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Table of Contents
EDITORIAL
Year : 2018  |  Volume : 15  |  Issue : 4  |  Page : 182

Editorial


Department of Neurosciences, Indraprastha Apollo Hospital, New Delhi, India

Date of Web Publication5-Dec-2018

Correspondence Address:
Dr. P N Renjen
Department of Neurosciences, Indraprastha Apollo Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/am.am_89_18

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How to cite this article:
Renjen P N. Editorial. Apollo Med 2018;15:182

How to cite this URL:
Renjen P N. Editorial. Apollo Med [serial online] 2018 [cited 2018 Dec 15];15:182. Available from: http://www.apollomedicine.org/text.asp?2018/15/4/182/246902



This is the last issue of the journal for the year 2018, and it contains four interesting articles, one being original article and three case reports. The present issue of Apollo Medicine focuses on neurosciences.

Ajaydeep Singh et al. have shared their experience about the surgical management of chronic subdural hematoma. They have stressed upon the fact that burr hole evacuation is relatively a safe and effective first-line management option. In their experience, the patients had excellent postoperative recovery, and the recurrence rate is low with the use of drain after burr hole evacuation. The same has been the experience of the other authors worldwide in this filed.

Marappan et al. have reported a case of reverse transtentorial herniation as a complication which needs to be considered in patients who have large posterior fossa tumors with gross hydrocephalus. They feel a liberal amount of cerebrospinal fluid (CSF) leak during the surgery, or low-pressure ventriculoperitoneal shunts may lead to reverse coning. However, this needs to be always kept in mind. Marappan et al. reported a case of neuroenteric cyst – a rare lesion of the spinal axis. It presents with an intraspinal mass, and the incidence is more than 60% intraspinal and 10%–20% intracranial.

Chaudhari and Renjen have reported a case of a very commonly used drug, metronidazole, especially in the developing world for the treatment of anaerobic bacterial and protozoal infection. Prolonged use of this drug causes neurotoxicity which is uncommon, and it also causes peripheral neuropathy, headache, and dizziness. Encephalopathy is a rare complication of metronidazole, which is believed to penetrate CSF and the central nervous system easily. The exact incidence is unknown, but this must be kept in mind in a clinical setting, magnetic resonance imaging findings, and reversibility of this condition.

We hope the readers will find these articles interesting and helpful in their day-to-day medical practice. We welcome comments and suggestions.






 

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