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Agrawal A.,Narayana Medical College Hospital
JMS - Journal of Medical Society | Year: 2016

The Government of India adopted the National Policy on Older Persons in 1999, which defines a “‘senior citizen’ or ‘elderly’ as a person who is of age 60 years or above.” In India the elderly population accounted for 8.2% of the total population in 2011 and the number is expected to increase over the next decades. The link between aging and disability is a biological fact, and disability in the elderly is an important health indicator pointing to jeopardized quality of life. But at the same time, aging should not be treated as synonymous with disability as a large proportion of older people live with good health status. There are many studies from India that have addressed disability in the elderly population; however, they lack uniformity in defining disability and largely address mostly one aspect, that is, the medical model of disability. It is well recognized that “disability and elderly” encompasses a much larger spectrum of the conditions with unique requirements and needs to be studied as a much broader concept. © 2016 Journal of Medical Society.

Agrawal A.,Narayana Medical College Hospital
JMS - Journal of Medical Society | Year: 2014

Intracerebral hemorrhage (ICH) is usually secondary to systemic arterial hypertension, sudden in onset, rapidly progressive, fulminating disease, with profound neurological deficit and high mortality. In majority of the survivors of ICHclots are usually absorbed with minimal scar formation; however, in uncommon circumstances the clot can liquefy and expand causing delayed deterioration that require urgent hematoma evacuation to hasten the recovery. We discuss a case of a 40-year-old male, where the patient had delayed deterioration in his neurological status and a follow-up computed tomography (CT) scan showed sub-acute expansile intracerebral hematoma. © 2014 Regional Institute of Medical Sciences. All rights reserved.

Pradeep P.V.,Narayana Medical College and Superspeciality Hospital | Ramalingam K.,Narayana Medical College Hospital
Indian Journal of Surgery | Year: 2012

Primary Hyperparathyroidism (PHPT) has been reported to occur in members of same family either alone or in syndromic association. We report a family of patients with multi glandular disease wherein we have successfully used intra operative PTH (IOPTH) to assess the completeness of resection. Three members of one family were affected (One male and two females). Two of them had symptomatic disease whereas one was asymptomatic. Since the genetic studies are not available we used a combination of radiological, clinical and laboratory findings to rule out the other components of MEN syndromes. Extent of surgery in familial isolated hyperparathyroidism (FIHP) is controversial. Hence for confirmation of adequate parathyroid tissue resection we used IOPTH. Role of IOPTH has been well established in sporadic PHPT but controversial in multi glandular syndromes. IOPTH was successfully used to confirm the excision and establish cure. © 2012 Association of Surgeons of India.

Agrawal A.,Narayana Medical College Hospital | Santhi V.,Narayana Medical College Hospital | Umamaheswara Reddy V.,Narayana Medical College Hospital
Egyptian Journal of Radiology and Nuclear Medicine | Year: 2015

The congenital inclusion dermoid cyst (CDIC) of the anterior fontanel is a benign, slow-growing lesion. Subgaleal location of dermoid cyst is extremely uncommon. We report a case of 14. year old female who had subgaleal dermoid cyst of the anterior fontanel where the cyst could be excised completely with good outcome. Computed tomography scan is the investigations of choice as it will show the greater details of the lesion and its relation to the underlying structures. Characteristic scalloping of the outer table of cranium on radiographs can help to differentiate intracranial extension from extracranial location of the lesion. © 2015 The Authors.

Kumar R.M.,Narayana Medical College Hospital | Babu R.P.,Narayana Medical College Hospital | Agrawal A.,Narayana Medical College Hospital
JMS - Journal of Medical Society | Year: 2015

The Russell’s viper is one of the most dangerous and commonly encountered vasculotoxic poisonous snakes in India that is responsible for most snakebite mortalities. Usually hemorrhagic stroke is the sequel of viper bite; however, ischemic stroke is increasingly recognized and reported in the literature. In rural areas, there is a need to keep the possibility of cerebral infarction as one of the differential diagnoses of neurological deterioration following Russell’s viper’s bite, as early identification of neurological complications can lead to a more effective treatment. In the present article, we discuss a case of a young male who was presented with both supra- and infratentorial infarcts. © 2015, Regional Institute of Medical Sciences. All rights reserved.

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