Pelvic Organ Prolapse - Four Years Review from IGIMS, Patna.

Introduction: Pelvic organ prolapse is a common problemamong women in developing countries. It is the herniationof uterus into or beyond the vagina often accompanied byprolapse of vaginal walls involving the bladder or rectum orboth. This study was done to determine its prevalence andidentify the risk factors so that advice could be given to preventits occurance and also to find out the current managementpractices in uterine prolapse.Material and methods: During the study period (2014-2018)a total of 224 cases of prolapse reported in GynaecologyOPD. Prevalence was calculated to be 1.05% of the total OPDregistrations of our department.Results: The mean age of patients in this study was 49.5years. The most common presenting complaint was somethingcoming out per vaginum (73.1%). Majority had paritybetween 2 to 6. 84.5% had vaginal home delivery and 15.4%had hospital vaginal delivery. Most patients presented withthird degree uterovaginal prolapse (58.7%). Vault prolapseconstituted 11.3%. Associated cystocele was present in35.7%, and rectocele in 14.2% of cases. The most commonpredisposing factor identified was unsupervised homedelivery. Pessary application(n=25) and Kiegel’s exerciseadvice (n=102) were done on OPD basis.Conclusion: Improvement in general health, propercontraception and institutional delivery is required to preventprolapse.Treatment should be tailored according to age andrequirement.

Computed Tomography Scan And Therapeutic Response In Patients With Neurocysticercosis.

Neurocysticercosis (NCC) is the most common parasitic disease of the nervous system with varied clinical and imaging spectrum. This study was conducted to describe the clinical , CTfinding and response to therapy of NCC. Materials: Hundred (100) patients of NCC presenting in department of medicine, PMCH, Patna were evaluated on preset proforma containing detailed demographic data, dietary habits, clinical features and neuroimaging findings and its therapeutic response. Patients were treated with 28 days course of albendazole and repeat CTscan was done in 2 months after treatment. Results: Out of 100 patients of NCC, 56 (56%) were male with most common age group being 21-30 years (36%). Only Seizure is the most common presentation followed by Seizure with featuers of increased intracranial pressure (70 and 14% respectively). Multiple ring enhancing lesions either alone or in combination were seen on computerised tomography scans in 56 (56%) cases and parietal lobe involvement is the commonest site. Complete resolution of CTscan lesions in 72 (72%) and partial resolution occurred in rest of patients. Conclusions: Neurocysticercosis is common public health problem and one of the common cause of seizure. It has varied imaging finding being ring enhancement is most common. Albendazole is highly effective therapy and should be started at earliest to prevent morbidity and mortality

Radiological And Clinical Evaluation Of Cockayne Syndrome: A Case Report

Cockayne syndrome (CS) is a rare autosomal recessive disorder characterized by premature ageing (progeria), facial anomalies, cachectic dwarfism, mental retardation, cutaneous photosensitivity, and retinopathy, loss of adipose tissue and muscle, and neurological abnormality which are associated with the changes in the brain parenchyma. The findings of computed tomography scan and especially magnetic resonance imaging of the brain support the clinical diagnosis of CS. There is no permanent cure of this condition and death usually occurs in the 2nd or 3rd decade due to functional disability and multiple infections.