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

3M With Osteogenesis Imperfecta With Bilateral Femur and Tibia Telangana PaJR

 

25-04-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS GUARDIAN'S 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.

[25-04-2025 13.08] PPM 1: OPD now: @PPM2 @PPM3 interesting UK and India training angle

3 years old toddler with osteogenesis imperfecta with fractures of bilateral femur and tibia who couldn't be operated at our top government centers in Hyderabad like NIMs but the visiting card in the attached image of the person who got trained in pediatric orthopedic surgery to finally do an IM nailing of all the four bones.

Now they need help to buy a splint and a walker.