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Premier Neurological Care complaint alleges delayed diagnosis of cerebral venous thrombosis

The complaint alleges that Premier Neurological Care and Saima Khurram, M.D. failed to diagnose cerebral venous sinus thrombosis despite symptoms including repeated fainting, papilledema, severe headaches, nausea, vomiting, and weakness. According to the complaint, Dr. Khurram did not obtain or review a March 4, 2019 MRI report during March 2019 treatment and did not order MR venography or other appropriate imaging despite allegedly considering it. The complaint alleges that the patient suffered an acute ischemic infarction on April 10, 2019, with permanent neurological injuries.

System
Premier Neurological Care, LLC
Facility
Premier Neurological Care Canton
Providers involved
Premier Neurological Care, LLC / Saima Khurram, M.D. / Northside Hospital Cherokee / Wellstar Kennestone Hospital
Pattern
Alleged failure to obtain and review MRI results or order venous imaging despite signs of cerebral venous thrombosis
Harm
Alleged acute ischemic infarction, venous sinus occlusion, left-sided weakness, cognitive impairment, visual loss, hearing loss, memory loss, and chronic pain

Overview

This page concerns a public complaint alleging that Premier Neurological Care and Saima Khurram, M.D. failed to diagnose cerebral venous sinus thrombosis after neurological symptoms and an earlier MRI report.

Chronology

  1. The complaint alleges that the patient presented to Northside Hospital Cherokee in February and March 2019 with symptoms including syncopal episodes, headaches, weakness, nausea, vomiting, and visual symptoms.
  2. According to the complaint, an optometrist ordered MRI imaging on March 4, 2019 and referred the patient to Dr. Khurram for neurological evaluation.
  3. The complaint alleges that Dr. Khurram evaluated the patient on March 6, diagnosed pseudotumor cerebri and increased intracranial pressure, noted that MRI results had been requested, but did not obtain or review the March 4 MRI report during treatment.
  4. The complaint alleges that Dr. Khurram referred the patient for lumbar puncture but did not order MR venography or other imaging on March 6, March 8, or March 27 despite continued symptoms.
  5. According to the complaint, the patient presented to Wellstar Kennestone Hospital on April 10, 2019 with stroke symptoms, and CT angiogram revealed acute ischemic infarction related to acute cerebral venous sinus thrombosis.

Alleged failures

  • The complaint alleges that Dr. Khurram failed to review the March 4 MRI report during March 2019 treatment.
  • The complaint alleges that Dr. Khurram failed to order appropriate imaging, including MR venography she allegedly considered.
  • The complaint alleges that Premier Neurological Care failed to request or obtain the MRI report or images during treatment.
  • The complaint alleges that Premier Neurological Care maintained disorganized administrative systems that interfered with timely retrieval of diagnostic records.
  • The complaint alleges that timely MR venography or other imaging would likely have detected the cerebral venous thrombosis and allowed anticoagulant treatment before infarction.

Entities and tags

Premier Neurological Care, LLCSaima Khurram, M.D.Cerebral venous sinus thrombosisMR venographyMRIPapilledemaPseudotumor cerebriAcute ischemic infarctionFailure to diagnose cerebral venous thrombosisFailure to order imagingFailure to review diagnostic studiesAdministrative negligenceNeurologyDiagnostic imagingStroke diagnosis

Questions this example answers

What does the Premier Neurological Care thrombosis complaint allege?

The complaint alleges that Premier Neurological Care and Saima Khurram, M.D. failed to diagnose cerebral venous sinus thrombosis despite symptoms including repeated fainting, papilledema, severe headaches, nausea, vomiting, and weakness. According to the complaint, Dr. Khurram did not obtain or review a March 4, 2019 MRI report during March 2019 treatment and did not order MR venography or other appropriate imaging despite allegedly considering it. The complaint alleges that the patient suffered an acute ischemic infarction on April 10, 2019, with permanent neurological injuries.

Who is identified in this public case example?

This public case example identifies Premier Neurological Care, LLC, Saima Khurram, M.D., Northside Hospital Cherokee, and Wellstar Kennestone Hospital. It also tags the source-supported entities Premier Neurological Care, LLC, Saima Khurram, M.D., Cerebral venous sinus thrombosis, MR venography, and MRI.

What alleged failures are summarized here?

The complaint alleges that Dr. Khurram failed to review the March 4 MRI report during March 2019 treatment. The complaint alleges that Dr. Khurram failed to order appropriate imaging, including MR venography she allegedly considered. The complaint alleges that Premier Neurological Care failed to request or obtain the MRI report or images during treatment.