jasim jalal | National Board of Examinations,New Delhi. (original) (raw)

Papers by jasim jalal

Eastern Journal of Medical Sciences

Background: Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disease ... more Background: Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disease of the CNS, characterized by fulminant multifocal neurologic injury and distinct neuropathologic findings. Case Report: We report a case of a forty-nine-year-old female who presented with progressive weakness of right side of the body of one-week duration. Clinical, laboratory and radiological features favored demyelination. There was temporal association with taking SARS COV 2 vaccination (ChAdOx1 n cov -19 (AZD1222)). She was treated with a course of steroids and made a good recovery. Conclusion: To our knowledge this is a rare case of ADEM noticed after ChAdOx1 nCoV-19 vaccine (AZD1222).

Indian Journal of Case Reports, 2022

Indian Journal of Neurosurgery, 2016

Introduction Annually, more than 2,500,000 snake bites are reported in India, out of which 30,000... more Introduction Annually, more than 2,500,000 snake bites are reported in India, out of which 30,000 to 50,000 cases end in mortality. Here, we report an unusual complication of intracerebral hemorrhage following a snake bite. Case Report A 48-year-old diabetic and hypertensive male patient presented with loss of consciousness following a suspected snake bite. Unconsciousness was preceded by vomiting. His neurological status deteriorated to a Glasgow coma score of 7/15 (E1M5V1). Pupils showed anisocoria. Computed tomographic scan of the brain revealed large intracerebral hemorrhage in the left temporal lobe and another large intracerebral hemorrhage in the left parietal lobe with significant mass effect and signs of early transtentorial herniation. He was taken up for left frontotemporoparietal craniotomy and evacuation of left temporoparietal intracerebral hemorrhage. Conclusion Cerebral complications following snake bite envenomation include infarcts and hemorrhages. Even though rare...

Indian Journal of Radiology and Imaging

Hypersecretion of gastrin from duodenal or pancreatic gastrinomas results in a rare clinical enti... more Hypersecretion of gastrin from duodenal or pancreatic gastrinomas results in a rare clinical entity called Zollinger–Ellison syndrome (ZES). It mostly presents with abdominal pain and diarrhea. ZES may be sporadic or occur in association with multiple endocrine neoplasia type 1. Usually, ZES manifests between 20 and 50 years.We report two cases of patients who presented with abdominal pain, vomiting, watery diarrhea, and significant weight loss.

Indian Journal of Case Reports

The incidence of middle cerebral artery aneurysm rupture in pregnancy is rare. Rupture of an intr... more The incidence of middle cerebral artery aneurysm rupture in pregnancy is rare. Rupture of an intracranial aneurysm is the most common cause of subarachnoid hemorrhage in pregnancy and during puerperium. Intracranial aneurysm rupture during pregnancy is disastrous for the mother as well as the fetus. We report a case of a dissecting left middle cerebral artery aneurysm in a 25-year-old woman, G2P1L1, at 18 weeks of gestation, who presented with a 1-day history of giddiness, slurring of speech, and facial deviation to the left.

Indian Journal of Allergy, Asthma and Immunology, 2017

Endobronchial aspergilloma is a rare, noninvasive aspergillosis. It may be associated with a pare... more Endobronchial aspergilloma is a rare, noninvasive aspergillosis. It may be associated with a parenchymal lesion and/or cavity. We describe a case of endobronchial aspergillosis mimicking bronchogenic carcinoma subsequently removed completely through fiber-optic bronchoscope itself. This case report, while highlighting the existence of this unique clinical entity, also throws light on potential treatment option which can be curative.

Aim: The aim of this study is to establish the relationship between type 2 diabetes mellitus (Typ... more Aim: The aim of this study is to establish the relationship between type 2 diabetes mellitus (Type 2 DM) and thyroid dysfunction. Objective: The objective of this study is to study: (1) The prevalence of thyroid dysfunction in Type-2 DM. (2) The spectrum of thyroid dysfunction. Study Design: This was a case-control study. Study Setting: This study was conducted in Family Medicine outpatient clinics in Thrissur, Kerala. Subjects and Methods: A total of 50 cases (diagnosed case of Type 2 DM) and 50 healthy controls were taken into consideration randomly. Thyroid function tests were conducted using the chemiluminescence assay. Then, it was analyzed statistically after tabulation. Statistical Analysis: Statistical analysis was performed using the Chi-square test for categorical variables. Student's t-test was used for finding significance between the means. A “P < 0.05” was considered statistically significant. Results: Thyroid dysfunction was found to be more in type 2 DM (16%) ...

Journal of the Neurological Sciences, Oct 1, 2019

Asthenic disorders were detected in 36.2% of the examined individuals. In the long-term rehabilit... more Asthenic disorders were detected in 36.2% of the examined individuals. In the long-term rehabilitation period, patients who have military injuries as the bone injuries and joints damages often require corrections of the cognitive and psychoemotional disorders.

Journal of Infectious Diseases & Travel Medicine, 2018

Current Medical Issues, 2019

Granulomatosis with polyangiitis (GPA) is a small-to-medium vessel vasculitis, which affects mult... more Granulomatosis with polyangiitis (GPA) is a small-to-medium vessel vasculitis, which affects multiple organs. We describe a patient with GPA who initially presented with multiple ischemic toes. The diagnosis was supported by a positive c-ANCA (anti-neutrophil cytoplasmic antibody). The involvement of digital arteries in this condition is very unusual, and only a few cases have been reported so far.

Neuroimmunology and Neuroinflammation, 2016

Journal of Pediatric Neurosciences, 2015

A 15-year-old boy presented with osmotic symptoms and photopsia. He had short-term memory impairm... more A 15-year-old boy presented with osmotic symptoms and photopsia. He had short-term memory impairment, visual hallucinations, and headache. His random blood sugar was 474 mg/dl, HbA1c -9.4%, and glutamic acid decarboxylase -65 &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt;2000 IU/ml. Magnetic resonance imaging brain and cerebrospinal fluid study were normal. Digital electroencephalography was suggestive of bilateral hemispheric occipital lobe seizures. He responded well to insulin and antiepileptic medications.

Asian Journal of Neurosurgery, 2015

soft swellings (most of them pedunculated) along with multiple café-au-lait spots were seen all o... more soft swellings (most of them pedunculated) along with multiple café-au-lait spots were seen all over his body, including the scalp [Figure 1]. He also had inguinal and axillary freckling. Ophthalmologic examination was normal. The patient had no bone lesions. There was no family history of neurofibromatosis. Abdominal imaging showed a well-defined cystic lesion in the right adrenal gland with multiple enhancing septations and solid areas with hemorrhage, suggestive of cystic pheochromocytoma. Computed tomography (CT)-brain showed a variegated space occupying lesion (SOL) in the right-frontal-lobe with a large cystic component and an enhancing solid component. Moderate surrounding edema was noticed with mass effect and midline shift to left. Magnetic resonance imaging (MRI)-brain [Figure 2] confirmed a predominantly cystic intra-axial right-frontal-SOL with enhancing solid component, perilesional edema, and mass effect. Postural hypotension, elevation of 24 h urinar y catecholamines [Table 1], and the findings on abdominal imaging were diagnostic of pheochromocytoma. The patient was adequately blocked with prazosin (starting with 1 mg daily, which was increased to 8 mg daily over a period of 5 days, all the while monitoring his blood pressure and heart rate). There was no need for beta-blocker. The patient was adequately hydrated and liberal salt intake was encouraged to prevent any episodes of hypotension. Thereafter, the patient underwent laparoscopic right adrenalectomy. Histopathology was consistent with pheochromocytoma. After 5 days, he underwent right-frontal-craniotomy and gross total excision of right frontal infiltrative SOL. Histopathology

Journal of Family Medicine and Primary Care, 2015

Case: A 30 year old male presented with numbness of palms and soles followed by weakness of upper... more Case: A 30 year old male presented with numbness of palms and soles followed by weakness of upper limbs and lower limbs of 5 days duration, which was ascending and progressive. Three months back he was treated for oral and genital ulcers with oral steroids. His ulcers improved and shifted to indigenous medication. His clinical examination showed polyneuropathy. CSF study did not show albuminocytological dissociation. Nerve conduction study showed demyelinating polyneuropathy. His blood samples and the ayurvedic drug samples were sent for toxicological analysis. Inference: Acute toxic neuropathy-Arsenic