Browsing by Author "Shrestha, Manzil"
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Publication Cerebellar Mutism After Pineal Tumour Excision: A Case Report(Nepal Paediatric Society (JNPS), 2011) Roka, Yam Bahadur; Shrestha, Manzil; Puri, Pushpa Raj; Aryal, SameerAbstract: Cerebellar mutism syndrome (CMS) was first described by Rekate et al in 1985. This syndrome is a common complication of posterior fossa surgery in children with range of 11-29% and usually manifests as diminished speech, hypotonia, and ataxia. The cause is due to bilateral pertubation of the dentate nuclei and their efferent pathways by edema, perfusional defects, axonal damage or metabolic disturbances. Other rare causes of CMS like acute subdural hematoma of the posterior fossa, head injury, brainstem glioma surgery, meningitis and basilar artery occlusion have also been reported. CMS after supracerebellar resection of the pineal tumor is a very rare with very few cases reported. We report such a case in a 10- year old boy who underwent excision of a pineal tumor through the infratentorial supracerebellar route.Publication Sacrococcygeal Teratoma in a Child: A Case Report(Nepal Paediatric Society (JNPS), 2010) Roka, Yam B; Shrestha, Manzil; Pandey, Sagar RAbstract: Sacrococcygeal teratomas (SCT) are tumors that arise in the sacrococcygeal area containing tissue from all three germ layers. SCT has an incidence of approximately one in 35,000 – 40,000 live births with malignant transformation with increasing age. We report a case in a four year old which was excised completely via the postanal route with no operative or postoperative morbidity. The histopathology was that of yolk sac variant and she is planned for chemoradiotherapy.