Dureshahwar Kanwar
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View article: Electrographic significance of Periodic Discharges and association with etiology and outcome in tertiary care hospital, a retrospective cohort study
Electrographic significance of Periodic Discharges and association with etiology and outcome in tertiary care hospital, a retrospective cohort study Open
Background: Periodic discharges in electroencephalograms (EEGs) represent rhythmic wave patterns and can indicate acute or subacute brain damage. Although they may predispose patients to seizures, not all are epileptiforms. This study focu…
View article: Utility of pudendal nerve electrodiagnostics in cases of bladder-bowel dysfunction- A retrospective study from a tertiary care center in Pakistan
Utility of pudendal nerve electrodiagnostics in cases of bladder-bowel dysfunction- A retrospective study from a tertiary care center in Pakistan Open
Background and Objective:
Electrodiagnostic studies play a crucial role in identifying neurogenic and non-neurogenic causes of bladder and bowel dysfunction. Such data is scarce in Pakistan. The objective of this study was to evaluate uti…
View article: A Comprehensive electroencephalogram audit in a tertiary care center in Pakistan: demographic distribution, referral indications and findings
A Comprehensive electroencephalogram audit in a tertiary care center in Pakistan: demographic distribution, referral indications and findings Open
Background and Objective:
Electroencephalography (EEG) is a widely employed non-invasive technique for recording brain electrical activity, pivotal for diagnosing various neurological conditions. The study aims to provide insight into dem…
View article: Surgical Management of Epilepsy and Outcomes in a Comprehensive Epilepsy Center in Pakistan: A 20-year Retrospective Analysis
Surgical Management of Epilepsy and Outcomes in a Comprehensive Epilepsy Center in Pakistan: A 20-year Retrospective Analysis Open
Background: Epilеpsy is a prеvalеnt nеurological disordеr in Pakistan, with an еarly onsеt in a substantial portion of thе population. Surgical intеrvеntion for drug-rеsistant еpilеpsy is a viablе trеatmеnt option, yеt it rеmains undеrutil…
View article: Lymphomatosis Cerebri: A diagnostic dilemma
Lymphomatosis Cerebri: A diagnostic dilemma Open
Background Lymphomatosis cerebri (LC) is a rare manifestation of primary central nervous system lymphoma (PCNSL) with only a few cases reported in the literature, appearing as diffuse infiltrating process rather than a solitary mass. It is…
View article: Delta brush on EEG: a characteristic EEG finding in autoimmune encephalitis
Delta brush on EEG: a characteristic EEG finding in autoimmune encephalitis Open
A woman in her late 20s was admitted via the emergency department in the psychiatric ward with acute-onset behavioural changes and suicidal thoughts in the past 2 weeks. Workup revealed positive N-methyl-D-aspartate (NMDA) receptor antibod…
View article: Transverse myelitis with positive dengue virus serology: a case report
Transverse myelitis with positive dengue virus serology: a case report Open
Background Transverse myelitis is an inflammation of the spinal cord that spreads along the horizontal plane of a section of the spinal cord. Arboviruses, including dengue virus, are rare but known causative factors. However, this associat…
View article: Lower limb axonal mononeuropathies as sequelae of COVID-19: a case report and review of literature
Lower limb axonal mononeuropathies as sequelae of COVID-19: a case report and review of literature Open
Background Neurological symptoms and complications of Coronavirus disease 2019 (COVID-19) were seldom discussed in the literature initially. Neurological symptoms such as headache, dizziness, anosmia, hypogeusia, and neuralgia are, however…
View article: Risk factors for intensive care unit admission and mortality among adult meningitis patients
Risk factors for intensive care unit admission and mortality among adult meningitis patients Open
Objectives: To assess the risk factors for intensive care unit admission and inpatient all-cause mortality among adult meningitis patients. Method: The retrospective study was conducted at the Aga Khan University Hospital, Karachi, and com…
View article: A Case Series on Enteroviral Meningitis in Pakistan
A Case Series on Enteroviral Meningitis in Pakistan Open
Enteroviruses (EVs) are the most common cause of viral meningitis with a peak incidence between late summer and fall. The onset of symptoms is characteristically abrupt and typically includes headache, fever, nausea or vomiting, malaise, p…
View article: Gutka Associated Optic Neuropathy
Gutka Associated Optic Neuropathy Open
Optic neuropathy may be multi factorial in origin. It’s association with gutka use in South East Asia is most likely under diagnosed and often overlooked, considering it is a diagnosis of exclusion. The Optic nerve toxicity is well known o…
View article: Chikungunya encephalitis: Usual presentation at an unusual time. a case report
Chikungunya encephalitis: Usual presentation at an unusual time. a case report Open
CHIK is an arboviral infection caused by chikungunya virus transmitted by Aedes mosquito worldwide. It usually manifests as a self-limiting acute febrile illness with rash, body ache and severe polyarthralgia; in some patients, symptoms pe…
View article: NEUROLOGICAL INVOLVEMENT IN COVID-19 INFECTIONS; PATHOPHYSIOLOGY, PRESENTATION AND OUTCOME.
NEUROLOGICAL INVOLVEMENT IN COVID-19 INFECTIONS; PATHOPHYSIOLOGY, PRESENTATION AND OUTCOME. Open
Severe acute respiratory syndrome corona virus 2 (SARS CoV 2) seems to display an increasing affinity for the nervous system. The ongoing pandemic has made evident that diverse neurological manifestations may occur with COVID 19. Headache …
View article: Neurological care and training in the times of covid-19: a tertiary care center experience
Neurological care and training in the times of covid-19: a tertiary care center experience Open
Resilience in these challenging times of COVID-19 at a professional and personal level is cardinal. Trainees and faculty have had to adapt to this adversity with striking limitations on formal neurological, neurovascular and neurophysiolog…
View article: Neurological manifestations of COVID-19
Neurological manifestations of COVID-19 Open
Coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) has turned out to be a formidable pandemic. Upcoming evidence from confirmed cases of COVID-19 suggests an anticipated incursion of patie…
View article: Making an objective diagnosis of tetanus—utility of a simple neurophysiological test
Making an objective diagnosis of tetanus—utility of a simple neurophysiological test Open
Tetanus remains a significant cause of mortality especially in the developing world. Early diagnosis and institution of treatment is critical to prevent fatal complications. The diagnosis is made on clinical grounds, which may sometimes be…
View article: Longitudinally extensive transverse myelitis with seropositive chikungunya
Longitudinally extensive transverse myelitis with seropositive chikungunya Open
Chikungunya viral (CHIKV) fever is often a self-limiting febrile illness associated with severe debilitating arthralgia. Neurological complications associated with CHIKV, although rare, have been reported in literature; however, longitudin…
View article: Tacrolimus-associated posterior reversible Encephalopathy syndrome in allogenic Hematopoietic stem cell transplant
Tacrolimus-associated posterior reversible Encephalopathy syndrome in allogenic Hematopoietic stem cell transplant Open
Tacrolimus is an immunosuppressive drug used to lower the risk of transplant rejection in individuals after solid organ or hematopoietic transplantation. Cases of posterior reversible encephalopathy syndrome (PRES) as a complication of tac…
View article: Chikungunya virus associated Guillain-Barre Syndrome with variable presentation: A case series.
Chikungunya virus associated Guillain-Barre Syndrome with variable presentation: A case series. Open
Chikungunya Virus Is A Mosquito-borne Alpha Virus Which Occasionally Causes Neurologic Complications Including Guillain-barre Syndrome, Myelitis, Myopathies And Encephalitis. Pakistan Experienced Its First Chikungunya Outbreak In The Metro…
View article: Clinical profiles, management and outcome of myasthenic crisis in a tertiary care center in Karachi, Pakistan
Clinical profiles, management and outcome of myasthenic crisis in a tertiary care center in Karachi, Pakistan Open
To determine the clinical profiles, management and outcome of myasthenic crisis (MC) in patients presenting to a tertiary care hospital in Karachi, Pakistan. This was a retrospective study of forty patients with Myasthenic crisis(MC) admit…
View article: SPECTRUM OF NEUROMUSCULAR INJURIES IN VICTIMS OF BOMB BLASTS
SPECTRUM OF NEUROMUSCULAR INJURIES IN VICTIMS OF BOMB BLASTS Open
Introduction: Bomb blast (BB) injuries outside war zones were a rare phenomenon until recently. With the spreading wave of terrorism across the globe, BB related trauma is resurfacing. Explosions can produce unique patterns of neuromuscula…