Papers by Dibakar Borthakur
Folia Morphologica
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The Indian Journal of Pediatrics, 2011
To identify and report a recent outbreak of scrub typhus cases recorded from October 2009 to Janu... more To identify and report a recent outbreak of scrub typhus cases recorded from October 2009 to January 2010 in the state of Meghalaya, India. The case sheets of all the children were retrieved and reviewed retrospectively. Twenty four (24) patients, who were both clinically and serologically confirmed as scrub typhus cases were included in the study. Fever for more than 1 wk duration was the most common manifestation (100%) followed by splenomegaly (45.8%), eschar (41.7%), cough (37.5%), hepatomegaly (33.3%), headache and body ache (25%), pain abdomen (25%), vomiting (20.8%), altered sensorium (16.6%), seizures (12.5%) lymphadenopathy (12.5%), and loose stools (8.3%). Meningoencephalitis was the most common complication (29.2%) followed by pneumonia (16.3%) and subconjunctival hemorrhage (8.3%).Cortical blindness, septic shock, peritonitis, myocarditis with CCF, pancytopenia, acute renal failure, coagulopathy, prolonged oxygen dependency and urinary tract infection (UTI) were found in one of each case. Hyponatremia (66.7%), elevated liver enzymes without significant rise of bilirubin (58.3%), hypoalbuminemia (52.2%) and thrombocytopenia (26%) were the other significant laboratory findings. Patients were treated with chloramphenicol, doxycycline and azithromycin. There was no mortality. This is the first outbreak report from the north eastern region of India with varied clinical presentations, laboratory investigations and complications. Weil Felix test still remains fruitful for diagnosing this disease in a resource limited set up.
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The Indian Journal of Pediatrics, 2012
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IBRO Neuroscience Reports
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IBRO Neuroscience Reports
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IBRO Neuroscience Reports
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Medeniyet medical journal, Mar 27, 2023
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PubMed, Jun 28, 2023
Background: Variable insertions of Palmaris longus (PL) muscle tendon is described by various aut... more Background: Variable insertions of Palmaris longus (PL) muscle tendon is described by various authors. Presence of extra PL tendon is also described in literature. As autologus tendon grafting is a blooming arena of clinical research at present time, an additional tendinous slip of PL has promising scope for use as an autograft. Case report: We report here bilateral bitendinous distal attachment of PL muscle encountered during routine cadaveric dissection. The additional PL tendon in a multitendinous insertion pattern with optimum length and thickness is indeed an additional advantage from the point of view of autograft harvesting. This has also importance in understanding the unusual, altered symptomatology in compressive conditions. Conclusion: Although relatively common, surgeons should be well aware of the various possible aversion of distal attachment of PL which might have significant impact in alteration of symptomatology of neurovascular compressions in the forearm and hand and while choosing an appropriate tendon autograft.
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PubMed, Jun 28, 2023
Transverse acetabular ligament (TAL) is one of the important ligaments, which provide stability t... more Transverse acetabular ligament (TAL) is one of the important ligaments, which provide stability to the hip joint. On rare occasions, it can get ossified leading to limited mobility of the hip joint. Ossified TAL also converts acetabular notch to a foramen and neurovascular structures passing through the notch can get compressed leading to ischaemic symptoms. During routine demonstration of hip bone to undergraduate students, complete ossification of TAL was found in a right sided hip bone. Present case report with this rare finding also includes a short review of literature impressing on embryological and clinical perspectives of ossified TAL. Ossification of this ligament can be caused by defective ossification of hip bone as three secondary ossification centres develop around the acetabulum in triradiate carti-lage. Also, this can be caused due to heterotopic ossification of TAL after an inflammatory or traumatic injury. This ligament is extremely important in total hip replacement surgery being utilised in determining the position of the acetabular component. Anatomical knowledge of abnormal ossification of TAL is imperative in diagnosis and treatment of various pathologies of the hip joint.
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Morphologie, Mar 1, 2023
Omohyoid muscle is one of the infrahyoid muscles of the neck which consists of two bellies combin... more Omohyoid muscle is one of the infrahyoid muscles of the neck which consists of two bellies combined at an angle by an intermediate tendon. The inferior belly is a flat, narrow band, which inclines forwards and upwards in the lower part of the neck. It generally originates from the upper border of the scapula, medial to scapular notch. The present case showed unilateral anomalous attachment of the inferior belly of the omohyoid on the medial part of clavicle on left side. Inferior belly was 2.2cm lateral to left sternoclavicular joint with 3.2 and 1.5cm in length and breadth, innervated by ansa cervicalis. Only 3% of this type of variation has been observed until now according to previous literature. Anterior and posterior triangles of neck on both sides of the cadaver were dissected during routine dissection for undergraduate teaching. There was no scapular attachment of inferior belly of the omohyoid on the left side. It was directly originating from the upper surface of the medial side of the left clavicle. Variation in the attachment of inferior belly can have a direct impact on the internal jugular vein and brachial plexus during neck surgeries or trauma due to its close relation to the mentioned structures. This variation should also be taken care during infrahyoid myocutaneus flap extraction for reconstruction surgery of tongue in cases of lingual carcinoma.
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Medeniyet Medical Journal
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Clinica Terapeutica, Mar 16, 2023
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Morphologie
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Medeniyet Medical Journal
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Clinica Terapeutica, Jan 20, 2023
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European Journal of Anatomy
Myocardial Bridge (MB) on the coronary artery and myocardial coat (MC) on the cardiac veins are u... more Myocardial Bridge (MB) on the coronary artery and myocardial coat (MC) on the cardiac veins are usually detected in angiography and cadaveric dissection. Left anterior descending branch (LAD) of the left coronary artery is the most frequent site of MB. Rarely MB is also seen over the right coronary arterial branches. MB has proven association with ischemic heart disease and other critical cardiac consequences like myocardial infarction (MI) (Alegria et al., 2000; Soran et al., 2000). MC, on the other hand has not gained enough attention in previous studies. Large MB can be readily identified in angiograms, but minutes MB can be picked up by newer imaging studies like multidetector computed tomography (MDCT) and optical coherence tomography (OCT) scan (Tiryakioglu and Aliyu, 2020). Cadaveric dissection, however, holds its unique place in direct visualization and studying the macro and micro-anatomical characteristics. To study the prevalence and anatomical attributes of MB and MC in ...
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Medeniyet Medical Journal
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Clinical Nutrition, 2021
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European Heart Journal
Funding Acknowledgements Type of funding sources: None. Background Myocardial Bridge (MB) over th... more Funding Acknowledgements Type of funding sources: None. Background Myocardial Bridge (MB) over the coronary artery and myocardial coat (MC) over the cardiac veins are sometimes detected in angiography and cadaveric dissection. Left anterior descending (LAD) branch of left coronary artery is most frequent site of MB. Rarely MB is also seen over right coronary artery (RCA) branch. MB has proven association with ischemic heart disease and other critical cardiac consequences like myocardial infarction (MI)(1)(2). MC on the other hand has not gained enough attention in erstwhile studies. Large MB can be readily identified in angiograms, but minute MB can be picked up by newer imaging studies like multi-detector computed tomography (MDCT) and optical coherence tomography (OCT) scan(3). Cadaveric dissection however holds its unique place in direct visualization and studying the macro and micro-anatomical characteristics. Purpose To study the prevalence and anatomical attributes of MB and M...
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Journal of Reproductive Healthcare and Medicine, 2021
Sperm, one of the complex cells of biological inheritance, are not only considered as mere vector... more Sperm, one of the complex cells of biological inheritance, are not only considered as mere vectors of transmission of paternal genome at the time of fertilization but also to events post-fertilization. The contribution of sperm molecular factors as a critical determinant of optimal embryonic development and pregnancy outcomes has been brought to surface. Spermatozoa with derangements in redox status, nuclear and mitochondrial genomic integrity, and dysregulated gene expression may affect the fertility status of the male and may result in impaired embryonic development and increase risk of genetic and epigenetic diseases in offspring. The integration of yoga-based lifestyle (YBL) as a part of the modern lifestyle has been found to be beneficial in the management of the derangements in the male reproductive functions in the distressing issue of infertility and early pregnancy loss (EPL) patients. As infertility and EPL are issues with a strong psychosomatic component, yoga a mind body...
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Papers by Dibakar Borthakur