FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
NEURO SURGERY
PAPER III
P.T.O.

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
NS/D/17/21/III
Time 3 hours
Max. Marks 100
Important instructions:
• Attempt all questions in order.
• Each question carries 10 marks.
• 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.
• Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. Dorsal root entry zone lesioning in neuropathic pain:
Indications
Procedure
Outcome

2. Trigeminal neuralgia:
Pathogenesis
Diagnosis
Medical management
Percutaneous procedures
Surgical management
Gamma knife radiosurgery

3. Extended endonasal endoscopic approach for skull
base lesions:
Indications
Instrumentation
Surgical procedure
Outcome and complications

4. Fungal infections of central nervous system:
Classification
Diagnostic procedures
Medical management
Surgical considerations

5. Recent advances in the management of CSF fistulas in
endoscopic endonasal skull base surgery:
Surgical techniques
Synthetic materials
6+4
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017
NEURO SURGERY
PAPER III

POSSESSION USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
6. Pallidotomy:
Indications
Procedure
Outcome

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

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

10. Vagal nerve stimulation:
Indications
Surgical procedure
Outcome and current status