Aparna Ramakrishna Pai

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Guillain-Barré syndrome (GBS) is an autoimmune polyneuropathy which presents with acute onset and rapid progression of flaccid, hyporeflexi quadriparesis. Both sensory and autonomic nerve involvement is seen. GBS has various subtypes that vary in their pathophysiology. The pathogenesis involves an immune response triggered by a preceding event which may be(More)
Calcified cerebral emboli (CCE) are a rare cause of stroke and these emboli can be identified on a CT scan of the brain performed for the initial evaluation of stroke. In this report we present a patient who developed a CCE following cardiac catheterisation that lodged in the left middle cerebral artery with resultant right hemiparesis and aphasia. The(More)
BACKGROUND Global aphasia without hemiparesis (GAWH) is a rare stroke syndrome characterized by the unusual dissociation of motor and language functions. Issues regarding its etio-pathogenesis, lesion sites, and recovery patterns are extensively being debated in contemporary neuroscience literature. MATERIALS AND METHODS Four patients admitted in our(More)
BACKGROUND Migraine is a common disabling primary headache disorder. Globally, migraine was ranked as the seventh highest cause of disability. AIM The aim of the study was to explore the clinical profile and functional disability of patients with migraine. SETTINGS AND DESIGN A cross-sectional survey was conducted at the neurology outpatient department(More)
To cite: Deshpande A, Shetty A, Pai AR, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013201695 DESCRIPTION Opalski syndrome is the presence of ipsilateral hemiplegia which is associated with symptoms of a lateral medullary syndrome. Studies confirm that the infarction, in such cases, occur at lower level than that(More)
BACKGROUND Vascular lesion of the subcortical structures leads to aphasia. Cortical hypoperfusion has been proposed to be the etiological mechanism in aphasia following subcortical vascular lesion. Subcortical aphasia shows considerable variability in its clinical profile. Such variability has been attributed to the variable sites of cortical hypoperfusion(More)
AIM To describe a randomized controlled trial protocol that evaluates the effectiveness of a multicomponent intervention in improving the outcomes (quality of life, disability, intensity, frequency and duration) of patients with migraine. BACKGROUND Migraine affects various facets of Quality of Life and results in moderate to high levels of disability(More)
Acanthamoeba spp is one of the common protozoa in soil, usually found in fresh water and other habitats. We are presenting a case of Granulomatous amoebic encephalitis presented with unusual symptoms of third, fourth, sixth, and seventh nerve palsy with diplopia, ptosis, and migraine. Differential diagnosis of tuberculous (TB) meningitis was initially(More)
Exploring, selecting, and utilizing an appropriate conceptual framework is a vital step in development of a research work. This article discusses the application of "Engel's model on biopsychosocial well-being," in exploring the relationship between biopsychosocial well-being and disability of patients with migraine headaches.
Medial medullary syndrome (MMS) is a rare type of stroke which results due to occlusion of the anterior spinal artery or vertebral artery or its branches. In this case report we present a patient who developed MMS secondary to Takayasu arteritis (TA). TA is a chronic inflammatory arteritis primarily involving the arch of aorta and its branches, which in our(More)
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