An Uncommon Presentation of a Common Etiology : Tubercular Cerebral Abscess in Pulmonary TB

A patient, recently diagnosed with Pulmonary Tuberculosis and on ATT for the last 1 month, was initially admitted in a primary care setup with severe headache and altered consciousness for 5 days and then referred to our institute for further management. Extensive investigations and imaging led to the conclusion that the patient had a massive Tubercular Brain Abscess (TBA) in the background of Pulmonary TB

Study to Find Out the Correlation Between Cognitive Defect and Non-alcoholic Fatty Liver Disease

Introduction : Non-alcoholic Fatty Liver Disease (NAFLD), a hepatic manifestation of Metabolic Syndrome, has now become a Global Phenomenon and along with its increasing prevalence various morbidities and mortality are also increasing. Aims and Objectives : The objective of the present study was to establish whether patients with NAFLD, in the absence of other comorbid conditions suffer from cognitive impairment. Materials and Methods : This cross sectional study was conducted at the Department of General Medicine, Calcutta National Medical College and Hospital. 90 patients with NAFLD and 90 healthy controls were recruited after matching all the inclusion and exclusion criteria, from the out patient and in patient department over a period of 1 year starting March, 2019. NAFLD was diagnosed by noninvasive methods including Elastography (fibroscan). Cognition was assessed by MoCA (Montreal Cognitive Assessment test) score. Result : The mean age of cases and control were 49.2 and 48.5 years, respectively. Out of total cases and controls 48.9% was male and 51.1% was female. The mean BMI of the cases and control were 30.21�24 and 22.60�52 Kg/m2, respectively. The mean Elastography score among the cases was 4.91�23 kPa and that among the controls was 3.84�31 kPa. The mean Fibroscan Score among male cases and controls were 4.907�26 kPa and 3.83�35, respectively (p

Intracranial Calcification in a Case of Seizure Disorder

A patient with repeated episodes of Seizures and elevated Blood Pressure for 2 days, was admitted in a primary care set up initially, followed by admission to our Institute where he was thoroughly worked up to find the possible etiology behind the presentation. Extensive investigations and imaging led to the conclusion that the patient had Idiopathic Intracranial Calcification after the possible secondary causes of Intracranial Calcification were ruled out