Download DNB 2017 Dec NEURO SURG NS PAPER III Question Paper

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DECEMBER 2017

NEURO SURGERY

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PAPER - III

Time : 3 hours Max. Marks :100

Important instructions:

• Attempt all questions in order.
• Each question carries 10 marks.

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• Read the question carefully and answer to the point neatly and legibly.
• Do not leave any blank pages between two answers.
• Indicate the question number correctly for the answer in the margin space.
• Answer all the parts of a single question together.
• Start the answer to a question on a fresh page or leave adequate space between two answers.

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• Draw table/diagrams/flowcharts wherever appropriate.

Write short notes on:

1. Dorsal root entry zone lesioning in neuropathic pain: 3+4+3
   1. Indications
   2. Procedure
   3. Outcome

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2. Trigeminal neuralgia: 1+1+2+2+2+2
   1. Pathogenesis
   2. Diagnosis
   3. Medical management
   4. Percutaneous procedures

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   5. Surgical management
   6. Gamma knife radiosurgery
3. Extended endonasal endoscopic approach for skull base lesions: 2+2+4+2
   1. Indications
   2. Instrumentation

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   3. Surgical procedure
   4. Outcome and complications
4. Fungal infections of central nervous system: 2+2+3+3
   1. Classification
   2. Diagnostic procedures

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   3. Medical management
   4. Surgical considerations
5. Recent advances in the management of CSF fistulas in endoscopic endonasal skull base surgery: 6+4
   1. Surgical techniques
   2. Synthetic materials

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6. Pallidotomy: 3+4+3
   1. Indications
   2. Procedure
   3. Outcome

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7. Stereotactic radiosurgery in metastatic brain tumours: 3+4+2+1
   1. Patient selection
   2. Comparison with other adjuvant therapies
   3. Radiation dose delivery
   4. Outcome

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8. Recent advances in intraoperative glioma resection maximization and its long term outcome. 10
9. Tuberculosis of spine: 2+3+2+3
   1. Pathogenesis
   2. Clinical presentation
   3. Diagnosis
   4. Management

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10. Vagal nerve stimulation: 2+4+4
    1. Indications
    2. Surgical procedure
    3. Outcome and current status

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