Publications by authors named "Vivek P Gupta"

Article Synopsis
  • * After successful surgery to relieve pressure, the patient underwent treatment for SAH and showed significant improvement, with his symptoms resolving and no further complications over four years.
  • * The report is significant as it presents the first known case of this type of hemorrhage following the surgery and suggests a potential relationship between syringomyelia and the diameter of the spinal canal.
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Article Synopsis
  • The article is a narrative review summarizing studies on therapies for improving upper limb function in patients with cervical spinal cord injury (SCI), a condition leading to tetraplegia and reduced quality of life.* -
  • Given that regaining hand function is a top priority for individuals with tetraplegia, the review identifies various treatment methods like nerve transfers, spinal cord stimulation, and neuroprosthetics that aim to restore motor function.* -
  • While complete recovery from cervical SCI may be unattainable, the reviewed therapies show promise in enhancing upper limb motor function and overall quality of life for affected patients.*
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Cervical spinal cord injury (SCI) causes devastating loss of upper limb function and independence. Restoration of upper limb function can have a profound impact on independence and quality of life. In low-cervical SCI (level C5-C8), upper limb function can be restored via reinnervation strategies such as nerve transfer surgery.

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Background: Posttraumatic intradural hematomas of the cervical spine are rare findings that may yield significant neurological deficits if they compress the spinal cord. These compressive hematomas require prompt surgical evacuation. In certain instances, intradural hematomas may form from avulsion of cervical nerve roots.

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Objectives: Examine the incidence and predictors of PTSD symptoms in a cohort of patients with ICH.

Patients And Methods: This study uses a prospective cohort of 108 patients with complete follow-up data including a questionnaire regarding stress symptoms (PCL-S: PTSD checklist specific for a stressor) at 3, 6, and 12 months.

Results: The incidence of novel stress symptoms following ICH was approximately 6.

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Article Synopsis
  • Intracerebral hemorrhage (ICH) remains a serious health issue, but recent management strategies have lowered mortality rates associated with different ICH Score levels.
  • In a study involving 582 patients treated between 2009 and 2016, researchers analyzed death rates and functional outcomes based on the ICH Score, finding that the rates for low- and moderate-grade ICH were lower than previously thought.
  • However, including severe disability in the assessment of outcomes revealed that patients with an ICH Score of 2 had a higher rate of poor outcomes than expected, suggesting the original scoring system may not fully capture the risk of severe disability.
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A number of pyrimidine bridged combretastatin derivatives were designed, synthesized and evaluated for anticancer activities against breast cancer (MCF-7) and lung cancer (A549) cell lines using MTT assays. Most of the synthesized compounds displayed good anticancer activity with IC values in low micro-molar range. Compounds 4a and 4p were found most potent in the series with IC values of 4.

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Background: Intracerebral hemorrhage (ICH) is associated with neurological decline and poor prognosis. Although many etiologic models have been explored, secondary damage caused by continued inflammation and iron exposure from red blood cell lysis may explain poor outcomes at distant follow-up. Examining serum samples of patients with ICH for biomarkers of iron physiology may yield relationships between iron exposure and functional outcomes.

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Background: The morbidity, mortality, and monetary cost associated with intracerebral hemorrhage (ICH) is devastatingly high. Several scoring systems have been proposed to prognosticate outcomes after ICH, although the original ICH Score is still the most widely used. However, recent research suggests that systemic physiologic factors, such as those included in the Acute Physiology and Chronic Health Evaluation II score, may also influence outcome.

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Background: Digital analysis of writing and drawing has become a valuable research and clinical tool for the study of upper limb motor dysfunction in patients with essential tremor, Parkinson's disease, dystonia, and related disorders. We developed a validated method of computerized spiral analysis of hand-drawn Archimedean spirals that provides insight into movement dynamics beyond subjective visual assessment using a Wacom graphics tablet. While the Wacom tablet method provides robust data, more widely available mobile technology platforms exist.

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The monoamine oxidase (MAO) enzyme is responsible for the deamination of monoamine neurotransmitters and regulates their concentration in the central and peripheral nervous systems. Imbalance in the concentration of neurotransmitters in the brain and central nervous system is linked with the biochemical pathology of various neurogenic disorders. Irreversible MAO inhibitors were the first line drugs developed for the management of severe depression but most of these were withdrawn from the clinical practice due to their fatal side effects including food-drug interactions.

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Unlabelled: Gestational exposure to ethanol has been reported to alter the disposition of tangentially migrating GABAergic cortical interneurons, but much remains to be elucidated. Here we first established the migration of interneurons as a proximal target of ethanol by limiting ethanol exposure in utero to the gestational window when tangential migration is at its height. We then asked whether the aberrant tangential migration of GABAergic interneurons persisted as an enduring interneuronopathy in the medial prefrontal cortex (mPFC) later in the life of offspring prenatally exposed to ethanol.

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