SlideShare a Scribd company logo
1 of 20
ROLE OF PIRACETAM IN POST-CONCUSSION SYNDROME  A PROSPECTIVE RANDOMIZED STUDY Deepak Agrawal, K Naveen* Departments of Neurosurgery* and Nuclear medicine*, ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, INDIA
[object Object],[object Object],[object Object],PIRACETAM IN MINOR HEAD INJURY
PIRACETAM IN MINOR HEAD INJURY PREVIOUS STUDIES ON PIRACETAM IN MINOR HEAD INJURY WERE BASED ONLY ON ‘SUBJECTIVE CRITERIA’ FIRST STUDY OF ITS KIND BASED ON AN OBJECTIVE PARAMETER LIKE BRAIN SPECT
PIRACETAM IN MINOR HEAD INJURY SENSTIVITY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],PIRACETAM IN MINOR HEAD INJURY
PIRACETAM IN MINOR HEAD INJURY ,[object Object],[object Object],[object Object]
PIRACETAM IN MINOR HEAD INJURY ,[object Object],[object Object],[object Object],MINOR HEAD INJURY [criteria published by the members of the Mild Traumatic brain injury Interdisciplinary Special Interest Group (BISIG)] Kay T, Harrington DE, et al. Definition of mild traumatic brain injury. J Head Trauma Rehabil 1993;8:86
PIRACETAM IN MINOR HEAD INJURY ,[object Object],[object Object],[object Object],[object Object],POST CONCUSSION SYNDROME: (2 or more of the following) DSM IV criteria based on recommendation of Brown et al. Brown SJ, Fann JR, Grant I: Postconcussion disorder: time to acknowledge a common source of neurobehavioural morbidity. J Neuropsychiatry Clin Neurosci 6:15-22, 1994
PIRACETAM IN MINOR HEAD INJURY   MATERIALS AND METHODS (Contd.) ,[object Object],INVESTIGATION ,[object Object],[object Object]
PIRACETAM IN MINOR HEAD INJURY ,[object Object],[object Object],SPECT
PIRACETAM IN MINOR HEAD INJURY ,[object Object],ABNORMAL SPECT SCAN
PIRACETAM IN MINOR HEAD INJURY   MATERIALS AND METHODS (Contd.)
PIRACETAM IN MINOR HEAD INJURY ,[object Object],[object Object],[object Object],[object Object]
PIRACETAM IN MINOR HEAD INJURY ,[object Object],P<0.05
PIRACETAM IN MINOR HEAD INJURY ,[object Object]
PIRACETAM IN MINOR HEAD INJURY ,[object Object],[object Object]
PIRACETAM IN MINOR HEAD INJURY ,[object Object],[object Object]
PIRACETAM IN MINOR HEAD INJURY ,[object Object],[object Object],[object Object]
PIRACETAM IN MINOR HEAD INJURY ,[object Object],CONCLUSIONS (Contd.) A RANDOMISED CONTROLLED TRIAL IS PRESENTLY UNDERWAY FOR MORE DEFINITIVE RESULTS
THANK YOU

More Related Content

What's hot

Anaesthesia choice in Total Hip Replacement
Anaesthesia choice in Total Hip ReplacementAnaesthesia choice in Total Hip Replacement
Anaesthesia choice in Total Hip Replacementmeducationdotnet
 
Edoxaban versus warfarin in patients with atrial fibrallation
Edoxaban versus warfarin in patients with atrial fibrallationEdoxaban versus warfarin in patients with atrial fibrallation
Edoxaban versus warfarin in patients with atrial fibrallationDrJawad Butt
 
Wake-Up Stroke (WAKE-UP) trial
Wake-Up Stroke (WAKE-UP) trialWake-Up Stroke (WAKE-UP) trial
Wake-Up Stroke (WAKE-UP) trialNeurologyKota
 
THE ENGAGE AF TIMI 48 trial
THE ENGAGE AF TIMI 48 trialTHE ENGAGE AF TIMI 48 trial
THE ENGAGE AF TIMI 48 trialPraveen Nagula
 
Decompressive craniectomy for_elevated.23
Decompressive craniectomy for_elevated.23Decompressive craniectomy for_elevated.23
Decompressive craniectomy for_elevated.23Ruben Briceño
 
Engage af timi 48 - lawrie
Engage af timi 48 - lawrieEngage af timi 48 - lawrie
Engage af timi 48 - lawrieFaraz Lawrie
 
Does IONM Help the Anesthesiologists?
Does IONM Help the Anesthesiologists? Does IONM Help the Anesthesiologists?
Does IONM Help the Anesthesiologists? Anurag Tewari MD
 
Edoxaban monograph
Edoxaban monographEdoxaban monograph
Edoxaban monographTerri Newman
 
functional brain surgery DR ranjeet Bihari RIMS RANCHI
 functional brain surgery DR ranjeet Bihari RIMS RANCHI  functional brain surgery DR ranjeet Bihari RIMS RANCHI
functional brain surgery DR ranjeet Bihari RIMS RANCHI CMC VELLORE Tamilnadu
 
A novel solution for drug error
A novel solution for drug errorA novel solution for drug error
A novel solution for drug errorAnurag Tewari MD
 
How New Telemetry Approaches Can Impact Clinical Trials of Drugs to Reduce At...
How New Telemetry Approaches Can Impact Clinical Trials of Drugs to Reduce At...How New Telemetry Approaches Can Impact Clinical Trials of Drugs to Reduce At...
How New Telemetry Approaches Can Impact Clinical Trials of Drugs to Reduce At...Fraz Ismat
 
Trans cranial magnetic stimulation - Diagnostic & Therapeutic application
Trans cranial magnetic stimulation - Diagnostic & Therapeutic applicationTrans cranial magnetic stimulation - Diagnostic & Therapeutic application
Trans cranial magnetic stimulation - Diagnostic & Therapeutic applicationNeurologyKota
 
Deep Brain Stimulation for Therapeutics: What is the prognosis?
Deep Brain Stimulation for Therapeutics: What is the prognosis?Deep Brain Stimulation for Therapeutics: What is the prognosis?
Deep Brain Stimulation for Therapeutics: What is the prognosis?Katina Michael
 
Amplitude integrated eeg in neonates
Amplitude integrated eeg in neonatesAmplitude integrated eeg in neonates
Amplitude integrated eeg in neonatesBhupendra Gupta
 

What's hot (20)

Anaesthesia choice in Total Hip Replacement
Anaesthesia choice in Total Hip ReplacementAnaesthesia choice in Total Hip Replacement
Anaesthesia choice in Total Hip Replacement
 
Edoxaban versus warfarin in patients with atrial fibrallation
Edoxaban versus warfarin in patients with atrial fibrallationEdoxaban versus warfarin in patients with atrial fibrallation
Edoxaban versus warfarin in patients with atrial fibrallation
 
Wake-Up Stroke (WAKE-UP) trial
Wake-Up Stroke (WAKE-UP) trialWake-Up Stroke (WAKE-UP) trial
Wake-Up Stroke (WAKE-UP) trial
 
THE ENGAGE AF TIMI 48 trial
THE ENGAGE AF TIMI 48 trialTHE ENGAGE AF TIMI 48 trial
THE ENGAGE AF TIMI 48 trial
 
Decompressive craniectomy for_elevated.23
Decompressive craniectomy for_elevated.23Decompressive craniectomy for_elevated.23
Decompressive craniectomy for_elevated.23
 
Engage af timi 48 - lawrie
Engage af timi 48 - lawrieEngage af timi 48 - lawrie
Engage af timi 48 - lawrie
 
P147
P147P147
P147
 
Does IONM Help the Anesthesiologists?
Does IONM Help the Anesthesiologists? Does IONM Help the Anesthesiologists?
Does IONM Help the Anesthesiologists?
 
Edoxaban monograph
Edoxaban monographEdoxaban monograph
Edoxaban monograph
 
Baclofen pump
Baclofen pumpBaclofen pump
Baclofen pump
 
functional brain surgery DR ranjeet Bihari RIMS RANCHI
 functional brain surgery DR ranjeet Bihari RIMS RANCHI  functional brain surgery DR ranjeet Bihari RIMS RANCHI
functional brain surgery DR ranjeet Bihari RIMS RANCHI
 
Neuroprotection in neurology
Neuroprotection in neurologyNeuroprotection in neurology
Neuroprotection in neurology
 
Dbs final
Dbs finalDbs final
Dbs final
 
A novel solution for drug error
A novel solution for drug errorA novel solution for drug error
A novel solution for drug error
 
How New Telemetry Approaches Can Impact Clinical Trials of Drugs to Reduce At...
How New Telemetry Approaches Can Impact Clinical Trials of Drugs to Reduce At...How New Telemetry Approaches Can Impact Clinical Trials of Drugs to Reduce At...
How New Telemetry Approaches Can Impact Clinical Trials of Drugs to Reduce At...
 
Brain bypass
Brain bypassBrain bypass
Brain bypass
 
Trans cranial magnetic stimulation - Diagnostic & Therapeutic application
Trans cranial magnetic stimulation - Diagnostic & Therapeutic applicationTrans cranial magnetic stimulation - Diagnostic & Therapeutic application
Trans cranial magnetic stimulation - Diagnostic & Therapeutic application
 
Inter observer variability in gcs scoring in a level i trauma centre
Inter observer variability in gcs scoring in a level i trauma centreInter observer variability in gcs scoring in a level i trauma centre
Inter observer variability in gcs scoring in a level i trauma centre
 
Deep Brain Stimulation for Therapeutics: What is the prognosis?
Deep Brain Stimulation for Therapeutics: What is the prognosis?Deep Brain Stimulation for Therapeutics: What is the prognosis?
Deep Brain Stimulation for Therapeutics: What is the prognosis?
 
Amplitude integrated eeg in neonates
Amplitude integrated eeg in neonatesAmplitude integrated eeg in neonates
Amplitude integrated eeg in neonates
 

Similar to Role of piracetam in post concussion syndrome

Spect in concussion, vertebro basilar insufficiency and other neurological di...
Spect in concussion, vertebro basilar insufficiency and other neurological di...Spect in concussion, vertebro basilar insufficiency and other neurological di...
Spect in concussion, vertebro basilar insufficiency and other neurological di...All India Institute of Medical Sciences
 
Approach to traumatic brain injury
Approach to traumatic brain injuryApproach to traumatic brain injury
Approach to traumatic brain injuryEM OMSB
 
rev-TBI OXYGENATION, LUND, MANAGEMENT.pptx
rev-TBI OXYGENATION, LUND, MANAGEMENT.pptxrev-TBI OXYGENATION, LUND, MANAGEMENT.pptx
rev-TBI OXYGENATION, LUND, MANAGEMENT.pptxGinanjarRezaPutra1
 
Role of plasma N-terminal proB-type natriuretic peptide (NT-proBNP) level in ...
Role of plasma N-terminal proB-type natriuretic peptide (NT-proBNP) level in ...Role of plasma N-terminal proB-type natriuretic peptide (NT-proBNP) level in ...
Role of plasma N-terminal proB-type natriuretic peptide (NT-proBNP) level in ...Apollo Hospitals
 
R Shravani RCVS Grand Rounds final .ppt
R Shravani RCVS Grand Rounds final .pptR Shravani RCVS Grand Rounds final .ppt
R Shravani RCVS Grand Rounds final .pptShravani Reddy Nalla
 
Using microdialysis for clinical decisions in head injury
Using microdialysis for clinical decisions in head injuryUsing microdialysis for clinical decisions in head injury
Using microdialysis for clinical decisions in head injurypgpapanikolaou
 
Delaney on Cerebral protection
Delaney on Cerebral protectionDelaney on Cerebral protection
Delaney on Cerebral protectionSMACC Conference
 
Traumatic brain injury - Neurological perspective
Traumatic brain injury - Neurological perspectiveTraumatic brain injury - Neurological perspective
Traumatic brain injury - Neurological perspectiveNeurologyKota
 
Intracranial pressure montoring standard of care
Intracranial pressure montoring standard of careIntracranial pressure montoring standard of care
Intracranial pressure montoring standard of careAbhishek Sharma
 
Pediatric traumatic brain injury presentation
Pediatric traumatic brain injury presentation Pediatric traumatic brain injury presentation
Pediatric traumatic brain injury presentation Robert Parker
 
Neurological management of severely injured patient
Neurological management of severely injured patientNeurological management of severely injured patient
Neurological management of severely injured patientMohammed Al Siraj IBRAHIM
 
Visual Impairment in Cerebral Venous Thrombosis.pptx
Visual Impairment in Cerebral Venous Thrombosis.pptxVisual Impairment in Cerebral Venous Thrombosis.pptx
Visual Impairment in Cerebral Venous Thrombosis.pptxAde Wijaya
 
Post Dural Puncture Headache
Post Dural Puncture Headache Post Dural Puncture Headache
Post Dural Puncture Headache Ade Wijaya
 

Similar to Role of piracetam in post concussion syndrome (20)

Spect in concussion, vertebro basilar insufficiency and other neurological di...
Spect in concussion, vertebro basilar insufficiency and other neurological di...Spect in concussion, vertebro basilar insufficiency and other neurological di...
Spect in concussion, vertebro basilar insufficiency and other neurological di...
 
Austin Neurosurgery: Open Access
Austin Neurosurgery: Open AccessAustin Neurosurgery: Open Access
Austin Neurosurgery: Open Access
 
Approach to traumatic brain injury
Approach to traumatic brain injuryApproach to traumatic brain injury
Approach to traumatic brain injury
 
rev-TBI OXYGENATION, LUND, MANAGEMENT.pptx
rev-TBI OXYGENATION, LUND, MANAGEMENT.pptxrev-TBI OXYGENATION, LUND, MANAGEMENT.pptx
rev-TBI OXYGENATION, LUND, MANAGEMENT.pptx
 
Role of plasma N-terminal proB-type natriuretic peptide (NT-proBNP) level in ...
Role of plasma N-terminal proB-type natriuretic peptide (NT-proBNP) level in ...Role of plasma N-terminal proB-type natriuretic peptide (NT-proBNP) level in ...
Role of plasma N-terminal proB-type natriuretic peptide (NT-proBNP) level in ...
 
Minor head injury
Minor head injuryMinor head injury
Minor head injury
 
Minor head injury
Minor head injuryMinor head injury
Minor head injury
 
Minor head injury & medial temporal damage
Minor head injury & medial temporal damageMinor head injury & medial temporal damage
Minor head injury & medial temporal damage
 
R Shravani RCVS Grand Rounds final .ppt
R Shravani RCVS Grand Rounds final .pptR Shravani RCVS Grand Rounds final .ppt
R Shravani RCVS Grand Rounds final .ppt
 
Using microdialysis for clinical decisions in head injury
Using microdialysis for clinical decisions in head injuryUsing microdialysis for clinical decisions in head injury
Using microdialysis for clinical decisions in head injury
 
Delaney on Cerebral protection
Delaney on Cerebral protectionDelaney on Cerebral protection
Delaney on Cerebral protection
 
Traumatic brain injury - Neurological perspective
Traumatic brain injury - Neurological perspectiveTraumatic brain injury - Neurological perspective
Traumatic brain injury - Neurological perspective
 
Intracranial pressure montoring standard of care
Intracranial pressure montoring standard of careIntracranial pressure montoring standard of care
Intracranial pressure montoring standard of care
 
Head injury
Head injuryHead injury
Head injury
 
Pediatric traumatic brain injury presentation
Pediatric traumatic brain injury presentation Pediatric traumatic brain injury presentation
Pediatric traumatic brain injury presentation
 
Neurological management of severely injured patient
Neurological management of severely injured patientNeurological management of severely injured patient
Neurological management of severely injured patient
 
Visual Impairment in Cerebral Venous Thrombosis.pptx
Visual Impairment in Cerebral Venous Thrombosis.pptxVisual Impairment in Cerebral Venous Thrombosis.pptx
Visual Impairment in Cerebral Venous Thrombosis.pptx
 
Rsi
RsiRsi
Rsi
 
Post Dural Puncture Headache
Post Dural Puncture Headache Post Dural Puncture Headache
Post Dural Puncture Headache
 
Migraine 1
Migraine 1Migraine 1
Migraine 1
 

More from All India Institute of Medical Sciences

More from All India Institute of Medical Sciences (20)

Gamma Knife for large and giant Lesions
Gamma Knife for large and giant LesionsGamma Knife for large and giant Lesions
Gamma Knife for large and giant Lesions
 
bone donation and bone banking
bone donation and bone bankingbone donation and bone banking
bone donation and bone banking
 
Blood bank audit 2016
Blood bank audit 2016Blood bank audit 2016
Blood bank audit 2016
 
ED audit 2016
ED audit 2016ED audit 2016
ED audit 2016
 
MRS audit 2016
MRS audit 2016MRS audit 2016
MRS audit 2016
 
Physiotherapy audit 2016
Physiotherapy audit 2016Physiotherapy audit 2016
Physiotherapy audit 2016
 
Orthopedics audit 2016
Orthopedics audit 2016Orthopedics audit 2016
Orthopedics audit 2016
 
Wound care surveillance audit 2016
Wound care surveillance audit 2016Wound care surveillance audit 2016
Wound care surveillance audit 2016
 
OT audit 2016
OT audit 2016OT audit 2016
OT audit 2016
 
TNCS audit 2016
TNCS audit 2016TNCS audit 2016
TNCS audit 2016
 
Trauma surgery audit 2016
Trauma surgery audit 2016Trauma surgery audit 2016
Trauma surgery audit 2016
 
Lab medicine audit 2016
Lab medicine audit 2016Lab medicine audit 2016
Lab medicine audit 2016
 
Radiology audit 2016
Radiology audit 2016Radiology audit 2016
Radiology audit 2016
 
Neurosurgery audit 2016
Neurosurgery audit 2016Neurosurgery audit 2016
Neurosurgery audit 2016
 
Community emergency initiative
Community emergency initiativeCommunity emergency initiative
Community emergency initiative
 
JPNATC Newsletter may 2016
JPNATC Newsletter  may 2016JPNATC Newsletter  may 2016
JPNATC Newsletter may 2016
 
Medical Record Section audit 2014pptx
Medical Record Section audit 2014pptxMedical Record Section audit 2014pptx
Medical Record Section audit 2014pptx
 
scientific paper on Role of MRD in Hospital Functioning
scientific paper on Role of MRD in Hospital Functioningscientific paper on Role of MRD in Hospital Functioning
scientific paper on Role of MRD in Hospital Functioning
 
scientific paper on emr
scientific paper on emrscientific paper on emr
scientific paper on emr
 
Aiims appointment system- Our Journey
Aiims appointment system- Our JourneyAiims appointment system- Our Journey
Aiims appointment system- Our Journey
 

Recently uploaded

High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...narwatsonia7
 
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Miss joya
 
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls ServiceMiss joya
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...narwatsonia7
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night EnjoyCall Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoynarwatsonia7
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Miss joya
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...Miss joya
 
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call girls in Ahmedabad High profile
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalorenarwatsonia7
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Servicemakika9823
 
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on DeliveryCall Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Deliverynehamumbai
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...Miss joya
 

Recently uploaded (20)

High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
 
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Servicesauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
 
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
 
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night EnjoyCall Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
 
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
 
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on DeliveryCall Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
 

Role of piracetam in post concussion syndrome

  • 1. ROLE OF PIRACETAM IN POST-CONCUSSION SYNDROME A PROSPECTIVE RANDOMIZED STUDY Deepak Agrawal, K Naveen* Departments of Neurosurgery* and Nuclear medicine*, ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, INDIA
  • 2.
  • 3. PIRACETAM IN MINOR HEAD INJURY PREVIOUS STUDIES ON PIRACETAM IN MINOR HEAD INJURY WERE BASED ONLY ON ‘SUBJECTIVE CRITERIA’ FIRST STUDY OF ITS KIND BASED ON AN OBJECTIVE PARAMETER LIKE BRAIN SPECT
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. PIRACETAM IN MINOR HEAD INJURY MATERIALS AND METHODS (Contd.)
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.