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Annals of Indian Academy of Neurology

Sameer Vyas, Charu Paruthi, Manoj Kumar Goyal, Niranjan Khandelwal
No abstract text is available yet for this article.
July 2018: Annals of Indian Academy of Neurology
Anuradha Mehta, Aanchal Arora, Manoj Sharma, Rupali Malik, Yogesh Chandra Porwal
Chickenpox (varicella) is primarily a disease of childhood which occurs due to infection with varicella-zoster virus (VZV). Primary VZV infection is rare in adults due to exposure in early childhood in our country. In adults, it is associated with some serious systemic and neurological complications which can follow both primary infection and reactivation of VZV. Neurological sequelae caused by primary VZV infection are rare and include encephalitis, aseptic meningitis, myelitis, acute cerebellar ataxia, Reye syndrome, Ramsay Hunt syndrome, and rarely stroke and cerebral venous thrombosis (CVT)...
July 2018: Annals of Indian Academy of Neurology
Jui-Ping Tsai, Jau-Jiuan Sheu, Kevin Li-Chun Hsieh
Epilepsia partialis continua (EPC) is a rare epileptic syndrome, presenting as continuous focal motor seizures for a period of minutes, hours, or days. EPC may develop in patients with cerebral cortical lesions and occasionally may develop in patients with metabolic disorders, such as nonketotic hyperglycemia (NKH). Here, we report a case of EPC following NKH, showing an unusual magnetic resonance imaging (MRI) finding of concurrent hypointensity on susceptibility-weighted image (SWI) and T2-weighted image (T2WI) with leptomeningeal and cortical enhancement, which have never been reported...
July 2018: Annals of Indian Academy of Neurology
Syed Omar Kazmi, Oliver Achi, Rahul Damani
Intravenous recombinant tissue plasminogen activator (IV r-tpa) is the standard of care for patients suffering from neurological deficits due to an acute ischemic stroke within 4.5 hours in the absence of intracranial hemorrhage. We report a case of a patient with an acute right middle cerebral artery stroke due to an acute aortic dissection (Stanford Type A) who was treated with full dose IV r-tpa resulting in a good outcome.
July 2018: Annals of Indian Academy of Neurology
Changhyo Yoon, Seunguk Jung
Thunderclap headaches, stroke, seizures, and cortical subarachnoid hemorrhage can all reveal reversible cerebral vasoconstriction syndrome (RCVS). Most parenchymal brain lesions occur simultaneously and sequentially with cerebral vasoconstriction in RCVS patients. Therefore, it is not easy to suspect RCVS in patients with only parenchymal brain lesions without vasoconstriction even if they present with a typical thunderclap headache. Furthermore, RCVS should be differentiated from central nervous system vasculitis...
July 2018: Annals of Indian Academy of Neurology
Vijay Chenna, Subhash Kaul, Swetha Tandra, Sireesha Yareeda, Neeharika Mathukumalli, Abhijeet Kumar Kohat, Rukmini Mridula Kandadai, Suryaprabha Turaga, Jabeen Afshan Sheik, A K Meena, Rupam Borgohain
Background: Symptomatic Intracerebral hemorrhage (sICH) is a serious complication of recombinant tissue-plasminogen activator (rt-PA) therapy for acute ischemic stroke (AIS). Objective: To estimate the prevalence and predictors of sICH in patients after receiving IV rt-PA for AIS. Material and Methods: Consecutive patients of AIS thrombolysed between January 2010 and June 2016 in a University hospital in Hyderabad (India) were studied prospectively for sICH and it's various variables compared with the control group without sICH to determine any sigificantant difference...
July 2018: Annals of Indian Academy of Neurology
Subhash Kaul, Suvarna Alladi, Shaik A Jabeen, V C S S Rao Bandaru, Usharani Ankem, Shailaja Mekala, G S Naik
Aim: Limited data regarding stroke subtypes exist from South Asian countries. The aim of the study was to determine the pattern of ischemic stroke subtypes and their associated risk factors, in a 10-year long hospital-based registry in the South Indian city of Hyderabad. Materials and Methods: The Hyderabad stroke registry systematically collected clinical, radiological, and laboratory data of fully investigated consecutive stroke patients and studied pattern of ischemic stroke subtypes and their risk factor association...
July 2018: Annals of Indian Academy of Neurology
Gourav Goyal, Abhishek Charan, Rambir Singh
Introduction: Cerebral venous sinus thrombosis (CVST) is an unusual cause of stroke with potentially serious consequences. This study was designed to investigate the clinical and neuroimaging features in patients with CVST and to analyze the predictors of brain parenchymal lesions. Materials and Methods: A retrospective study of 181 patients with CVST was conducted in a tertiary care hospital. Results: Of 181 patients (age range 14-96 years, mean age: 34...
July 2018: Annals of Indian Academy of Neurology
Ufuk Sener, Levent Ocek, Irem Ilgezdi, Hilal Sahin, Murat Ozcelik, Yasar Zorlu
Background: It is important to know whether or not the stroke risk factors and etiologies of patients with multiple acute infarcts are different to those of patients with a single acute infarct. Aim: The frequency of multiple acute infarct was investigated in ischemic stroke patients and a comparison was made of the characteristics of stroke patients with and without multiple acute infarct. Patients and Methods: We reviewed the clinical records of 988 ischemic stroke patients who were admitted within 1 week of the onset of stroke and diffusion-weighted imaging (DWI) was performed on first presentation...
July 2018: Annals of Indian Academy of Neurology
Rajeswari Aghoram, Sunil K Narayan
Context: Intracranial atherosclerosis is a common cause of stroke in India. Transcranial Doppler (TCD) provides a noninvasive way to study basal intracranial blood vessels. The Oxfordshire Community Stroke Project (OCSP) classification is a simple clinical stroke classification system that has prognostic significance and has been associated with size and location of the infarct. Aim: This study was undertaken to identify patterns of TCD abnormalities in our stroke population particularly in relation to the OCSP classification...
July 2018: Annals of Indian Academy of Neurology
Meenu Bhardwaj, Narkeesh Arumugam, Shefali Gambhir
Background: Stroke survivors suffer from significant neuropsychiatric disturbances and these disturbances act as barrier in the motor recovery. Medication is the common treatment but it has adverse effects. Hence, there is a need to find out effective treatments with or without minimal side effects for gross motor recovery of the patient. Objectives: Cranial electrical stimulation (CES) and rational emotive behavior therapy (REBT) are used as treatment approaches for depression, anxiety, stress, and irrational beliefs in the general population...
July 2018: Annals of Indian Academy of Neurology
Masaraf Hussain, Shri Ram Sharma, M D Jamil
Introduction: A study of stroke among young adults and children has recently become a subject of interest. This is because it has a major impact on the individual and society. Studies of stroke in young can lead to therapeutical results affecting both short- and long-term outcomes. Methods: This paper is based on a hospital-based retrospective study, of stroke in young, for a duration of 1 year. Results: The study revealed stroke in young in 31...
July 2018: Annals of Indian Academy of Neurology
B V Deepa Rani, Sandeep Gampa, Deepika Sirineni, K R Harshavardhana, Satya Rama Krishna, Subhash Kaul
Background: As per the current recommendations, carotid interventional procedures (carotid endarterectomy/carotid artery stenting) are considered superior to medical management in reducing the stroke recurrence in patients with symptomatic extracranial internal carotid artery (ICA) stenosis. Objective: The objective of this study is to compare the best medical management with carotid interventional procedures in the prevention of stroke recurrence in the patients with symptomatic extracranial ICA stenosis...
July 2018: Annals of Indian Academy of Neurology
Nishita Singh, Sucharita Ray, Achal Srivastava
Giving a diagnosis of amyotrophic lateral sclerosis to a patient is akin to handing out a death certificate. However, not all patients presenting with the classical dysphagia, wasting, and weakness may have motor neuron diseases. In these cases, it is extremely important not to miss little cues which can suggest an alternative diagnosis and in many cases a lease of life in terms of a treatment option. In this review, we consider some clinical scenarios that can present with the same symptom complex as diseases involving motor neurons but have a different anatomical or etiopathological basis and in many cases even a therapeutic option...
July 2018: Annals of Indian Academy of Neurology
Majaz Moonis
No abstract text is available yet for this article.
July 2018: Annals of Indian Academy of Neurology
Vinit Suri, Leena Mendiratta, Suranjit Chatterjee, Raman Sardana, Hena Butta
No abstract text is available yet for this article.
April 2018: Annals of Indian Academy of Neurology
Dinesh Chouksey, Pankaj S Rathi, Hashash H Singh Ishar, Rahul Jain
No abstract text is available yet for this article.
April 2018: Annals of Indian Academy of Neurology
Shakya Bhattacharjee
This sign is observed in atypical parkinsonism mainly in Progressive Supranuclear Palsy. The exact mechanism of this sign is not clear but the contraction of the Corrugator Supercilii muscle is the most important factor for the generation of vertical forehead creases. Though the wrinkling of forehead is a complex phenomenon involving multiple muscles but the 'Corrugator sign' would be a better term to describe this phenomenon. Despite the controversies regarding the mechanism and nomenclature, the 'Procerus sign' remains an important clinical clue for early Progressive Supranuclear palsy...
April 2018: Annals of Indian Academy of Neurology
Yareeda Sireesha, Megha S Uppin, Komal Bohra, Rajesh Alugolu, Mathukumalli L Neeharika, Angamuthu Kanikannan
Toxoplasma is an obligate intracellular parasite that remains asymptomatic in humans but, at times, can cause devastating disease. Here, we describe an autopsy study of a young immunocompetent gentleman with no comorbidities whose presentation was acute transverse myelitis. Magnetic resonance imaging spine showed longitudinally extensive spinal cord lesion (LESCL) that mimicked neuromyelitis optica with normal brain imaging at presentation. Investigations showed albuminocytological dissociation which prompted a course of parenteral steroid...
April 2018: Annals of Indian Academy of Neurology
Neera Chaudhry, Nishant Aswani, Geeta Anjum Khwaja, Puja Rani
Association of dengue fever with transverse myelitis is a rare phenomenon; involvement of a long segment is even rarer. We describe a middle-aged female who presented with weakness of bilateral lower limbs and urinary retention 4 days after recovery from dengue fever. She, in addition, had a sensory level up to the level of nipples. Magnetic resonance imaging confirmed the diagnosis of longitudinally extensive transverse myelitis. Besides, the patient had spontaneous subarachnoid hemorrhage (SAH) in the absence of dengue hemorrhagic fever...
April 2018: Annals of Indian Academy of Neurology
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