Neurology Case Studies

Real-world neurology case studies from our Gurgaon practice covering stroke treatment, migraine care, SPG Block, neuropathy evaluation, and complex neurological presentations.

The working diagnosis was new-onset focal seizures with impaired awareness, presenting as a seizure cluster, in an older adult in whom multiple factors had lowered the seizure threshold at once, later confirmed electrographically by overnight EEG.
The working diagnosis was new

The working diagnosis was new-onset focal seizures with impaired awareness, presenting as a seizure cluster, in an older adult in whom multiple factors had lowered the seizure threshold at once, later confirmed electrographically by overnight EEG.

An elderly woman's seizures kept returning. The turning point came at midnight, when the rescue drug itself triggered a fit. A Gurgaon neurologist unpicks the case.

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Multiple Acute Strokes in an 82-Year-Old: A Tobacco and BP Story
Acute ischaemic stroke with multiple acute infarcts involving the right fronto

Multiple Acute Strokes in an 82-Year-Old: A Tobacco and BP Story

An 82-year-old woman was rushed to the emergency room after a fall at home, with slurred speech and sudden right-sided weakness. What looked, at first glance, like a single stroke event turned out to be something more layered: several fresh clots in different parts of the brain, a heart working under strain, and a long-standing habit of chewing tobacco that had never been flagged as a risk factor. This case is a reminder that in elderly patients, stroke rarely has just one cause, and the workup

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Postural Hand Tremor Resolved After Blood Pressure Control: A Neurologist's Insight from Gurgaon
Postural Hand Tremor Resolved After Blood Pressure Control

Postural Hand Tremor Resolved After Blood Pressure Control: A Neurologist's Insight from Gurgaon

Hand tremors are among the most anxiety-provoking symptoms a patient can experience. They disrupt daily tasks, affect confidence, and often prompt a fear of serious neurological disease. Yet in some patients, the tremor is not the primary disease; it is a signal pointing to something else entirely. This case of a 51-year-old man with persistent postural hand tremors illustrates how meticulous clinical reasoning and systematic investigation can uncover a treatable root cause, yielding a complete

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Recurring Hand Numbness That Was Actually a Stroke: A Thalamic Infarct Case
Recurring Hand Numbness That Was Actually a Stroke

Recurring Hand Numbness That Was Actually a Stroke: A Thalamic Infarct Case

When a 73-year-old man developed sudden numbness in his right hand during an evening walk, neither he nor his family thought "stroke." His diabetes history pointed them in one direction. The evening heat pointed them in another. Three episodes across four hours, each resolving spontaneously, made the picture look benign. It was anything but. This case is a reminder that strokes can wear the quietest disguises, and that a calm, methodical neurological workup at the right time can prevent a catast

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Six Years of a Limp Arm: How MRI Revealed a Missed Birth Injury Nobody Had Named
Six Years of a Limp Arm

Six Years of a Limp Arm: How MRI Revealed a Missed Birth Injury Nobody Had Named

A young girl had never been able to lift her right arm properly, not once in her entire life. By the time she reached our clinic, she was 6 years old, had seen multiple neurologists and physicians, and still had no confirmed diagnosis. Her story is a reminder that neonatal brachial plexus palsy *(a nerve injury at birth that affects arm movement)* can go undiagnosed for years, and that when the right investigation is finally done, the answer is unmistakable.

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When "Just Forgetfulness" Is a Stroke in Disguise: Acute-on-Chronic Cerebrovascular Disease Presenting as Dementia
When "Just Forgetfulness" Is a Stroke in Disguise

When "Just Forgetfulness" Is a Stroke in Disguise: Acute-on-Chronic Cerebrovascular Disease Presenting as Dementia

A 76-year-old man was brought to the NeuroMet OPD by his son, himself a known patient at the clinic, with a three-month history of progressive forgetfulness and mild slurring of speech. What appeared on the surface to be age-related cognitive decline turned out to be something far more urgent: an active acute ischemic stroke layered over a background of multiple prior strokes and chronic microvascular disease. This case is a reminder that in neurology, a calm presentation can hide a brewing cata

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Multiple Sclerosis Misdiagnosed as Guillain-Barré Syndrome: Diagnostic Correction and High-Efficacy DMT Initiation in India
Multiple Sclerosis Misdiagnosed as Guillain

Multiple Sclerosis Misdiagnosed as Guillain-Barré Syndrome: Diagnostic Correction and High-Efficacy DMT Initiation in India

A 58-year-old male commercial airline pilot from the United Kingdom presented with progressive numbness in all four limbs and worsening gait instability. Previously misdiagnosed as Guillain-Barré Syndrome (GBS) and treated with intravenous immunoglobulin (IVIg) in the UK without improvement, the patient sought a second opinion in India. Following a comprehensive neurological evaluation by Dr. Bhupesh Kumar Mansukhani at NeuroMet Wellness Care & Diagnostics, Gurgaon, the diagnosis was corrected t

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Chronic Migraine Relapse After Stopping Prophylactics — Rapid Resolution with a Three-Step Sphenopalatine Ganglion Protocol
Chronic Migraine Relapse After Stopping Prophylactics

Chronic Migraine Relapse After Stopping Prophylactics — Rapid Resolution with a Three-Step Sphenopalatine Ganglion Protocol

A 25-year-old man presented to NeuroMet with daily, disabling migraines — the worst headaches of his life. Diagnosed with migraine a decade ago and started on preventive therapy, he had stopped his medications without medical consultation. What followed was a dramatic escalation: daily migraines at maximum pain intensity. A structured three-step sphenopalatine ganglion (SPG) modulation protocol resolved his acute attack in under ten minutes, and a revised long-term plan brought his headache burd

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ALS Revised to Primary Lateral Sclerosis — When Electrophysiology Changes Everything
Primary Lateral Sclerosis

ALS Revised to Primary Lateral Sclerosis — When Electrophysiology Changes Everything

A 56-year-old man had been living with a diagnosis of Amyotrophic Lateral Sclerosis (ALS) for three years one of the most feared neurological diagnoses a patient can receive. Progressive weakness, balance difficulties, and bilateral lower limb involvement had severely impacted his quality of life. But something didn't quite fit. A comprehensive repeat electrophysiological evaluation at NeuroMet Wellness Care & Diagnostics told a different story and changed his prognosis entirely.

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Bedridden with Dizziness — When the Brain Scan Raised Alarms but the Bedside Exam Told the Truth
Vestibular Neuritis

Bedridden with Dizziness — When the Brain Scan Raised Alarms but the Bedside Exam Told the Truth

A 66-year-old woman was so dizzy she could not get out of bed. Her local doctor had already started treatment for vertigo, but two days later, nothing had changed. When she came to the neurology clinic, the first instinct was to rule out a stroke affecting the balance centres of the brain. The MRI brain came back with an alarming-looking report white matter changes flagged as possible leukodystrophy or metabolic encephalopathy. The cervical spine MRI showed multilevel disc disease and an une

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Atypical Stroke in a 57-Year-Old Woman — When Brain Fog and a Headache Were the Only Warning Signs
Acute Multifocal Ischemic Stroke

Atypical Stroke in a 57-Year-Old Woman — When Brain Fog and a Headache Were the Only Warning Signs

Most people picture a stroke as sudden paralysis — a face drooping, an arm that won't lift, speech that disappears in an instant. But stroke doesn't always announce itself that loudly. In this case, a 57-year-old woman walked into the clinic with a headache, a fleeting episode of slurred speech, and something she could only describe as "brain fog." There was no arm weakness. No obvious facial asymmetry. Just subtle, easy-to-dismiss symptoms sitting on top of a blood pressure of 180/95 mmHg and a

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Young Stroke in a 36-Year-Old Male — When Lifestyle Became the Culprit
Acute Ischemic Stroke

Young Stroke in a 36-Year-Old Male — When Lifestyle Became the Culprit

A 36-year-old man walked into the emergency room with a drooping face, slurred speech, and weakness on one side of his body — the classic red flags of a stroke. What followed was a race against time: a successful thrombolysis within 45 minutes. But the more revealing story unfolded during the workup that came after, when every conventional cause came back negative — and the real culprit turned out to be a decades-long history of smoking, cannabis use, and a recent binge on alcohol. This case is

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Bell's Palsy — From a Crooked Smile to Complete Recovery: How Early Diagnosis and Targeted Treatment Made All the Difference
Peripheral Neurology Cranial Neuropathy Facial Nerve

Bell's Palsy — From a Crooked Smile to Complete Recovery: How Early Diagnosis and Targeted Treatment Made All the Difference

Bell's palsy can be deeply distressing — waking up one morning to find half your face paralysed, your smile lopsided, and your eye unable to close properly. For one of our patients at NeuroMet, this was her terrifying reality. What made her case particularly instructive was the identification of an underlying viral trigger — HSV-1 (Herpes Simplex Virus Type 1) — and the rapid initiation of antiviral and anti-inflammatory therapy that led to complete facial recovery within one month. Here is her

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