{"title":"Life-Threatening Massive Epistaxis because of Ruptured Pseudo-aneurysm of Petrous Internal Carotid Artery and its Treatment with High-Flow Bypass.","authors":"Batuk Diyora, Anup Purandare, Kavin Devani, Ravi Wankhade, Sagar Gawali, Prakash Palave, Rushabh Chheda","doi":"10.4103/ni.ni_483_22","DOIUrl":"10.4103/ni.ni_483_22","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"73 3","pages":"575-579"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132689","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 : 2025-05-01Epub Date: 2025-05-23DOI: 10.4103/neurol-india.Neurol-India-D-25-00315
Girish Menon
{"title":"Chiari Malformation - Miles to go Before we Sleep!!","authors":"Girish Menon","doi":"10.4103/neurol-india.Neurol-India-D-25-00315","DOIUrl":"10.4103/neurol-india.Neurol-India-D-25-00315","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"73 3","pages":"413-414"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132669","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 : 2025-05-01Epub Date: 2025-04-16DOI: 10.4103/neurol-india.Neurol-India-D-23-00537
Srilekha Durai, Varghese M Aubin, S Lakshmanan, P R Sowmini, S Sakthi Velayutham, K Malcolm Jeyaraj, V Kannan, R Viveka Saravanan, K Mugundhan, Marian Jude Vijay
{"title":"Spontaneous Intracranial Hypotension-Rare Occurrence of Simultaneous Multiple Spinal Level CSF Leaks.","authors":"Srilekha Durai, Varghese M Aubin, S Lakshmanan, P R Sowmini, S Sakthi Velayutham, K Malcolm Jeyaraj, V Kannan, R Viveka Saravanan, K Mugundhan, Marian Jude Vijay","doi":"10.4103/neurol-india.Neurol-India-D-23-00537","DOIUrl":"10.4103/neurol-india.Neurol-India-D-23-00537","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":" ","pages":"570-572"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022945","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 : 2025-05-01Epub Date: 2025-05-23DOI: 10.4103/NI.NI_776_20
Kai Zhu, Yikai Xu
{"title":"Gadolinium Deposition in the Rat Brain after Repeated Administration of the Liver-Specific Gadolinium-Based Contrast Agent Gadoxetic Acid.","authors":"Kai Zhu, Yikai Xu","doi":"10.4103/NI.NI_776_20","DOIUrl":"10.4103/NI.NI_776_20","url":null,"abstract":"<p><strong>Background: </strong>Studies on gadolinium deposition have recently been reported.</p><p><strong>Objective: </strong>The objective of this study was to investigate whether there is an increased magnetic resonance signal intensity (SI) of the dentate nucleus (DCN) and quantification of gadolinium (Gd) brain concentrations by inductively coupled plasma-mass spectrometry (ICP-MS) test in rats who had undergone multiple administrations of gadoxetic acid and gadobutrol.</p><p><strong>Materials and methods: </strong>Sprague-Dawley rats (24) were equally divided into three groups. Eight animals per group received 20 intravenous injections of gadoxetic acid (0.15 mmol/kg) and gadobutrol (0.6 mmol/kg) per injection. MRI was performed at 0, 5, and 20 weeks. Subsequently, all animals were euthanized and their brains were dissected for Gd quantification by ICP-MS.</p><p><strong>Results: </strong>ICP-MS revealed higher Gd content in cerebellum tissue after administration of gadoxetic acid compared to gadobutrol (P < 0.05). The mean Gd concentrations in the cerebellum were 0.48 nmol/g gadoxetic acid and 0.26 nmol/g gadobutrol after intravenous administration. No visually evident enhancement was found after administration of gadoxetic acid, gadobutrol, or saline at any time point. The DCN-to-pons SI ratios for gadoxetic acid and gadobutrol were not different from the saline control group (P > 0.05, saline vs. gadoxetic acid and saline vs. gadobutrol, respectively).</p><p><strong>Conclusions: </strong>Our results demonstrated that gadolinium concentrations in the cerebellum after intravenous gadoxetic acid administration were higher than for gadobutrol. Multiple administrations of gadoxetic acid disodium are not associated with increased SI in DCN.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"73 3","pages":"495-499"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132679","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 : 2025-05-01Epub Date: 2025-05-23DOI: 10.4103/neurol-india.Neurol-India-D-24-00792
Kavin K Devani, Sarthak Mehta, Vikas V Vazhayil, Nishanth Sadashiva
{"title":"Endoscopic Endonasal Removal of Orbital Schwannoma.","authors":"Kavin K Devani, Sarthak Mehta, Vikas V Vazhayil, Nishanth Sadashiva","doi":"10.4103/neurol-india.Neurol-India-D-24-00792","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-24-00792","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"73 3","pages":"446-448"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476164","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 : 2025-05-01Epub Date: 2025-05-23DOI: 10.4103/neurol-india.Neurol-India-D-24-00159
Arvin Ahuja, Ranganatha Praveen, Manikandan Sethuraman, Ajay P Hrishi, Jeeva George
{"title":"Postoperative Hyperglycemia with Ketosis Sans Acidemia in a Child Immediately Following Fourth Ventricular Medulloblastoma Resection: Anesthetic Concerns and Intensive Care Management.","authors":"Arvin Ahuja, Ranganatha Praveen, Manikandan Sethuraman, Ajay P Hrishi, Jeeva George","doi":"10.4103/neurol-india.Neurol-India-D-24-00159","DOIUrl":"10.4103/neurol-india.Neurol-India-D-24-00159","url":null,"abstract":"<p><p>Postoperative hyperglycemia with ketosis immediately following fourth ventricular medulloblastoma surgery for a non-diabetic child with normal intraoperative blood glucose, is an uncommon clinical entity, and has seldom been reported in the literature. We present the management of this rare complication in a child. Surgical manipulation in and around the fourth ventricle and brainstem region may have disrupted central energy metabolic control involving the brain-islet axis, leading to impaired glucose homeostasis. Tumor's molecular characteristics may have also contributed to altered glucose metabolism. We emphasize the importance of being aware of this rare complication for their safe management.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"73 3","pages":"538-540"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132692","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 : 2025-05-01Epub Date: 2024-11-29DOI: 10.4103/ni.ni_621_21
Ishaan Suniara, Karen R Lionel, Georgene Singh, Baylis V Joseph
{"title":"Craniospinal Hypotension - An Unusual Cause for Fluctuating Sensorium after Aneurysm Clipping.","authors":"Ishaan Suniara, Karen R Lionel, Georgene Singh, Baylis V Joseph","doi":"10.4103/ni.ni_621_21","DOIUrl":"10.4103/ni.ni_621_21","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"73 3","pages":"607-608"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132673","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 : 2025-05-01Epub Date: 2025-05-23DOI: 10.4103/neurol-india.Neurol-India-D-24-00117
Guilherme L O Lima, Fábio B R Silva, Daniel F F Paiva
{"title":"Extended Laminectomy in Chiari Malformation Treatment: A Systematic Review.","authors":"Guilherme L O Lima, Fábio B R Silva, Daniel F F Paiva","doi":"10.4103/neurol-india.Neurol-India-D-24-00117","DOIUrl":"10.4103/neurol-india.Neurol-India-D-24-00117","url":null,"abstract":"<p><p>Extended C2 laminectomy may expand the formation of the neocisterna magna in Chiari malformation (CM) surgery to improve cerebrospinal fluid (CSF) flow in the craniovertebral junction (CVJ). We aimed to clarify indications, outcomes, and complications of C2 laminectomy in CM. A systematic review (PROSPERO CRD42022340553) following the PRISMA protocol was performed in Pubmed, Web of Science, Cochrane, Embase, and Scopus databases with the Medical Subject Headings-based search strategy \"(\"Arnold-Chiari Malformation\") AND (\"Decompression, Surgical\" OR \"Axis, Cervical\") AND (Headache OR Vertigo OR \"Deglutition Disorders\")\". The endpoints were symptom improvement and complication rates. Thirteen original articles included were case reports or series. The extent of laminectomy was directly related to the degree of tonsillar herniation. Six studies presented the perception of improvement (Gestalt) range from 83% to 100%. Three articles applied objective scales to report improvement in headache (VAS) and strength (MRC or ASIA). Nine studies reported complication rates. Fistula occurred in a range of 2% to 9.5% of cases. Three articles presented data on multilevel laminectomy for CM, and five studies reported on pediatric cases. Spine deformity was observed in children after wide multilevel laminectomy. This review showed a few concerns about C2 laminectomy. The descent of tonsilar herniation was the parameter for removing C2 lamina with good global results and complication rates. C2 laminectomy can be performed in young patients without previous instability. However, the lack of stratification of cases and systematization of the evaluation of results compromised the comparative analysis of the usefulness of C2 laminectomy in treating CM.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"73 3","pages":"415-422"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144132677","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}