Aims: To evaluate the sensitivity and specificity of 0.5% apraclonidine test in the diagnosis of oculosympathetic paresis (OSP). Method: Apraclonidine (0.5%) was administered to 31 eyes, nine with a diagnosis of Horner syndrome (HS), 22 with bilateral OSP caused by diabetes, and to 54 control eyes. All were confirmed with the cocaine test. The effects on pupil diameter and upper eyelid level we...

BACKGROUND Horner syndrome is a rare but likely underdiagnosed complication of internal jugular vein cannulation. CASE REPORT We present a case of a young woman undergoing chemotherapy for gestational trophoblastic disease for whom venous port implantation was attempted due to poor peripheral vein access. Despite ultrasound guidance, the procedure was unsuccessful and complicated by a local h...

A 26 year old motorcyclist was received by the trauma team in our accident and emergency department after a head on collision with a motor vehicle. He had been correctly immobilised and his primary survey was essentially normal. He was alert and orientated with a Glasgow Coma score of 15 and had no symptoms or signs of spinal injury. His cervical spine radiography was also normal. Neurological ...

OBJECTIVE To characterize clinical features of avian vacuolar myelinopathy (AVM) in American coots. DESIGN Case-control study. ANIMALS 26 AVM-affected American coots and 12 unaffected coots. PROCEDURES Complete physical, neurologic, hematologic, and plasma biochemical evaluations were performed. Affected coots received supportive care. All coots died or were euthanatized, and AVM status w...

BACKGROUND Delayed acute subdural hematoma (DASH) is a subdural hematoma which is detected later. An initial computed tomography (CT) does not reveal any intracranial hemorrhage at all. Few patients of DASH after mild traumatic brain injury associated with percutaneous coronary intervention (PCI) have been published. PATIENT PRESENTATION A 63-year-old woman presented with cardiac pulmonary ar...

BACKGROUND Internal carotid artery dissection (ICAD) is a frequent cause of a stroke in young patients. Risk factors which can lead to dissection include neck injury and diseases of the inner wall of the artery. Common symptoms in ICAD are cervical pain and headache, Horner's syndrome, paralysis of the cranial nerves and subsequently cerebral and retinal ischemia. MR angiography in TOF techniqu...

An approximately 2-year old domestic short hair female cat weighting 2.750g was presented to Firat University Veterinary Teaching Hospital with a history of depression, anorexia and weight loss for the last 15 days. Clinical examination revealed incoordination, hyperaesthesia, circling, head tilt, posterior paraparesis, absence of the pupillary reflex in both eyes, opisthotonus and anisocoria. ...

The traumatic intracranial haemorrhage still remains a serious complication of instrumental deliveries with an uncertain prognosis. Regarding tentorial haemorrhage, surprisingly few clinical neurological data are available. Most of the references in literature are older case reports, associated frequently with an unfavourable outcome. We report a newborn after a serious tentorial haemorrhage wi...

SECTION 1 A 50-year-old man presented with headache and cognitive decline 10 weeks after undergoing matcheddonor peripheral blood stem cell transplantation for treatment of mixed-phenotype acute leukemia. His pretransplant treatment included systemic chemotherapy (cyclophosphamide, daunorubicin, vincristine, prednisone, L-asparaginase, dasatinib, and cytarabine), intrathecal chemotherapy (metho...

The blood-aqueous humor barrier in adult rhesus monkeys was opened by intracarotid infusion of a 25% mannitol solution. Each monkey had one to four infusions into the same artery, with at least one week between subsequent procedures. The monkeys were observed clinically for 3 to 212 days. Within an hour pigmented cells and protein accumulated in the aqueous humor of the mannitol-treated eyes. H...