Hemifacial Spasms

Hemifacial Spasms Generally a benign condition Unilateral , involuntary , irregular tonic or clonic contractions of muscles supplied by the facial nerve. More common in women than men and  age at onset 5th to 6 th decades but may occur earlier.  Examination usually normal , occasionally very subtle facial weakness may be seen. Any associated Read More …

TongueFasciculations

This elderly gentleman presented with progressive slurring of speech and difficulty swallowing . Following is the video demonstrating clear evidence of fasciculations . Tongue fasciculations ( at times mentioned as fibrillations ) should only be diagnosed with tongue at rest in the mouth . Sometimes flickering movements are seen in the tongue during protrusion and Read More …

Elderly Man with headaches

An 80 year old gentleman presented with occipito nuchal throbbing headaches of six weeks duration and blurring of vision . On trying to get details of blurring of vision he would mention both eyes but not clearly in any specific field defects type. No vomiting or blurring of vision . Examination normal Field testing very Read More …

Gum Hyperplasia

Gum Hyperplasia Gum hyperplasia is quite common in patients who have been on phenytoin on a long term basis for epilepsy. Following are few causes we need to look for when confronted with gum hyperplasia. 1 Phenytoin , (Phenobarbitone less common) 2 Infections/infalmmation ( Gingivitis ) 3 Leukaemia 4 Pregnancy 5 Vitamin C deficiency 6 Read More …