Rapid spontaneous resolution of traumatic acute subdural hematoma: A case series and review of literature

Introduction: Acute subdural hematoma (ASDH) is the most common type of traumatic intra -cranial hematoma accounting for 24% cases of severe head injuries and caries highest mortality. The mortality rates are seen to be ranging from 40% to 90%, diagnosed on computed tomography (CT) as extra axial, hyperdense, crescent lesion between the Dura and brain parenchyma1. Acute SDH is an acute space occupying lesion to increase intracranial pressure (ICP), and is often complicated by co-existing intracranial lesions, including a variety of diffuse injuries, contusional hematomas, and edema. Acute subdural post-traumatic hematoma’s (SDH) continue to have a distressingly high morbidity and mortality.2 Clinical factors like presenting GCS, Pupils, time to operative interval, Hemodynamics and co-morbidities, plays a critical role in overall outcome from acute subdural hematoma.3Careful monitoring of the neurological status is mandatory even for selected acute SDH patients with intact consciousness and no brain shift because of the possibility of the unexpected worsening. Spontaneous resolution of an acute SDH has been reported in rare cases. We report a case series of spontaneous rapid reduction of acute SDH, also we discuss the prognosis of each patient according to a Clinicoradiological Prognostic Score developed by Gautam and Sharma3 as well as mechanisms related to the rapid resolution of acute SDH

Cerebral venous sinus thrombosis in scrub typhus infection: A rare presentation

Scrub typhus is an acute febrile infectious illness caused by Rickettsia species Orientia tsutsugamushi. Scrub typhus has diverse clinical manifestations ranging from a non-specific febrile illness to severe multiorgan dysfunction. A spectrum of neurological complications in scrub typhus includes aseptic meningitis, meningoencephalitis, cerebellitis, myelitis, cerebral hemorrhage, and cerebral infarction. This report describes the case of a scrub typhus with cerebral venous sinus thrombosis, an unreported complication of scrub typhus to the best of our knowledge

A case of reading epilepsy in a patient having idiopathic generalized epilepsy

Reflex seizures are defined as epileptic events that are triggered only by specific stimuli which can be external or complex internalmental processes. Reading epilepsy is one such rare form of reflex epilepsy. In primary reading epilepsy, typical attacks are jaw jerks(clicking sensation or stammering), that may evolve into GTCS if reading continues. As reading epilepsy is task-specific, they aregenerally misdiagnosed as non-epileptic and thought to be due to stress related to studies. We report the case of a young male whohave jaw jerks along with blank staring spells while reading which was misdiagnosed as pseudoseizures. This rare case highlights thiseasily treatable benign reflex epilepsy syndrome