Browsing by Author "Kuruttukulam, G"
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Item Femoral neuropathy following cardiac catheterization for balloon mitral valvotomy(INTERNATIONAL JOURNAL OF CARDIOLOGY, 1999) Kuruvilla, A; Kuruttukulam, G; Francis, BFemoral neuropathy is a very rare complication of cardiac catheterization. We report an adult female who developed femoral neuropathy after undergoing cardiac catheterization through femoral vein for balloon mitral valvotomy. Neuropathy was confirmed by electromyography and nerve conduction studies and the patient showed spontaneous recovery over a course of 6 months. Use of prolonged digital pressure for post-procedural hemostasis is implicated as possible etiology. Such complications can be prevented by by minimising the procedural time, avoiding injury to the vessels and maintaining optimal posture of patient's thigh by limiting abduction and external rotation of hip. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.Item Protective and susceptibility effects of hSKCa3 allelic variants on juvenile myoclonic epilepsy(JOURNAL OF MEDICAL GENETICS, 2005) Vijai, J; Kapoor, A; Ravishankar, HM; Cherian, PJ; Kuruttukulam, G; Rajendran, B; Sridharan, R; Rangan, G; Girija, AS; Jayalakshmi, S; Mohandas, S; Mani, KS; Radhakrishnan, K; Anand, AItem Selective intra arterial thrombolysis in acute carotid territory stroke(NEUROLOGY INDIA, 2001)The safety and efficacy of selective intraarterial administration of urokinase in five male patients, (age range 30 to 65 years, mean 41.2 years), with occlusive stroke involving the carotid territory and a normal cranial computed tomography scan was evaluated. The time elapsed before treatment ranged from one to 10 hours. Digital substraction angiography disclosed distal internal carotid artery occlusion in one patient and occlusion of the middle cerebral artery or its branches in the others. The urokinase dose ranged from 120,000 to 500,000 units. In two patients who received thrombolytic treatment within three hours of the onset of symptoms, there was a 100% recanalisation associated with excellent neurological recovery. In the remaining three patients, recanalisation rate varied from 0 to 50% with partial recovery in two and no recovery in one patient. None had a haemorrhagic transformation of the infarct, Although no firm conclusions can be drawn because of the small number of patients studied, selective intraarterial urokinase therapy appears to be safe and useful in patients with carotid territory stroke if undertaken early. Only through a multicenter, randomized, controlled trial, enough number of patients can be recruited to verify these observations.