Headache in women in their late forties can be primary or secondary. We report a 48-year-old female with chronic slowly progressive left temporal headache for 1 year. She also had ipsilateral eye pain and facial numbness for 1 month, with restricted abduction in the left eye and diplopia. On neurological examination, she had isolated left abducent nerve palsy, with loss of corneal and conjunctival reflexes, localizing the pathology to the cavernous sinus or its adjacent structures. Anatomically, cranial nerves V and VI are in close proximity to each other in the region of Meckel's cave. In view of her age, insidious onset, progressive symptoms and clinical findings, the provisional diagnosis in this patient was a Meckel's cave tumor. Magnetic resonance (MR) imaging revealed a 2 cm × 2 cm × 1.7 cm enhancing dumb-bell-shaped mass lesion with mild restricted diffusion in the Meckel's cave projecting into cavernous sinus with alanine, myoinositol and glutamine peaks on MR spectroscopy. Intradural debulking was done; lesion was confirmed by histopathology and patient was cured of her symptoms. An algorithm for diagnosing this entity at the bedside is presented.
BACKGROUND:Pregnancy is associated with various physiological and psychological changes in the antenatal mother. Among these, the changes in the respiratory functions are more signicant. There are various factors which inuence the respiratory function of the antenatal mother such as altitude of the residence, diet and life style Of these, altitude of the residence . plays an important role. To compare the pulmonary function of antenatal mothers living AIM : MATERIALS at high altitude and plains. &METHODS:This cross sectional study involves 60 healthy uncomplicated antenatal mothers in II trimester of pregnancy irrespective of either primi or multigravida within the age group of 18-30 years (30 of them residing at altitude of about 2268 meters from the sea level and 30 of them residing in plains). After measuring the height, weight and body mass index, pulmonary function of these antenatal mothers were assessed by using computerized spirometer in sitting position. Among the various parameters of lung function, forced expiratory volume during rst second (FEV )and forced vital capacity (FVC)values(in liters) were taken. The values are tabulated in a Microsoft 1 STATISTICAL ANALYSIS: excel sheet and statistically analyzed by “Independent t test” and Karl Pearson's coefcient of correlation by using SPSS 23 software. RESULTS: In the present study, when the data are analyzed by “Independent t test” , the p value of demographic variables, FEV1, FVC and FEV1/FVC of antenatal mothers in the second trimester living in high altitude and plains is not less than 0.005(statistically not signicant). By correlating the demographic variables of the antenatal mothers living in high altitude and plains by using Karl Pearson's coefcient of correlation, statistically signicant result between the demographic variables and spirometric parameters of antenatal women residing in high altitude and plains. The present study shows that there is no si CONCLUSION: gnicant different in the pulmonary function test of antenatal mothers in the second trimester of pregnancy residing in high altitudes and plains.
Introduction Conferences are important and sometimes mandatory to update the clinician with latest knowledge. Attending conferences requires planning, expenditure, and leave from work. Webinars have become the new normal in the coronavirus disease (COVID) era. We surveyed the esteemed medical fraternity on their opinion on webinars. Methods This was conducted as an online survey (Survey Monkey) through personal electronic mails and social media with 24 questions. Details on demographic profile, specialization and affiliation, experience, choice of frequency of webinar sessions, suitable platform, mode of intimation of webinars, number of days for prior intimation, appropriate timing of the day and week, and ideas on payment options were enquired. Need for technical assistance, choice of topic for discussions, methods to make webinars more interactive, availability of recorded content, and impact on clinical practice were also assessed. Results A total of 235 medical professionals voiced their opinion; 67% were < 35 years of age and 49% were residents. An average of 2 to 3 webinars per month (33.8%), conducted on weekdays (63%), after 6 p.m. (54%) in the form of case discussion (67.3%) or lectures from experts (55%) with at least 7 days' notice (41.7%) was the most common choice; free webinars were the wish of 56.1% participants and 28% felt webinars would definitely impact practice. Conclusion Webinars are welcoming even after the COVID era and should go hand-in-hand with conventional conferences. Virtual learning experience should be optimized by proper scheduling of multiple simultaneous events and converting them into interlinked or serial events.
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