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”

TRIGEMINAL NEURALGIA- Description of Symptoms


Trigeminal neuralgia (TN) is among the commonest causes for episodic facial pain. It commonly affects one side of face, however, in some patients, both sides of face may get affected. Here, we have a patient suffering from left sided trigeminal neuralgia, describing her symptoms. Pain is episodic, shock-like, lasting for a few seconds. Pain isContinue reading “TRIGEMINAL NEURALGIA- Description of Symptoms”

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”

Extensive CEREBRAL VENOUS SINUS THROMBOSIS with COLLATERAL formation


35-year old gentleman presented with episodes of headache for the past two weeks. There were no other significant past history. CT brain showed features of 1. Right transverse sinus thrombosis (red arrow), 2. Internal cerebral veins thrombosis (thin yellow arrow), 3. Straight sinus thrombosis (orange arrow), 4. Superior sagittal sinus thrombosis (thick yellow arrow) MRContinue reading “Extensive CEREBRAL VENOUS SINUS THROMBOSIS with COLLATERAL formation”

ESSENTIAL TREMORS affecting ONE Arm and Head


Essential tremors (ETs) are the commonest causes of tremors, along with Parkinson’s disease (PD). It is usually thought that tremors affecting one hand are typical of PD, and in ET, tremors affect both hands. However, in clinical practice, it is not unusual to see patients with ET, who have tremors affecting only one hand. TheContinue reading “ESSENTIAL TREMORS affecting ONE Arm and Head”

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”

Diagnosis and Management of Idiopathic Intracranial Hypertension (IIH)


IDIOPATHIC INTRACRANIAL HYPERTENSION What is Idiopathic intracranial hypertension (IIH)? IIH is a condition characterized by raised intracranial pressure (ICP) of unknown etiology. It is also known as benign intracranial hypertension or pseudotumor cerebri. What are the common symptoms of IIH? The commonest symptom of IIH is headache. In some cases, visual blurring or double visionContinue reading “Diagnosis and Management of Idiopathic Intracranial Hypertension (IIH)”

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”

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”

Extensive Calcifications on Brain MRI in a case of Hypoparathyroidism


16-year old presented with seizures of five years duration. Seizures were of generalized tonic-clonic type. He was earlier diagnosed to have hypoparathyroidism on the basis of low serum calcium and low PTH levels in blood. MRI brain showed bilateral symmetrical calcifications involving caudate nucleus, globus pallidus, thalamus and dentate nucleus of cerebellum. Calcifications were hyperintenseContinue reading “Extensive Calcifications on Brain MRI in a case of Hypoparathyroidism”