Functional & Structural Neuroimaging In Pakistan

07/07/2023

| Pakistan`s First Procedure for Intraoperative Neuronavigation of Functional Targets for Speech & Motor Cortex |
Punjab Institute of Neurosciences Lahore |

04/07/2023

3D RECONSTRUCTED SPEECH IMAGING -AN 360° ROTATION .
A 26 years female she is a softwear Eng by profession presented with Right sided focal fits and Right sided weakness of 4/5 from last one year with intact Speech .

Plan :- Exoscopic Neuronavigated , Tractographic assisted tumor excision.

04/07/2023

Case # 3

A 26 years female she is a softwear Eng by profession presented with Right sided focal fits and Right sided weakness of 4/5 from last one year with intact Speech .

Plan :- Exoscopic Neuronavigated , Tractographic assisted tumor excision.

01/07/2023

Amazing Image......

27/06/2023

A 50 Years old male presented with Recurrence of Low Grade Glioma involving R motor cortex . The previous surgery was done in 2012 in Karachi and patient was remained well for 10 years . Now he has Power 4/5 in Left hand with Focal fits . Functional MRI for Motor Mapping of left hand and left foot was done to analyse the relationship of functional activated areas with the Tumor to make surgery safe and to achieve gross total resection with out worsening neurological defect .

23/06/2023

FMRI - LEFT FOOT AREA
A 50 years old Male presented with history of low grade glioma operated in 2012 which turns to be oligodendroglioma WHO 2 . Now their is recurrent and surgery was planned.

A Funtional Mri was done to Map patient R Motor Cotex - Left Foot Area .

23/06/2023

FMRI - LEFT HAND AREA
A 50 years old Male presented with history of low grade glioma operated in 2012 which turns to be oligodendroglioma WHO 2 . Now their is recurrence and surgery was planned.

A Funtional Mri was done to Map patient R Motor Cotex - Left Hand Area .

03/06/2023

These are milion Dollar images .

Red Dot is the Patient R Hand Activation area Just post to the Tumor during Functional Imaging.

And when we put corticospinal tract by doing DTI its the same area where patient has its R Hand Control in left motor cortex.

Now Orange region is the Left Motor Cortex along with corticospinal tract .

This is First Time in Pakistan that you are abel to Navigate Motor cortex Responsibel for R Hand Movement in real time intraoperativly .

03/06/2023

02/06/2023

2nd Case :-
Exoscopic Neuronavigated , Tractographic Excison of Low Grade Glima of Left Hemisphere near the Eloquent area of Speech and Right Hand .Aidded by Functional Neuroimaging for speech and Motor cortex along with 3D Reconstructed strutural images for Brocas .

Two Functional Tasks Was Performed to locate Speech of the patient and the Right Hand area through functional neuro imaging which is in gyrus located posterior to the tumor .

Tumor is like a Rose in the bushes . You have to steal the Rose from the bushes

Red Is the Tumor , Blue is corticospinal tract and yellow is the rest of the tractography including unbundled fibers .

Tumor is supromedial to Broca . Synaptive Medical

Wish Him Best Of Luck

31/05/2023

My Supervisor, Teacher and Mentor | Last & Rememberabel Picture in Punjab Institute of Neuroscience Lahore Operation Theater |

Prof. Khalid Mahmood

31/05/2023

IST CASE :-
PROF. KHALID MAHMOOD .
First Exoscopic Neuronavigated , Tractographic Excision of the Brain Tumor Assisted with Structural Reconstruction of the Speech Areas in Pakistan ( A Step towards Innovation ) .

19/05/2023

In Continuation of the Previous Post ........
These are 3D Reconstructed Images to Figure out the Relationship of the Tumor with SPEECH CENTERS , BROCAS ( BA 44, BA 45 ) and its Tracts . All these efforts are to preserve the speech of this young patient .

19/05/2023

A 35 years old female with presenting complaints of fits diagnosed for left frontal low grade glioma .
Plan :- Pakistan First Exoscopic Neuronavigated and Tractographic Excision of Brain tumor.

09/05/2023

So Atlast we are abel to Navigate FMRI in 2023 A Journey which Starts in 2019 : -

This Image Shows a Green Tumor with Yellow Corticospinal Tract and Red coloured speech area Located Posterior to the tumor .

Previously we are abel to locate Speech areas but nerver navigate it despites of all efforts.

The Best Thing is You Can Navigate Speech Area intraoperativly during Surgery .

05/05/2023

Aquire Technology to help Patients its difficult but extremly Rewading . Provide best which you want for yourself and for your love ones . And i am gratefull to Mr. Bilal Ausaf chohan.

04/05/2023

Pre Operative planning and programming for Synaptive Exoscopic Neuronavigated Excision along with Tractography for brain tumor. - Learning is Blessing .

03/03/2023

Pontine Cavernoma

A 23 year Old Girl Presented with Cross hemiplegia . 6th Nerve palsy on Left side with R Side hemiplegia of Grade 2 .

CAV = Pontine Cavernoma
CST -R = Corticospinal Tract Right
CST - L = Corticospinal Tract Left
Fourth Ventricle

21/01/2023

Neuronavigated & Tractographic ( Reconstructed ) Assisted brain tumor Excision of 26 year old Boy .

Post Operativly patient has intact Neurology as pre op .

21/06/2022

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28/01/2022

27 Years Old Female Presented With Left Sided Lession near eloquent area with intact Neurology .

Speech Mapping

Diffusion Tensor imaging With real time tractography.

20/01/2022

Neuronavigation and Real Time Fiber Tracking Using Diffusion Tensor Imaging intraoperativly by Stealth vitz.

19/01/2022

Speech Localization in R Hemisphere of the patient due to Plasticity of brain

Planned for Functional Hemishlerectomy due intracbel seizures in young patient .

19/01/2022

A Mortor cortex tumor and its relationship with pre and post central gyrus.

19/01/2022

19/01/2022

19/01/2022

LANGUAGE MAPPING:- Two paradimes, Picture Naming & Word Genration are Co-Registered with Diffusion Tension Imaging & bravo sequence using Brainwave and then superimposed by T1 Sequance to get singel Image of SPEECH which show that speech area is away from lession .

19/01/2022

A 23 years old girl presented with left side Brain tumor . The relationship of cortico spinal track with tumor will help to decide how you enter the tumot and help to conserve neurology of the patient .

19/01/2022

A 35 old Patient with L Frontal Tumor we Functional imaging which helps alot to conserve his neurology.

Arcuate Fasciculus Fiber Tracking

Functional Mri for Speech Mapping .

19/01/2022

A 17 years old boy having Left Frontal cavernoma. On the Right side their is BOLD Fmri of the patient shows speech area, which is reconfirmed by 3D reconstrsuction of L sided arcuate fasciculis and left corticospinal tract in relation with the cavernoma. In both images speech fiber are posterior and motor fibers are posto medial to the lession of the patient .