Neurology Grand Rounds

Neurology
Grand Rounds

The Association of Sri Lankan Neurologists conducts a series of monthly Grand Rounds at the ClinMARC Auditorium of the National Hospital of Sri Lanka.

The objective of the Neurology Grand Round is to discuss patients with neurological disorders, which teaches the practising clinician important aspects in the diagnostic approach, management and prognosis. These could include rare as well as common neurological disorders, but all of which will have an educational value from basic neurosciences to applied clinical neurology.

Each case will be presented by a Consultant Neurologist led Unit in Sri Lanka.

"When Mitochondria Misfire"

Grand Round

The Grand Round held on 28th August 2025 at the Epilepsy Auditorium, National Hospital of Sri Lanka, brought together experts and trainees for an in-depth discussion on “Mitochondrial Diseases in Childhood – When Mitochondria Misfire.” Prof. Jithangi Wanigasinghe from the Faculty of Medicine, University of Colombo, and Dr. Harsha Munasinghe, Senior Registrar in Paediatric Neurology at LRH, delivered insightful presentations on the diagnosis and management of these complex paediatric conditions. The session sparked meaningful discussion and was well-received by a diverse audience of clinicians and medical trainees.

Date	Title	Speaker/s	Diagnosis
22 February 2019	What to learn from a jerky patient	Dr Saamir Mohideen	Cortical Myoclonus
	Hysterical to true acute blindness and a threat to life in-between	Dr Ishani Rajapakse	Subacute sclerosing panencephalitis (SSPE)
22 March 2019	A 27year old female with a gait disorder	Dr Senaka Bandusena	Limb girdle muscular dystrophy
	The man who came last in the race	Dr Arjuna Fernando / Dr Gamini Pathirana	Congenital myasthenia
17 May 2019	A lady who cannot twist and turn	Dr Nadie Rathnayake	Stiff person syndrome
	An 18 year old boy with headache and vomiting is drowsy	Dr Srini Godevithanage	Central venous sinus thrombosis in a patient with homocysteinuria
21 June 2019	Approach to the patient with excessive day time sleepiness	Dr Janaka Waidyasekera	Narcolepsy & Obstructive sleep apnea
	Why does her face turn straight……?	Dr Sajitha Weerasinghe	recurrent facial palsy (Melkersons Rosenthal syndrome)
26 July 2019	A man with dizziness on walking	Dr Damith Liyanage	Subclavian steal syndrome
	I don’t feel okay – need to lie down	Dr Dilum Palliyaguruge	Idiopathic intracranial hypotension
23 August 2019	Lady with behavioral changes: A clinical dilemma	Dr Surangi Somaratne	Anti-NMDA receptor encephalitis
	Will the right eye weep for left face pain?–Timing the next move in Neurology!	Dr T Thivakaran	Trigeminal Neuralgia
20 Septermber 2019	A man with progressive difficulty in walking: a puzzling journey.	Dr Pubudu Amarasena / Dr Indunil Wijeweera	Managed as CIDP, paraneoplastic manifestations are being considered.
	Diagnostic Implications of Pediatric Movement Disorders.–Case based discussion–	Dr Priyanka Rupasinghe & Dr Chathurika Weerarathne	Rett Syndrome