Accès ouvert
2026
conference-abstract
OpenAlex
P G Gopi, Aravinth Sivagnanaratnam
Abstract Background and aims Our unit has involved in Stroke trials since its inspection of Hyper Acute Stroke Unit in 2010 there by providing our patients additional treatment and updated evidence-based care. However, District General Hospitals find it difficult to strike the …
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Accès ouvert
2026
conference-abstract
OpenAlex
Arunan Varatharasan, Duaa Ali Faruqi, Teswahen Bedawi, Lakshmi Biju et autres
Abstract Background and aims Anterior circulation infarcts (ACI) account for around 75% of ischaemic strokes, whereas posterior circulation infarcts (PCI) comprise the remaining 25%. Comparative data on risk factors and functional outcomes remains limited, particularly in young adults. Methods We retrospectively analysed …
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Accès ouvert
2026
conference-abstract
OpenAlex
Arunan Varatharasan, Duaa Ali Faruqi, Teswahen Bedawi, Aravinth Sivagnanaratnam
Abstract Background and aims Ischaemic stroke in young adults is a growing clinical challenge, with distinct risk profiles compared to older populations. Posterior circulation infarcts (PCI) comprise 20% of cases, yet comparative data on anterior versus posterior infarcts and hemispheric lateralisation in …
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Accès ouvert
2026
conference-abstract
OpenAlex
Arunan Varatharasan, Azn Faruqi, Duaa Ali Faruqi, Teswahen Bedawi et autres
Abstract Background and aims Patent foramen ovale (PFO) is an important structural finding, particularly in the context of cryptogenic cerebrovascular events. Despite its clinical relevance, real world incidence and demographic associations in the young stroke population remain incompletely characterised. This study aimed …
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Accès ouvert
2026
article
OpenAlex
Vritika Ravisangar, Aravinth Sivagnanaratnam
AIMS/BACKGROUND: Bilateral spontaneous carotid artery dissections are rare, comprising only 10% of spontaneous carotid artery dissection cases. They occur when there is a tear in the innermost lining of the artery called the tunica intima. An intramural hematoma may form which can …
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Accès ouvert
2025
article
OpenAlex
Sahil Ravisangar, Aravinth Sivagnanaratnam
It is not uncommon for ischaemic heart conditions to cause cerebral infarcts. However, what is rarely seen is a cerebral infarct leading to heart failure. This case report describes a 42-year-old male admitted with acute onset symptoms in keeping with a posterior …
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Accès ouvert
2025
article
OpenAlex
Annie Renju, Aravinth Sivagnanaratnam
Frank's sign is a diagonal crease on the earlobe and has been linked to cardiovascular disease. This prospective observational study aimed to assess the association between Frank's sign and ischaemic strokes. Conducted over three months in a UK district general hospital, the …
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Accès ouvert
2024
article
OpenAlex
Tamanna Agarwal, Julia Jenkins, Saranya Baleswaran, Mariana Nalmpanti et autres
Background Cardio-cerebral infarction (CCI) belongs to an area of growing interest within cerebrovascular medicine as it refers to the concurrence of acute ischaemic stroke (AIS) and acute myocardial infarction (AMI) usually within 72 hours. A scenario where both the heart and brain …
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Accès ouvert
2024
article
OpenAlex
Shayndhan Sivanathan, Aravinth Sivagnanaratnam
A 21-year-old gentleman presented with low responsiveness and an unwitnessed tonic-clonic seizure. A 3-day history of fevers, headaches, and poor sleep was reported. He was initially treated for meningoencephalitis. Subsequently, he developed an erythematous rash over the face and chest. He had …
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Accès ouvert
2024
conference-abstract
OpenAlex
Ho Juen Ko, Anees Fatima, Aravinth Sivagnanaratnam, Alastair McGregor et autres
Abstract Background/Aims Tuberculosis meningitis (TBM) is associated with high morbidity and mortality. Up to 25% of patients may experience paradoxical reactions (PR) after commencing anti-TB therapy, which are exaggerated inflammatory reactions resulting in parenchymal inflammation, tuberculomas and secondary vasculitis. PR are minimised …
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Accès ouvert
2023
article
OpenAlex
Joanna Marguerite Wardlaw, Lisa Jane Woodhouse, Iris Mhlanga, Katherine Oatey et autres
Importance: Cerebral small vessel disease (cSVD) is a common cause of stroke (lacunar stroke), is the most common cause of vascular cognitive impairment, and impairs mobility and mood but has no specific treatment. Objective: To test the feasibility, drug tolerability, safety, and …
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Accès ouvert
2022
article
OpenAlex
Solange Bramer, Yvette Jaffe, Aravinth Sivagnanaratnam
A woman in her 50s presented with acute vertigo and vomiting within 72 hours of receiving the Pfizer-BioNTech COVID-19 vaccine. The only neurological deficit was an impaired vestibulo-ocular reflex with horizontal nystagmus. The patient was subsequently diagnosed with vestibular neuronitis. She was …
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