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Neurophilia

@bobvarkey

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Neuro-intensivist & Interventionalist, Autodidact, Philomath, Iconoclast, Isolophile, Bibliophile, Technophile & Investor@ Kochi, Kerala.

Lourdes Hospital, Kochi
Joined July 2009
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@bobvarkey
Neurophilia
11 days
Hemodynamics in Flow diverters & aneurysms.🧠 Parent Vessel Geometry & Flow Reduction. The geometry of the parent vessel — Esp its curvature and orientation — influences how blood enters an aneurysm and how effectively a flow diverter can reduce that flow. 🔹 Sidewall Aneurysms
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@bobvarkey
Neurophilia
5 hours
Yes it is.
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@bobvarkey
Neurophilia
14 hours
Cone beam CT surpasses DSA in resolution. Posterior circulation collaterals arising from small perforators in severe basilar artery stenosis. Look at these fantastic CBCT pics by Eytan Raz et al where they even show hypertrophic perforators that communicate across a severely
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@bobvarkey
Neurophilia
15 hours
RT @bobvarkey: Benedikt syndrome -due to mesencephalic damage to the ipsilateral red nucleus, substantia nigra, third cranial nerve, and ce….
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@bobvarkey
Neurophilia
17 hours
🧠 So the twist is:. In electrophysiology, “normal” is paradoxically irregular whereas abnormal is often ‘regular’.
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@bobvarkey
Neurophilia
17 hours
⚡ Irregularity is the norm.•In healthy, functioning systems—like the human brain or heart—natural variability is expected. •a normal heart shows respiratory sinus arrhythmia; a normal EEG shows desynchronized, irregular cortical activity. •Too much regularity can indicate.
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@bobvarkey
Neurophilia
17 hours
How does the Anna Karenina principle apply to electrophysiology?. All happy families are alike; each unhappy family is unhappy in its own way- Leo Tolstoy. In essence, success requires the absence of all major defects, while failure can occur due to any number of unique problems.
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@bobvarkey
Neurophilia
18 hours
It’s unusual to catch an acute cortical subarachnoid hemorrhage in cerebral amyloid angopathy. Here’s one we caught in a 🧔new onset tingling in the right hand. In addition to the new cortical SAH , one can see the previous cortical siderosis also.
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@bobvarkey
Neurophilia
2 days
RT @bobvarkey: A beautiful demonstration of the Artery of Percheron (AoP) supplying both the thalami with MRI/A
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@bobvarkey
Neurophilia
2 days
Distal radial artery access at the ‘snuff box’ is a very convenient point for the patient. Even carotid stenting can be done through this route. Check out our article on this route.Sheathless Distal Radial Access for Carotid Stenting : Neurology India
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@bobvarkey
Neurophilia
2 days
Atherosclerosis and blocks via @YouTube.
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@bobvarkey
Neurophilia
3 days
Post thyroidectomy inadvertent discontinuation of Ca and Vit D. 🔍 Clinical signs:. ✋ Trousseau’s sign.➡️ Inflating BP cuff for 3 min → causes carpopedal spasm.🧪 Sensitive, early sign of hypocalcemia. 👃 Chvostek’s sign.➡️ Tapping the facial nerve anterior to ear → causes
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@bobvarkey
Neurophilia
7 days
Only sciencie’s will get this!
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@bobvarkey
Neurophilia
7 days
What could possibly get more exciting than Neurointervention in neuropthalmology?
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@bobvarkey
Neurophilia
8 days
Eating behavior disorders, which may require psychometric tests for screening.
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@bobvarkey
Neurophilia
8 days
Disabilities related to obesity, which can be assessed through clinical interviews, questionnaires, or exercise testing. ​.Reduced physical functioning and fitness. ​.Psychological Complications:. Mental health issues, including depressive symptoms.
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@bobvarkey
Neurophilia
8 days
Medical Complications include;.Cardiometabolic risks, such as diabetes and cardiovascular diseases. Obesity-related cancers. Sarcopenic obesity (loss of muscle strength and performance combined with obesity). Other metabolic risk factors. Functional Complications:.
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@bobvarkey
Neurophilia
8 days
Are there going to be any thin people left?.The new European Association for the Study of Obesity lowers the bar for the diagnosis of Obesity to >25 if your waist circumference is >50% of your height or you have any medical, functional or psychological impairments or
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@bobvarkey
Neurophilia
8 days
Isolated right gaze paresis due to an Abducens nuclear palsy. He also had slow saccades to the right. The infarct involved the Rt Abducens nucleus in the pons . 🎯 A sixth nerve nuclear lesion affects horizontal gaze, not just abduction. 📌 Why? The abducens nucleus controls:
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@bobvarkey
Neurophilia
10 days
🌟Dengue myopathy is real and sometimes very troublesome. *⃣Dengue-associated neurological (DAN) complications include myalgias, myopathy, hypokalemic paralysis, rhabdomyolysis, Guillain-Barre syndrome, anterior horn cell involvement, peripheral neuropathies, plexopathies,
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@bobvarkey
Neurophilia
11 days
After FD placement, these factors still matter-.🌀 Convective Flow Across a Flow Diverter (Shear and inertia driven flow).Definition: Bulk movement of blood driven by pressure gradients and cardiac output. FD ⬇️⬇️ reduce convective inflow into the aneurysm sac by redirecting.
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