PaJR Case Reports: cerebellar syndrome

Showing posts with label cerebellar syndrome. Show all posts

Tuesday, June 17, 2025

52F Cerebellar Thyrotoxicosis Telangana PaJR

16-06-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[16-06-2025 13.23] PPM 1: OPD now

52F with anger issues since 2021. Got operated for thyrotoxicosis in 2023 and currently having progressively worsening gait noticed by family members since May 2025.

https://youtu.be/I0a1KC20NYE?si=lPsr2wcS_6x9EqK9

[18-06-2025 07:25] PPM 1: Morning CBBLE session around this patient:

[17/06, 22:51] +91 pan India clinical discussion fora: What was the cause here

[18/06, 07:17]cm: The video shows a broad based ataxic gait that on further examination revealed more cerebellar signs in the form of intention tremors and dysdiadochokinesia.

Her anger issues since 2021 got resolved on psycho pharmacological Mx even as she got operated for thyrotoxicosis in 2023 and it's intriguing as to why she's currently having progressively worsening gait noticed by family members since May 2025 although her cranial MRI is normal suggesting that her cerebellar abnormalities could be early and possibly due to a demyelinating cause.

Is there a connection between thyrotoxicosis and cerebellar involvement? @PPM3 @PPM6

https://pajrcasereporter.blogspot.com/2025/06/52f-cerebellar-thyrotoxicosis-telangana.html?m=1

77M With Left Ataxic Hemiparesis and Sudden Left Ear Deafness Telangana PaJR

1406-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SSHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'SCLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[14-06-2025 12.46] PPM 1: OPD now:

77M with sudden left sided ataxic hemiparesis since one year along with sudden left ear deafness and giddiness on the same day with on examination findings left hemianesthesia other than the findings in this video.

https://youtu.be/DAaumdElRHc?si=y7Tpcm40TiqEqKjB

50M With GTCS 12yrs Telangana PaJR

06-05-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[24-04-2025 11.49] PPM 1:

50M admitted with us in 2018 with acute cerebellar symptoms and signs maybe seen by @PPM2 who had started his Narketpally journey then or perhaps even @PPM3 who was doing his elective here.

His problems started 12 years back with seizures and left hemiparesis that recovered in a week and he continued to take tablet phenytoin before he presented to us in 2018.

Switched from phenytoin to phenobarb since last 7 years and had his first breakthrough Seizures last week following which he himself switched back to phenytoin since last one week.

Attached also is his current MRI (and we don't have his old MRI to compare as he has lost that film and our system is not geared to save his earlier film @PPM4 and the question here for @PPM5 is what is the best possible way to eliminate his neurocysticerci that doesn't appear to be disappearing since 12 years! Is it because of re infection?