Focal Status Epilepticus as a Presenting Symptom of SARS CoV2 Infection


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”

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-19Continue reading “LARGE VESSEL STROKE AS PRESENTING FEATURE OF COVID-19”

Headaches Associated with Personal Protection Equipment (PPE)


HEADACHES ASSOCIATED WITH PERSONAL PROTECTIVE EQUIPMENT Dr Sudhir Kumar MD DM Consultant Neurologist Apollo Hospitals, Hyderabad drsudhirkumar@yahoo.com Introduction Coronavirus disease 2019 (COVID-19) caused by SARS-CoV2 is a global pandemic, which has already affected about 2.6 million people in about 200 countries. Healthcare workers working in high-risk areas (such as emergency room, isolation wards, ICU, etc)Continue reading “Headaches Associated with Personal Protection Equipment (PPE)”

HOW DOES COVID 19 AFFECT THE NERVOUS SYSTEM


How does COVID 19 affect Nervous System? Covid 19, caused by SARS CoV2 virus, is a global pandemic, which has infected about 1.88 million people in about 200 countries, resulting in about 1,16,800 deaths. Covid 19 predominantly affects respiratory system. Common symptoms include fever, cough, breathing difficulty, fatigue and chest pain. Severe cases manifest withContinue reading “HOW DOES COVID 19 AFFECT THE NERVOUS SYSTEM”

GUILLAIN BARRE SYNDROME as a presenting feature of SARS CoV 2 INFECTION


Introduction Guillain Barre syndrome (GBS) refers to an acute onset polyradiculoneuropathy, which commonly manifests with rapidly progressive weakness of all 4 limbs, usually starting in lower limbs, then ascending to involve upper limbs. Muscle tone is reduced (hypotonia) and the deep tendon reflexes are either sluggish or absent. Minor sensory symptoms such as distal paresthesiaContinue reading “GUILLAIN BARRE SYNDROME as a presenting feature of SARS CoV 2 INFECTION”

COVID 19 (Corona Virus) RELATED ANXIETY DISORDER


Corona (Covid 19) Related Anxiety Disorder Corona virus infection, better known as Covid 19 infection, which started in China about three months ago, has rapidly spread to about 150 countries. So far, about 1,50,000 people have been infected with Covid 19, out of whom about 5,500 people have died. Various forms of media (including TV,Continue reading “COVID 19 (Corona Virus) RELATED ANXIETY DISORDER”

FOCAL DYSTONIA-WRITER’S CRAMP


Writer’s cramp is among the most common focal dystonias. Patients with writer’s cramp have a task-specific dystonia, which occurs while writing. Patients with writer’s cramp face severe handicap and disability in their jobs or education, as they are unable to write properly. A diagnosis of writer’s cramp can be made on the basis of historyContinue reading “FOCAL DYSTONIA-WRITER’S CRAMP”

Noncontrast CT Brain in Cerebral Venous Sinus Thrombosis


Cerebral venous sinus thrombosis (CVST) commonly presents with headache, raised ICP, seizures and focal neurological deficits. Diagnosis can be made on the basis of CT and MRI brain. The usual initial investigation done is CT brain-plain (non-contrast). It is important to pick up the findings on plain CT so that an early diagnosis can beContinue reading “Noncontrast CT Brain in Cerebral Venous Sinus Thrombosis”

PSYCHOGENIC NONEPILEPTIC SEIZURES


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”

HERPES ZOSTER OPHTHALMICUS


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”