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Tele-stroke rule out! Acute wrist drop - peripheral- with further wrist flexion on making a fist- characteristic of radial palsy. In a cortical stroke synergy would cause the flexed wrist to remain neutral or extend

Ocrelizumab is finally available on the Indian market. Wonderful news for our primary progressive and active secondary progressive Multiple sclerosis patients

An unusual problem- a 53 year old man with recent onset of severe sharp or cramping pain in the parotid region occurring with the first bite of each meal. The pain disappears with subsequent bites. Has mild TMJ dysfunction but not significant as per the OMF surgeon and pain does

A poor man’s hand rehabilitation equipment- robotic hand gloves for post stroke hemiplegia

ENCEPHALIZATION & TELENCEPHALIZATION Parkinson's Disease viewpoint Is it a Consequence of Human Brain Evolution? "why should PD be an exclusively human disease? One possibility is that the dramatic expansion of the telencephalon, particularly the neocortex, in humans creates a

Superior Oblique Myokymia (SOM) is characterized by episodes of sudden, rhythmic, monocular contractions of the superior oblique musclle. Patients experience oscillopsia and diplopia, particularly when vision is directed downwards. This lady had intermittent oscillopsia and

🚨 Kümmell’s Disease: The Phantom Fracture of the Spine 🦴Aka Avascular necrosis of vertebrae or Osteonecrosis 🧠 Delayed vertebral body collapse weeks to months after minor trauma—initial imaging may be normal. ➡️ Classic triad: 1️⃣ Minor spinal trauma 2️⃣ Asymptomatic latent

67 yr old 🧔 but new on weakness of the left side and now becoming drowsy with weakness of the right side. Mri shows evolving infarction in the pons & basilar occlusion He is thrombolysed with TNK. MT is able to open up the BA. However throughout the process, clots keep forming

Great article on OCT in the posterior circulation (10.21037/qims-2024-2487-Optical coherence tomography evaluation of vessel wall microstructure before and after endovascular stent treatment for intracranial vertebrobasilar atherosclerotic stenosis. Quant Imaging Med Surg. 2025)

One may disagree with his views but there is no denying his grasp of the situation and his eloquence. I found this book among my old collection and have not been able to put it down so far.

Universal uses