Continuous spinal anesthesia may provide excellent labor analgesia. The incidence of accidental intrathecal injection of megadose of ropivacaine, as one of the possible complications during cesarean section, is very rare. Present case report provides reference to clinical practice.

I was pleased to read Berber et al’s 50 year-old patient with Evans syndrome which was published as a Letter to The Editor in the recent issue of the Journal of Turgut Ozal Medical Center (2013;20(3):289-290). But, it was surprised to me that mega dose methyl prednisolone (MDMP) treatment was not brought to attention which had been successfully used for these patients first time from our countr...

BACKGROUND Benzodiazepines (BZDs) are among the most widely prescribed drugs in developed countries. Since BZDs can produce tolerance and dependence even in a short time, their use is recommended for a very limited time. However, these recommendations have been largely disregarded. The chronic use of BZDs causes a number of serious side effects, i.e. cognitive impairment, falls, traffic acciden...

Kaya et al.’s [1] case report entitled “Granulocytic sarcoma after stem-cell transplantation in a child with biphenotypic leukemia” gives me an opportunity to remind physicians that short-course megadose methylprednisolone (MDMP; daily, 30 mg/kg for 3 days then 20 mg/kg for 4 days) has been effectively used in the treatment of granulocytic sarcoma (GS) [2-4]. With this treatment, extramedullary...

Dr. Küpeli and his colleagues[1] should be congratulated for their success in treating hemangiomatosis, which could be life threatining depending on the localization of hemangiomas, with propranolol. I prefer the term infantile hemangiomatosis instead of segmental hemangiomatosis[ 2] for the authors’ patient. My primary reason in writing this letter is to clarify MDMP treatment, which caused se...

Prof. Dr. Șinasi Özsoylu, Hacettepe Children’s Hospital, TR-06100 Ankara (Turkey) Borba et al. [1] in their paper entitled ‘Neutropenia associated with myelofibrosis in systemic lupus erythemato-sus’ stated: ‘It is important to emphasize that although it has been reported that fibrosis could be reversed by steroid therapy, only in 2 cases fibrosis remitted following this treatment’. We have rep...

1. Barco D, Alomar A. Rosácea. Actas Dermosiilogr. 2008;99:244-56. 2. Chen AY, Zirwas MJ. Steroid-induced rosacealike dermatitis: case report and review of the literature. Cutis. 2009;83:198204. 3. Ioannides D, Lazaridou E, Apalla Z, Devliotou-Panagiotidou D. Phosphodiesterase-5 inhibitors and rosacea: report of 10 cases. Br J Dermatol. 2009;160:719-20. 4. Hagman JH, Ginebra A, Pieminte P, Fras...