Browsing by Author "Rimal, Ankit"
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Publication Recurrent Ischemic Stroke in a Patient with Atrial Myxoma: A Case Report(Nepal Medical Association, 2022) Shrestha, Gentle Sunder; Rimal, Ankit; Shrestha, Shubha Kalyan; Shrestha, Pramesh Sunder; Acharya, Subhash PrasadAbstract Cardiac myxoma is an infrequent but curable cause of ischemic stroke. There are no guidelines addressing the timing of surgery to excise the tumour or for the use of thrombolysis or thrombectomy. We present a case with an ischemic stroke which was diagnosed to have atrial myxoma. She was planned for surgical excision of the tumour but suffered from a second ischemic stroke while awaiting surgery. This article aims to highlight vital aspects of this rare phenomenon and discuss the prospects of the timing of surgery and neurosurgical intervention. The importance of a proper cardiac evaluation in all cases of stroke is highlighted.Publication Retained bronchial foreign body diagnosed after 29 years of penetrating chest trauma(Nepalese Respiratory Society, 2022) Rimal, Ankit; Pun, Bishika; Karki, Bipin; Paudel, Ashmita; Pradhan, Utsav Lal; Shrestha, Pramesh SunderAbstract: This is a case of retained bronchial foreign body identified by Computed Tomography (CT) scan after 29 years of initial penetrating chest trauma. The patient had a long-standing history of shortness of breath which was diagnosed and treated as recurrent pulmonary infections. The case report is an attempt towards eliciting the importance of CT scan in identifying such foreign bodies. Interpretation & diagnosis of long standing organic foreign bodies may present with occasional diagnostic dilemma. However, prompt and accurate diagnosis is necessary to prevent complications that can be serious and, as in our case, potentially fatal.