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Annals of Neurological Research and Studies

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Articles

  • Volume: 2, Issue: 1

Oct 18, 2023

Moya-Moya Like Vasculopathy Secondary to Sarcoidosis: A Rare Case Report of Concomitant Ischemic Infarcts and Sub-Arachnoid Hemorrhage

Introduction: Sarcoidosis is a rare idiopathic systemic inflammatory disease that mainly affects the lymph nodes, lungs, skin and eyes. Nervous system involvement is only seen in 5% of cases of sarcoidosis. Cerebral vasculitis, is particularly uncommon in patients with sarcoidosis, with serious outcome.

Sep 06, 2023

Is Neuromuscular Block Reversal-A Must-In Myasthenics Undergoing Open Heart Surgery?

Myasthenia gravis is one of the most common progressive autoimmune diseases affecting the postsynaptic junction. However, hazardous cardiac surgery can be performed on patients with autoimmune disorders like myasthenia gravis. Herein, we describe successful anesthetic management and safe, in-time extubation of a patient with myasthenia gravis type I undergoing coronary artery bypass grafting surgery by total intravenous anesthesia and moderately effective muscle relaxation with anesthesia depth...

May 02, 2023

Anti-GD1a Positive Auto Antibodies Presenting with Guillain–Barre´ Syndrome and Miller Fisher Syndrome Overlap

Guillain-Barre´ Syndrome (GBS) is an uncommon autoimmune disorder characterized by polyradiculoneuropathy. This dramatic syndrome in otherwise healthy individuals imposes significant fear and anxiety on the patient and the family alike. We present a case of a 8-year-old girl with acute onset diplopia followed by predominant proximal muscle weakness in all four limbs. She had no prior history of travel, infection or immunization. Clinical semiology was suggestive of polyneuropathy, however elect...

  • Volume: 1, Issue: 2

Sep 15, 2022

Post-Operative Invasive Spinal Aspergillosis Causing Paraplegia in Immunocompetent Patient with Propriospinal Myoclonus, a Rare Complication: A Case Report

Invasive spinal Aspergillosis presenting as vertebral osteomyelitis and spinal epidural aspergillus abscess is a rare manifestation of fungal infection that usually presents in immunocompromised patients but is very rare in an immunocompetent adult. There are no reports of such infection in an immunocompetent patient after spine surgery. Also, complication as propriospinal myoclonus presenting after a year of spinal trauma is even rarer. We report a case of a patient with invasive spinal asperg...

  • Volume: 1, Issue: 1

Jul 19, 2022

Evaluation of Erector Spinae Plane (ESP) Block in He-Patic Surgery: A Case Series

A Pain management is a pivotal aspect for Enhanced Recovery After Surgery (ERAS). Intrathecal morphine (ITM) is the current gold standard for postoperative pain management following hepatic surgery. Erector Spinae Plane (ESP) block is a novel regional anesthesia technique used as part of multimodal analgesia for several surgical procedures; nevertheless, data on its efficacy and safety in hepatic surgery are limited. We report our experience with ESP-block for pain management in 3 patients who ...

Jul 04, 2022

Green Hairy Tongue in Subcute Myelo-Optico-Neuropathy (SMON) and Boys with Twitching Muscles in Karachi and in Goroka with Subacute Sclerosing Pan-Encephalitisas (SSPE): 2 Clinical Findings That Led Research and Studies

This paper exemplifies the clinical finding that led wide and long research and studies, shows the depth of green hairy tongue in Subacute myelo-optico-neuropathy (SMON) and looks for the actual risk of Subacute sclerosing pan-encephalitis (SSPE).

Apr 07, 2022

Intriguing Tuberous Sclerosis: Clinico-Radiological Mismatch

A twelve year old girl presented with drug refractory epilepsy, significant behavioral issues and intellectual disability. She had three hypo pigmented patches on face. At four months of age she developed epileptic spasms, which resolved by two years. Thereafter she developed focal as well as generalized tonicclonic seizures. EEG showed right frontal focus. Her CT head (Figure 1a and Figure 1b) and MRI Brain (Figure 1c) showed five calcified tubers and few calcified Sub Ependymal Nodules (SENs).

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