Introduction: Psychogenic anejaculation is a rare cause of male infertility. In this type of anejaculation, the patient cannot ejaculate while awake. Most cases of this disorder were reported in Jewish communities. In the present report, we describe the successful achievement of pregnancy in two Muslim men with situational psychogenic anejaculation. The treatment involved the simplest approach ...

a twelve-year-old girl with disseminated tuberculosis was complicated by psychogenic vomiting and multiple drugs’ adverse effects. she was admitted to our hospital, complaining of fever, cough and abdominal pain. diagnosis of tb was obtained by abdominal ct-scan and open liver biopsy. during the anti-tb treatment, hepatitis, hemolytic anemia and pancreatitis occurred due to some drugs' side eff...

To the Editor: A number of epidemiologic studies have confirmed the importance of postnatal insults as a cause of epilepsy.1 Neuroimaging has been an increasingly important diagnostic tool, and it has been stated that the demonstration of “epileptogenic lesions” strongly supports the diagnosis of epilepsy in these individuals.2 The article by Benbadis et al. is a timely reminder of the pitfalls...

BACKGROUND It is well known that cardiopulmonary resuscitation (CPR) should be attempted as early as possible after out-of-hospital cardiac arrest (OHCA). However, it is unclear about the impact of time to CPR on OHCA outcome by first documented rhythm (pulseless ventricular tachycardia/ventricular fibrillation [pVT/VF], pulseless electric activity [PEA], and asystole). METHODS AND RESULTS We...

Ictal bradycardia is rare and its localising value is debated. Bradyarrhythmias are, however, important because of their potential connection to sudden death and ability to affect clinical seizure manifestations. Cerebral hypoperfusion induces loss of consciousness, at times with myoclonic jerks, whose clinical differentiation from a generalised convulsive seizure may prove difficult. Two invas...

Transient increase in heart rate and mean arterial pressure commonly occur during manipulation of the airway via direct laryngoscopy. This phenomenon is understood to be due to a sympathetic nervous system reflex causing an increase in plasma catecholamines. Rarely, severe bradycardia and possible asystole can occur following laryngoscopy. One previous report described asystole during suspensio...