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Biomedical subjects

R K Goulatia

Publications and source records attributed to R K Goulatia.

At least 19 recordsLinked to original sources
PubMed1993

Hemiplegia in posterior cerebral artery strokes.

Hemiplegia is an unusual presenting feature of posterior circulation strokes. We report five cases who presented with hemiplegia and in whom CT scans revealed evidence of infarcts in posterior cerebral artery territory.

Adult↗
PubMed1991

POEMS syndrome.

A patient with peripheral polyneuropathy, hepatosplenomegaly, osteosclerotic myeloma in the ilium, hyperpigmentation and hypertrichosis is described. A diagnosis of POEMS syndrome was made. This is the first report of this syndrome from India.

Adult↗
PubMed1990

Giant subdural empyema in an infant. Sonographic observations.

A giant subdural empyema was found to be the cause of a large head in a two month old female child referred for cranial sonography. The sonographic features of the subdural empyema as illustrated by this case are: (1) The presence of an extra-axial space occupying lesion with mass effect. (2) Its fluid nature with mobile echogenic debris within. (3) Its large extent from frontal to occipital region, and (4) Its thick medial echogenic wall. A total of 250 ml of pus was evacuated from the empyema and the child was doing well on follow up at four months of age.

Empyema, Subdural↗
PubMed1990

Pancerebellar syndrome in hyperpyrexia.

Two cases of pancerebellar syndrome following hyperpyrexia are described and the relevant literature reviewed. Cranial computed tomography demonstrated morphologic evidence of cerebellar degeneration while the patients were showing satisfactory clinical progress.

Adult↗
PubMed1989

The influence of buscopan on adverse reactions to intravascular contrast media.

We have analysed the ability of prior intravenous Buscopan (hyoscine butylbromide) injection to influence the incidence and severity of adverse reactions to intravascularly administered, iodinated, ionic contrast medium in 258 consecutive digital subtraction angiographic (DSA) examinations. Adverse reactions were seen in 7.9% of the intravenous and 2.4% of the intra-arterial DSA examinations. The incidence of adverse reactions with and without prior Buscopan injection during intravenous DSA examinations was 8.2% and 7.1%, respectively and during intra-arterial DSA examinations was 5.6% and 1.5%, respectively. This difference is not statistically significant (chi 2-test). We conclude that prior intravenous injection of Buscopan has no influence on the incidence or severity of adverse reactions to intravascular contrast media.

Angiography, Digital Subtraction↗
PubMed1988

Nasopharyngeal angiofibroma: (a nine-year experience).

In a nine-year period 50 nasopharyngeal angiofibromas, of whom 13 had recurrent tumour, were treated surgically at the All India Institute of Medical Sciences, New Delhi. A new staging system according to the regions involved was used; 31 patients in whom the tumour was limited to the nasopharynx (Stage I) and those with superior spread into the ethmoid or sphenoid sinuses (Stage IIA) had their tumours removed by a transpalatal route, alone or in combination with other approaches. Tumours with lateral extensions into the pterygopalatine or infratemporal fossae or the cheek (Stage IIB), and those with simultaneous superior and lateral spread (Stage III) underwent a transmaxillary excision (19 cases). In two of the three cases with intracranial extension (Stage IV), the tumour was removed successfully from below. There was no mortality. The usefulness of the transmaxillary approach, especially in recurrent cases, is emphasized. No adjuvant modalities were employed in this series and blood loss was acceptable.

Adolescent↗
PubMed1988

Left thalamic hypertensive haemorrhage presenting as transient global amnesia.

A case is described which presented as transient global amnesia (TGA) due to a critically placed intracerebral hypertensive haematoma in the left thalamic region, with epileptic discharges arising from the same area. It is proposed that intracerebral haematomas may occasionally present as a clinically well-defined neurological syndrome. The deficit in such cases is probably not due to the underlying direct tissue damage but secondary to indirect pressure or ischaemic insults.

Amnesia↗
PubMed1987

Cranio-cerebral erosion (growing fracture of the skull in children). Part II. Clinical and radiological observations.

This paper is based on a study of sixty cases of cranio-cerebral erosion treated in the Department of Neurosurgery. All India Institute of Medical Sciences, New Delhi during the last 20 years. This constitutes the largest series, so far reported from anywhere. It has provided a unique opportunity to get a comprehensive picture of the clinical and radiological features of this lesion, as also their evolution. These have been correlated with the findings at surgery and histopathological observations. The study highlights the incidence, pattern and severity of the brain damage associated with this lesion. Evidence has been provided for the progressive nature of the brain damage, not adequately emphasized in the existing literature. Pathogenesis of this brain damage has been discussed. The role of surgery in the management of this lesion has been outlined. Emphasis on the osseous changes or the "leptomeningeal cyst" (not really a consistent or important feature) in most publications on this subject has tended to minimize the significance of the brain damage in this condition. The authors suggest that the latter is far more important and therefore, recommend the use of nomenclature which takes this into account.

Brain Diseases↗
PubMed1987

Bilateral recurrent spontaneous pneumothoraces in sarcoidosis.

A case of recurrent bilateral pneumothoraces is described in a young patient with sarcoidosis. An intercostal tube drainage was done for right sided pneumothorax. Patient was put on corticosteroid treatment and with this treatment there has been no recurrence of pneumothorax.

Adult↗
PubMed1985

Radiological evaluation of mucocoele of the paranasal sinuses.

Ten cases of mucocoele of the para-nasal sinuses are reported. Plain X-ray findings were suggestive of the diagnosis in all cases. CT revealed a well defined homogeneous mass, isodense with brain, with expansion of the para-nasal sinuses and extension of the mass into the orbit or parasellar area in eight cases. Surgical confirmation was obtained in all cases.

Adolescent↗