Thursday 17 August 2023

challenging neuro cases

The past 2 weeks have been rather busy.

Suddenly, there were a "deluge" interesting and complicated neurological cases, ranging from an adolescent with Juvenile Myasthenia Gravis, to young child with MOG related encephalitis, not to mention a child with strong family history of exercise induced dyskinesia /febrile illness induced weakness/dysarthria (of unknown cause), and a recent cases of possible immune mediated encephalitis (with concomitant reactive synovitis)...all in the spate of 2 weeks.

Fortunately, all the above patients responded well to treatment!

Yes, these cases were mind boggling and challenging; but they also kept my adrenaline running, and served as a boost to keep myself abreast with recent changes / differential diagnosis of various medical conditions.

Youtube videos of various lectures have helped a lot, even though the information may not be the latest - most of these were lectures given 3 months to 2-3 years back. They served as a foundation to jumpstart my pursue of new information.

Looking back, the COVID pandemic does help in drastically reducing potentially damaging infectious / post-infectious related neurological cases. But as travel restriction is called off, and social distancing / mask wearing are now a thing of the past in most countries, infectious/ post-infectious related, and potentially damaging neurological cases have started to emerge again!



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