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vishnu v y Profile picture
vishnu v y
@vishnuvy
Short & Outspoken! Associate Professor Neurology, AIIMS New Delhi,India. Alumnus of PGI Chandigarh, JIPMER Puducherry and GMC TVPM
Apr 25, 2022 • 20 tweets • 4 min read
VOR-POD9: Laboratory diagnosis of CJD @NEJM Main diagnostic strategy of CJD involved:
🛑EEG
🛑MRI Brain
🛑Brain biopsy or autopsy samples
Apr 24, 2022 • 32 tweets • 8 min read
VR-POD8: Spontaneous Intracranial hypotension @NEJM ❇️SIH is characterized by a lower-than-normal volume of CSF because of leakage of CSF through the dural membrane at one or multiple sites

❇️‘Non-spontaneous’: CSF leaks of known cause:
⏺craniospinal trauma
⏺spinal surgery
⏺LP or spinal anesthesia- MC
Apr 23, 2022 • 50 tweets • 10 min read
VR-POD7: Approach to Adult Onset Neurometabolic diseases @JNNP_BMJ Inborn errors of metabolism with neurological manifestations (neurometabolic diseases)
✳️ Group of heterogeneous genetic disorders due to alteration of specific aspects of the cellular metabolism- leading to disease

✳️In adults, it may be difficult to diagnose
Jun 4, 2021 • 9 tweets • 2 min read
Feed is full of violence on doctors in India. It’s a reflection of the society, a twitter hashtag trend is not going to change it. Protect and take care of yourself. Never skip a lunch or family commitment for any non-emergency. Few practices I followed in Precovid era: (1/n) Skipping lunch: Have argued with my faculty during residency for taking rounds beyond lunch time without a lunch break. When joined as contract faculty in PGI, have stopped a grand round for lunch break- and it was received in the right spirit by senior faculty. (2/n)
May 23, 2021 • 4 tweets • 2 min read
An editorial from ‘Indian Medical Sciences’ journal. Read and enlighten yourself. Link here ijmsweb.com/vulture-journa…
May 23, 2021 • 4 tweets • 3 min read
Every speciality who is on (or wants to be) the ‘Mucor’ team- how many are willing to admit a patient with Mucor under their care and manage (even after surgical debridement). How many were admitting before and will admit after the pandemic? (1/n)#Mucormycosis #COVID19India Some hypothetical consultations in the emergency before and after the pandemic:

#ENT : We will operate and transfer back

#Ophthalmology : Call us during the Surgey, we will coordinate with ENT in the OT, if needed

#Neurology : Continue Amphotericin (2/n)
May 22, 2021 • 4 tweets • 4 min read
Differential diagnosis in Neuro-ophthalmology using a mobile App @ProDdx Congrats @vinn_wilson Thanks to all the collaborators esp #Neurophthalmology expert team Prof. Vivek Lal & @AasthaKapila from #PGIMER #MedTwitter @IJOEditor #AcademicTwitter @AiimsNeurology @aiims_newdelhi Link to the paper here👇
journals.lww.com/ijo/Fulltext/2…
May 9, 2021 • 26 tweets • 12 min read
Health Vs Politics: Should science or medical journals comment on political decisions affecting health? YES Because Politics affects everything including health. Let’s see some eg. of medical journals critical of establishment (1/n) @AnantBhan @TheLancet Lancet Oncology on Trump adminstration (2/n) @TheLancetOncol
Jun 22, 2020 • 63 tweets • 27 min read
On the eve of world FSHD day (June 20), lets look at Facioscapulohumeral dystrophy / THREAD (1/60) #WorldFSHDDay #FSHD #neuromuscular #dystrophy Image FSHD is one of the MC muscular dystrophies (third MC after DMD and myotonic dystrophy overall and second MC in adults). Still, it’s a rare disease, but if you are seeing neuromuscular patients, you are likely to see FSHD very often pubmed.ncbi.nlm.nih.gov/25122204/ Image