Aim: To study Electroencephalogram (EEG) in different stages of chronic kidney disease (CKD). Materials and Methods:This observational study was carried out in the Department of Medicine, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha conducted over a period of 24 months, spanning from August 2011 to August 2013. Eighty three cases of CKD at different stages were studied. EEG was done in all the subjects and the various EEG dynamics like morphometric waveform patterns, symmetricity, amplitude were recorded and compared with the different stages of CKD. Results:We found that characteristic changes were observed with increasing severity of CKD. Slow delta wave patterns were more prominent in stage 5 (p<0.0001), asymmetric discharges, dysthymia, sharp wave transients and low amplitude wave forms were more prominent beyond Stage 4 (p<0.0001).

Sir, A 26-year-old man presented to us with chief complaints of fever, cough, and dyspnea since 15 days. There was no history of hemoptysis, chest pain, orthopnea, palpitations, or edema feet. A more detailed history was negative for environmental or medication exposure. Past history was insignificant for any prolonged illness. There was no history of any addiction. On examination, pulse was 100/min, regular. Respiratory rate was 18/min, and the temperature was 38.6°C. JVP was not raised. Auscultation of the lungs revealed bilateral, diffuse rales. Cardiovascular system examination was normal. Investigations revealed, Hb of 11 g %, Total leucocyte count (TLC) was 52,000, DLC revealed polymorphs of 15 %, eosinophils 78 %, lymphocytes 6 %, monocyte 1 % (Fig. 1). Peripheral smear was devoid of any blasts. Absolute eosinophil count was 38,000/mm 3 (normal 52-250 mm 3). Platelet count was 250,000/mm 3. The bone marrow aspiration revealed eosinophilic proliferation without any blasts (Fig. 2). The blood biochemistry was normal. CXR revealed bilateral haziness. HRCT of thorax revealed bilateral ground glass opacities (GGOs) (Figs. 3, 4). Two dimensional (2D) echo was normal. ABG revealed partial pressure of oxygen, 68 mmHg; partial pressure of carbon dioxide, 29 mmHg; and pH, 7.50. SpO 2 was 84 % while patient was breathing ambient air. Cultures of

Tuberculosis is considered to be one of the oldest of human diseases. It virtually involves majority of organ system in human body. Neurotuberculosis is known to involve meninges brain parenchyma, vertebral column, spinal cord either individually or in various combinations. Clinical features of neurotuberculosis depend on site of involvement. Atypical presentations are known. We present a case series of 3 patients of neurotuberculosis with atypical clinical presentation.