anil israni

Consultant Paediatric Neurologist in NHS,Clinical Specialty Director,epileptologist, Neurogeneticist,expert in rare & complex neurological conditions in chidren

[anil israni @anilsurprise]

End of a musical era..Asha Bhosle ji will remain immortal in the hearts of all music lovers in India and across the world!

[Narendra Modi @narendramodi]

Deeply saddened by the passing of Asha Bhosle Ji, one of the most iconic and versatile voices India has ever known. Her extraordinary musical journey, spanning decades, enriched our cultural heritage and touched countless hearts across the world. Be it her soulful melodies or vibrant compositions, her voice carried timeless brilliance. I’ll always cherish the interactions I’ve had with her.

My condolences to her family, admirers and music lovers. She will continue to inspire generations and her songs will forever echo in people’s lives.

[anil israni @anilsurprise]

The beauty of these quotes is that they are eternally true

[Voltaire Archive @VoltaireQuote]

Prejudices are what fools use for reason.

[Arthur Schopenhauer @SchopenhauerNow]

"You may take it as a general rule that you will not lose a friend by refusing him a loan, but that you are very likely to do so by granting it."

[Seneca the Younger @SenecaQuote]

“He who spares the wicked injures the good.”

[anil israni @anilsurprise]

@Suhelseth Yes, and also it should be ' am pleased' not 'am please'. However, given his situation, it might be more appropriate to say ' please' than be pleased.

[anil israni @anilsurprise]

@ShashiTharoor @the_hindu Fantastic write up, very well articulated. The unfortunate truth however is that in the battle between humble sense and raw power, power seems to have an unfair advantage!

[anil israni @anilsurprise]

@Intl_Relations0 It's a seizure. Gyratory movements in a seizure can occur from frontal or temporal lobe. That evolved into a full blown asymmetric tonic Seizure in this lady. Seizure likely occurred in her due to stroke ( blood clot as described in the post)

[Dr Kish Mankad @drmankad]

Top teachers, up-to-date content, foundations to a great future collaboration in pediatric and correlated adult Neuroradiology training, the epitome of outreach education and training in a world that we make go green….folks, it’s essential attendance at SPIN-in-Dubai, the culmination of knowledge and the melting point of cultures in a very unique classroom.

Nov 7-9. Bookings close October 20th.

PS: We are plastic free! This scarf of honour is waiting for you as your shared ID: keep warm in the circle of friendship and knowledge sharing!

[anil israni @anilsurprise]

@drmankad Cerebral atrophy on the hemisphere with pial angiosis is an additional finding in SWS, often under-recognised.

[SPIN | Society of Pediatric Neuroimaging @spinacademics]

This week’s SPIN-POV: Multidisciplinary collaboration is key to rare diagnoses. Childhood DM, visual and hearing loss with MRI showing optic/brainstem atrophy, absent post pituitary brain spot, T2 hyperintensities in brainstem/optic tracts point toward DIDMOAD (Wolfram) syndrome

[anil israni @anilsurprise]

@drmankad @RCRadiologists Can't see any bleeds. I was curious to know if MRI brain and spine are being routinely reported by advanced radiology practitioners in the UK and if they are doctors?

[Lea Alhilali, MD @teachplaygrub]

1/They say form follows function!

Brain MRI anatomy is best understood in terms of both form & function.

Here’s a short thread to help you to remember important functional brain anatomy--so you truly can clinically correlate!

[anil israni @anilsurprise]

@shreyaghoshal What an amazing evening at WTC arena filled with melodious and foot tapping songs! May you continue to achieve newer milestones. Hope you enjoy the hospitality in Dubai!

[anil israni @anilsurprise]

@elonmusk Maths assists physics in doing so Elon!

[anil israni @anilsurprise]

It's stunning to note how with vague-ish brush strokes, Monet created this whole new style of 'impressionism'. This painting looks vivid at the first glance but actually consists of not-so-detailed brush strokes giving an overall appearance of a detailed painting. Genius!!

[Claude Monet @artistmonet]

Waterloo Bridge, Grey Weather - 1901/1903 #artbots #monet

[anil israni @anilsurprise]

Nice!

[Lea Alhilali, MD @teachplaygrub]

Tired of always speculating about MR spectroscopy?

If you've ever looked at an MR spectroscopy & thought: "I have no idea what I’m looking at!"--then this cheat sheet is for you!

Here are the 5 basic rules you need so you can understand the spectrum of basic spectroscopy!

(1) First you need to know the peaks. 
—3 main peaks: Choline, Creatine, NAA
—Remember the order bc a spectrum looks like mountain peaks & it is cold in the mountains.  And CHOld CREATures NAp or hibernate in the mountains

(2) Hunter’s angle:
—Most people know that the peaks of the spectrum should go up at you move lateral, called Hunter’s angle
—Most bad things reverse Hunter’s angle
—Ask yourself: Is my arrow pointed up to shoot into the air at the enemy (good) or is point to the ground where it will hit the dirt (bad)

(3) TE & spectrum length are inversely related
—Spectroscopy follows the rule: speak softly & carry a big stick. 
—Short TE = long spectrum, lots of extra peaks for glutamate/glycine, myoinsitol
—Long TE = short spectrum, mainly the basic 3 peaks

(4) Each region has its own unique signature
—Each brain region has its own unique composition of compounds that might alter Hunter’s angle a bit, but not reverse it
—Need a control in contralateral normal brain so compare apples to apples

(5)Lactate peak goes like a sine wave
—Lactate peak represents anerobic metabolism—sign of cells in trouble
—It’s at 1.3ppm. Remember this bc 13 is an unlucky number & lactate is an unlucky sign!
—It’s like a sine wave: up at short TE (35), down at intermediate TE (144), and up again at long TE (244)
—You can use this flipping to better visualize the lactate peak
—You can remember it’s down in the middle TE bc when you’re caught in the middle, you’re down & out

Just remember these tricks & you will be spectacular at basic spectroscopy!

[Keith Siau @drkeithsiau]

Clinical examination in 2025 😅

[Sameer Raniga @samrad77]

In transfusion-dependent thalassemia, the pituitary gland may appear small and hypointense (dark) on T2W MRI, which is characteristic of iron deposition (hemosiderosis).

An early clue to future hypogonadism and growth failure.

—Every signal tells a story- from my reporting list