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Rajbhoj, A.
- Subclavian Steal Phenomenon With Right Hemiparesis A Case Report
Authors
1 Dept. of Medicine, PDVVPF'S Medical College and Dr. Vikhe, Patil Memorial Hospital, Ahmednagar, Maharashtra, IN
Source
The Indian Practitioner, Vol 68, No 2 (2015), Pagination: 49-52Abstract
Subclavian Steal Syndrome results from stenosis of the subclavian artery proximal to the origin of the vertebral artery. This rare disease, commoner in males results in reversal of the normal direction of blood flow in the vertebral artery from the cerebral circulation.
We report a case of a 42 year old female who presented with right sided hemiparesis and history of giddiness, precipitated by activity involving right upper limb especially with overhead abduction. Radial and Brachial pulsations in right upper limb were absent. Echocardiogram, MR brain angio, Aortogram and right upper limb arterial Colour Doppler confirmed a right subclavian steal. This rare condition even rarer in females had an unusual right upper limb involvement instead of the usual left upper limb involvement. Though she had initially presented as a Cerebrovascular accident she was finally found to have a subclavian steal.
Keywords
Subclavian Steal Syndrome, Right Hemiparesis, Atherosclerosis.- Primary Tubercular Myositis
Authors
1 Department of Medicine, PDVVPF'S Medical College and Dr. Vikhe Patil Memorial Hospital, Ahmednagar, Maharashtra, IN
2 Department of Radiology, PDVVPF'S Medical College and Dr. Vikhe Patil Memorial Hospital, Ahmednagar, Maharashtra, IN
3 Department of Radiology, PDVVPF’S Medical College and Dr. Vikhe Patil Memorial Hospital, Ahmednagar, Maharashtra, IN
4 Department of Medicine, PDVVPF’S Medical College and Dr. Vikhe Patil Memorial Hospital, Ahmednagar, Maharashtra, IN
Source
The Indian Practitioner, Vol 67, No 8 (2014), Pagination: 496-498Abstract
No Abstract.- Drug Induced Hypersensitivity Syndrome (DIHS/DHS)
Authors
1 Department of Medicine, PDVVPF'S Medical College and Dr.Vikhe Patil Memorial Hospital, Ahmednagar, Maharashtra, IN
2 Department of Dermatology, PDVVPF'S Medical College and Dr.Vikhe Patil Memorial Hospital, Ahmednagar, Maharashtra, IN
Source
The Indian Practitioner, Vol 68, No 9 (2015), Pagination: 46-48Abstract
No Abstract.- Unilateral Lower Limb Focal Myositis
Authors
1 Department of Medicine, Padmashri Dr. Vithalrao Vikhe Patil Foundation’s Medical College and Dr. Vikhe Patil Memorial Hospital, Ahmednagar, Maharashtra, IN
Source
The Indian Practitioner, Vol 68, No 10 (2015), Pagination: 33-35Abstract
Focal myositis is a rare inflammatory myopathy characterised by a localised swelling of skeletal muscle that is usually located in the lower extremities. It can be readily confused with tumours or other inflammatory diseases and around one hundred cases are described in the global literature.
Focal myositis presents as a mass localised to a single skeletal muscle that may be painless or tender to the touch and that appears after growing insidiously over several weeks to months. The mass is usually located in the lower extremities and the muscles most commonly affected include the adductor, vastus lateralis and gastrocnemius. It can rarely occur in muscles of the head and neck region.
We report a case of a 60 year old, female patient who developed swelling in calf muscle without the history of trauma. She came with a painful swelling appearing on the right lower limb, growing progressively in the last 10 days, followed by a spontaneous moderate local pain, getting worse on movement. MRI showed a diffuse high signal intensity in the right gastrocnemius muscle, images revealed oedematous changes in adjacent soft tissues and signs corresponding to myositis. The collective findings were consistent with a diagnosis of focal myositis. Appropriately, non-steroidal anti-inflammatory therapy with physical therapy was performed. A physical examination performed 14 days after initiation of the treatment, revealed improvement in tenderness and pain.