Background: Transcranial approaches were historically the first established routes for craniopharyngiomas resection. Transcranial approaches commonly entail some degree of brain retraction as well as manipulation of neurovascular structures, located between the surgeon and the pathogenic region. A more direct route to the sellar -suprasellar region is provided by the transsphenoidal approach. I...

background: drug utilization evaluation (due) is an effective process in order to identifying variability in drug use and subsequent application of effective interventions for improving  patient outcomes. in this study, appropriate uses of drugs were evaluated by pharmacy service. methods : a prospective, interventional study was designed for determining frequency and type of clinical pharmacis...

 Introduction: In some intoxicated patients, cerebrospinal fluid (CSF) is examined due to the prolonged loss of consciousness, focal neurologic findings, and fever of unknown origin. We aimed to evaluate the probable relationship between the different toxicity causes and the CSF indices in poisoned patients and determine if they could predict the patients’ outcome. Methods: All patients who h...

introduction : for many years surgical incisions were done by scalpel. nowadays this method has been replaced with electrocautery.each of these methods has their disadvantages and benefits. the purpose of this study is to compare these two methods in midline laparotomy surgeries. methods :  from 2012 until 2013, one hundred patients enter the study, underwent midline laparotomy and were divided...

Six years experience of blunt abdominal trauma leading to small intestine Perforation in Logh­rnan-e-Hakim Medical center. Between Sept. 1982 to Sept. 1988, 24 cases of abdominal blunt trauma leading to perforation of small intestine were managed at Loghman-e-Hakim Medical center. All the cases were treated surgically either by debridment and repair or resection and anas­tomosis, with no mortal...

background: in this study we sought to investigate clinical findings (with a focus on neurologic effects) and also to analyze outcomes of a series of patients with methanol poisoning admitted to two poisoning treatment centers in tehran, iran. methods: in this prospective cross-sectional study, methanol-poisoned patients admitted to departments of forensic medicine and toxicology of loghman hak...

a young woman with no history of diabetes tried to commit suicide by injecting 2800 units of subcutaneous nph insulin. she was transferred to loghman hospital within 12 hours. the main clinical symptom was continuous seizure activity which was resistant to all forms of routine drug therapy. the patient was treated with intravenous hypertonic glucose (50%) followed by continuous glucose (10%) in...