Ram Kumar

Consultant paediatric neurologist UK. #Paediatrics, #neurology, #CerebralPalsy, #brain injury, #spasticity, #epilepsy, #migraine, #sleep. Nerd.

[Ram Kumar @ram16k]

I've put some stuff on predicting outcomes of head injury in children, on my site: http://t.co/bHpi7eKwtP , + prognostication in general.

[Ram Kumar @ram16k]

http://t.co/2P0ngdsXih reduce stroke with extra virgin olive oil 1 litre per week and/or 30g mixed nuts a day. Surprisingly reduces BP.

[Ram Kumar @ram16k]

Holiday in Turkey = 4) being a nerd, reading up on recent research papers, writing stuff at 23 degrees, sunshine, sea and Mount Olympos.

[Ram Kumar @ram16k]

On holiday in Turkey = 2) catching up with Daniel Kahneman's "Thinking Fast and Slow". "Thinking" = lazy, usually wrong "gut instinct".

[Ram Kumar @ram16k]

On holiday in Turkey = 1) catching up with reading late outcomes of prefrontal brain injury in young children.http://t.co/AsT30xhRs4

[Ram Kumar @ram16k]

Persistent neonatal encephalopathy +burst-suppression, not NKH. It's time for the pyridoxal + biotin + folinic acid + thiamine combo again.

[Ram Kumar @ram16k]

This one came up on my blind side: "Eye Movement Desensitization and Reprocessing". How do eye movements reduce the memory of nasty events?

[Ram Kumar @ram16k]

Done some reading on long-term outcomes of early brain injury involving the frontal lobes. A readable one is http://t.co/QaVSO00i2e

[Ram Kumar @ram16k]

Settled on a stepped wedge, non-randomised design for pilot telemedicine project. Not sure how to analyse results of a stepped wedge method.

[Ram Kumar @ram16k]

Seeing if I can get off my on-call to go on a jolly to Duesseldorf in May. Work-related honest guv, to do with deep brain stimulation.

[Ram Kumar @ram16k]

Checking out the general behavioural phenotype of MC4R gene early obesity syndrome: is there general hyperactivity not just overeating?

[Ram Kumar @ram16k]

Checking out impairments after infantile ependymoma, related to high dose radiotherapy vs those aspects related to "aggressive" surgery.

[Ram Kumar @ram16k]

It's been a cerebellar fortnight. Did I tweet about Gomez-Lopez-Hernandez syndrome recently? Looked up if facial lymphoedema associated.

[Ram Kumar @ram16k]

@ImpByDes Funny? No, dead serious; it took 4 consultants (aka "unproductive timewasters") meeting up to decide what to do next (rituximab).

[Ram Kumar @ram16k]

Interesting one: Sjoegren's serology, sensory neuropathy (+some motor), no keratoconjunctivitis sicca but has thrombocytopoenic purpura.

[Ram Kumar @ram16k]

http://t.co/ui54ufwm2j is our work on decision analysis tool in posterior fossa tumour surgery complications. It's not dull, honest.

[Ram Kumar @ram16k]

Reversible encephalopathy syndrome with intractable seizures+hypertension+RASopathy. Renal artery stenosis?

[Ram Kumar @ram16k]

Carney complex and idiopathic intracranial hypertension. Confusing literature on role of Cushing's disease and IIH - occurs after treatment?

[Ram Kumar @ram16k]

Looked up Carnitine Palmitoyl Transferase 2 deficiency in setting of pain after prolonged aerobic exercise. Why does it come on with age?

[Ram Kumar @ram16k]

The theme this week has been mostly about ataxia in young children. Actually we've almost finished a 2 year study of ataxia - coming soon...