CORONA VACCINE: Who gets it first? Who pays?

CORONA VACCINE: Who gets it first? Who pays? Most countries are involved in research into developing a vaccine against corona virus infection (causing COVID-19). The vaccine is likely to be available soon (in a few months from now). However, there are many logistical challenges that need to be considered and planning done well in advance

ANGIOEDEMA AFTER tissue PLASMINOGEN ACTIVATOR INFUSION

A 78-year old man presented with left hemiparesis of 90 minutes duration. A diagnosis of right MCA territory infarct was made and he was started on tissue plasminogen activator infusion for thrombolysis. 54 minutes after starting infusion, he developed swelling involving left side of tongue. t-PA infusion was stopped. A diagnosis of oro-lingual edema was

Best Chance Against Corona is by Not Getting This Infection

Best Chance Against Corona is by Not Getting This Infection Dr Sudhir Kumar MD DM Corona Virus Disease- 2019 (COVID-19) is caused by a corona virus, named SARS CoV2. It started in China in late 2019 and has rapidly spread all over the world, including India. COVID-19 is highly contagious It is highly contagious and

BE CAUTIOUS WHILE USING HCQ FOR TREATING COVID-19 IN MYASTHENIA GRAVIS

BE CAUTIOUS WHILE USING HCQ FOR TREATING COVID-19 IN MYASTHENIA GRAVIS Hydroxychloroquine (HCQ) is anti-malarial drug, which is commonly used for treating rheumatological disorders such as systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA). HCQ has been recommended for prophylaxis as well as treatment of COVID-19 infection. Myasthenia gravis (MG) is an autoimmune disorder resulting

YOGA AS ADD ON THERAPY IS SUPERIOR TO MEDICAL THERAPY ALONE IN MIGRAINE

Yoga as ADD-ON Therapy is Superior to Medical Therapy alone in Patients Suffering from Migraine Dr Sudhir Kumar MD DM Migraine is the commonest cause of headache, especially affecting young people, more common in women. Migraine leads to disability and is a leading cause of absence from work. The mainstay of migraine treatment is medical

Olfactory Bulb Edema in a Patient with Loss of Smell due to COVID-19 infection

Loss of smell (anosmia) and loss of taste (dysgeusia) have been commonly noted in people with COVID-19 infection, including those without any other symptoms such as fever, cough or breathing difficulty. In a recent case, anosmia developed on day 7 of infection. MRI showed edema (swelling) and increased signal of olfactory bulbs and tracts. Patient

FACIAL PARALYSIS AS A NEUROLOGICAL MANIFESTATION OF COVID-19 INFECTION

About a third of COVID-19 patients have neurological manifestations. These include headache, dizziness, loss of smell, delirium, stroke, Guillain-Barre syndrome, meningitis and encephalopathy. Recently a case of facial paralysis was reported from Singapore (with a travel history from Spain). 27-year old man was admitted with myalgia, cough, headache and fever for 4 days. RT PCR

GENERALIZED MYOCLONUS IN COVID-19

COVID-19 presents with various neurological manifestations in about 37% of patients. A recent report from Spain described generalised myoclonus in 3 patients with COVID-19. Patients were in older age group and had usual symptoms of COVID-19 such as fever, cough, breathing difficulty and anosmia at admission. Myoclonus developed in the second week of illness, characterised

LARGE VESSEL STROKE AS PRESENTING FEATURE OF COVID-19

Large Vessel Stroke as Presenting Feature of Covid 19 Dr Sudhir Kumar MD DM, Consultant Neurologist, Apollo Hospitals, Hyderabad drsudhirkumar@yahoo.com COVID-19 caused by SARS CoV2 is a global pandemic, which has affected about 3 million people worldwide, and has resulted in more than 2,00,000 deaths. Respiratory system seems to be the main target of COVID-19

COVID-19 IN INDIA: WHAT AFTER LOCKDOWN

Covid-19 in India: What after Lockdown Covid-19 pandemic, which started from China in December 2019, rapidly spread to about 200 countries, affecting about 3 million people, resulting in more than 2,00,000 deaths. In India, the first case was reported on January 30th, 2020. Three months later, as on 26th April 2020, there have been a