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Nirmal Pandey MD DM Neurologist Profile picture
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Jan 7 β€’ 5 tweets β€’ 11 min read
7M. Had focal seizure 10m back after fever w/ eye signs. Dx as ADEM. Given IVMPS+ASM. Pt stopped Rx after 3m. Seizure recurrence after 10m w/ unsteadiness of gait. Both MR brain πŸ‘‡ #neurotwitter #MedTwitter #ADEM
@thecortexclub @Brandon_Beaber @LyellJ @TylerAllisonMD @MohitAgNeurorad @marignierro @DrCindyCooper @a_charidimou @Jagan1234 @HuttoSpencer @VMSilvera @drSurjthVattoth @LorenzoPinelli @LyellJ @rkchoi @bobvarkey @caseyalbin @OligoclonalBand @StaceyLClardy @mdsebaslopez @Sthanu5
@GraceGombolayMD @drharunyildiz @Narenmbbs @drbejoy2002 @LD_McCullough @theneurolander @theneuroradguy @frankgaillard @prachi_rad @Divyani_Garg @PavanBhargavaMD @JayKinariwala @teachplaygrub @BrentWeinberg #neuroscience
He is the youngest we have seen of #MOGAD p/w seizure w/ relapse. This time he was tested for MOGAD. @TheMOGProject #MOG #neurotwitter #MedTwitter The other one 10F p/w seizure & optic neuritis w/ cortical lesions & patchy myelitis
This is awesome #neurotwitter

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More from @nirmalregency

Nirmal Pandey MD DM Neurologist Profile picture
Dec 11, 2022
Like to present a case seen in 2017. We were not aware of the entity then. 17F, 15D vomiting, headache. No deficit. Evaluated at institute. Extensive blood/CSF/tropical diseases workup -ve. CSF: P81, G57, cell 30 (all L). IVMPS x 5gm. Discharged with Dx of ADEM. 1st CEMR. (1/8)
8D later readmitted there w/ headache x 3D w/ mild rt ptosis. Again IVMPS x 3gm. Better. Again recurrence of headaches. Both times followup oral steroids not given. Came to us.
2nd CEMR. Similar findings. Slight increase in lesion burden. (2/8)
MR looked odd. We had never seen before. Googled. This paper surfaced. (3/8) pubmed.ncbi.nlm.nih.gov/20639547/
Read 11 tweets
Nirmal Pandey MD DM Neurologist Profile picture
Dec 9, 2022
2nd case of this season. Found in bathroom in unconscious/confusional state. Small bathroom. To start w/ dizzy/headaches & attempt to open door but can’t. Inappropriate ventilation. Prolonged bathroom utilisation. Gas geyser fitted inside.
Same story every year this time around.
Mostly wrongly diagnosed as seizure episode. My 1st case a decade ago & was pointed out by a GP: GAS GEYSER SYNDROME. Mostly the pt is found naked, females & Sikhs more likely because of long hair wash. Takes more time than usual seizure; prolonged confusional state. #MedTwitter
@Sthanu5 @AdiG1993 @nihar_nayak2 @flozinatorMD @Narenmbbs @NicoGagelmann @rkchoi @a_charidimou #NeuroTwitter @hyderabaddoctor @DrTusharNeuro @Pankhur2207 @sudhir_kothari @LorenzoPinelli @bobvarkey @DrCindyCooper @PulmCrit @caseyalbin
Read 4 tweets

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