herpes simplex virus accounts for 10 to 25% of sporadic viral encephalitis throughout the world among people of different age with two peaks, one at 5 to 30 and the other at > 50 years of age. pathologic process includes focal brain tissue inflammation and necrosis (predominantly temporal lobe). therefore local neurological signs and symptoms will ensue. although csf pressure rising due to infl...

the paranasal sinuses are known to be a rare location for metastasis. renal cell carcinoma (rcc) is the most frequent primary tumor to metastasize to the sinonasal region, followed by lung and breast cancer. in particular, clear cell type rcc, which represents approximately 85% of rccs, is characterized by early metastasis, and it sometimes spreads to unusual sites (1, 2). metastatic tumors in ...

introduction cryptococcosis is an opportunistic fungal infection mostly in immunocompromised patients. here we present the immunocompetent case with crypotoccosis. case presentation a 60-year-old man without any history of immunodeficiency or major risk factor of fungal infection, referred to the emergency department with systemic symptoms and low back pain. the patient’s condition gradually de...

BACKGROUND The aim of this study was to evaluate the prevalence of signs and symptoms of temporomandibular disorders (TMD) and oral parafunction habits among Saudi adolescents in the permanent dentition stage. METHODS A total of 385 (230 females and 155 males) school children age 12-16, completed a questionnaire and were examined clinically. A stratified selection technique was used for schoo...

OBJECTIVE Neurological soft signs are frequently found in schizophrenia. They are indicators of both genetic liability and psychopathological symptoms. To further differentiate "trait" and "state" relations the authors compared the 1-year course of neurological soft signs in schizophrenia patients and comparison subjects. METHOD Thirty-nine patients with first-episode schizophrenia spectrum d...

 Endometrial adenocarcinoma is uncommon in fewer than 40-year-old people. The first common sign and symptoms are abnormal vaginal bleeding and discharge. Metastasis is occurred in the late stage. Here we present a 31-year-old nullipar woman who was admitted to surgical ward with enlarged right inguinal lymphnode from one month ago. She had no history of previous malignancy, infectious condition...

otosclerosis is an otic capsule disorder that leads to progressive conductive and/or sensorineural hearing loss due to stapes footplate fixation and cochlear bone involvement. the disorder is bilateral in 70% of patients and it usually starts between the third and fifth decade. one of its characteristic clinical findings is schwartze sign which refers to a reddish discoloration over the promont...