Posted by admin on May 31, 2025 in |
The fossa of Rosenmuller is the most common site of NPC. It arises from the lining mucosa of the nasopharynx. Around one-fifth of NPC patients presented with cranial nerve palsy. The tumor can penetrate the skull and surrounding cranial nerves because fossa of Rosenmuller is situated next to the foramen lacerum. A 57-year-old male patient arrived at the medical college and Hospital, Kolkata ENT opd complaining of headache, fullness in his ears, a mass on his left neck, and nosebleeds. The patient’s vision was normal. Following a comprehensive physical examination, radiography, histology, and history taking following examinations, the patient was identified as having House Brackmann III facial nerve palsy at the level of the mastoid segment and WHO 3 ECOG I T4N2M0 stage III NPC. A regimen of paclitaxel-cisplatin for six rounds was administered. In conclusion, NPC has the unusual potential to result in facial nerve...
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Posted by admin on May 31, 2025 in |
Background: Managing Parkinson’s disease (PD) requires a multimodal strategy, with pharmaceutical therapies being an essential component. This study’s goal was to look into how antiparkinsonian drug prescriptions are given to PD patients at a tertiary care facility. Methods: Five hundred Parkinson’s disease (PD) patients who visited the Department of Neurology at Mallige Hospital in Bengaluru, India, participated in an observational, cross-sectional study. Patients’ medication histories were used to stratify them into three different groups: Group 1 (patients on medications at initial visit), Group 2 (patients who discontinued medications), and Group 3 (Drug-naïve patients). Results: The average age of PD onset was 51.5 ± 11.6 years. The patients were divided into three groups at the first visit: 76.4% (n=382) were on medications for PD (Group 1), 12.6% (n=63) had previously taken medications but discontinued (Group 2), and 11% (n=55) were drug-naïve (Group 3). Overall, levodopa was prescribed in 90.33%, trihexyphenidyl in 34.38%, in group 1, 48.7% were on monotherapy, with levodopa being the most commonly used agent (42.9%), followed by...
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Posted by admin on May 31, 2025 in |
Benign subglottic stenosis is a life-threatening condition. It commonly corresponds to postintubation injuries associated with prolonged endotracheal intubation. The surgical correction of a subglottic stenosis presents anaesthetic challenges which are unique to airway anatomy, physiology and shared surgical airway. Management of these patients involves an integrated multidisciplinary approach and close-loop communication with the surgical team regarding tracheal excision and re-anastomosis, proper intubation and extubation strategies and, adequate postoperative care. Here, we present a case of successful management of a nineteen-year-old girl with post-intubation tracheal stenosis who presented with stridor and difficulty breathing after a history of being intubated for 6 days. She was refractory to conservative management and hence was posted for tracheal resection and anastomosis which is the gold standard therapy. This case report throws light on the challenges faced by an anaesthesiologist in the perioperative management of the...
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Posted by admin on May 31, 2025 in |
In paediatric critical care settings, the use of sedatives is common for managing pain, agitation and anxiety. However, prolonged administration of sedatives can lead to iatrogenic withdrawal syndrome, posing significant challenges in patient care. This study investigates the risk factors associated with iatrogenic withdrawal syndrome in paediatric critical care patients and explores effective management strategies through analysis of clinical data, type of sedative used for underlying medical condition, exposure of sedation, number of sedatives used, RASS (Richmond Agitation Sedation Scale) and (withdrawal assessment tool) WAT-1 score. Our study reveals that infants and males are more prone to IWS. Most patient produced with tachycardia and gave clonidine as treatment plan. We also did comparison between patient produced with IWS and no IWS. By understanding the risk factors and implementing evidence-based management strategies, healthcare providers can optimize the care of paediatric critical care patients and minimize the occurrence and impact of iatrogenic withdrawal...
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Posted by admin on May 31, 2025 in |
Introduction: Obesity is condition wherein a person starts to gain unnecessary body fat.” Obesity in children has reached epidemic levels in developed & its prevalence is increasing in developing countries as well. The identification of parental health knowledge related to obesity and overweight status in children is an important area. Its importance relates to understanding gaps in knowledge that can be used to create targeted intervention and prevention strategies to improve the management of child’s health. Methodology: Quantitative research approach & Pre experimental one group pre & post-test design was used to conduct the present study. Non Probability Purposive Convenient sampling was used to collect data among 60 parents of school going children of Kendriya Vidyalaya, SGPGIMS, Lucknow. Result: The overall knowledge level of parents of school age children regarding childhood obesity, it shows that (1.66%) parents had good knowledge, (35%) had average knowledge and (63.3%) had poor knowledge. The mean and standard deviation of Pre-test knowledge score is 4.91, 2.59. The overall score of post-test knowledge regarding childhood...
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