Rahul Dhakare

Doctor by choice and wisdom!
MBBS
MD Medicine
DrNB Neurology

[Rahul Dhakare @RahulDhakare2]

@DrAyubaD Hot cross bu
MSA-c
Not specific
Seen in many conditions like SCA 12

[Rahul Dhakare @RahulDhakare2]

@ashish_jadhao Public with uddhav thakare ,sentiments of common man are with uddhav thakare but money and muscle power is making shinde a winner of which uddhav thakare needs to find a solution.

[Rahul Dhakare @RahulDhakare2]

@DrAyubaD Cauda equina

[Rahul Dhakare @RahulDhakare2]

@DrAyubaD Cp angle tumour?

[Rahul Dhakare @RahulDhakare2]

@Imonlyslightly @zebrahoofbeat @nirmalregency Ceruloplasmin levels are normal
Genetic testing could not be done as patient wasn’t affording

[Rahul Dhakare @RahulDhakare2]

I have a young male in 30s with psychiatric and cognitive features without dystonia or tremers
His mri shows atrophy
24 hours urinary copper raised done twice
No kf ring
How to proceed?
@zebrahoofbeat @nirmalregency sir?

[Rahul Dhakare @RahulDhakare2]

@tarunjindal3165 @zebrahoofbeat @nirmalregency Normal kft and serum protein leves

[Rahul Dhakare @RahulDhakare2]

@witchdrkochi @zebrahoofbeat @nirmalregency Coat is d issue
Specially in this part pt are not willing for cbc at a times

[Rahul Dhakare @RahulDhakare2]

@tarunjindal3165 @zebrahoofbeat @nirmalregency He has congive and psychtric features from age of 15 onwards

[Rahul Dhakare @RahulDhakare2]

@zebrahoofbeat @nirmalregency Dont have mr images but it showed atrophy which is not expected at 34 yrs of age
How to explain raised 24 hour urinary copper level

[Rahul Dhakare @RahulDhakare2]

How frequently thrombophilia profile is done in younge stroke patients considering cost issue?
@zebrahoofbeat @NeurologyToday

[Rahul Dhakare @RahulDhakare2]

@Shridha98131755 @UddhavaKinhal @nirmalregency @zebrahoofbeat I had long case of 8yr old female child of wilsons disease for my neurology practical exam

[Rahul Dhakare @RahulDhakare2]

How frequently or commonly wilsons disease diagnosed first time by neurologist?
@nirmalregency sir
@zebrahoofbeat sir

[Rahul Dhakare @RahulDhakare2]

@zebrahoofbeat CT for disabling stroke otherwise MRI

[Rahul Dhakare @RahulDhakare2]

Anaother stroke patient within window period any guess what deficit this patient must be having?🤔
#neurology #acute_stroke #neurologist
#medtwitter #Indian_neurologist

[Rahul Dhakare @RahulDhakare2]

@zebrahoofbeat Only had subtle facial weakness left thumb weakness resolved 80-90%
Not thrombolysed as itvwasnt disabiling

[Rahul Dhakare @RahulDhakare2]

@zebrahoofbeat @nirmalregency Yeah I didn’t thrombolysed him as that moment i felt risk is more than benefit

[Rahul Dhakare @RahulDhakare2]

@nirmalregency @zebrahoofbeat This is one of my few days back had left wrist drop
I didn’t thrombolyse
Though pt had 50-60 %recovery
I was in dilemma whether i should have thrombolysed this pt or not?

[Rahul Dhakare @RahulDhakare2]

@nirmalregency @zebrahoofbeat SIR
Can we thrombolyse such patient if specificallly the wrist drop or thumb weakness in non dominant hand and patient is in window period without any other c/i for IVT?

[Rahul Dhakare @RahulDhakare2]

@nirmalregency Infact i feel there is better outcome in those pts od cardioembolic stroke who are not candidate for TNK or IVT in