Harsh Bhatt

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SUMMARY Hyponatraemia is the most commonly encountered electrolyte disturbance in neurological high dependency and intensive care units. Cerebral salt wasting (CSW) is the most elusive and challenging of the causes of hyponatraemia, and it is vital to distinguish it from the more familiar syndrome of inappropriate antidiuretic hormone (SIADH). Managing CSW(More)
Moyamoya disease (MMD) primarily causes constriction of internal carotid artery, but it is known to extend to the middle and anterior cerebral arteries. Some of the symptoms caused by MMD include transient ischemic attack (TIA) and seizures. The etiology of MMD from Graves' disease (GD) is mostly caused by thyrotoxicosis, but our finding of leukocytosis(More)
Cyclic vomiting syndrome (CVS), a rare condition described as continuous cycles of intractable vomiting followed by symptom-free periods has been well recognized in children. However, the awareness of CVS in an adult needs to improve by clinician to avoid unnecessary surgeries or invasive diagnostic procedures, and provide prompt psychological intervention.(More)
Multiple sclerosis (MS) is a chronic inflammatory immune-mediated disease of the central nervous system with autoimmune demyelination and axon injury. Approximately 85 % of the patients experience the relapsing and remitting MS (RRMS). Dimethyl fumarate (DMF, Tecfidera) was approved by the FDA in March 2013 for treatment of RRMS. As a newly approved oral(More)
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