Neurology IndiaPub Date : 2024-07-01Epub Date: 2024-08-31DOI: 10.4103/neurol-india.Neurol-India-D-23-00643
Reshma Sultana Shaik, Sireesha Yareeda, Megha S Uppin
{"title":"An Unusual Case of Relentlessly Relapsing Variant of Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) and its Successful Therapy.","authors":"Reshma Sultana Shaik, Sireesha Yareeda, Megha S Uppin","doi":"10.4103/neurol-india.Neurol-India-D-23-00643","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-23-00643","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"72 4","pages":"899-900"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110053","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 : 2024-07-01Epub Date: 2024-08-31DOI: 10.4103/neurol-india.Neurol-India-D-24-00296
Rohit Malhotra, Shalendra Singh, Amit Dua, Mathews Jacob
{"title":"Dilator Tip Broken During Central Venous Catheter Insertion: A Case Report and Review of the Literature.","authors":"Rohit Malhotra, Shalendra Singh, Amit Dua, Mathews Jacob","doi":"10.4103/neurol-india.Neurol-India-D-24-00296","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-24-00296","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"72 4","pages":"903-904"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110060","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 : 2024-07-01Epub Date: 2024-08-31DOI: 10.4103/neurol-india.Neurol-India-D-23-00647
Reshma S Shaik, Sireesha Yareeda
{"title":"Neuromyelitis Optica Spectrum Disorders (NMOSD), Its Effects on Pregnancy and the Effects of Pregnancy on NMOSD. A Mini-Review.","authors":"Reshma S Shaik, Sireesha Yareeda","doi":"10.4103/neurol-india.Neurol-India-D-23-00647","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-23-00647","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"72 4","pages":"885-886"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110091","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 : 2024-07-01Epub Date: 2024-08-31DOI: 10.4103/neurol-india.NI_270_20
S Sheetal, Reji Thomas, P Byju, Aswathy Sasidharan, Finu Mathew, M Madhusudanan
{"title":"A Cross-Sectional Study of Clinical Spectrum and Outcome of Pure Midbrain Strokes.","authors":"S Sheetal, Reji Thomas, P Byju, Aswathy Sasidharan, Finu Mathew, M Madhusudanan","doi":"10.4103/neurol-india.NI_270_20","DOIUrl":"https://doi.org/10.4103/neurol-india.NI_270_20","url":null,"abstract":"<p><strong>Background: </strong>Pure mesencephalic infarcts are uncommon, the main clinical manifestations being oculomotor signs and ataxia.</p><p><strong>Objectives: </strong>Primary objective was to determine the incidence of pure midbrain strokes. We also evaluated the clinical spectrum, syndromes, arterial territories involved, risk factors, and outcome at 3 months.</p><p><strong>Settings and design: </strong>This cross-sectional study was conducted at the Neurology department of a tertiary teaching hospital in Kerala.</p><p><strong>Methods and material: </strong>We recorded clinical examination and radiological details of all the patients who presented with isolated midbrain strokes from December 2014 to December 2019. The clinical spectrum and outcomes of the patients at 3 months were analyzed.</p><p><strong>Results: </strong>Of the 520 posterior circulation stroke patients, 48 (9.2%) had isolated mesencephalic infarcts. Clinical manifestations included gait ataxia in 40 patients (83.3%), third nerve palsy in 29 (60.41%), fourth nerve palsy in 4 (8.3%), internuclear ophtalmoplegia in 9 (18.8%), upgaze paresis in 3 (6.3%), hemiparesis in 4 (8.3%), and cheiro-oral paraesthesia in 4 (8.3%). Of the 48 patients, 21 (43.8%) had Claude syndrome, 9 (18.8%) had Wernekink commisure syndrome, 6 (12.5%) had ataxic hemiparesis, 3 (6.3%) had Parinaud syndrome, 3 (6.3%) had Weber syndrome, 4 (8.3%) had Nothnagel syndrome, and 1 patient had a pure sensory stroke (2.1%). The anteromedial territory was frequently affected, in 37 (77%), characterized by oculomotor manifestations and ataxia. Posterior lesions were noted in three (6.3%), anterolateral lesions in three (6.3%), and lateral lesion in one (2.1%) patient. Combined lesions in posterior and paramedian territory were seen in four (8.3%). At the end of 3 months, 30 patients (62.5%) had a modified Rankin score of one.</p><p><strong>Conclusions: </strong>Our study provides the incidence of midbrain stroke over 5 years. It also highlights the heterogeneity of clinical features of pure midbrain infarcts.</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"72 4","pages":"784-790"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110045","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 : 2024-07-01Epub Date: 2024-08-31DOI: 10.4103/neurol-india.Neurol-India-D-23-00667
Bilal Ertuğrul, Bekir Akgün, Ismail Akçin, Fatih S Erol
{"title":"A Patient Diagnosed With Rare Central Neurocytoma: A Case Report.","authors":"Bilal Ertuğrul, Bekir Akgün, Ismail Akçin, Fatih S Erol","doi":"10.4103/neurol-india.Neurol-India-D-23-00667","DOIUrl":"https://doi.org/10.4103/neurol-india.Neurol-India-D-23-00667","url":null,"abstract":"","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"72 4","pages":"887-888"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110047","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":"Prolactin Secreting Pituitary Carcinoma and the Role of Peptide Receptor Radionuclide Therapy: A Brief Report.","authors":"Nitish Agarwal, Satish Kumar Verma, Vikram Raj Gopinathan, Mehar Chand Sharma, Anima Sharma, Sarat P Chandra","doi":"10.4103/neurol-india.Neurol-India-D-24-00529","DOIUrl":"10.4103/neurol-india.Neurol-India-D-24-00529","url":null,"abstract":"<p><p>Pituitary carcinoma is a rare entity comprising 0.1-0.2% of all pituitary tumors and presents significant diagnostic and therapeutic challenges. Intraspinal drop metastasis in these tumors is even rarer. We report a case of a prolactin secreting pituitary carcinoma with intracranial metastasis and multiple intraspinal drop metastasis. This is the first case where 68Gallium labelled [1,4,7,10 - tetraazacyclododecane - 1,4,7,10 - tetraacetic acid] -1- NaI3 - octreotide (68Ga-DOTANOC) whole-body positron emission tomography-computed tomography (PET-CT) has been used in a case of malignant prolactinoma, in an attempt to ascertain the somatostatin receptor (SSTR) expression on tumor cells. Through this paper, we suggest that SSTR targeted radionuclide therapy could have a potential role in aggressive pituitary tumors and pituitary carcinomas similar to the promising role of lutetium-labelled peptides in inoperable or metastasized gastroentero-pancreatic neuroendocrine tumors (GEP-NETs).</p>","PeriodicalId":19429,"journal":{"name":"Neurology India","volume":"72 4","pages":"871-876"},"PeriodicalIF":0.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142110098","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}