Dear Esteemed IMA Members,
Greetings from Kauvery IMA!
November’s spirit of gratitude continues into the festive season – thankful for your dedication to quality healthcare. Your contributions are vital to India’s health ecosystem.
IMA journals share knowledge, and together, let’s build a healthier, happier India!
Wishing you a joyous Christmas and a Happy New Year! May the season bring joy, peace, prosperity, and good health.
Thank you, healthcare heroes, members, and supporters!
Yours in IMA service, Dr S Sivaram Kannan President
Dear friends,
This year is drawing to its end.
Kauvery Hospital, Alwarpet extends heartfelt wishes for a great 2026.
IMA Journal shares medical articles and case reports as part of CME drive sharing knowledge with you!
Yours in IMA service, Dr. Bhuvaneshwari Rajendran Secretary
Dear Friends,
Happy to share this month’s Kauvery IMA Journal!
I’m thrilled to announce that our DNB postgraduates have successfully cleared their exams and are now ready to start their journey as consultants! Best wishes to them and to their mentors for nurturing the next generation of consultants.
It’s this academic spirit that has propelled the Journal for all these years.
Wishing you all a Happy Christmas and a prosperous, healthy, and happy New Year!
Thanks to the editorial and branding teams for their efforts.
Long live IMA.
With regards Dr. R. Balasubramaniyam Editor
Introduction:
Cerebral aneurysms represent a heterogeneous group of intracranial vascular abnormalities that vary widely in morphology, clinical presentation, and risk of rupture [1, 2]. With the evolution of neuroimaging and endovascular technology, management has shifted toward minimally invasive, anatomy-specific approaches that enhance procedural safety and long-term durability [3, 4]. Despite these advancements, outcomes remain strongly influenced by timely diagnosis, individualized treatment selection, and vigilant monitoring for complications such as vasospasm or delayed cerebral ischemia [5].
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Authors:
Dr. Avinash Sankar, MEM Second Year. Dr. Ashok, Consultant & Clinical Lead; Department of Emergency Medicine , Kauvery hospital alwarpet, Chennai
Thrombotic Thrombocytopenic Purpura (TTP) is a rare but critical TMA( Thrombotic Micro Angiopathies) caused by severe deficiency of the ADAMTS13 metalloprotease, typically due to auto-antibodies. This deficiency leads to ultra-large von Willebrand factor (vWF) multimers accumulating, causing uncontrolled platelet aggregation and microthrombi formation, resulting in MAHA, thrombocytopenia, and organ ischemia.
Rehabilitative therapy in the ICU is a structured, multidisciplinary approach designed to prevent or reduce the sequelae of critical illness such as ICU-acquired weakness (ICUAW), cognitive dysfunction, dysphagia, psychological distress, and long-term functional disability. The goal is not only survival, but functional recovery and quality of life.
Modern ICU rehabilitation begins as early as the patient is physiologically stable—a paradigm shift from the older “prolonged rest” model.
Recurrent ventral hernia surgery presents significant perioperative challenges, particularly in elderly patients with multiple systemic comorbidities. Factors such as obesity, diabetes, obstructive sleep apnea (OSA), moderate mitral stenosis, borderline renal function, and anticoagulation therapy considerably increase perioperative risk.
