{"id":10771,"date":"2025-12-11T11:32:31","date_gmt":"2025-12-11T11:32:31","guid":{"rendered":"https:\/\/www.kauveryhospital.com\/ima-journal\/?page_id=10771"},"modified":"2025-12-15T04:35:00","modified_gmt":"2025-12-15T04:35:00","slug":"ima-journal-december-2025","status":"publish","type":"page","link":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-december-2025\/","title":{"rendered":"IMA Journal &#8211; December 2025"},"content":{"rendered":"<p class=\"caps\">[vc_row][vc_column][vc_empty_space height=&#8221;35px&#8221;][vc_column_text]<\/p>\n<h1 class=\"ttc\" style=\"text-align: center; color: #c01c7b;\"><strong>IMA Journal &#8211; December 2025<\/strong><\/h1>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Message from Team IMA Chennai Kauvery Alwarpet Branch&#8221; font_container=&#8221;tag:h2|text_align:center|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_row_inner css=&#8221;.vc_custom_1618206149394{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_column_text]<img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7250\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-150x150.jpg\" alt=\"\" width=\"110\" height=\"118\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-280x300.jpg 280w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-956x1024.jpg 956w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram-768x822.jpg 768w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/09\/dr.sivaram.jpg 1314w\" sizes=\"auto, (max-width: 110px) 100vw, 110px\" \/><\/p>\n<p>Dear Esteemed IMA Members,<\/p>\n<p>Greetings from Kauvery IMA!<\/p>\n<p>November&#8217;s spirit of gratitude continues into the festive season &#8211; thankful for your dedication to quality healthcare. Your contributions are vital to India&#8217;s health ecosystem.<\/p>\n<p>IMA journals share knowledge, and together, let&#8217;s build a healthier, happier India!<\/p>\n<p>Wishing you a joyous Christmas and a Happy New Year! May the season bring joy, peace, prosperity, and good health.<\/p>\n<p>Thank you, healthcare heroes, members, and supporters!<\/p>\n<p><em>Yours in IMA service,<\/em><br \/>\n<strong>Dr S Sivaram Kannan<\/strong><br \/>\nPresident[\/vc_column_text][\/vc_column_inner][vc_column_inner el_class=&#8221;blog-col1&#8243; width=&#8221;1\/3&#8243;][vc_column_text]<img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-6617\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr-B-R-150x150.jpg\" alt=\"\" width=\"110\" height=\"121\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr-B-R-274x300.jpg 274w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr-B-R.jpg 613w\" sizes=\"auto, (max-width: 110px) 100vw, 110px\" \/><\/p>\n<p>Dear friends,<\/p>\n<p>This year is drawing to its end.<\/p>\n<p>Kauvery Hospital, Alwarpet extends heartfelt wishes for a great 2026.<\/p>\n<p>IMA Journal shares medical articles and case reports as part of CME drive sharing knowledge with you!<\/p>\n<p><em>Yours in IMA service,<\/em><br \/>\n<strong>Dr. Bhuvaneshwari Rajendran<\/strong><br \/>\nSecretary[\/vc_column_text][\/vc_column_inner][vc_column_inner el_class=&#8221;blog-col1&#8243; width=&#8221;1\/3&#8243;][vc_column_text]<img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-6619\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr.-R.-B-251x300.jpg\" alt=\"\" width=\"110\" height=\"132\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr.-R.-B-251x300.jpg 251w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/Dr.-R.-B.jpg 562w\" sizes=\"auto, (max-width: 110px) 100vw, 110px\" \/><\/p>\n<p>Dear Friends,<\/p>\n<p>Happy to share this month&#8217;s Kauvery IMA Journal!<\/p>\n<p>I&#8217;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.<\/p>\n<p>It&#8217;s this academic spirit that has propelled the Journal for all these years.<\/p>\n<p>Wishing you all a Happy Christmas and a prosperous, healthy, and happy New Year!<\/p>\n<p>Thanks to the editorial and branding teams for their efforts.<\/p>\n<p>Long live IMA.<\/p>\n<p><em>With regards<\/em><br \/>\n<strong>Dr. R. Balasubramaniyam<\/strong><br \/>\nEditor[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_row_inner][vc_column_inner][vc_empty_space][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;10784&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Cerebral Aneurysms across the spectrum: Varied Presentations, Successful Outcomes \u2013 A Three-Case Neurointervention Series&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<strong><b>Introduction:<\/b><\/strong><\/p>\n<p style=\"text-align: justify;\">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].<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-december-2025\/cerebral-aneurysms-across-the-spectrum-varied-presentations-successful-outcomes-a-three-case-neurointervention-series\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;10775&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;STROKE MASQUERADING AS MOVEMENT DISORDER: ISOLATED HEMICHOREA DUE TO RIGHT BASAL GANGLIA INFARCT IN A YOUNG MALE&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<strong><b>Authors:<\/b><\/strong><\/p>\n<p style=\"text-align: justify;\">Dr. Avinash Sankar, MEM Second Year. Dr. Ashok, Consultant &amp; Clinical Lead; Department of Emergency Medicine , Kauvery hospital alwarpet, Chennai<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-december-2025\/stroke-masquerading-as-movement-disorder-isolated-hemichorea-due-to-right-basal-ganglia-infarct-in-a-young-male\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;10776&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;AN ACUTE FLARE OF THROMBOTIC THROMBOCYTOPENIC PURPURA (TTP) WITH AN AUTOIMMUNE OVERLAP: THE CRITICAL ROLE OF PROMPT PLEX&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<strong>Introduction:<\/strong><\/p>\n<p style=\"text-align: justify;\">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.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-december-2025\/an-acute-flare-of-thrombotic-thrombocytopenic-purpura-ttp-with-an-autoimmune-overlap-the-critical-role-of-prompt-plex\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;10777&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;The Role of Multidisciplinary Rehabilitation in ICU Recovery&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<\/p>\n<p style=\"text-align: justify;\">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.<\/p>\n<p style=\"text-align: justify;\">Modern ICU rehabilitation begins as early as the patient is physiologically stable\u2014a paradigm shift from the older \u201cprolonged rest\u201d model.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-december-2025\/the-role-of-multidisciplinary-rehabilitation-in-icu-recovery\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner el_class=&#8221;blog-col&#8221; css=&#8221;.vc_custom_1617009566389{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;10785&#8243; img_size=&#8221;large&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Anaesthetic Considerations for Recurrent Ventral Hernia Repair in a High-Risk 77-Year-Old Female&#8221; font_container=&#8221;tag:h2|text_align:left|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_column_text]<strong>Introduction:<\/strong><\/p>\n<p style=\"text-align: justify;\">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.<\/p>\n<p><a class=\"read-more-link nm\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-december-2025\/anaesthetic-considerations-for-recurrent-ventral-hernia-repair-in-a-high-risk-77-year-old-female\/\">Read Full Article<\/a>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_empty_space height=&#8221;35px&#8221;][vc_column_text] IMA Journal &#8211; December 2025 [\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Message from Team IMA Chennai Kauvery Alwarpet Branch&#8221; font_container=&#8221;tag:h2|text_align:center|color:%239a286d&#8221; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_row_inner css=&#8221;.vc_custom_1618206149394{border-radius: 5px !important;}&#8221;][vc_column_inner width=&#8221;1\/3&#8243;][vc_column_text] Dear Esteemed IMA Members, Greetings from Kauvery IMA!<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10771","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - 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