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   1993| July-September  | Volume 41 | Issue 3  
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Multiple sclerosis in coastal Karnataka
L Pandit, R Subramanya, SN Rao
July-September 1993, 41(3):143-146
Over the last 10 years from 1982-1992, we have diagnosed 29 cases of multiple sclerosis at our centre. In this hospital based retrospective study, 22 cases were definite (including 4 cases of Neuromyelitis optica) and the remaining 7 were probable cases of multiple sclerosis according to Poser's criteria (Poser et al 1983). There was no sex preponderence. Striking clinical presentations included high incidence of optic nerve, brain stem and spinal cord involvement. Sympathetic disturbance in the form of Horner's syndrome was seen in two patients. Major depressive psychosis was an associated disease in 2 cases. One patient developed multiple sclerosis after receiving anti rabies vaccine.
[ABSTRACT]   Full text not available     [PubMed]
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Pattern of neurological disorders above the middle aged population in JIPMER, Pondicherry
KS Anand, MMC Singh, Singh MM Chandra
July-September 1993, 41(3):157-164
This study is a report of neurological cases in a teaching hospital during the year 1991. Out of 2,34,021 new patients seen in the hospital, 1153 (0.49 percent) were referred to the neurology clinic. 27.6 percent were above 40 years of age. 70 percent in this age group were males and 30 percent were females. The common disorders observed were episodic and paroxysmal group (45.3 percent) followed by extrapyramidal and movement disorders (19.5 percent), nerves, nerve root and plexus disorders (9.4 percent), diseases of the spinal cord (7.5 percent) and other (18.3 percent). Among the diseases epilepsy was the commonest (20.6 percent) followed by cerebrovascular accidents (19.1 percent) Parkinson's disease (16.9 percent) alcoholic cerebellar degeneration (3.7 percent), Polyneuropathies (3.7 percent) etc. Cerebrovascular accidents were predominantly reported among the males (P < 0.05). Age specific proportion of cases increased significantly with increasing age for vascular syndromes in cerebrovascular diseases, extrapyramidal and movement disorders. However, epilepsy and headache syndromes declined significantly with the increasing age (P < 0.05).
[ABSTRACT]   Full text not available     [PubMed]
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Anterior cerebral artery territory infarctions : a clinico-radiologic study based on CT
KA KuJan-Mar, JMK Murthy, G Bhaskar
July-September 1993, 41(3):137-142
Clinical features of acute infarcts in the anterior cerebral artery territory are correlated to the topography of lesions on CT Scan in 15 patients. The most common clinical feature, hemiparesis with crural dominance correlated well with the involvement to the contralateral paracentral lobule in all 12 patients. Patients who had facio-brachial weakness and hemiparesis showed infarcts limited to the periventricular white matter around anterior horn of lateral ventricle. Large medial-basal frontal lesions were associated with behavioural disturbances in 5 patients. In 3 patients who had patchy lesions involving the paracentral lobule, supplementary motor area and medial frontal areas with sparing of the fronto-polar areas had bladder disturbances in3 patients, while 3 other patients who had involvement of the same areas did not show bladder disturbances. The size of the infarct seems to have not much correlation as compared to the site and structures involved. Supplementary motor area lesions had associated speech disturbances like mutism, transcortical motor aphasia and decreased nonfluent verbal output, in one case each. Clinical features in anterior cerebral artery territory have more often fair correlation with topographic lesions on CT.
[ABSTRACT]   Full text not available     [PubMed]
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Aicardi's syndrome with interhemispheric arachnoid cyst and sacro - coccygeal teratoma : a case report [Letter]
S Hiran, S Jain
July-September 1993, 41(3):178-179
Full text not available     [PubMed]
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Tuberculous spinal arachnoiditis and computerized tomographic myelography.
V Rajshekhar, MJ Chandy, V Rajashekhar
July-September 1993, 41(3):165-168
Tuberculous spinal arachnoiditis (TSA) is a serious condition and its early diagnosis is imperative. This communication is on 3 patients in whom the computerised tomography (CT) and water soluble myelographic appearance in TSA is highlighted. In twopatients, this was found to be superior in the diagnosis of TSA than plain myelography. On CT-myelography, TSA is characterised by a 'beaded' appearance and a denser concentration of the contrast medium in the ventral subarachnoid space.
[ABSTRACT]   Full text not available     [PubMed]
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Prognostic parameters of CT scan in spontaneous intracerebral haemorrhages
IS Gambhir, SS Gupta, DS Singh, RC Shukla
July-September 1993, 41(3):151-155
Eighty six C. T. scan proven cases of intracerebral hemorrhage were studied. The mean age was 58 14.5 years with the majority (65 percent) of the patients in the 5th and the 6th decades. Our data revealed that the state of alertness and the prognosis had a significant correlation with the location, the volume of hemorrhage, presence of ventricular communication and the degree of mass effect. The mortality was 43 percent and the survivors improved significantly at the time of discharge.
[ABSTRACT]   Full text not available     [PubMed]
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Lacunar infarct presenting as cheiro-oral syndrome [Letter]
PC Sanchetee, SVSM Venkataraman, A Jena, RM Dhamija
July-September 1993, 41(3):183-184
Full text not available     [PubMed]
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Vernet's syndrome following extreme neck rotation [Letter]

July-September 1993, 41(3):183-183
Full text not available     [PubMed]
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Mutism following posterior fossa surgery for medulloblastoma.
C Balasubramaniam, V Subramaniam, V Balasubramaniam
July-September 1993, 41(3):173-175
A case of child who developed mutism following surgery for medulloblastoma is described. Recovery was spontaneous.
[ABSTRACT]   Full text not available     [PubMed]
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SN Bhagwati, SN Bhagawati
July-September 1993, 41(3):127-135
Full text not available     [PubMed]
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A Comparative evaluation of Propofol and thiopentone in prevention of haemodynamic responses to scalp incision during craniotomy.
M Sharma, J Wig, A Agarwal, VK Kak, A Agarawal
July-September 1993, 41(3):147-150
We evaluated the efficacy of Propofol administration in attenuation of the cardiovascular response prior to scalp incision and compared it with the administration of an additional dose of intravenous thiopentone. Thirty patients between 15-50 years of age undergoing elective craniotomy were randomly allocated into 3 groups of 10 each. Group 1 (normal saline) served as control while in group II 2.0 mg/kg of thiopentone was given one minute before scalp incision and in group III propofol 1.0 mg/kg was given one minute before scalp incision. Group I and II patients showed significant tachycardia and hypertension. Rise in heart rate was 26 percent and 9 percent and rise in systolic blood pressure was 21 percent and 13 percent in groups I and II respectively. The changes in cardiovascular parameters in group III were minimal and insignificant except for 12 percent fall in systolic blood pressure one minute after propofol administration. Hence, propofol administration effectively attenuated haemodynamic responses to scalp incision while an additional doses of thiopentone offered only a transient and incomplete protection.
[ABSTRACT]   Full text not available     [PubMed]
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Ataxic hemiparesis due to capsular hemorrhage [Letter]
A Anjaneyulu, S Mohandas
July-September 1993, 41(3):177-177
Full text not available     [PubMed]
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Use of dental motor-drill and mastoid burrs in neurosurgery [Letter]
BS Rao, Rao B Subba
July-September 1993, 41(3):181-181
Full text not available     [PubMed]
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Fibrous histiocytoma of axis : a case report
BI Devi, S Bhatia, MK Tewari, VK Khosla, VK Kak, N Khandelwal, BD Radotra
July-September 1993, 41(3):169-171
Fibrous histiocytoma of the cervical spine is extremely rare. This lesion was accidentally discovered in a patient who had presented with a history of cervical trauma. The diagnosis was subsequently confirmed on histopathological examination following surgery.
[ABSTRACT]   Full text not available     [PubMed]
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A Case of acute extradural haematoma following subtemporal decompression for acute subdural haematoma [Letter]
M Natarajan, MB Pranesh, Narayanan GN Lakshmi, K Govindarajan, V Veerappan, G Bakthavathsalam
July-September 1993, 41(3):177-178
Full text not available     [PubMed]
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Primary non specific pituitary abscess [Letter]
K Loga, M Krishnan, L Murugan
July-September 1993, 41(3):179-181
Full text not available     [PubMed]
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Dystonic lipidosis with sea blue histiocytes [Letter]

July-September 1993, 41(3):182-182
Full text not available     [PubMed]
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Isonicotinic acid hydrazide induced status epilepticus [Letter]
SK Gupta, AS Manhas, VK Gupta
July-September 1993, 41(3):181-182
Full text not available     [PubMed]
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Online since 20th March '04
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