Browsing by Author "Gopinath, Malini"
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Item A rare cause of foot drop after radiofrequency ablation for varicose veins: case report and review of the literature.(Neurology India, 2010)The treatment option for varicose veins (VV) is mainly surgery both open and minimally invasive. Even though mortality and major morbidity are rare with surgery, minor neurological complications like cutaneous nerve injuries remain a common problem. Involvement of major branches of sciatic nerve is extremely a rare complication of radiofrequency ablation (RFA), the other treatment option for VV. To the best of our knowledge, injury to both peroneal and tibial nerves has not been reported following RFA procedure. We report a very rare complication of sudden onset foot drop after RFA for VV. Lack of knowledge of such symptoms may lead to misdiagnosis and electrodiagnostic and magnetic resonance imaging studies can help in correct diagnosis.Item An elusive diagnosis: Scedosporium apiospermum infection after near-drowning(ANNALS OF INDIAN ACADEMY OF NEUROLOGY, 2010)A 51-year-old male was admitted in our institute following an episode of near-drowning. He later developed ventriculitis and cerebral ring-enhancing lesions. He died following a subarachnoid hemorrhage due to rupture of a mycotic aneurysm involving the right fetal posterior cerebral artery. Scedosporium apiospermum was isolated from the cerebrospinal fluid. Central nervous system invasion by S apiospermum may present insidiously in near-drowning patients and, therefore, requires a high index of suspicion. In cases with the characteristic cerebral ring-enhancing lesions and concomitant ventriculitis, treatment should be instituted while awaiting fungal culture. With this article we intend to alert neurologists, intensivists, and physicians to this near fatal infection, as early identification and prompt treatment with voriconazole may be life saving.Item Gender-specific psychosocial outcome for women with epilepsy(EPILEPSY & BEHAVIOR, 2011)The objective of the study described here was to compare gender-specific differences of the personal impact of juvenile myoclonic epilepsy (JME) and temporal lobe epilepsy (TLE). We interviewed consecutive men and women with JME or TLE attending a tertiary epilepsy center to characterize their clinical and psychological profiles and details of employment and marriage. We recruited 150 persons with JME (74 males) and 150 with TLE (80 males). There were no gender-specific differences between men and women with respect to age at onset or semiology or frequency of seizures. Antiepileptic drug usage was comparable for both sexes except that fewer women with JME were prescribed valproate. Comorbidities, lower employment, and higher anxiety state were more frequent for women with epilepsy than for men with epilepsy. Females had more difficulty finding life partners compared with males. Women with epilepsy were at increased risk of divorce. Women with epilepsy have more problems with, marriage, mood, and employment as compared with men, even when the clinical profiles of their epilepsy syndromes are comparable. (c) 2010 Elsevier Inc. All rights reserved.