BACKGROUND AND PURPOSE The most common presentation of ischemic stroke related to pregnancy is arterial occlusion, occurring during the third trimester or postpartum. The authors present the first successful administration of intra-arterial cerebral tissue plasminogen activator to treat an embolic cerebral vascular accident in a 37-week parturient resulting in complete recovery of neurological ...

The accelerated ("malignant") phase of hypertensive vascular disease is more common in men; sympathectomy may modify some of its signs and symptoms even in those cases in which hyper-tension is not modified. Six instances are reported herewith in which patients in the accelerated phase have developed retinopathy and papilledema during a sustained period of normal blood pressure brought on by a ...

Donald Mebust, MD, is an Emergency Physician at the San Diego Medical Center in CA. E-mail: [email protected]. Case Study A 55-year-old woman presented to the Emergency Department with complaints of headache, diplopia, and double vision (Figure 1). Patient noted 2 weeks of an aching right-sided headache and a “droopy eyelid.” Three days before our evaluation, her symptoms worsened and she ...

Background: Pentoxifylline (PTX) is used in human for intermittent claudication and cerebral vascular disorders including cerebrovascular dementia. It also inhibits the synthesis of tumor necrosis factor-α (TNF-α), which is believed to be neurotoxic in animal models of cerebral ischemia. The objective of this study was to examine the role of PTX on ischemia/reperfusion injures in rat model of t...

OBJECTIVES/HYPOTHESIS Operative complications and tumor recurrence in juvenile nasopharyngeal angiofibroma (JNA) are measurable and meaningful outcomes. This study aimed to assess the association of these two outcomes to various clinical indices and in particular, vascular determinates. STUDY DESIGN Retrospective cohort study. METHODS An 18-year retrospective chart review of an academic ter...

BACKGROUND We present a report of a patient with blunt trauma and mandibular fractures who developed a significant cerebral infarction due to an initially unrecognized injury of her left internal carotid artery. We believe that increased knowledge of this association will facilitate early recognition and hence prevention of a devastating outcome. CASE PRESENTATION A 41-year-old ethnic Norwegi...

Objetivo: Construir um fluxograma para o manejo de pessoas idosas com alterações deglutição pós acidente vascular cerebral. Métodos: Estudo metodológico realizado em três etapas: realização revisão integrativa da literatura; avaliação 38 prontuários acerca variáveis sociodemográficas, clínicas e prevalência idosos cerebral; construção do cerebral, base nas duas primeiras etapas. Resultados: O f...

conclusions evaluating the size of the patient’s pupils before, during and after the operation, careful history, consult, ct scan and mri would help to diagnosis. although no probable cause was found to explain the transient mydriasis in our patient. introduction unilateral mydriasis is a seriously significant finding in neurologic examinations indicating life-threatening conditions such as cer...