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Nayak A.,Shyam Shah Medical College | Sharma S.,Shyam Shah Medical College and Sanjay Gandhi Memorial Hospital | Vadher R.K.,Shyam Shah Medical College and Sanjay Gandhi Memorial Hospital | Dixit S.,Shyam Shah Medical College and Sanjay Gandhi Memorial Hospital | Batra R.S.,Shyam Shah Medical College and Sanjay Gandhi Memorial Hospital
Journal of Clinical and Diagnostic Research | Year: 2015

Encephalocele is a mesodermal defect in the skull bones and duramater. Parietal encephalocele is a rare congenital anomaly of newborn with variable prognostic value. The authors report a case of a very large inter parietal encephalocele with no associated other system malformations. A midline inter parietal encephalocele is much rare, earlier reported cases were posterior parietal in location. Such cases can be successfully operated upon with a very good outcome. A unique case of a 18 day neonate, with swelling over scalp was evaluated by the neurosurgical team and the patient underwent neurosurgery. In planning the strategy for management of encephalocele, one needs to take into consideration the site, size, contents, patency of CSF pathway, neurological status and other associated anomalies. Inspite of such a big encephalocele in an atypical location, excision and repair gave excellent results. © 2015, Journal of Clinical and Diagnostic Research. All right reserved. Source

Chandravanshi S.L.,Shyam Shah Medical College
Indian Journal of Ophthalmology | Year: 2014

Encephalocraniocutaneous lipomatosis (ECCL) is a rare, sporadic congenital neurocutaneous disorder that characteristically involves ectomesodermal tissues, such as skin, eyes, and central nervous system. A 3-day-old girl presented with swelling in her right eye since birth. Ocular examination of the right eye showed hypertrophy of bulbar conjunctiva with limbal dermoid, clouding of cornea, and atypical upper eyelid coloboma. The left eye showed conjunctival congestion and corneal vascularization. Dermatological examination showed alopecia, nevus psiloliparus, focal dermal hypoplasia on forehead, multiple focal aplastic lesions on the scalp, skin tag at canthus, and lipoma in the fronto-temporal region. Imaging revealed calcification of the right globe, hydrocephalus, agenesis of corpus callosum, multiple intracranial cysts, calcification, and lipomas. The constellation of these clinical and the imaging findings led to a diagnosis of encephalocraniocutaneous lipomatosis. This case report and review of the literature is presented to provide a synopsis of problems likely to be encountered by an ophthalmologist who treats patients with ECCL. Source

Chandravanshi S.L.,Shyam Shah Medical College
Orbit | Year: 2014

Purpose: To report a rare case of lacrimal gland ductule stones. Methods: Case report. Results: A 12-year-old female patient presented with pain, redness and swelling in the superotemporal fornix of the left eye of 1-week duration. She had experienced four similar episodes over a period of 2 years. Clinical evaluation revealed a mass adjacent to the lacrimal gland and some stone edges protruding through the lacrimal gland ductules. During preparation for their mechanical removal, a spontaneous expulsion of stones occurred. Microbiological examination of stones did not show any microorganism or nidus such as cilia. Fourier transform infrared spectroscopy revealed the stones to be composed of calcium carbonate 90% and magnesium hydrogen phosphates 10%. After spontaneous expulsion, the condition subsided without any complications. Conclusion: Lacrimal gland stones represent a very rare clinical entity and this should be considered in the differential diagnosis of recurrent nonspecific conjunctivitis and dacryoadenitis. © 2014 Informa Healthcare USA, Inc. Source

Chandravanshi S.L.,Shyam Shah Medical College | Mishra V.,Shyam Shah Medical College
European Journal of Ophthalmology | Year: 2014

Purpose: To describe a case of lacrimal gland abscess. Methods: Case report. Results: An 11-year-old boy with respiratory tract infection presented acutely with an enlarging, painful mass in the superotemporal fornix in his left eye. Clinical evaluation and computerized tomography scan of the orbit revealed a lacrimal gland abscess. Conjunctival swab and sputum grew Klebsiella pneumoniae. The child was treated with intravenous amikacin. Conclusions: Lacrimal gland abscess is a rare clinical entity. To our knowledge, this is the first reported case of Klebsiella pneumoniae-associated dacryoadenitis complicated by lacrimal gland abscess formation in a pediatric patient. © 2014 Wichtig Publishing. Source

Chandravanshi S.L.,Shyam Shah Medical College | Rathore M.K.,Shyam Shah Medical College | Tirkey E.R.,Shyam Shah Medical College
Indian Journal of Ophthalmology | Year: 2013

Congenital eyelid imbrication syndrome (CEIS) is an extremely rare, benign, transient, self-limiting eyelid malposition disorder. The classic triad of signs in patients with a CEIS consists of bilateral upper eyelids overriding the lower eyelids when child was in sleep, bilateral medial and lateral canthal tendon laxity and tarsal conjunctival hyperemia. We report a third case of congenital combined eyelid imbrication and floppy eyelid syndrome in healthy neonate that was resolved within a week with conservative treatment. Source

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