{"title":"An Unusual Case of Two Large Aneurysms Arising from Opposite Walls of Right Internal Carotid Artery Cavernous Segment and its Management.","authors":"Batuk Diyora, Anup Purandare, Kavin Devani, Ravi Wankhade, Sagar Gawali, Prakash Palave, Rushabh Chheda","doi":"10.4103/ni.ni_479_22","DOIUrl":"https://doi.org/10.4103/ni.ni_479_22","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2024-11-29DOI: 10.4103/ni.ni_302_20
Tom Kakkanattu, Jasmine Sethi, Smita Divyaveer, K V Mahesh, Raja Ramachandran, Harbir S Kohli
{"title":"Sensorimotor Neuropathy with Chronic Kidney Disease: A Rare Etiology.","authors":"Tom Kakkanattu, Jasmine Sethi, Smita Divyaveer, K V Mahesh, Raja Ramachandran, Harbir S Kohli","doi":"10.4103/ni.ni_302_20","DOIUrl":"https://doi.org/10.4103/ni.ni_302_20","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2024-11-01Epub Date: 2024-12-17DOI: 10.4103/neurol-india.Neurol-India-D-23-00527
Shikai Liang, Xianli Lv
{"title":"Angioarchitecture and Endovascular Therapy of Infantile Dural Arteriovenous Fistulas.","authors":"Shikai Liang, Xianli Lv","doi":"10.4103/neurol-india.Neurol-India-D-23-00527","DOIUrl":"10.4103/neurol-india.Neurol-India-D-23-00527","url":null,"abstract":"<p><p>Infantile dural arteriovenous fistula (IDAVF) is a rare complex dural arteriovenous fistulas. This study is to provide a comprehensive understanding of the angioarchitecture of arteriovenous shunts in IDAVFs and planning endovascular treatment. Five cases of IDAVF and a literature review were analyzed to characterize the shunt patterns of IDAVFs in terms of anatomic relations to the arterial feeder, sinuses, and cortical veins. Treatment characteristics and outcomes were evaluated. A total of 37 cases of IDAVF were identified, including 32 cases from the 15 literature studies and five cases from our center. The patients' age is 11 weeks to 27 years, with an average of 6 ± 7.8 years. Fourteen patients were female, and 23 patients were male. IDAVFs were characterized by multiple high-flow fistulas fed by arterial feeders from six vessels converging to enlarged dural sinuses, most of which were torcular, transverse-sigmoid, or superior sagittal sinuses (94.6%). In 31 cases treated endovascularly, only 9 (29%) IDAVFs resulted in complete occlusion. Clinical outcomes were reported in 28 cases treated endovascularly with a 64.3% of morbidity (mRS ≥ 2) and mortality. There were no differences in complete occlusion rate (25% vs 33.3%, P > 0.999) and death rate (21.4% vs 21.4%, P > 0.999) between transarterial and transvenous approaches. IDAVFs were characterized by multiple high-flow fistulas fed by arterial feeders from six vessels converging to enlarged dural sinuses, most of which were torcular, transverse-sigmoid, or superior sagittal sinuses. Considering these multiple suppliers and high-flow shunts, transarterial or transvenous embolization is still insufficient and unsatisfactory.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"72 6","pages":"1152-1159"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Complex Pediatric Vertebrobasilar Junction Aneurysm Treated using a Flow Diverter with Coiling: Case Report and Management Strategy.","authors":"Chinmay Dash, Biswamohan Mishra, Biswajit Sahoo, Nerbadyswari Deep Bag, Manoj Nayak","doi":"10.4103/neurol-india.Neurol-India-D-24-00007","DOIUrl":"10.4103/neurol-india.Neurol-India-D-24-00007","url":null,"abstract":"<p><p>Pediatric intracranial aneurysms (PIAs) are highly uncommon, with an incidence of <5% (0.17 to 4.6%) and <2% of PIA complicates into an aneurysmal hemorrhage. Pediatric aneurysms are usually treated by clipping, coiling, or more recently with flow diversion. Herein, we describe a 3-year male, whose ruptured vertebrobasilar junction aneurysm was successfully treated with a flow diverter and coiling.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"72 6","pages":"1273-1276"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2024-11-01Epub Date: 2024-12-17DOI: 10.4103/neurol-india.Neurol-India-D-23-00496
Jeeva P Jiju, Sneha Santhosh, Chirag S Lalwani, Smrithi S Thampi, Sudheeran Kannoth, Vivek Nambiar, Siby Gopinath, Saraf U Umesh, Gopikrishnan Unnikrishnan, Anandkumar Anandakuttan, Annamma Mathai, Jyothi V Leelamani, Parameswaran Krishnan, John J Vaidya, Bineesh Chemminikkara
{"title":"Clinical Manifestations of Anti-GABA-B Receptor Encephalitis: A Case Series.","authors":"Jeeva P Jiju, Sneha Santhosh, Chirag S Lalwani, Smrithi S Thampi, Sudheeran Kannoth, Vivek Nambiar, Siby Gopinath, Saraf U Umesh, Gopikrishnan Unnikrishnan, Anandkumar Anandakuttan, Annamma Mathai, Jyothi V Leelamani, Parameswaran Krishnan, John J Vaidya, Bineesh Chemminikkara","doi":"10.4103/neurol-india.Neurol-India-D-23-00496","DOIUrl":"10.4103/neurol-india.Neurol-India-D-23-00496","url":null,"abstract":"<p><p>Anti γ aminobutyric acid B(GABA B) receptor encephalitis is a rare form of autoimmune encephalitis. Our aim is to study the clinical characteristics and treatment outcomes of anti GABA B receptor encephalitis. This is a retrospective case series from the Neuroimmunology laboratory of Amrita Institute of Medical Sciences, Kochi, Kerala, India from 2016 to 2021. A total of four cases (two males, two females, age range: 13-80 years) tested positive for GABA B antibody during the study period. The clinical manifestations of anti GABA B receptor encephalitis found in our patients consisted of seizures, cognitive function decline (especially recent memory), and behavioral abnormalities. No malignancies were encountered. Patients were treated with steroids and immunoglobulins and showed an improvement in behavioral and cognitive function. However, one patient succumbed to illness while being treated with plasma exchange, and two other patients died at a later date due to other causes.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"72 6","pages":"1259-1262"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2024-11-01Epub Date: 2024-12-17DOI: 10.4103/ni.ni_355_21
Shweta Kedia
{"title":"Gamma Knife Radiosurgery for the Management of Trigeminal Neuralgia.","authors":"Shweta Kedia","doi":"10.4103/ni.ni_355_21","DOIUrl":"10.4103/ni.ni_355_21","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"72 6","pages":"1316-1317"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Post ChAdOx1 nCoV-19 Corona Virus Vaccine (Recombinant) (Covishield) Brachial Plexitis - Report of Two Cases Along with Review of Literature.","authors":"Rajendra Singh Jain, Garima Pandey, Chandani J Shah, Paresh Sukhani, Utkarsh Kabra","doi":"10.4103/ni.ni_1168_21","DOIUrl":"10.4103/ni.ni_1168_21","url":null,"abstract":"<p><p>Various neurological complications have been linked with vaccines ranging from encephalitis, stroke, ADEM to GBS and many more. Although both viral as well as bacterial vaccines have been reported to cause neurological adverse events, brachial plexitis following vaccination is very uncommon. Vaccination drive against COVID-19 was started on 16th Jan 2021 in India. Various adverse events have been reported following vaccination since then. We observed two cases of brachial plexitis following the first dose of the Covishield vaccine. Although the risk-benefit ratio is very low for the COVID-19 vaccine, it is of vital importance for every clinician to be aware of such a rare adverse event.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"72 6","pages":"1254-1258"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2024-11-01Epub Date: 2024-12-17DOI: 10.4103/neuroindia.NI_1455_20
Kavadisseril V Vysakha, Manna Jose, Aniket Pande, Reshma A Salini, Veena Pavithran, S Arjun, Bejoy Thomas, Sanjeev Varghese Thomas
{"title":"Risk of Bleed During Pregnancy in Women with Epilepsy Due to Cerebral Vascular Malformations.","authors":"Kavadisseril V Vysakha, Manna Jose, Aniket Pande, Reshma A Salini, Veena Pavithran, S Arjun, Bejoy Thomas, Sanjeev Varghese Thomas","doi":"10.4103/neuroindia.NI_1455_20","DOIUrl":"10.4103/neuroindia.NI_1455_20","url":null,"abstract":"<p><strong>Background: </strong>Cerebral vascular malformations are rare but important causes of epilepsy in young women. The risk of bleed during pregnancy and delivery as well as the fetal outcomes are important concerns for women with epilepsy (WWE) due to cerebral vascular malformations (EVM).</p><p><strong>Objectives: </strong>We compared the maternal and fetal outcomes of a cohort of EVM with women with focal epilepsy due to other causes (ENVM).</p><p><strong>Methods and material: </strong>We identified all EVMs in the Kerala Registry of Epilepsy and Pregnancy and compared their characteristics with that of a set of randomly selected ENVM in the same registry. The clinical characteristics, pregnancy outcome, and seizure risk during pregnancy from the vascular malformations were compared between the two groups with Chi-square test and multivariate logistic regression after adjustment for age, epilepsy classification, and AED usage.</p><p><strong>Results: </strong>There were 45 women with EVM (arteriovenous malformations: 25, cavernoma: 20) in this registry between 1998 and 2018. The EVM and ENVM groups (n = 96) had similar rates of seizure relapse during pregnancy (37.1% vs. 55.1%), fetal loss (11.4% vs. 13.5%), and fetal malformations (9.4% vs. 9%). The rate of delivery by cesarean section, adjusted for maternal age, was higher for the EVM group (61.2% vs. 39%, odds ratio = 2.79, 95% CI: 0.99-7.9, P = 0.05). AVM bled during pregnancy for three women (none of the cavernoma had bled during pregnancy).</p><p><strong>Conclusions: </strong>Maternal and fetal outcomes were comparable for the EVM and ENVM groups, but the former had a higher rate of cesarean section. AVM bled during pregnancy for 15% of women.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"72 6","pages":"1218-1222"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neurology IndiaPub Date : 2024-11-01Epub Date: 2024-12-17DOI: 10.4103/neurol-india.Neurol-India-D-24-00476
Sha Luo, Yiqing Jiang
{"title":"A Special Case of Bilateral Pontine Infarct with the \"Mushroom Appearance\" Sign.","authors":"Sha Luo, Yiqing Jiang","doi":"10.4103/neurol-india.Neurol-India-D-24-00476","DOIUrl":"10.4103/neurol-india.Neurol-India-D-24-00476","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"72 6","pages":"1324"},"PeriodicalIF":0.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}