Mechanical Thrombectomy in Wake-Up Stroke

Mechanical thrombectomy is very effective in the first few hours after onset of symptoms, in patients with acute ischemic stroke. It is approved within the first six hours of symptom onset, if there is occlusion of internal carotid artery or proximal middle cerebral artery, provided the NIHSS score is 6 or more. However, problem arisesContinue reading “Mechanical Thrombectomy in Wake-Up Stroke”


58-year old lady presented with right sided facial pain of three days duration. She had noted skin eruptions over the right side of forehead and right upper eyelid. Drooping of right upper eyelid was also noted. She was a diabetic. On examination, vesicular eruptions were noted in the distribution of right V1- ophthalmic division ofContinue reading “HERPES ZOSTER OPHTHALMICUS”

Excellent Response to Medical Treatment in a Case of Brain Tuberculoma

Tuberculous infection of the brain is quite common. TB can affect brain and spine in a number of ways- tuberculous meningitis, tuberculoma, brain abscess, Pott’s spine, etc. Brain tuberculoma are commonly seen in India. The patients with tuberculoma of brain present with seizures and focal neurological deficits. Here, I am presenting a 35-year old manContinue reading “Excellent Response to Medical Treatment in a Case of Brain Tuberculoma”

SWI (GRE) Sequences are the BEST to Detect Bleed on MRI Brain

It is extremely vital that we differentiate brain hemorrhage (bleeding) from brain infarcts, when patients present with clinical features of stroke. This is because patients with infarcts are eligible to receive thrombolytic treatment, to lyse the blood clots. On the other hand, thrombolytic treatment is contraindicated in patients with brain hemorrhage (bleed). Drugs used forContinue reading “SWI (GRE) Sequences are the BEST to Detect Bleed on MRI Brain”

RESTLESS LEGS SYNDROME-Description of Symptoms by a Patient

Restless legs syndrome (RLS) is characterized by unpleasant or uncomfortable symptoms in the legs and an irresistible urge to move them. The sensation is most often described as pain or ache. Symptoms usually affect both legs and are worse at nights. Symptoms are exacerbated with inactivity and reduced with activity such as moving the legs.Continue reading “RESTLESS LEGS SYNDROME-Description of Symptoms by a Patient”

Predictors of Poor Outcome in Thalamic Hematoma

Thalamic hematomas form the second largest group of spontaneous intracerebral hemorrhage (ICH), which are related to hypertension. Outcome depends on several factors including age, size of hematoma, GCS score and CT scan findings. Factors predicting poor outcome in a patient with thalamic hematoma are: Male sex Low GCS (<8) Older age Uncontrolled high BP especiallyContinue reading “Predictors of Poor Outcome in Thalamic Hematoma”

Management of Multiple Sclerosis (MS) in Pregnancy

How common is this situation- pregnancy in women with MS? MS is most often diagnosed between the ages of 20 to 40 years. This is the age when most women plan their pregnancies. Therefore, it is very common to find women with MS, who are pregnant or those who are planning pregnancy. Which is aContinue reading “Management of Multiple Sclerosis (MS) in Pregnancy”

MRI Brain in a Patient Recovering from Central Pontine Myelinolysis (CPM)

Central pontine myelinolysis (CPM) is a condition characterized by demyelinating lesions in pons, usually secondary to rapid correction of hyponatremia. In some cases, extrapontine areas such as basal ganglia, midbrain, thalamus and cerebellum may also be involved. Patients with CPM present with quadriplegia, encephalopathy, seizures, dysphagia, dysarthria, etc. Our patient was a 30-year old ladyContinue reading “MRI Brain in a Patient Recovering from Central Pontine Myelinolysis (CPM)”

Expansion of Thalamic Hemorrhage After Initial Presentation

Intracerebral hemorrhage (ICH) accounts for 20-35% of all strokes. Hypertension is the commonest underlying cause of ICH. The common sites for hypertensive ICH are putamen, thalamus, pons, cerebellum, subcortical and lobar hematomas. Basal ganglia (putamen) is the most common site for ICH accounting for about 50% of all cases. Thalamus holds the second position andContinue reading “Expansion of Thalamic Hemorrhage After Initial Presentation”


Amyotrophic lateral sclerosis (ALS) is a degenerative neurological disease affecting only the motor system. It is also referred to as motor neuron disease (MND) and is characterized by muscle wasting, weakness and fasciculations. Fasciculations refer to involuntary contractions/twitching of affected muscles. Affected muscles are wasted (thin) and weak. In this video, you can see fasciculationsContinue reading “FASCICULATIONS”

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