The Helios Child Neurology Centre

🧠 The Helios Child Neurology Centre | Child Neurology Care in Vadodara | 📍 Karelibaug, Besides Bansal Mall | 📞 6359418317 / 9016840070

[The Helios Child Neurology Centre @HeliosNeuro]

Spinal muscular atrophy - Mini review and sneak peak into therapeutics https://t.co/SSIncwcvCq
# Neuro twitter # FOApediatrics #Neurophilia # SMA awareness

[Dr Aniruddha Malpani, MD @malpani]

Quality education is now thought of as a luxury.
Even though AI-based learning companions such as the one at https://t.co/5t7XEunb4n are free and far better

[The Helios Child Neurology Centre @HeliosNeuro]

@RosaCortese5 @MAGNIMS @NatRevNeurol As usual behind the paywall. What's even the point of Science behind paywall?
Anyways congratulations and celebrations for the Echochambers of colleagues who can afford to read it

[Case Western Reserve Univ/UH Epilepsy Program @CwruEpilepsy]

The correct answer is “None of the above”.
Read this thread for a detailed explanation

https://t.co/UGbDCdLPn8

[Abhishek AB @ABsay_ek]

Every 24th September, the story gets told the same way. Dhoni's helicopter of a captaincy,Sreesanth catching that skier, Joginder Sharma bowling that last over. India won the first T20 World Cup on this day in 2007 & every year anniversary belongs to men in the frame. The man who built the frame barely gets a mention. Nobody rings up Lalchand Rajput. Nobody ever does.

Lalchand Rajput was never even called the coach. BCCI gave him the title "Cricket Manager", a semantic back door they would later use to walk him out of the job.

He inherited ruins. Chappell had gone, 2007 ODI World Cup had been a disaster, effigies were still warm & Sachin,Ganguly and Dravid had opted out of a format nobody trusted. The squad had played one T20I between them. captain had never captained anything.

Rajput took that mess & along with Dhoni gave it one line to live by. "Pressure lene ka nahi, pressure dene ka". Typical Mumbai words, the kind you hear on a Wankhede maidan on a Sunday morning.
What began as a dressing room joke, Robin Uthappa later admitted, Rajput kept repeating until it became the team's spine. He gave young men permission to fail, which is the only way young men ever play freely. He broke the senior-junior hierarchy over Nando's chicken orders in Dhoni's room. He made PowerPoints on opposition weaknesses and then got out of the captain's way.

Nobody talks about the bowl out against Pakistan properly either. That wasn't luck. Rajput, Venkatesh Prasad and Robin Singh had worked out beforehand that spinners hit the stumps more often than fast bowlers do without a batsman standing there. Sehwag, Harbhajan and Uthappa were picked for exactly that reason. People remember Uthappa's celebration. Almost nobody remembers why he was even bowling.

Then came the erasure. He managed India through Monkeygate & CB Series win in Australia, 2 overseas triumphs in 6 months. Sachin Tendulkar spoke highly of him and even wrote a positive recommebdation for him to Sharad Pawar. A senior player called his sacking "a stupid decision". But BCCI kept Prasad and Robin Singh, dropped Rajput.

He didn't sit around sulking about it. Took that same Khadoos stubbornness to Afghanistan, got them Test status. Took it to Zimbabwe when players were boycotting over unpaid salsries and left them with Sikandar Raza's second career. Now he sits in the UAE camp & help the youngsters with same mindset he helped Dhoni's yoing turks.

So today, when 2007 trophy pictures do the rounds again, spare one thought for the man who was never in the frame. Beacuse some architects don't get their names on the building. They just make sure it stands.

[The Helios Child Neurology Centre @HeliosNeuro]

@nirmalregency What's your personal practice Dr Nirmal? In peds MOGAD, I give IVMP pulse +/-IVIG in acute phase of MOGAD and then slow steroid taper over 3 to 6 months. I m yet to see a relapse. Or may be they relapsed and went elsewhere. ( Thoughts after this paper 🥲)

[Continuum: Lifelong Learning in Neurology @ContinuumAAN]

Key Point 2 from the article Inpatient Sleep Medicine by Dr. Mark I. Boulos, from the August #SleepNeurology issue, which is available to subscribers at https://t.co/m28QDwv1Qm. #NeuroTwitter #MedEd

[TheLiverDoc™ @theliverdoc]

Absolutely do not do this.

This is mostly offered by "Cosmetologists" or commercialized Dermatology clinic chains. Cosmetology is not a recognized medical degree or a protected medical title under the National Medical Commission in India. So anyone claiming to be "cosmetologist" is not really a medical practitioner. They are similar to certified "coaches" or "wellness experts".

The clinical evidence supporting IV glutathione is exceptionally poor. Marketing claims rely heavily on anecdotal reports and a single, widely criticized trial that suffered from a tiny sample size, poor study design, and unreliable evaluations.

Because the body continuously produces melanin, any potential lightening effect is temporary. Once the extreme systemic doses are stopped, the skin's natural pigmentation returns.

Because IV glutathione is not approved for cosmetic use, the solutions utilized in wellness clinics and med-spas are typically sourced from "compounding pharmacies". This bypasses standard pharmaceutical manufacturing regulations, introducing severe risks.

A "compounded drug" is a custom medication created by a pharmacist or physician who combines, mixes, or alters ingredients on their own.

In August 2026, the US FDA issued an urgent safety warning after dozens of patients experienced potentially fatal infection (sepsis)-like symptoms - including fever, chills, low blood pressure, and hospitalization, following glutathione IV treatments. Clinics were found to be compounding IV drips using dietary-supplement-grade powder, which contained dangerously high levels of bacterial endotoxins.

Administering high doses has been linked to severe adverse effects, including anaphylaxis, acute kidney and liver dysfunction, and potentially fatal skin reactions like Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS and TEN)

Ultimately, the administration of IV glutathione in dermatology and cosmetology clinics is a lucrative marketing trend that operates outside the bounds of evidence-based medicine.

Like I said, absolutely, do not do this.

[The Helios Child Neurology Centre @HeliosNeuro]

@drSurjthVattoth Congratulations Dr. Surjith

[The Helios Child Neurology Centre @HeliosNeuro]

People who believe in big Pharma conspiracy theories believe that big Pharma has created these diseases and then developed their solutions. In loko ka kya kare. Kaise counsel kare ? Or just leave them to fate

[Dr. Vrinda Kabra @KabraVrinda]

Big Pharma solved HIV. Big Pharma solved Psychosis. Big Pharma solved diabetes and hypertension. Big Pharma solved many cancers.

Do I love Big Pharma? Yes.
Do I hate Big Pharma for solving problems but making the solutions unaffordable? Also YES.

Nuances exist everywhere. Including my feelings for Big Pharma.

[Dr Sharath Kumar G @SharathKumarGG7]

🧠 When turning the head causes a stroke… think beyond the brain.

A fascinating case of Bow Hunter Syndrome (rotational vertebral artery occlusion):

🔹 Recurrent posterior circulation strokes
🔹 Occipitalization of C1
🔹 C1–C2 bony anomaly with an osteophyte at the C2 transverse foramen
🔹 Routine static angiography was inconclusive
🔹 Dynamic cerebral angiography clinched the diagnosis

🎯 The patient was asked to turn the head to the LEFT.

Injection of the right occipital artery demonstrated dynamic compression of the vertebral artery at the C2 transverse foramen.

The key lesson:

The culprit may only appear when the head moves.

In patients with recurrent posterior circulation ischemia + reproducible neck pain/neurological symptoms with rotation, dynamic vascular imaging can be diagnostic—and potentially stroke-preventing.

#BowHunterSyndrome #VertebralArtery #Stroke #Neurointervention #Neuroradiology #DynamicDSA #PosteriorCirculationStroke

[Dr. Devashish Palkar @psychidiaries]

A 🧵 on understanding emotional eating-

I recently took a session on “Neurobiology & Neuropsychology of Appetite and Obesity” for a group that included several senior doctors from Vadodara.
One question that generated a lot of discussion was:
Why do our emotions change the way we eat?
1/n

[Dr. Devashish Palkar @psychidiaries]

If you wish to watch this session which I took as a part of Saturday club of Vadodara, then this is the YouTube link. Feel free to share. 😊🙌
13/13
https://t.co/mPgAMVS1e8

[The Helios Child Neurology Centre @HeliosNeuro]

@nirmalregency @jjgarnham Early Tocilizumab in 24 hrs is the key to mortality and morbidity prevention

[Nirmal Pandey MD DM Neurologist @nirmalregency]

🧵In #neurology every day is a 🆕 learning

♂ in early 30’s p/w recurrent excruciating fingertip pains involving middle 3 fingers of 𝐋 hand, ring💍finger of 𝐑 hand & 3rd toe of 𝐋 foot x 4 yrs
Tenderness on pinching the fingers from the sides. Clinical 𝔇𝓍: Glomus Tumor
❶of❼

[The Helios Child Neurology Centre @HeliosNeuro]

@DrShauryaGarg Ending is quintessential
That's why tinder breakups hurt more than long term relationship
As tinder breakups have no definite start or end or story to finish the loop

[Rajesh S @Dr_RajeshS]

🧠 SPINAL TUMOURS: Don’t Memorise—LOCALISE!

When you see a spinal mass on MRI, the first question is: WHERE? 📍

🔴 INTRAMEDULLARY — inside the cord

➡️ Adult → Ependymoma → central, well-defined, 🩸 cap sign, syrinx
➡️ Child → Astrocytoma → eccentric, infiltrative
#neurorad

[The Helios Child Neurology Centre @HeliosNeuro]

@xzx_slipknot Sanath Jayasuriya

[The Helios Child Neurology Centre @HeliosNeuro]

@ImPC_45 Jason

[Ankur Warikoo @warikoo]

People assume the hardest part of making content for 10 years is ideas.
No.
It is repetition.

It is convincing yourself that trhe thing you have said a dozen times before still needs to be said.
Saying the thing you said in 2021 to the person who just arrived in 2026.

The audience keeps refreshing.
The truths do not.

Teachers have known this for centuries.

[The Helios Child Neurology Centre @HeliosNeuro]

@Stethless_Dr @nirmalregency That's also seen in MAT deficiency