Focal Status Epilepticus as a Presenting Symptom of SARS CoV2 Infection COVID 19, caused by SARS CoV2 virus is a global pandemic and has affected more than 3 million people worldwide. Most patients with COVID 19 present with respiratory symptoms, however, neurological involvement is not uncommon. Previously, stroke, Guillain Barre Syndrome, meningitis and encephalitis haveContinue reading “Focal Status Epilepticus as a Presenting Symptom of SARS CoV2 Infection”
Psychogenic non-epileptic seizures (PNES) are common in clinical practice. The diagnosis of PNES is commonly missed or delayed. The diagnosis of PNES should be suspected, if a person has repeated seizures despite being on good anti-epileptic drugs. Other features that help in accurate diagnosis of PNES are: 1. The semiology of non-epileptic seizure is unlikeContinue reading “PSYCHOGENIC NONEPILEPTIC SEIZURES”
Syrinx refers to a fluid (cerebrospinal fluid) filled cavity in the spinal cord. A small syrinx either may not cause any symptoms or cause only minor symptoms, and therefore, they remain undiagnosed for long. They get detected when MRI spine is done for evaluation of neck pain, or other symptoms. In the MRI of cervicalContinue reading “INCIDENTAL CERVICAL SYRINX”
Parkinson’s disease is the commonest cause of tremors. In this disease, tremors occur at rest. In the accompanying video, you can see resting tremors in a woman, who has Parkinson’s disease of 6 years duration. The tremors are asymmetric, affecting the right upper limb more than the left upper limb.
Psychogenic non-epileptic seizures are common. These seizures are not due to epileptiform discharges in the brain and EEG recording during the seizure episodes are normal. On careful history taking, an underlying stress or psychiatric diagnosis can be found in most of these cases. These are also referred to as pseudo-seizures, hysterical seizures or dissociative (conversion)Continue reading “Psychogenic Non-epileptic Seizures”