299 results match your criteria: "Lokmanya Tilak Municipal General Hospital[Affiliation]"

Background: There is lack of data on bipolar disorder (BD) type II from India.

Aim: To compare the demographic and clinical characteristics of patients with BD-I and BD-II using the data of the Bipolar Disorder Course and Outcome study from India (BiD-CoIN study).

Methodology: Using the data of the BiD-CoIN study, patients with BD-I and BD-II were compared for demographic and clinical variables.

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Rickets in children usually present with skeletal manifestations. However, they can also rarely present with extraskeletal manifestations, one of them being respiratory insufficiency. We present an unusual case of a girl in early childhood with respiratory insufficiency, which turned out to be due to the underlying vitamin D-dependent rickets (VDDR).

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Status of sperm mitochondrial functions and DNA methylation in infertile men with clinical varicocele before and after treatment.

Mol Cell Endocrinol

January 2025

Department of Neuroendocrinology, ICMR-National Institute for Research in Reproductive and Child Health, Parel, Mumbai, 400012, India; Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, 201002, India. Electronic address:

Varicocele has been associated with reduced male fertility potential. Treatment modalities for varicocele improve semen parameters, yet more than 50% of cases remain infertile. Varicocele-induced heat and hypoxia stress may affect sperm mitochondrial functions, possibly leading to aberrant epigenetic modifications.

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A female toddler presented with short stature and hypermobility of limbs. She had sustained five long bone fractures following minor trauma since early infancy. Skeletal survey was consistent with osteogenesis imperfecta.

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Background: There is a lack of information on the long-term course and outcomes of bipolar disorder (BD) patients with seasonal affective disorder (SAD).

Aim: To compare the demographic and clinical profile of BD patients with and without SAD.

Methodology: Data from 773 BD patients with an illness duration of at least 10 years were collected from 14 tertiary care centers.

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Article Synopsis
  • - India ranks third globally in organ transplantation, but it struggles with low rates of organ donation from deceased individuals.
  • - The review highlights issues with the implementation of the Transplantation of Human Organs Act, covering concepts like brain death, ethics, and organ allocation policies.
  • - It also examines the current situation of deceased donations and liver transplants, pointing out disparities in liver allocation policies among states and suggesting areas for improvement.
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Redefining Aging: A Tale of Hutchinson-Gilford Progeria Syndrome.

J Assoc Physicians India

October 2024

Professor and Unit Head, Department of Internal Medicine, Lokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College, Mumbai, Maharashtra, India.

Article Synopsis
  • Hutchinson-Gilford syndrome, commonly known as progeria, is a rare genetic disorder that leads to dwarfism and premature aging, particularly affecting the heart and blood vessels.
  • Diagnosis involves recognizing specific clinical signs and imaging results, with confirmation through the identification of mutations in the Lamin A gene.
  • The case presented describes a patient who experienced heart failure and brain infarcts, highlighting the uniqueness of the syndrome and the vascular complications associated with it.
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  • The study investigated 69 COVID-19 patients with mucormycosis, focusing on their clinical presentation, risk factors, complications, and in-hospital results over seven months from March to September 2021.
  • The majority of patients were male, around 52.8 years old, with most developing mucormycosis within 30 days of COVID-19; common symptoms included facial pain and vision loss, and diabetes was prevalent in 98.6% of cases.
  • The overall mortality rate was 26.1%, with severe cases requiring intensive care linked to factors such as chronic kidney disease and current COVID-19 infection, indicating a heightened risk for these patients.
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Background: Atherosclerotic coronary artery disease, diabetic cardiomyopathy, and cardiac autonomic neuropathy (CAN) are the three categories into which the cardiovascular consequences of diabetes can be grouped. After all other potential causes have been ruled out, cardiovascular autonomic neuropathy-often referred to as CAN in the literature-is defined as the impairment of autonomic regulation of the cardiovascular system. Finding people with CAN is crucial because, if detected early enough, comprehensive therapies focusing on lifestyle, glucose management, and cardiovascular risk factors can reverse the course of CAN and delay its progression.

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Spinal Arachnoid Cysts-Our Experience.

Asian J Neurosurg

September 2024

Department of Neurosurgery, Lokmanya Tilak Municipal General Hospital, Mumbai, Maharashtra, India.

Article Synopsis
  • Spinal arachnoid cysts are uncommon lesions typically found in the thoracic and thoracolumbar regions of the spine, with MRI being crucial for diagnosis and understanding their characteristics.
  • A study of 22 symptomatic patients over an 18-year period revealed varied symptoms, with common issues being lower limb weakness and incontinence, and demonstrated effective surgical strategies including complete excision and marsupialization.
  • One year post-surgery, patients showed significant improvement in symptoms without any recurrence of the cysts, indicating that surgical intervention is effective for symptomatic cases despite ongoing discussions about the best surgical methods.
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Article Synopsis
  • * Anticoagulants, particularly novel oral anticoagulants (NOACs), are essential in reducing stroke risk, with studies showing NOACs as safer and more effective than traditional vitamin K antagonists.
  • * The review emphasizes the importance of individualized care, discusses new interventions like left atrial appendage occlusion, and highlights the positive impact of anticoagulation on AF patient outcomes.
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Article Synopsis
  • - The text discusses a type of tachycardia characterized by a regularly irregular rhythm, which includes various potential causes.
  • - It presents a specific case involving a patient with Ebstein's anomaly who experienced cycle length alternans tachycardia.
  • - The diagnosis was confirmed through a detailed examination of the patient's electrocardiogram (ECG) and electrogram (EGM) data.
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Congenital toxoplasmosis is caused by transplacental infection of during pregnancy. We present a case of a congenital toxoplasma with intracranial calcifications, microcephaly, growth restriction, a unilateral cataract that developed in the third trimester, and a coincidental post-axial-polydactyly. Antenatal imaging findings are important to guide further testing and confirmation of diagnosis, it is important to know all possible associations and prognoses for timely counseling, testing, and intervention.

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The fourth universal definition of MI defines requires presence of j point elevation in two contiguous leads except v2-3 where the elevation should be equal to or >2 mm in men (2.5 mm in <40 years) and 1.5 mm in women.

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Background: Child injuries significantly impact health and development, shaping the nation's future. With proper knowledge, parents or primary caregivers can effectively prevent, address, and treat these predictable injuries.

Methods: Face-to-face interviews were conducted with 373 parents or primary caregivers of children under 14 years old in four randomly selected urban slum areas in Malwani, Mumbai Suburban District.

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Crazy accessory pathway- going round the bend!

Indian Pacing Electrophysiol J

April 2024

Department of Cardiology, Holy Family Hospital St Andrew's Road, Bandra (West), Mumbai, 400050, India.

A 15-year-old boy with manifest preexcitation and recurrent palpitations had undergone an unsuccessful ablation procedure elsewhere and was subsequently referred to us. The ECG suggested a left free wall pathway but there was a pattern break in lead V2. This helped localise the accessory pathway to the summit region and achieve success.

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Article Synopsis
  • The study aimed to evaluate the relationship between ammonia levels and liver-related complications (LRCs) in patients with acute-on-chronic liver failure (ACLF).
  • Higher ammonia levels were found in ACLF patients with LRCs, especially those experiencing overt hepatic encephalopathy (HE) and ascites, but not bacterial infections.
  • Baseline arterial ammonia levels were identified as an independent predictor of 30-day mortality, but they did not predict the development of new LRCs within that timeframe.
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We report a case of a 15-year-old Indian girl who presented with tinnitus, pain and ear discharge for one month and was preliminarily diagnosed with Chronic Suppurative Otitis Media (CSOM) with mastoiditis. She underwent a routine presurgical CT scan which revealed an aberrant vein, making it essential to exercise caution during surgery for CSOM. The aberrant vessel was identified as a Petrosquamous Sinus.

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Magnesium is essential for the functioning and release of parathyroid hormone. Therefore, its deficiency can present as functional hypoparathyroidism. This case report describes a rare inherited disorder called congenital hypomagnesaemia with secondary hypocalcaemia due to gene mutation.

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