Browsing by Author "Rauniyar, RK"
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Publication Clinico-radiological profile of stroke in eastern Nepal: A computed tomographic study(Kathmandu University, 2006) Naik, M; Rauniyar, RK; Sharma, UK; Dwivedi, S; Karki, DB; Samuel, JRAim: Stroke is a frequent cause of death and disability in elderly patients. This study was carried out to establish the pattern of various types of cerebrovascular accident (CVA) in eastern Nepal and to correlate the clinical data and radiological findings in cases of stroke. Materials and methods: All the patients clinically diagnosed as stroke and referred to the radiology department for Computed tomography (CT) of the brain over a period of 1 year were included. Results: There were 150 patients with stroke (104 males and 46 females), aged 7 to 91 years in which infarction (58%) was more common than haemorrhage (42%) in both group of age (≤ 40 years and > 40 years). Smoking was the commonest risk factor noted in 40.66% cases followed by hypertension (40%). Excessive meat consumption (more than 4 times a week) was seen in 69.1% cases. In early Middle Cerebral Artery (MCA) territory infarction presenting within six hours of onset, positive CT findings were seen in 40% cases among which, obscuration of the lentiform nuclei was diagnostic. Conclusion: In this part of Nepal, infarction is more common than haemorrhage as the cause of stroke and in contrary to western population; hemorrhagic stroke constitutes a significantly higher proportion of stroke. Smoking is the commonest risk factor followed by hypertension and it is also seen in combination with alcohol in many cases. Excessive meat consumption could be an additional risk factor for stroke in this part of Nepal. In younger age group (≤ 40 years), haemorrhage is more common than infarction and alcohol consumption is the commonest risk factor. Key Words: Computed tomography, stroke, CVAPublication Intrathyroid metastasis presenting as a solitary thyroid nodule: An unusual case of clinically silent lung cancer(Kathmandu University, 2008) Sharma, UK; Rauniyar, RK; Adhikary, S; Sinha, AAbstract Metastases in the thyroid gland are very rare. Carcinoma lung is one of the tumours, which may metastasize to the thyroid. We report a 60-year-old lady with intrathyroid metastasis presenting as a solitary thyroid nodule. Fine needle aspiration cytology from the nodule showed features of metastatic adenocarcinoma. Further detail evaluation revealed primary lung adenocarcinoma with secondaries to adrenals, retroperitoneal and bilateral axillary nodes. This report emphasizes this unusual clinical presentation of carcinoma lung with wide spread secondaries; and a solitary thyroid nodule can be a presenting complain of a metastatic disease. Key words: Intrathyroid metastasis, Ultrasound, Carcinoma lungPublication Laryngocele masquerading as a soft tissue neck mass(Kathmandu University, 2009) Dhungel, K; Gupta, MK; Ahmad, K; Sah, PL; Rauniyar, RKAbstract Laryngocele is a rare entity which can clinically present as a neck mass and requires Computed Tomography (CT) and laryngoscopy for diagnosis. We present an interesting case of bilateral laryngocele in a 45 -year-old male presented clinically as hoarseness and left sided neck mass without any history of predisposing factors. Ultrasonography (USG) and CT features of laryngocele is also presented here. Key words: Laryngocele; Cervical mass; Ultrasonography; Computed TomographyPublication Neurocysticercosis- a review(Kathmandu University, 2003) Ansari, JA; Karki, P; Dwivedi, S; Ghotekar, LH; Rauniyar, RK; Rijal, SNA.