Kiritkumar Chhanalal Shah

Christian Medical College Vellore, Velluru, Tamil Nadu, India

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Publications (3)6.37 Total impact

  • Kiritkumar Chhanalal Shah · Vedantam Rajshekhar
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    ABSTRACT: Total spondyloptosis of the cervical spine is a very rare injury. The authors describe an unusual case of post-traumatic total spondyloptosis of the cervical spine at C7-T1 level. A 40-year-old man presented with weakness of all four limbs, impaired sensations in all limbs and neck pain after a fall. A magnetic resonance image (MRI) of the cervical spine revealed a total spondyloptosis at C7-T1 level. He was managed successfully with ventral decompression and uninstrumented in situ fusion. The patient had a good neurologic outcome. Selected patients with spondyloptosis of the cervical spine can be successfully managed with uninstrumented ventral surgery.
    No preview · Article · Dec 2004 · Surgical Neurology
  • K Chhanalal Shah · V Rajshekhar
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    ABSTRACT: The purpose of this study was to determine the sensitivity and specificity of the Spurling's test in predicting the diagnosis of a soft lateral cervical disc prolapse. A prospective study was performed involving 50 patients with neck and arm pain; of these, 25 patients were managed surgically (Group 1) and the other 25 patients were managed conservatively (Group 2). A Spurling's test was performed in all patients and scored as positive or negative. In patients in Group 1, the operative findings were recorded as a soft or hard disc prolapse (osteophyte). In Group 2 patients, the MR findings were recorded as positive for a soft disc prolapse or negative (no disc prolapse or osteophyte only). The results of the Spurling's test were compared with the surgical or MR findings, which were considered as the gold standard. Spurling's test had a sensitivity of 92% and specificity of 95% with positive predictive value (PPV) of 96.4% and negative predictive value (NPV) of 90.9% in predicting a diagnosis of a soft lateral cervical disc prolapse. The high positive predictive value of the test can be utilized to improve the yield of positive MR examinations in patients with cervical radiculopathy.
    No preview · Article · Nov 2004 · British Journal of Neurosurgery
  • Kiritkumar Chhanalal Shah · Santosh Isaac Poonnoose · Renu George · Mary Jacob · Vedantam Rajshekhar
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    ABSTRACT: Necrobiotic xanthogranuloma (NXG) is a rare inflammatory histiocytic disease of the skin. Xanthogranuloma of the central nervous system is rare and few cases have been reported. To the authors' knowledge, there has been no previously reported case of NXG in which an intracranial lesion was found. This 52-year-old man, in whom NXG with all its cutaneous manifestations had been diagnosed, presented with three episodes of generalized tonic-clonic seizures. A contrast-enhanced computerized tomography scan of his brain revealed a bifrontal, dura-based mass lesion. The lesion was excised and reported to be an NXG that was similar, but not identical to the skin lesions. The patient was placed on a regimen of antiepileptic drug and chlorambucil after surgery.
    No preview · Article · Jul 2004 · Journal of Neurosurgery

Publication Stats

63 Citations
6.37 Total Impact Points


  • 2004
    • Christian Medical College Vellore
      Velluru, Tamil Nadu, India