Baikuntha
@baikuntha.bsky.social
Passionate Neurologist 🧠| Exploring the brain's intricate webs |Assistant Professor, Department of Neurology,IMS and SUM hospital, Siksha O Anusandhan University, Odisha, India
Such an interesting observation! It's amazing how something as small as a space can make or break the Excel-ence of a spreadsheet.
December 27, 2024 at 3:56 PM
Such an interesting observation! It's amazing how something as small as a space can make or break the Excel-ence of a spreadsheet.
December 16, 2024 at 6:52 PM
December 16, 2024 at 6:47 PM
8/
❓What are the causes of this radiological findings
❗How should this case be managed-He is on steroids/Azathioprine stopped he has leucopenia 3000 due to the drug.
‼️This guy isn't agreeing for a biopsy
❓What are the causes of this radiological findings
❗How should this case be managed-He is on steroids/Azathioprine stopped he has leucopenia 3000 due to the drug.
‼️This guy isn't agreeing for a biopsy
December 16, 2024 at 6:40 PM
8/
❓What are the causes of this radiological findings
❗How should this case be managed-He is on steroids/Azathioprine stopped he has leucopenia 3000 due to the drug.
‼️This guy isn't agreeing for a biopsy
❓What are the causes of this radiological findings
❗How should this case be managed-He is on steroids/Azathioprine stopped he has leucopenia 3000 due to the drug.
‼️This guy isn't agreeing for a biopsy
7/May 2023-Dec 2024
Comes with progression of right hemiparesis and vision loss.
Currently-
👀VA-5/60,6/60
R UMN facial palsy
R Profound Hearing loss
Power-Right UL and LL-4/5
And we do the imaging and get this...
Comes with progression of right hemiparesis and vision loss.
Currently-
👀VA-5/60,6/60
R UMN facial palsy
R Profound Hearing loss
Power-Right UL and LL-4/5
And we do the imaging and get this...
December 16, 2024 at 6:40 PM
7/May 2023-Dec 2024
Comes with progression of right hemiparesis and vision loss.
Currently-
👀VA-5/60,6/60
R UMN facial palsy
R Profound Hearing loss
Power-Right UL and LL-4/5
And we do the imaging and get this...
Comes with progression of right hemiparesis and vision loss.
Currently-
👀VA-5/60,6/60
R UMN facial palsy
R Profound Hearing loss
Power-Right UL and LL-4/5
And we do the imaging and get this...
6/💧 CSF:Cells-30(85%Lympho) Prot-93, Sugars-N TBPCR-Neg
IgG4-Neg
ANA/ANCA/ENA prof-Neg
Serum ACE-N
DSA-meningeal blush+
Given Empiric ATT+Steroids and Azathioprine.
Symptomatically improved-Ambulatory mRS-2
IgG4-Neg
ANA/ANCA/ENA prof-Neg
Serum ACE-N
DSA-meningeal blush+
Given Empiric ATT+Steroids and Azathioprine.
Symptomatically improved-Ambulatory mRS-2
a little girl is making a funny face with the words what ? on her face .
ALT: a little girl is making a funny face with the words what ? on her face .
media.tenor.com
December 16, 2024 at 6:40 PM
6/💧 CSF:Cells-30(85%Lympho) Prot-93, Sugars-N TBPCR-Neg
IgG4-Neg
ANA/ANCA/ENA prof-Neg
Serum ACE-N
DSA-meningeal blush+
Given Empiric ATT+Steroids and Azathioprine.
Symptomatically improved-Ambulatory mRS-2
IgG4-Neg
ANA/ANCA/ENA prof-Neg
Serum ACE-N
DSA-meningeal blush+
Given Empiric ATT+Steroids and Azathioprine.
Symptomatically improved-Ambulatory mRS-2
5/ 🏥Admitted at a hospital and investigated.
Exam;CN-II R-VII,VIII inv.
Power:Upper and Lower limbs-B/L4/5.
🧠MRI brain-Diffuse Pachymeningeal Enhancement. Nodular enhancing granulomas in b/l frontal,parietal regions🟠. Left lentiform nucleus infarct.
MRV:Chronic thrombosis of Sup Sag Sinus‼️
Exam;CN-II R-VII,VIII inv.
Power:Upper and Lower limbs-B/L4/5.
🧠MRI brain-Diffuse Pachymeningeal Enhancement. Nodular enhancing granulomas in b/l frontal,parietal regions🟠. Left lentiform nucleus infarct.
MRV:Chronic thrombosis of Sup Sag Sinus‼️
a man in a suit and tie is making a funny face and saying wait what ?
ALT: a man in a suit and tie is making a funny face and saying wait what ?
media.tenor.com
December 16, 2024 at 6:40 PM
5/ 🏥Admitted at a hospital and investigated.
Exam;CN-II R-VII,VIII inv.
Power:Upper and Lower limbs-B/L4/5.
🧠MRI brain-Diffuse Pachymeningeal Enhancement. Nodular enhancing granulomas in b/l frontal,parietal regions🟠. Left lentiform nucleus infarct.
MRV:Chronic thrombosis of Sup Sag Sinus‼️
Exam;CN-II R-VII,VIII inv.
Power:Upper and Lower limbs-B/L4/5.
🧠MRI brain-Diffuse Pachymeningeal Enhancement. Nodular enhancing granulomas in b/l frontal,parietal regions🟠. Left lentiform nucleus infarct.
MRV:Chronic thrombosis of Sup Sag Sinus‼️
4/⏩2021:
🛑Develops sudden onset Left hemiparesis with facial weakness and dysphagia‼️
Admitted in a nearby hospital (documents n/a) given some injectable medications. Improved over 3-4months.
⏩Dec 2022:
🛑Sudden onset Right hemiparesis with facial weakness and dysarthria.
🛑Develops sudden onset Left hemiparesis with facial weakness and dysphagia‼️
Admitted in a nearby hospital (documents n/a) given some injectable medications. Improved over 3-4months.
⏩Dec 2022:
🛑Sudden onset Right hemiparesis with facial weakness and dysarthria.
December 16, 2024 at 6:40 PM
4/⏩2021:
🛑Develops sudden onset Left hemiparesis with facial weakness and dysphagia‼️
Admitted in a nearby hospital (documents n/a) given some injectable medications. Improved over 3-4months.
⏩Dec 2022:
🛑Sudden onset Right hemiparesis with facial weakness and dysarthria.
🛑Develops sudden onset Left hemiparesis with facial weakness and dysphagia‼️
Admitted in a nearby hospital (documents n/a) given some injectable medications. Improved over 3-4months.
⏩Dec 2022:
🛑Sudden onset Right hemiparesis with facial weakness and dysarthria.
3/⏩Fast forward to 2020-COVID times; Less frequent OPD visits and he stops 💊 Dabigatran for over a month.
‼️Is found lying on the fields one fine morning unconscious. Brought home and then regains consciousness in a few hours. Restarted 💊 Dabigatran.
‼️Is found lying on the fields one fine morning unconscious. Brought home and then regains consciousness in a few hours. Restarted 💊 Dabigatran.
December 16, 2024 at 6:40 PM
3/⏩Fast forward to 2020-COVID times; Less frequent OPD visits and he stops 💊 Dabigatran for over a month.
‼️Is found lying on the fields one fine morning unconscious. Brought home and then regains consciousness in a few hours. Restarted 💊 Dabigatran.
‼️Is found lying on the fields one fine morning unconscious. Brought home and then regains consciousness in a few hours. Restarted 💊 Dabigatran.
2/😫This gentleman moves from hospital to hospital but to no relief and in 2014 someone gets an MRI brain with MRV (films N/A).
He says that he was given 💊Dabigatran based on his MRI report.
🛑His headache and vomiting subside over 3-4months. But his vision loss and hearing loss persist.
He says that he was given 💊Dabigatran based on his MRI report.
🛑His headache and vomiting subside over 3-4months. But his vision loss and hearing loss persist.
a man in front of a microphone with the words it 's kind of weird behind him
ALT: a man in front of a microphone with the words it 's kind of weird behind him
media.tenor.com
December 16, 2024 at 6:40 PM
2/😫This gentleman moves from hospital to hospital but to no relief and in 2014 someone gets an MRI brain with MRV (films N/A).
He says that he was given 💊Dabigatran based on his MRI report.
🛑His headache and vomiting subside over 3-4months. But his vision loss and hearing loss persist.
He says that he was given 💊Dabigatran based on his MRI report.
🛑His headache and vomiting subside over 3-4months. But his vision loss and hearing loss persist.
That's cool... Following the footsteps of the legendary Helen Taussig..My best wishes.
December 11, 2024 at 3:22 PM
That's cool... Following the footsteps of the legendary Helen Taussig..My best wishes.
This is wonderful! So does she want to be a cardiologist?
December 11, 2024 at 12:01 PM
This is wonderful! So does she want to be a cardiologist?
Do you feel primary outcome assessment at 6months or 3months would have any effect on the final results?
For eg one sec outcome-Radiographic vasospasm was lower in the liberal group (risk ratio, 0.77; 95% CI, 0.63 to 0.95) which is significant.
For eg one sec outcome-Radiographic vasospasm was lower in the liberal group (risk ratio, 0.77; 95% CI, 0.63 to 0.95) which is significant.
December 11, 2024 at 7:46 AM
Do you feel primary outcome assessment at 6months or 3months would have any effect on the final results?
For eg one sec outcome-Radiographic vasospasm was lower in the liberal group (risk ratio, 0.77; 95% CI, 0.63 to 0.95) which is significant.
For eg one sec outcome-Radiographic vasospasm was lower in the liberal group (risk ratio, 0.77; 95% CI, 0.63 to 0.95) which is significant.
This POST Clears the doubtful NOISE around the POSTerior circulation with a nice POST POuring CALmity.
December 6, 2024 at 2:16 PM
This POST Clears the doubtful NOISE around the POSTerior circulation with a nice POST POuring CALmity.
Great to see my fav neurorad teacher on Sky!
December 6, 2024 at 2:01 PM
Great to see my fav neurorad teacher on Sky!
6/Update of a simple Investigation sent on Day-1 of admission i/v/o the disease prevalence in Eastern India-SICKLING.It has come positive. Patient has Sickle cell anemia. Does crisis now explain the myriad?
a woman says " i don t know how to explain that "
ALT: a woman says " i don t know how to explain that "
media.tenor.com
December 4, 2024 at 1:04 PM
6/Update of a simple Investigation sent on Day-1 of admission i/v/o the disease prevalence in Eastern India-SICKLING.It has come positive. Patient has Sickle cell anemia. Does crisis now explain the myriad?
So does crisis explain everything?
December 4, 2024 at 11:47 AM
So does crisis explain everything?
A wonderful piece of information which is to be ruled out in our setting is Sickle cell anemia. Tests for sickling was ordered on the day of admission and have come out POSITIVE!
December 4, 2024 at 11:47 AM
A wonderful piece of information which is to be ruled out in our setting is Sickle cell anemia. Tests for sickling was ordered on the day of admission and have come out POSITIVE!
5/More updates
-Usg abdomen shows Hepatomegaly.
Summarising
👴60yr old
💤Drowsy
🛑Acute onset left 7,9,10,12
🩸 Anemia thrombocytopenia
-Direct hyperbilirubinemia raised LDH Normal enzymes.
🧠Embolic infarcts with no source on basic cardiac evaluation -ECG,2DECHO.
-Usg abdomen shows Hepatomegaly.
Summarising
👴60yr old
💤Drowsy
🛑Acute onset left 7,9,10,12
🩸 Anemia thrombocytopenia
-Direct hyperbilirubinemia raised LDH Normal enzymes.
🧠Embolic infarcts with no source on basic cardiac evaluation -ECG,2DECHO.
a man sitting in a chair with his eyes closed and says oh i see what 's going on here
ALT: a man sitting in a chair with his eyes closed and says oh i see what 's going on here
media.tenor.com
December 4, 2024 at 7:24 AM
5/More updates
-Usg abdomen shows Hepatomegaly.
Summarising
👴60yr old
💤Drowsy
🛑Acute onset left 7,9,10,12
🩸 Anemia thrombocytopenia
-Direct hyperbilirubinemia raised LDH Normal enzymes.
🧠Embolic infarcts with no source on basic cardiac evaluation -ECG,2DECHO.
-Usg abdomen shows Hepatomegaly.
Summarising
👴60yr old
💤Drowsy
🛑Acute onset left 7,9,10,12
🩸 Anemia thrombocytopenia
-Direct hyperbilirubinemia raised LDH Normal enzymes.
🧠Embolic infarcts with no source on basic cardiac evaluation -ECG,2DECHO.