{"title":"MEG or No MEG, That is the Question.","authors":"Chaturbhuj Rathore","doi":"10.4103/aian.aian_830_24","DOIUrl":"10.4103/aian.aian_830_24","url":null,"abstract":"","PeriodicalId":8036,"journal":{"name":"Annals of Indian Academy of Neurology","volume":" ","pages":"498-499"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayush Agarwal, Venugopalan Y Vishnu, Divyani Garg, Ajay Garg, Meher Chand Sharma, Achal K Srivastava, Mv Padma Srivastava
{"title":"Primary CNS Vasculitis Mimicking Brainstem Encephalitis.","authors":"Ayush Agarwal, Venugopalan Y Vishnu, Divyani Garg, Ajay Garg, Meher Chand Sharma, Achal K Srivastava, Mv Padma Srivastava","doi":"10.4103/aian.aian_189_24","DOIUrl":"10.4103/aian.aian_189_24","url":null,"abstract":"","PeriodicalId":8036,"journal":{"name":"Annals of Indian Academy of Neurology","volume":"27 5","pages":"600-603"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aishwarya Ghosh, Palash Kumar Malo, Sadhana Singh, S Monisha, Thomas Gregor Issac
{"title":"Reduced Cerebellar White Matter Volume in Musicians: A Marker of Musical Expertise.","authors":"Aishwarya Ghosh, Palash Kumar Malo, Sadhana Singh, S Monisha, Thomas Gregor Issac","doi":"10.4103/aian.aian_261_24","DOIUrl":"10.4103/aian.aian_261_24","url":null,"abstract":"","PeriodicalId":8036,"journal":{"name":"Annals of Indian Academy of Neurology","volume":"27 5","pages":"605-607"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neurodevelopmental Disorder with Severe Motor Impairment and Absent Language (NEDMIAL) Due to DHX30 Mutations: First Indian Report of Two Cases.","authors":"Pradeep Kumar Gunasekaran, Yashu Sharma, Vikas Bhatia, Arushi Gahlot Saini","doi":"10.4103/aian.aian_253_24","DOIUrl":"10.4103/aian.aian_253_24","url":null,"abstract":"","PeriodicalId":8036,"journal":{"name":"Annals of Indian Academy of Neurology","volume":" ","pages":"465-466"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Safety and Efficacy of Newer Oral Anticoagulants Versus Vitamin K Antagonists in the Management of Cerebral Venous Thrombosis: A Single-Center Ambispective Study from South India.","authors":"Rithvik Ramesh, Lakshmi Narasimhan Ranganathan, Sriram Raguraman, Kamlesh Jayakumar, Braveen Rajamanoharan, Varun Kishore Loganathan, Philo Hazeena, Sundar Shanmugam, Deepa Avadhani, Karthik Sankar","doi":"10.4103/aian.aian_1096_23","DOIUrl":"10.4103/aian.aian_1096_23","url":null,"abstract":"<p><strong>Introduction: </strong>Cerebral Venous Thrombosis (CVT) poses a rare but life-threatening challenge, warranting meticulous treatment approaches. Traditional therapy involves Vitamin K Antagonists (VKAs), but Newer Oral Anticoagulants (NOACs) offer potential advantages. This study addresses a crucial knowledge gap in the Indian context, analyzing real-world data to guide CVT management decisions.</p><p><strong>Methods: </strong>A single-center, ambispective cohort study included consecutive adult CVT patients. Data collection encompassed demographics, clinical data, imaging, and treatment details. Patients were categorized into VKA and NOAC groups. Outcomes measured recanalization status, functional outcomes, bleeding events, and adverse drug reactions.</p><p><strong>Results: </strong>Among 181 enrolled patients, NOAC-treated (Group B) individuals had significantly higher rates of complete recanalization (58.5% vs. 31.1%) with a similar incidence of adverse events and also displayed better functional outcomes at weeks 8 and 12 compared to VKA-treated (Group A) patients. Recurrent thromboembolic events were absent in both groups during follow-up.</p><p><strong>Conclusion: </strong>This study highlights NOACs' potential advantages in CVT management, including improved functional outcomes, enhanced recanalization, and similar bleeding risk. Adverse events were milder with NOACs. While acknowledging limitations, these findings support NOACs as a promising alternative to VKAs, advancing CVT care and outcomes.</p>","PeriodicalId":8036,"journal":{"name":"Annals of Indian Academy of Neurology","volume":" ","pages":"393-397"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayush Agarwal, Ajay Garg, Yamini Antil, Rohit Bhatia, Leve Joseph, Agrata Sharma, Sushant Agarwal, Ashish Upadhyay, Venugopalan Y Vishnu, M V Padma Srivastava
{"title":"Cervical Artery Dissection: Clinical Outcomes and Functional Outcome Predictors from a Tertiary Care Center in India.","authors":"Ayush Agarwal, Ajay Garg, Yamini Antil, Rohit Bhatia, Leve Joseph, Agrata Sharma, Sushant Agarwal, Ashish Upadhyay, Venugopalan Y Vishnu, M V Padma Srivastava","doi":"10.4103/aian.aian_134_24","DOIUrl":"10.4103/aian.aian_134_24","url":null,"abstract":"","PeriodicalId":8036,"journal":{"name":"Annals of Indian Academy of Neurology","volume":" ","pages":"457-460"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141632488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"LEUDEN Syndrome: A Novel Hypomyelinating Leukoencephalopathy in a 1-Year-Old Girl.","authors":"Singanamalla Bhanudeep, Bramhini Bhargavi Koneti","doi":"10.4103/aian.aian_257_24","DOIUrl":"10.4103/aian.aian_257_24","url":null,"abstract":"","PeriodicalId":8036,"journal":{"name":"Annals of Indian Academy of Neurology","volume":" ","pages":"467-469"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141987265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Remote Intracerebral Haemorrhage Secondary to Vessel Rupture Following Bridging Intravenous Thrombolysis (Causal or Incidental) with Successful Endovascular Treatment: A Rare Case Report.","authors":"Piyush Ojha, Gaurav Goel, Mandar Waghralkar, Anshu Mahajan","doi":"10.4103/aian.aian_285_24","DOIUrl":"10.4103/aian.aian_285_24","url":null,"abstract":"","PeriodicalId":8036,"journal":{"name":"Annals of Indian Academy of Neurology","volume":" ","pages":"438-440"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas R Meinel, Naveen K Paramasivan, Bijoy K Menon, Urs Fischer, David J Seiffge
{"title":"Thrombolysis for Ischemic Stroke Despite Recent Ingestion of Direct Oral Anticoagulants - A Growing Dilemma Also in India.","authors":"Thomas R Meinel, Naveen K Paramasivan, Bijoy K Menon, Urs Fischer, David J Seiffge","doi":"10.4103/aian.aian_524_24","DOIUrl":"10.4103/aian.aian_524_24","url":null,"abstract":"<p><p>The administration of intravenous thrombolysis (IVT) for patients with acute ischemic stroke who have recently ingested direct oral anticoagulants (DOACs) presents a clinical challenge due to the perceived increased risk of intracranial hemorrhage (ICH). Traditional guidelines from the US and European authorities advise against IVT within 48 h of last DOAC ingestion, unless specific coagulation tests indicate safety. However, emerging observational studies suggest that IVT might be safe in selected patients. A US stroke registry study and a global multicenter cohort study both reported no significant increase in symptomatic ICH among patients on DOACs compared to those not on anticoagulants. A systematic review of all published observational studies further supported these findings, showing comparable bleeding rates and functional outcomes in DOAC-treated patients. Reversal agents like idarucizumab for dabigatran have demonstrated potential in facilitating safer IVT administration, though logistical and cost-related barriers limit their widespread use. The variability in global guidelines reflects differing approaches to risk assessment and resource availability, highlighting the need for individualized treatment decisions. In India, the increasing prevalence of atrial fibrillation and stroke as well as prescription of DOACs necessitate adapted guidelines that consider local health-care infrastructure. Despite the promising observational data, the lack of randomized controlled trials underscores the need for further research to establish robust evidence for IVT use in this context. Collaborative international efforts and inclusion of diverse patient populations in future studies will be crucial to refine treatment protocols and improve outcomes for stroke patients on DOACs.</p>","PeriodicalId":8036,"journal":{"name":"Annals of Indian Academy of Neurology","volume":"27 4","pages":"345-351"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142085949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Study of Language Function in Bengali-Speaking Population with Motor Neuron Disease.","authors":"Siladitya Das, Debal Laha, Prasenjit Sengupta","doi":"10.4103/aian.aian_44_24","DOIUrl":"10.4103/aian.aian_44_24","url":null,"abstract":"<p><strong>Background: </strong>Motor neuron diseases (MNDs) have been traditionally considered to spare cognition. But recent findings show that multiple domains of cognition including language can be involved in MND patients. Most studies on language patterns of MND patients were conducted in Western nations, but data on Indian population is limited. This study is an attempt to explore the language functions of Bengali-speaking MND patients from this part of eastern India.</p><p><strong>Objective: </strong>To determine the prevalence and nature of language dysfunction in MND patients.</p><p><strong>Materials and methods: </strong>A single-center, hospital-based, observational, cross-sectional study. The Bengali adaptation of the Western Aphasia Battery was administered to 50 cases diagnosed with MND, attending a tertiary care hospital consecutively over a 1-year period, and fulfilling the inclusion and exclusion criteria for the study. Descriptive and inferential statistics were used for expressing results.</p><p><strong>Results: </strong>Eighteen percent of cases showed impairments in spontaneous speech. Fluency was impaired in 72%, and 22% cases showed impaired naming. Moreover, 20% and 26% of cases were impaired in repetition and comprehension, respectively. Reading and writing was impaired in 16% and 26% of cases, respectively. Significant difference was found in the primary language skill scores and aphasia quotient across age groups, while no significant difference was found in these scores across education status.</p><p><strong>Conclusions: </strong>This study describes the language profiles of Bengali-speaking MND patients from eastern India, and the findings are similar to previous research works, which have shown morpho-syntactic, lexical-semantic, and phonological errors in language function.</p>","PeriodicalId":8036,"journal":{"name":"Annals of Indian Academy of Neurology","volume":" ","pages":"378-383"},"PeriodicalIF":1.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11418764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}