Browsing by Author "Raut, Rupesh"
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Publication Clinical and Demographic Profile of Patients Undergoing Surgery for Chronic Subdural Hematoma at a Tertiary Care Hospital in Nepal: An Observational Study(Nepal Medical Association, 2025) Raut, Rupesh; Karki, Himal; Shrestha, Dinuj; Chapagain, Dipendra; Jha, Jay Bhusan; Regmi, Sushant; Bista, PrakashAbstract Introduction: Chronic subdural hematoma is increasingly common in aging populations and presents with a wide range of presentations. Despite its rising incidence, there is a lack of clinical and demographic characterization of chornic subdural hematoma in the Nepali population. This study aimed to describe the demographic and clinical characteristics of chornic subdural hematoma patients. Methods: A retrospective observational cross-sectional study was conducted in the Department of Neurosurgery of a tertiary care center. Data were retrospectively collected from all patients who underwent surgery for chornic subdural hematoma between March 2022 and March 2024. Variables such as age, sex, clinical presentation, risk factors, length of hospital stay, and in-hospital mortality were recorded. Data were entered into Microsoft Excel and analyzed using the Statistical Package for Social Sciences software 16.0. Results: Among 52 patients, 39 (75%) were male. The mean age of patients was 63.10±14.72 years (95% CI: 59.00-67.21), with 34 (65.38%) patients aged over 60 years. The average length of hospital stay was 9.04±8.69 days. Twenty-five (48.08%) patients had a history of head trauma, followed by 15 (28.85%) with chronic alcohol use. Motor weakness, altered mental status, and headache were common clinical manifestations, presenting in 27 (51.92%), 18 (34.62%), and 15 (28.85%) patients, respectively. There were 4 (7.69%) recurrences and 3 (5.77%) deaths following surgery for chornic subdural hematoma. Conclusions: Chornic subdural hematoma was more common among elderly male, especially those with a history of head trauma and chronic alcohol use. Motor weakness and unilateral hematomas were common findings.Publication Obstructive Infantile Hydrocephalus Secondary to Meningoventriculitis: A Case Report(Nepal Medical Association, 2023) Raut, Rupesh; Paudel, Shailes; Bhandari, Prakriti; Gupta, Umang; Nepali, AnilAbstract Obstructive infantile hydrocephalus may arise due to anatomic or functional obstruction of cerebrospinal fluid flow. Obstruction of the aqueduct of sylvius (aqueductal stenosis) causes dilation of the lateral and third ventricles, while the size of the fourth ventricle remains relatively normal. Obstructive infantile hydrocephalus with meningoventriculitis is a rare phenomenon, and literature with only 2 other children with similar findings have been reported. We hereby report a case of a 16-week-old infant who developed Escherichia coli meningoventriculitis, later complicated by the development of hydrocephalus, challenging the management. The diagnosis was based on the magnetic resonance imaging of the brain, which showed hydrocephalus, and the cerebrospinal fluid culture showing Escherichia coli meningoventriculitis. The case was managed with serial ventricular drainage along with antibiotics followed by staged ventriculoperitoneal shunting. Serial measurement of head circumference is essential to prompt diagnostic suspicion in the case of paediatric meningitis.