Cerebral Hemiatrophy in a Child with Epilepsy


14-year old child presented with right focal motor with secondary generalized seizures of six months duration. He had a total of three episodes of seizures during this period. There was mild right hemiparesis, however, speech was not impaired. MRI brain showed features of left cerebral hemiatrophy- widened sulci, thinning of gyri and ex-vacuo dilatation ofContinue reading “Cerebral Hemiatrophy in a Child with Epilepsy”

Calcified Enhancing Solitary Cysticercus Granuloma causing Focal Seizures


Solitary cysticercus granuloma (SCG) is a common cause of seizures in India as well as several other countries. The granuloma can be a cause of chronic epilepsy. In some cases, the granuloma resolves within a few months, however, it can last for several years in many patients. Calcification is a sign of healed SCG. EnhancementContinue reading “Calcified Enhancing Solitary Cysticercus Granuloma causing Focal Seizures”

Gait in Cerebellar Disease


Cerebellum is closely involved in maintaining balance while walking. People suffering from cerebellar disease often present with imbalance while walking, which is referred to as gait ataxia. Cerebellar disease manifests with ipsilateral symptoms, which means that in a person with left sided cerebellar disease, the person would sway to left side while walking. In aContinue reading “Gait in Cerebellar Disease”

Hypertension is a Risk Factor for Both Ischemic Stroke and Hemorrhagic Stroke


Hypertension is a risk factor for both ischemic as well as hemorrhagic strokes. In the case presented here, same patient suffered ischemic and hemorrhagic strokes at two different times. On the CT scan image above, yellow arrows point to the old left temporal infarct. Red arrows point to an acute right thalamic hemorrhage. Control ofContinue reading “Hypertension is a Risk Factor for Both Ischemic Stroke and Hemorrhagic Stroke”

Eschar: A clue to the Diagnosis of Scrub Typhus


Scrub typhus is among the common causes of febrile illnesses, noted globally. It should be included in the differential diagnosis of febrile illness along with more common conditions such as malaria, typhoid, leptospirosis, etc. In addition to fever, patients with scrub typhus may have headache, skin rash, joint pains, lymphadenopathy and an eschar. Eschar isContinue reading “Eschar: A clue to the Diagnosis of Scrub Typhus”