Publications by authors named "T Angel Miraclin"

Background: Cerebral venous sinus thrombosis (CVT) is a life-threatening cause of stroke in Asian countries. South Asia, comprising of India, Pakistan, and Bangladesh, contributed to 40% of strokes in women. Major CVT registries are from the Western nations, which differs from the Asian countries with respect to epidemiology, gender biases, and risk factors.

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Introduction: Paroxysmal nocturnal haemoglobinuria (PNH) is a clonal hematopoietic disorder, where there is deficiency of glycosylphosphatidylinositol (GPI) anchored proteins in the cell membrane, leading to increased complement sensitivity of red blood cells, intravascular hemolysis and vascular inflammation. Arterial and venous strokes in patients with PNH are a rarity posing significant diagnostic and therapeutic challenges. We report our experience with management of PNH patients with cerebrovascular emergencies.

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Background: Multiple cerebral venous sinus thrombosis (CVT) registries from various geographical regions indicate that female gender, the use of contraceptive pills, pregnancy and puerperium are important risk factors. In this study, we report the changes in the epidemiology of patients with CVT managed over the past 26 years.

Methods: The CMC Vellore CVT registry is a prospectively maintained database at the Christian Medical College, Vellore since January 1995.

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Article Synopsis
  • A 53-year-old male with a history of untreated primary syphilis experienced flaccid quadriparesis, sensory loss, and bladder dysfunction, leading to a diagnosis of tract-specific myelopathy associated with neurosyphilis.
  • MRI findings showed unique symmetric hyperintensities in the cervical spinal cord that are distinct from typical presentations of syphilitic meningomyelitis.
  • The patient improved significantly after penicillin treatment, highlighting the importance of early diagnosis and intervention in unique cases of myelopathy related to neurosyphilis.
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