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Staged endovascular reconstruction of complex traumatic intracranial carotid artery dissection

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Stroke & Vascular Neurology 2020年第3期5卷 308-310页

作者： Karan K Topiwala Mohammed Hussain janhavi Modak Inam Kureshi Amre Nouh Mubashir Pervez Brendan Killory Daniel Lee Neurology University of Connecticut School of MedicineFarmingtonConnecticutUSA Interventional Neuroradiology Hartford HospitalHartfordConnecticutUSA Neurosurgery Hartford HospitalHartfordConnecticutUSA Neurology Hartford HospitalHartfordConnecticutUSA

Case presenTaTion A 32-year old woman presented with traumatic facial injuries from a horseback riding incident.She was found to have a Glasgow Coma Score of 3T,left eyelid ptosis with a fixed-dilated pupil and a flaccid right upper extremity.CT angiogram of the head showed complex craniofacial injuries,including a transverse fracture transecting the clivus and the left petrous temporal bone,with SAH in the suprasellar cistern.There was a bilateral engorgement of the superior ophthalmic veins,suggestive of bilateral CCF formations.Digital subtraction angiography(DSA)showed a left petrocavernous internal carotid artery dissection(ICAD).MrI of the brain demonstrated multiple embolic infarcts in the left middle cerebral artery(MCA)territory,despite therapeutic anticoagulation with heparin.

关键词： injuries dissection traumatic

Case report on Epilepsy with Cough Aura

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Neuroscience & Medicine 2015年第1期6卷 1-4页

作者： Mohamed Hamdy Ibrahim Ahmed El Mansory Shivram Kumar janhavi Sirsat Department of Neurology GMC Hospital Ajman UAE Department of Pulmonology GMC Hospital Ajman UAE Gulf Medical University Ajman UAE

The case study is aimed at providing a more thorough analysis of a case of Epilepsy presented with an unusual aura of cough. The study hopes to generate an interest for further studies into the topic and focuses on abnormal unusual presentations of auras. Cough as an aura is not a common presentation. Any stereotyped repeated clinical phenomenon should consider being epileptic in its origin.

关键词： Epilepsy Cough Aura Chronic Bronchitis

resistant Tremors and Unexplained Weight Loss Could Also Be a Sign of HIV

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Neuroscience & Medicine 2015年第3期6卷 81-83页

作者： Mohammed Hamdy Ibrahim Shivram Kumar janhavi Sirsat Mohamed Khalid Kiran Kumar Department of Neurology GMC Hospital Ajman UAE Gulf Medical University Ajman UAE Department of Internal Medicine GMC Hospital Ajman UAE

This case study is done to show a different type of presentation of a HIV (Human Immunodeficiency Virus) patient. Neurological symptoms in HIV are normally due to Progressive Multifocal Leukoencephalopathy (PML) which is a reactivated infection caused by John Cunningham virus (JC virus). The disease causes fatal demyelination of the central nervous system (CNS). This case presented a 51-year-old Nigerian man who complained of resistant tremors and unexplained weight loss. The patient was suspected to have HIV when a MrI scan revealed T2/FLAIr hyper intensity of white matter which was a sign of PML. HIV ELISA was done and came back with a positive result. PML presenting in the form of tremors is very rare and more research is required to focus on the neurological presentation of HIV.

关键词： Human Immunodeficiency Virus Tremors Progressive Multifocal Leukoencephalopathy

Could Dystonia Be Initial Presentation of Corpus Callosum Infarction in Young Age Patients? A Case report Study

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Neuroscience & Medicine 2015年第2期6卷 62-64页

作者： Mohamed Hamdy Ibrahim Alyaa Fadhil Sameh Saied Ali Salma Fathy Abdel Kader Mohamed Khalid Kiran Kumar Shivram Kumar janhavi Sirsat Department of Neurology GMCH & RC Ajman United Arab Emirates Department of Clinical Pharmacology GMCH & RC Ajman United Arab Emirates Department of radiology GMCH & RC Ajman United Arab Emirates Department of Internal Medicine GMCH & RC Ajman United Arab Emirates Gulf Medical University (GMU) Ajman United Arab Emirates

Focal dystonia in young aged patients is considered to be the uncommon clinical presentation, unless a secondary cause is to be considered. Infarcts of the corpus callosum are rare and have not been well documented previously. As for a variety of signs and symptoms due to corpus callosum lesion, focal dystonia can be easily overlooked. The case is approved by ethical committee and explained to the patient with patient approval.

关键词： Focal Dystonia Corpus Callosum Infarction Involuntary Movement

Case report on Hiccup and Lateral Medullary Syndrome

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Neuroscience & Medicine 2015年第2期6卷 58-61页

作者： Mohamed Hamdy Ibrahim Alyaa Fadhil Sameh Saied Ali Salma Fathy Abdel Kader Mohamed Khalid Kiran Kumar Shivram Kumar janhavi Sirsat Department of Neurology GMCH & RC Ajman United Arab Emirates Department of Clinical Pharmacology GMCH & RC Ajman United Arab Emirates Department of radiology GMCH & RC Ajman United Arab Emirates Department of Internal medicine GMCH & RC Ajman United Arab Emirates Gulf Medical University (GMU) Ajman United Arab Emirates

The case study is aimed at providing a more thorough analysis of a case of lateral medullary syn-drome presented only with persistent hiccup after eating lunch the study hopes to generate an interest for further studies into the topic and focuses on abnormal unusual presentations of lateral medullary syndrome. Ethical committee has approved this case after taking consent from the patient and explaining to him the importance of the case in clinical practice.

关键词： Hiccup Lateral Medullary Syndrome Stroke