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Covid-19 With Cerebrovascular Manifestations: Review of Literature and Case Series 伴有脑血管症状的Covid-19:文献综述和病例系列
Pub Date : 2022-03-15 DOI: 10.21088/ijnns.0975.0223.14122.3
Mukesh Patel, Himanshu Raval
Background: In year 2020, we are fighting with global threat of corona virus pandemic. It is more hazardous with its heterogeneous presentation involving all systems in body. Objective: As corona virus having properties to produce cerebrovascular diseases via causing hypercoaguable state and possible endothelial damage, it is necessary to look this facet of its virulence. Here, we are presenting review of literature and case series of three patients having covid stroke, two of which having ischemic stroke and one of them is having hemorrhagic stroke. Methods and Material: This study has been carried out at SVP hospital Ahmedabad which is designated covid care hospital in western India from March to august. With no proper etiopathogenesis established between covid-19 and stroke, this data is useful as obtained from dedicated covid hospital in western India with drainage area of approximately 6,00,00,000 population. Result: Mortality is higher in patients with cerebrovascular manifestation with hypercoagulability and thrombotic complications. Conclusion: Neurological examination must be given proper importance in apparently well covid-19 positive patients to reveal minute neurological clues. A centralized database needed to be established at national level. Once covid-19 can be established as direct causative agent, a term “covid stroke” must be given proper importance and guideline can be formed for treatment.
背景:2020年,我们正在与冠状病毒大流行的全球威胁作斗争。更危险的是,它的异质表现涉及到身体的所有系统。目的:由于冠状病毒具有通过引起高凝状态和可能的内皮损伤而导致脑血管疾病的特性,因此有必要对其毒力进行研究。在这里,我们将对3例新冠肺炎卒中患者的文献和病例系列进行回顾,其中2例为缺血性卒中,1例为出血性卒中。方法和材料:本研究于3月至8月在印度西部指定的covid护理医院艾哈迈达巴德SVP医院进行。由于没有确定covid-19与中风之间的病因,因此从印度西部的专门医院获得的数据是有用的,该医院的排水面积约为60万人口。结果:伴有高凝和血栓形成并发症的脑血管患者死亡率较高。结论:对表面健康的covid-19阳性患者应重视神经学检查,以发现微小的神经学线索。需要在国家一级建立一个中央数据库。一旦确定covid-19为直接病因,就必须对“covid -中风”一词给予适当重视,形成治疗指南。
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引用次数: 0
Brucellosis Spondylodiscitis 布鲁氏菌病Spondylodiscitis
Pub Date : 2021-04-15 DOI: 10.21088/ijnns.0975.0223.13221.2
Mukesh P. Patel, Himanshu Raval
Brucellosis is neglected but important zoonotic disease when it comes about spondylodiscitis. Here, we are presenting rare case of 54 years old male with brucellosis spondylodiscitis which is diagnosed by serum agglutinin test and had undergone L5-S1 Level discectomy with L5 Partial coprpectomy with L4-L5-S1 Screw and rod fixation for the same. Postoperative period was uneventful and he was discharged on fourth postoperative day with complete neurological recovery. Due to atypical presentation and prevalence of spinal tuberculosis, diagnosis of brucellosis is challenging but with proper investigation battery and right treatment, patient can be saved from greater morbidity. Keywords: Brucellosis; Spondylodiscitis; Zoonotic disease.
布鲁氏菌病被忽视,但重要的人畜共患疾病,当它涉及脊柱炎。在此,我们报告一例罕见的54岁男性布鲁氏菌性脊柱炎患者,经血清凝集素试验诊断为布鲁氏菌性脊柱炎,并行L5- s1水平椎间盘切除术+ L5部分椎体切除术+ L4-L5-S1螺钉和棒固定。术后顺利,术后第4天患者神经功能完全恢复出院。由于脊柱结核的非典型表现和流行,布鲁氏菌病的诊断具有挑战性,但通过适当的调查和正确的治疗,患者可以避免更高的发病率。关键词:布鲁氏菌病;Spondylodiscitis;人畜共患疾病。
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引用次数: 0
Prospective Study of Prognostic Factors in Patients Undergoing Clipping for Aneurysmal Subarachnoid Haemorrhage in a Tier-3 Indian Setup 印度三级机构中动脉瘤性蛛网膜下腔出血患者行夹持术预后因素的前瞻性研究
Pub Date : 2020-07-01 DOI: 10.21088/ijnns.0975.0223.12320.9
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引用次数: 0
Evolution of Post Traumatic Acute Thin SDH into Sub acute or Chronic SDH: Analysis of Symptomatology, Risk Factor and Outcomes 创伤后急性薄SDH向亚急性或慢性SDH的演变:症状、危险因素和结局分析
Pub Date : 1900-01-01 DOI: 10.21088/ijnns.0975.0223.11219.4
R. Selvaraj, A. Vinoth
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引用次数: 0
An Analytical Study of Posterior Atlanto Dental Interval As A Prognosticator in Patients with Bony Craniovertebral Junction Anomalies 寰后牙间隙作为骨颅椎连接异常患者预后指标的分析研究
Pub Date : 1900-01-01 DOI: 10.21088/ijnns.0975.0223.11319.5
Shankar, S. Thirumal
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引用次数: 0
Study of Cerebrovascular Accident in Relation to Clinical Correlation with Findings of CT Scan Brain 脑血管意外与脑CT表现临床相关性的研究
Pub Date : 1900-01-01 DOI: 10.21088/ijnns.0975.0223.11119.11
Rekha Nh, Vidyashree J.
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引用次数: 0
Growing Skull Fracture/Leptomeningeal Cyst: A Case Report 颅骨生长性骨折/薄脑膜囊肿1例报告
Pub Date : 1900-01-01 DOI: 10.21088/ijnns.0975.0223.11119.15
S. P, Anuj Vilas Nehete
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引用次数: 1
The Hidden Hematoma of the Head: Analysis of Vertex EDHs and their Outcome 头部隐蔽性血肿:顶点EDHs的分析及其结果
Pub Date : 1900-01-01 DOI: 10.21088/ijnns.0975.0223.11319.6
S. Singh, N. Kakani, B. Ojha, A. Chandra, C. Srivastava, M. Jaiswal
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引用次数: 0
Determine the Correlation of Clinicopathologic and Radiologic Characteristic Predicting the Outcome of Meningioma 确定预测脑膜瘤预后的临床病理和放射学特征的相关性
Pub Date : 1900-01-01 DOI: 10.21088/ijnns.0975.0223.11119.7
K. Sudhakar, A. Thiruvalluvan, S. Saisriram, B. Chaurasia
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引用次数: 0
Factors Predicting the Need of Permanent CSF Diversion Surgery in Children Presenting with Hydrocephalus Due to Posterior Fossa Tumours 预测儿童后窝肿瘤所致脑积水需要永久性脑脊液转移手术的因素
Pub Date : 1900-01-01 DOI: 10.21088/ijnns.0975.0223.11319.8
Prashant Punia, S. Gotecha, A. Chugh, S. Chhabra, Dushyant Kashyap, Vaibhav R, A. Patil
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引用次数: 25
期刊
International Journal of Neurology and Neurosurgery
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