Abstract Manual medicine is the medical discipline that deals with diagnosis, treatment, and prevention of reversible functional disturbances in locomotor system other related organ systems. The current article illustrates neuroanatomical neurophysiological fundamentals mechanisms manual diagnostics treatment. Based on recent literature consideration different scientifically based clinical guid...

The middle ear is located in the center of the temporal bone and bears a highly complex anatomy. The recently introduced exclusively endoscopic transcanal approach to the middle ear is a minimally invasive technique sparing the bone and mucosa of the mastoid bone, since the middle ear is accessed through the external auditory canal. This emerging method has several advantages over the tradition...

Aortic dissection occurs when a tear develops in the wall of the aorta, which is rare in the young population. This fatal disorder is hard to diagnose, especially in young patients. We present the case of aortic dissection in a 15-year-old boy referred to the Emergency Department of Yazd University of Medical Sciences in November 2015. The patient presented to our department with sudden acute c...

Aortic coarctation is a rare but dangerous condition. Presence of aortic dissection in addition to coarctation is significantly rarer and more life-threatening. Here, we present a case of acute inferior MI due to aortic dissection complicating a native aortic coarctation. A 17-year-old boy was admitted to our emergency department due to severe chest pain and loss of consciousness. His ele...

Deep Anterior lamellar Keratoplasty (DALK) has become the corneal transplantation technique of choice for corneal diseases that spare the corneal endothelium. The major indications include keratoconus, stromal corneal dystrophies, corneal scars that spare the Descemet membrane (DM) and recalcitrant infectious keratitis. Unlike the old technique of penetrating/full thickness corneal transplantat...

The combined extended and rotated cervical spine position has been postulated to affect vertebral artery blood flow by primarily causing a narrowing of the vessel lumen, usually within the artery contralateral to the side of head rotation. The production of brainstem symptoms during the manoeuvre has generally been considered to be a positive test result. As a consequence, functional pre-manipu...

introduction: aortic dissection is a rare condition in young women and usually related with congenital anomalies of aorta and connective tissue disorders. we reported a 34-year-old postpartum woman with aortic dissection. case presentation: the patient complained of respiratory distress and weakness with no abdominal pain or chest pain 20 days after delivery and had no history of hypertension d...

spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. we report coronary artery dissection in a 36-year-old woman with retrosternal chest pain 2 weeks after abortion. electrocardiography showed st elevation in leads v2-v4 and st depression in the inferior leads. lab data were normal. cardiac catheterization showed a suspicious thrombotic les...

dissection of the sinus of valsalva is a rare and life-threatening event. it often occurs during percutaneous coronary intervention in the right coronary artery (rca). dissection flap usually involves the rca and the right sinus of valsalva. here we report two extremely rare cases of spontaneous dissection limited to the non-coronary sinus of valsalva, causing severe aortic valve regurgitation:...

background: sentinel lymph node biopsy (slnb) has replaced axillary lymph node dissection (alnd) in early breast cancer patients as the first line surgical approach to axillary nodes. further dissection is performed only when sln is involved by tumor cells. however, in a significant proportion of patients, non-sentinel nodes are still not involved and axillary dissection has no additional thera...