The sinus tract usually presents in the midline and acts as a portal of entry for infection that may manifest as meningitis, extradural or subdural abscess and may further involve the cord. Surgical drainage of pus and complete excision of the sinus tract is the standard treatment. Here we describe an infant with an infected congenital dorsal dermal sinus with atypical presentation as large paracentral abscess in the upper back. We further highlight the importance of recognising and treating these skin dimples even when clinically silent to avoid catastrophic complications.

Sinus (botany)

Presentation (obstetrics)

Epidural abscess

10.1136/bcr-2017-222366

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Citations (5)

A Comparative Analysis Between Four-Quadrant Osteoplastic Decompressive Craniotomy versus Conventional Decompressive Craniectomy for Traumatic Brain Injury

World Neurosurgery (2019)

Siddharth Vankipuram Sumeet Sasane Anil Chandra Bal Krishna Ojha Sunil Kumar Singh

Decompressive craniectomy

Quadrant (abdomen)

10.1016/j.wneu.2019.12.004