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IMA Journal – June 2025
Message from Team IMA Chennai Kauvery Alwarpet Branch
Dear Colleagues,
Greetings from IMA Kauvery Alwarpet.
Every day is a learning session for any medical professional.
The history and clinical presentation with the recent medical advancements help us with successful outcome in patients’ recovery.
Yes, but the eyes will miss what the mind doesn’t know.
IMA journals are truly a source of medical knowledge at our doorstep. Requesting everyone to take a few minutes and read our journals.
These interesting cases will help us to think and practice with better clinical outcome.
We thank all the departments for their contribution.
Yours in IMA service,
Dr S Sivaram Kannan
President
Dear IMA members,
Summer in Chennai has been kind with spells of rain cooling the city.
This month’s IMA magazine carries articles which are super cool and quenching our thirst for knowledge.
Long live IMA.
Yours in IMA service,
Dr. Bhuvaneshwari Rajendran
Secretary
Dear friends and colleagues,
Happy to meet you all with this edition of IMA journal.
The case reports in our journals show the multidisciplinary approach for the successful recovery of our patients and indeed help as an eye opener for medical professionals.
Thanks to all the contributors and to editorial team.
Long live IMA.
With best regards
Dr. R. Balasubramaniyam
Editor
Neuroprognostication Post Cardiac Arrest : A Comprehensive Review
Abstract:
Neuroprognostication in the intensive care unit (ICU) after cardiac arrest is a vital yet challenging aspect of post-resuscitation care. With significant mortality and morbidity rates among survivors of cardiac arrest, determining the likelihood of meaningful neurological recovery is central to patient management and family counselling.
Right Inguinal Hernia With Sigmoid Colon Content: An Embryological Twist
Introduction:
Persistent descending mesocolon (PDM) is a rare congenital anomaly resulting from the failure of the mesocolon to fuse with the posterior parietal peritoneum during embryonic development. This leads to increased mobility of the descending colon, predisposing to atypical positioning, volvulus, or internal and external herniation. While PDM itself is often asymptomatic and incidentally discovered, its clinical significance arises when it contributes to complications such as bowel obstruction or herniation.
PIERRE ROBIN SEQUENCE (ANAESTHESIA CONSIDERATIONS)
CASE REPORT:
A 11 months old male baby who is a known case of Pierre Robin Syndrome (sequence) underwent Supraglottoplasty with glossopexy (Tongue lip adhesion)at 50 days of life for persistent respiratory distress as he had posterior fallback of tongue with supraglottic inspiratory collapse (Type II laryngomalacia). Currently posted for Tongue lip adhesion release.
Multisystemic Flare of Systemic Lupus Erythematosus Presenting as Lupus Nephritis, CNS Vasculitis, PRES, Myopericarditis
Introduction:
Systemic lupus erythematosus (SLE) is a chronic, multisystem autoimmune disease that predominantly affects women of childbearing age, with a male-to-female ratio of approximately 1:9. Its etiology is multifactorial, involving genetic, hormonal, and immunological factors. The clinical spectrum ranges from mild symptoms such as fatigue and rash to severe, potentially life-threatening organ involvement.
ANAESTHESIA FOR A HUGE MULTINODULAR GOITER
A 76 years old male was scheduled to undergo total thyroidectomy for a huge multinodular goiter.
Patient presented with a huge swelling in front of the neck, which increased in size gradually over the years
Compression symptoms were present – patient had difficulty in breathing in lying flat, was comfortable in left lateral position and hoarseness of voice was present
