Much and a lot we heard about what Covid-19 had did in man/kind and his affairs over the last several months as an pandemic. Still a lot should be said in spite of the coordination of the globe efforts against the tiniest creature. A lot should be said not done! Why? Simply because as ones say our efforts that based on the current knowledge is as a humble wooden ship with torn sails thrown right and left by the angry sea waves on the earth of reality. For that, I will say my word as being invited by this respected journal in a time I kept standing a side after failed initial start up to present my work to overcome the need for ventilator machines shortage, this shortage both quantitative in numbers needed and qualitative when the lung destroyed and no more act as a vital ring in delivery of oxygen to the tissues.

Leg muscle cramps in cervical myelopathic changes is inconsistent symptom and later on very disturbing to the patient specially in night time while taking rest. NO is generated by nitric oxide synthase (NOS) which acts via 10000-fold effect to reverse the neuronal damage.We have used intrathecal sodium nitroprusside to activate the 10000-fold effect to modulate the retrograde neuroregulation in muscle cramps in cervical myelopathy in a case.

Background: Slit ventricle syndrome (SVS) is a rare symptomatic condition with radiological findings of small sized ventricles in a case of VP Shunt. Diagnosis may be difficult because radiological imaging of small ventricles can be misinterpreted as normal sized ventricles. SVS is a rare condition of reduced brain compliance with intermittent intracranial hypertension.Cases: Author reported two cases of ventriculoperitoneal (VP) shunted patients with only visual disturbances which on evaluation were found to be SVS

Non-ketotic hyperglycemic hemichorea (NHH), also known as chorea, hyperglycemia, basal ganglia syndrome or diabetic striatopathy, is a rare neurological complication of non-ketotic hyperglycemia. We describe a case of 65 year old woman with previously undiagnosed diabetes who presented to the emergency room with continuous, involuntary, writhing movements on the left side of her body for one weeks duration. Exam revealed choreiform movements involving the left arm and leg. Laboratory testing revealed elevated blood glucose at 250 mg/dl and elevated HbA1C at 6.5%. MRI brain showed T1 hyper intensity in right basal ganglia without GRE correlate. Patient was diagnosed with non-ketotic hyperglycemic hemichorea and started on metformin. Follow-up MRI brain showed resolution of T1 hyper intensity with normalization of blood glucose.

“Chemistry is the only physical science which offers a pathway to understanding animate biology” Medawar [1] (1967).Chemistry has been used to clarify most aspects of biology including metabolism, structure and reproduction. However, current neurobiological descriptions of animate life are incomplete, as they have not “grasped the nettle” of mentality. The outstanding issue: How do neural nets instigate experiential mental states, such as emotions and memory?Most chemical approaches to neural memory were skewed to pharmacology, which did not address how neurons and the neural net remember, but focused on physiologic effects of drugs.

Involuntary cough without an identified underlying organic reason has been given various names and recommended treatments. Current experience suggests that “habit cough” best describes this clinical entity and that various forms of suggestion therapy including hypnotic methods are the treatment of choice. Suggestion therapy is effective when it tells the patient that they have the capability to resist the urge to cough. Medicines are generally not successful in the absence of suggestion therapy. Relapses and remissions are common and continuation of the symptoms is also common.

As we are all aware of the impact of corona virus on not just the physical health, but mental as well, did we know in the latest news of published by Lancet Psychiatry journal about one in five Covid19 patients develop psychiatric illness in the first 90 days of turning positive? [1]. On comparing the previous large-scale epidemics, one issue of immediate relevance for mental health that is novel for the COVID-19 pandemic is a potentially increased problematic Internet use. The internet is too widespread and the lockdown has paved way for the access to the internet as an essential part of life.

Background: Intradural extramedullary (IDEM) tumors account for two thirds of all primary intraspinal neoplasms. They mostly include schwannomas, meningiomas and ependymomas which are located circumferentially anywhere by the spinal cord. Since the clinical symptoms and histology of these tumors are mostly benign in nature, the primary goal of the treatment should be gross total resection without any functional deterioration. Objective: In cases of intradural extramedullary tumors, surgery should be planned with respect to preservation of the stability and the anatomy of the spine without giving any harm to surrounding vital structures. Therefore, surgical policy should be planned thoroughly for the best outcome.

Ayushman Bharat a pan India health insurance scheme was launched in 2018. Since its inception, it has been lauded by all. How-ever it has a huge lacunae as far as Mental health care is concerned. The policy makers seem to have forgotten that a huge chunk of mental health care is provided by private health care facilities and ironically private healthcare machineries have been kept out of the purview of this scheme. mental healthcare burden is huge and often born exclusively by caregivers which lead to delayed and inadequate healthcare. We propose the inclusion of private healthcare in the Ayushman Bharat Scheme.

Introduction:The external ventricular shunt is an emergency procedure allowing the evacuation of cerebrospinal fluid to the out-side by placing a ventricular catheter connected to an external drainage bag. There are several factors which may be responsible for the occurrence of complications. The aim of our study was to collect all the external ventricular shunts performed in neurosurgery, to work on their different complications and to establish a comparison with the data in the literature.Materials and Methods:This was a descriptive study using a retrospective approach about a period of 8 years, from January 2010 to December 2018, on the files of patients who had received an EVS during their hospitalisation at the neurosurgery clinic of the Fann hospital in Dakar.