Publications by authors named "Prateeka Koul"

4 Publications

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A patient with concurrent multiple sclerosis and moyamoya disease.

Mult Scler Relat Disord 2021 Jul 16;54:103151. Epub 2021 Jul 16.

Division of Neuro-Immunology, Department of Neurology, Lenox Hill Hospital, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Great Neck, NY. Electronic address:

Background: Moyamoya disease (MMD) is a rare vasculopathy and Multiple Sclerosis (MS) is an autoimmune disease which causes CNS demyelination. While most literature has focused on misdiagnosis of MMD as an "MS-mimic", we present a patient in which both co-existed.

Methods: Case Report RESULTS: A 57-year-old woman presented with gait dysfunction and paresthesias in both feet. MRI revealed brain and spinal cord lesions consistent with MS. Vessel imaging revealed multivessel stenosis consistent with MMD. Lumbar puncture demonstrated oligoclonal bands, leading to two diagnoses, MS and MMD.

Conclusions: MS can exist concurrently with MMD, potentially due to underlying propensity for autoimmunity.
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http://dx.doi.org/10.1016/j.msard.2021.103151DOI Listing
July 2021

Wallerian degeneration as a mimic of recurrence of myelitis.

Pract Neurol 2021 Jun 18;21(3):235-236. Epub 2021 Mar 18.

Neurology, North Shore University Hospital, Manhasset, New York, USA

A middle-aged woman with idiopathic longitudinally extensive myelitis underwent repeat MR scan of cervical spine at 5-month follow-up, which showed new non-enhancing T2 hyperintensities, initially reported as myelitis recurrence. However, the hyperintensities involved both lateral corticospinal tracts caudal to the initial lesion and both dorsal columns rostral to the initial lesion and were therefore compatible with Wallerian degeneration. This radiological mimic should be considered in the differential of recurrence of myelitis.
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http://dx.doi.org/10.1136/practneurol-2020-002911DOI Listing
June 2021

Mandatory Neuroendovascular Evolution: Meeting the New Demands.

Interv Neurol 2020 Feb 13;8(1):69-81. Epub 2018 Dec 13.

Department of Neurosurgery, New York Medical College, Westchester Medical Center, Valhalla, New York, USA.

Background: Traditionally, patients undergoing acute ischemic strokes were candidates for mechanical thrombectomy if they were within the 6-h window from onset of symptoms. This timeframe would exclude many patient populations, such as wake-up strokes. However, the most recent clinical trials, DAWN and DEFUSE3, have expanded the window of endovascular treatment for acute ischemic stroke patients to within 24 h from symptom onset. This expanded window increases the number of potential candidates for endovascular intervention for emergent large vessel occlusions and raises the question of how to efficiently screen and triage this increase of patients.

Summary: Abbreviated pre-hospital stroke scales can be used to guide EMS personnel in quickly deciding if a patient is undergoing a stroke. Telestroke networks connect remote hospitals to stroke specialists to improve the transportation time of the patient to a comprehensive stroke center for the appropriate level of care. Mobile stroke units, mobile interventional units, and helistroke reverse the traditional hub-and-spoke model by bringing imaging, tPA, and expertise to the patient. Smartphone applications and social media aid in educating patients and the public regarding acute and long-term stroke care.

Key Messages: The DAWN and DEFUSE3 trials have expanded the treatment window for certain acute ischemic stroke patients with mechanical thrombectomy and subsequently have increased the number of potential candidates for endovascular intervention. This expansion brings patient screening and triaging to greater importance, as reducing the time from symptom onset to decision-to-treat and groin puncture can better stroke patient outcomes. Several strategies have been employed to address this issue by reducing the time of symptom onset to decision-to-treat time.
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http://dx.doi.org/10.1159/000495075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098306PMC
February 2020

Famous head injuries of the first aerial war: deaths of the "Knights of the Air".

Neurosurg Focus 2015 Jul;39(1):E5

Departments of 1 Neurological Surgery.

World War I advanced the development of aviation from the concept of flight to the use of aircraft on the battlefield. Fighter planes advanced technologically as the war progressed. Fighter pilot aces Francesco Baracca and Manfred von Richthofen (the Red Baron) were two of the most famous pilots of this time period. These courageous fighter aces skillfully maneuvered their SPAD and Albatros planes, respectively, while battling enemies and scoring aerial victories that contributed to the course of the war. The media thrilled the public with their depictions of the heroic feats of fighter pilots such as Baracca and the Red Baron. Despite their aerial prowess, both pilots would eventually be shot down in combat. Although the accounts of their deaths are debated, it is undeniable that both were victims of traumatic head injury.
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http://dx.doi.org/10.3171/2015.4.FOCUS15109DOI Listing
July 2015
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