Qatar Medical Journal - Volume 2008, Issue 2

Cysticercosis is the most common heliminth infection of the human central nervous system Epilepsy is the most common presentation and occurs in 50-85% of patients. Psychiatric manifestations in a form of depressive disorders, cognitive decline and psychosis have been reported frequently(2). A19-year-old Nepalese male presented with severe headache, seizures, fears and anxiety for one week. A CT scan of the brain showed small calcified lesion in the right deep temporal white matter without perifocal edema. This was considered suggestive of a healed inflammatory granuloma-neurocysticercus cyst. Treatment with a combination of albendazole dexamethazone, ranitidine, phenytoin, lorazepam and hydroxyzine resulted in a rapid recovery.

Papillon-Lefevre syndrome (PLS), first described in 1924, is a rare autosomal recessive disorder characterized by early onset palmoplanter hyperkeratosis and severe generalized destructive periodontitis leading to premature loss of both primary and permanent dentitions. PLS usually manifest itself between the ages of six months to four years, coinciding with the eruption of primary teeth. The proband becomes completely edentulous by the age of 15.

Hypotension and bradycardia after application of suction to a subgaleal drain, or stimulus inside or outside the skull, have been reported in the medical literature. The commonly reported occurrence is stimulation of the Trigeminal nerve along its distribution and is the main factor that sets off the whole reflex arc through the Vagus nerve ending in a series of serious hemodynamic changes that institute severe bradycardia, asystole and severe hypotension. Another less common but possible patho logy caused by a suction drain is Pseudo-Hypoxic Brain Swelling (PHBS). We report a case of transient cardiac arrest after the application of theatre suction to a subgaleal drain at the closure of an uneventful craniotomy and discuss the possibilities as well as review the literature.

The pathway of extravasated urine from the retroperitoenum to the ipsilateral and contralateral pleural cavity in cases of urinothorax has been of debate in the literature. We present a proposed route for the extravasated urine pathway from the retroperitoenum to both pleural cavities based on radiological evidence.

A patient who needed surgery for a strangulated obstruction of small bowel was found to have a pair of artery forceps in the peritoneal cavity following surgery for repair of an abdominal wall hernia twelve months before. The six-inch metallic forceps fractured easily on initial manipulation directly after retrieval. This case demonstrates the easy retention of a small surgical instrument in the abdomen, with the rare and serious complication of bowel strangulation, and the sequel of corrosion of a metallic foreign body in a human.

Several electrophysiological tests have been used to diagnose focal ulnar nerve entrapment at the elbow, including evidence of focal motor slowing at the elbow, mixed ulnar nerve potentials across the elbow and comparing the results to the contralateral side; here I am trying to diagnose focal ulnar nerve neuropathy comparing the latencies of the median and ulnar nerves across the elbow.

52 year old Indian female patient with no significant past medical history presented with a skin lesion started since three weeks associated with fever for three days CBC showed pancytopenia investigations (bone marrow) revealed a very severe Aplastic anemia.

The dentofacial structures are some of the most frequently injured parts of the body by traumatic injuries which can occur as a result of sports, motor vehicle accidents or altercations. Injuries can range from minor dental injuries to facial lacerations to fracture of one or more of the facial bones.

Background: Ecological and observational studies suggest that low Vitamin D status could be associated with higher mortality from life-threatening conditions including cancer, cardiovascular disease, and diabetes mellitus that account for 60% to 70% of total mortality in high-income countries. We examined the risk of dying from any cause in subjects who participated in randomized trials testing the impact of Vitamin D supplementation (ergocalciferol (Vitamin D2) or cholecalciferol (Vitamin D3) on any health condition.