Pub Date : 2020-01-01DOI: 10.21088/ijnns.0975.0223.12120.8
K. T. Islam, M. Chowdhury, S. Sharif, Rathin Halder, Narendra Shalike, Nafaur Rahman, B. Chaurasia
{"title":"Intracranial Subdural Empyema and Brain Abscess Following A Minor-Trauma Induced Chronic Subdural Hematoma","authors":"K. T. Islam, M. Chowdhury, S. Sharif, Rathin Halder, Narendra Shalike, Nafaur Rahman, B. Chaurasia","doi":"10.21088/ijnns.0975.0223.12120.8","DOIUrl":"https://doi.org/10.21088/ijnns.0975.0223.12120.8","url":null,"abstract":"","PeriodicalId":14163,"journal":{"name":"International journal of neurology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76053965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15436/2377-1348.20.2695
A. Okunlola, A. Okunlola, C. Okunlola, O. Babalola, T. Orewole, C. C. Achebe, Ommega Internationals
Background: The onset of psychotic symptoms after traumatic brain injury varies significantly in the literature with early onset psychosis most likely to present to neurosurgeons. Aim: To document our experience with early posttraumatic brain injury psychosis Methodology: Prospective review of patients who presented to our neurosurgical unit with psychotic symptoms following traumatic brain injury over a period of eighteen months from July 2018 to December 2019. Clinical and radiological profiles of the patients were documented prospectively. Results: Five patients out of 145 patients (3.4%) with traumatic brain injury had posttraumatic brain injury psychosis using the Diagnostic and Statistical Manual for Mental Disorders 5th Edition. The onset of symptoms ranges between 7 to 17 days. There were three maleretired primary school teachers and two female students. Age ranges between 10 to 67 years. One patient had bilateral frontal burrhole drainage of the subdural hygroma under local anesthesia and sedation with propofol. There was complete resolution of the psychotic symptoms in the immediate postoperative period but these re-emerged about two hours post operatively. Conclusions: Early onset psychosis following traumatic brain injury most likely will present to neurosurgeon and it responds to antipsychotic medications. Propofol may have a promising role in the management of post traumatic brain injury psychosis. There is need for long term follow up to evaluate the risk of recurrent psychosis.
{"title":"Prospective Review of Early Psychosis Following Traumatic Brain Injury in a Tertiary Hospital in Suburban Community of South Western Nigeria","authors":"A. Okunlola, A. Okunlola, C. Okunlola, O. Babalola, T. Orewole, C. C. Achebe, Ommega Internationals","doi":"10.15436/2377-1348.20.2695","DOIUrl":"https://doi.org/10.15436/2377-1348.20.2695","url":null,"abstract":"Background: The onset of psychotic symptoms after traumatic brain injury varies significantly in the literature with early onset psychosis most likely to present to neurosurgeons. Aim: To document our experience with early posttraumatic brain injury psychosis Methodology: Prospective review of patients who presented to our neurosurgical unit with psychotic symptoms following traumatic brain injury over a period of eighteen months from July 2018 to December 2019. Clinical and radiological profiles of the patients were documented prospectively. Results: Five patients out of 145 patients (3.4%) with traumatic brain injury had posttraumatic brain injury psychosis using the Diagnostic and Statistical Manual for Mental Disorders 5th Edition. The onset of symptoms ranges between 7 to 17 days. There were three maleretired primary school teachers and two female students. Age ranges between 10 to 67 years. One patient had bilateral frontal burrhole drainage of the subdural hygroma under local anesthesia and sedation with propofol. There was complete resolution of the psychotic symptoms in the immediate postoperative period but these re-emerged about two hours post operatively. Conclusions: Early onset psychosis following traumatic brain injury most likely will present to neurosurgeon and it responds to antipsychotic medications. Propofol may have a promising role in the management of post traumatic brain injury psychosis. There is need for long term follow up to evaluate the risk of recurrent psychosis.","PeriodicalId":14163,"journal":{"name":"International journal of neurology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72641371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.21088/ijnns.0975.0223.12120.4
V. Selvaraj, Balaji Tamilselvan, V. Devanathan, A. Gowrishankar, Rajendran Karuthudaiyal
{"title":"A Study of Clinical Profile of Large Artery Disease in Ischemic Stroke Patients","authors":"V. Selvaraj, Balaji Tamilselvan, V. Devanathan, A. Gowrishankar, Rajendran Karuthudaiyal","doi":"10.21088/ijnns.0975.0223.12120.4","DOIUrl":"https://doi.org/10.21088/ijnns.0975.0223.12120.4","url":null,"abstract":"","PeriodicalId":14163,"journal":{"name":"International journal of neurology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86292201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.21088/ijnns.0975.0223.12120.1
Rashid Hm, Chowdhury Smnk, K. Ai, Islam Mm, R. Karim, Dey Sg, K. Hossain, B. Chaurasia
{"title":"Rohingya Crisis: The Unspoken Burden of Various Neurosurgical Conditions in Chattogram Medical College Hospital","authors":"Rashid Hm, Chowdhury Smnk, K. Ai, Islam Mm, R. Karim, Dey Sg, K. Hossain, B. Chaurasia","doi":"10.21088/ijnns.0975.0223.12120.1","DOIUrl":"https://doi.org/10.21088/ijnns.0975.0223.12120.1","url":null,"abstract":"","PeriodicalId":14163,"journal":{"name":"International journal of neurology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83896270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15436/2377-1348.20.2739
Nishanta B. Baidya, Nishanta B. Baidya, A. G. Kolk, J. Medow, L. Hall, Ommega Internationals
Objective: To eliminate the “equivocal flow” group from brain death scintigraphy with Tc-99m DTPA by demonstrating that patients with equivocal cerebral flow will eventually fall in the brain death groups who have no cerebral flow. Methods: We retrospectively reviewed 100 consecutive cerebral perfusion studies requested for confirmation of brain death (100 patients) performed at the University of Wisconsin from October 2009 to December 2017. Two patients died before they could obtain the cerebral perfusion study and 4 patients had duplicate medical record numbers or perfusion studies, leaving a total of 94 evaluable patients. Patients were categorized into 3 groups: no cerebral flow present, equivocal cerebral flow present and cerebral flow present. Medical records were reviewed to determine if any patients with equivocal flow survived. Results: Of the 94 evaluable patients, 70 had no cerebral flow present, 16 had equivocal cerebral flow present and 8 had cerebral flow present. Ninety-three of 94 patients in all 3 groups were clinically declared brain dead by the neurointensivist team during the same hospital admission. Fifteen of 16 patients in the equivocal flow group were clinically declared brain dead within 48 hours of the brain death scintigraphic study. One patient with equivocal flow present had clinical care withdrawn and died prior to the completion of clinical brain death determination. There was no difference in the final outcome among the no flow and equivocal flow groups. Conclusions: All patients with equivocal flow died shortly after the cerebral perfusion study and thus the equivocal flow category and clinical uncertainty associated with it may be eliminated. Furthermore, given the lack of any false negative studies with Tc-99m DTPA, there may be no significant advantage to using the more expensive and logistically challenging cerebral perfusion agents Tc-99m HMPAO and Tc-99m ECD.
{"title":"Brain Death Scintigraphy using Tc-99m DTPA: Does Equivocal Cerebral Flow Matter?","authors":"Nishanta B. Baidya, Nishanta B. Baidya, A. G. Kolk, J. Medow, L. Hall, Ommega Internationals","doi":"10.15436/2377-1348.20.2739","DOIUrl":"https://doi.org/10.15436/2377-1348.20.2739","url":null,"abstract":"Objective: To eliminate the “equivocal flow” group from brain death scintigraphy with Tc-99m DTPA by demonstrating that patients with equivocal cerebral flow will eventually fall in the brain death groups who have no cerebral flow. Methods: We retrospectively reviewed 100 consecutive cerebral perfusion studies requested for confirmation of brain death (100 patients) performed at the University of Wisconsin from October 2009 to December 2017. Two patients died before they could obtain the cerebral perfusion study and 4 patients had duplicate medical record numbers or perfusion studies, leaving a total of 94 evaluable patients. Patients were categorized into 3 groups: no cerebral flow present, equivocal cerebral flow present and cerebral flow present. Medical records were reviewed to determine if any patients with equivocal flow survived. Results: Of the 94 evaluable patients, 70 had no cerebral flow present, 16 had equivocal cerebral flow present and 8 had cerebral flow present. Ninety-three of 94 patients in all 3 groups were clinically declared brain dead by the neurointensivist team during the same hospital admission. Fifteen of 16 patients in the equivocal flow group were clinically declared brain dead within 48 hours of the brain death scintigraphic study. One patient with equivocal flow present had clinical care withdrawn and died prior to the completion of clinical brain death determination. There was no difference in the final outcome among the no flow and equivocal flow groups. Conclusions: All patients with equivocal flow died shortly after the cerebral perfusion study and thus the equivocal flow category and clinical uncertainty associated with it may be eliminated. Furthermore, given the lack of any false negative studies with Tc-99m DTPA, there may be no significant advantage to using the more expensive and logistically challenging cerebral perfusion agents Tc-99m HMPAO and Tc-99m ECD.","PeriodicalId":14163,"journal":{"name":"International journal of neurology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83318994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.21088/ijnns.0975.0223.12120.6
Anil Kumar Kasukurthy, Naveen Prasad Sv, P. Nataraja, Narasimha Reddy Bl, R RakeshReddy, B. Vengamma
{"title":"Association of Serum 25-hydroxyvitamin-D Levels with Severity of Acute Arterial Stroke in South-Indian Population","authors":"Anil Kumar Kasukurthy, Naveen Prasad Sv, P. Nataraja, Narasimha Reddy Bl, R RakeshReddy, B. Vengamma","doi":"10.21088/ijnns.0975.0223.12120.6","DOIUrl":"https://doi.org/10.21088/ijnns.0975.0223.12120.6","url":null,"abstract":"","PeriodicalId":14163,"journal":{"name":"International journal of neurology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83270100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.21088/ijnns.0975.0223.12120.3
A. Verma, S. Agarwal
{"title":"Assessment of Health Related Quality of Life (HRQoL) in Patients with Oromandibular Dystonia","authors":"A. Verma, S. Agarwal","doi":"10.21088/ijnns.0975.0223.12120.3","DOIUrl":"https://doi.org/10.21088/ijnns.0975.0223.12120.3","url":null,"abstract":"","PeriodicalId":14163,"journal":{"name":"International journal of neurology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87197680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.21088/ijnns.0975.0223.12120.2
Santosh J Mangshetty, Abhinandan Gangannavar, S. Rudrappa, S. Gopal
{"title":"Assessment of Disk Preserving Functional Cervical Disc Surgery","authors":"Santosh J Mangshetty, Abhinandan Gangannavar, S. Rudrappa, S. Gopal","doi":"10.21088/ijnns.0975.0223.12120.2","DOIUrl":"https://doi.org/10.21088/ijnns.0975.0223.12120.2","url":null,"abstract":"","PeriodicalId":14163,"journal":{"name":"International journal of neurology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84983846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.21088/ijnns.0975.0223.12120.5
I. D. Chaurasia, I. Chaurasia, Prateek Malpani, Brahmanand, M. Koshariya, A. Gupta
{"title":"Prognostic Factors in the Surgical Management of Cervical Spondylotic Myelopathy: Our Experience","authors":"I. D. Chaurasia, I. Chaurasia, Prateek Malpani, Brahmanand, M. Koshariya, A. Gupta","doi":"10.21088/ijnns.0975.0223.12120.5","DOIUrl":"https://doi.org/10.21088/ijnns.0975.0223.12120.5","url":null,"abstract":"","PeriodicalId":14163,"journal":{"name":"International journal of neurology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77483569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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