B. Shalbafan, S. Naghibzadeh, Hajar Aminzadeh, H. Lanjanian, Bardia D Baloutch, Katayon Berjis, H. Sajjadi
A 50 years old female patient stepped into Neurology practice, who had been suffering from intractable headaches and followed up for 10 years. At the meantime, she was secondarily assessed by Endometriosis stage-II. Meanwhile, the lab workup did not reflect much of an off the chart hormonal study, Anemia was a point of consideration. Although treatment for Anemia was successfully fulfilled, no progression was noted with mending Endometriosis symptoms and headaches. To that end, the patient was referred to Neurologist. She underwent a brain MRI study and was reported by empty Sella as an incidental finding. As a result, fundus photography was performed to check for papilledema, where no significant findings were reported. However, thus Empty Sella was in combination with severe headaches, Optical Coherence Tomography (OCT) was employed to have a closer look into her Optic Disc. OCT findings of the Retinal Nerve Fiber Layer (RNFL) over the Circumpapillary Tomogram and choroidal folds,
{"title":"Case Report: An IIH Induced Endometriosis that Diagnosed by OCT, and Revealed Ten Years Dilemma of HPG Axis Dysfunction due to Pressure Effect of CSF on Pituitary Stalk","authors":"B. Shalbafan, S. Naghibzadeh, Hajar Aminzadeh, H. Lanjanian, Bardia D Baloutch, Katayon Berjis, H. Sajjadi","doi":"10.30654/mjn.10023","DOIUrl":"https://doi.org/10.30654/mjn.10023","url":null,"abstract":"A 50 years old female patient stepped into Neurology practice, who had been suffering from intractable headaches and followed up for 10 years. At the meantime, she was secondarily assessed by Endometriosis stage-II. Meanwhile, the lab workup did not reflect much of an off the chart hormonal study, Anemia was a point of consideration. Although treatment for Anemia was successfully fulfilled, no progression was noted with mending Endometriosis symptoms and headaches. To that end, the patient was referred to Neurologist. She underwent a brain MRI study and was reported by empty Sella as an incidental finding. As a result, fundus photography was performed to check for papilledema, where no significant findings were reported. However, thus Empty Sella was in combination with severe headaches, Optical Coherence Tomography (OCT) was employed to have a closer look into her Optic Disc. OCT findings of the Retinal Nerve Fiber Layer (RNFL) over the Circumpapillary Tomogram and choroidal folds,","PeriodicalId":346755,"journal":{"name":"Mathews Journal of Neurology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122180302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Copyright: Isayeva A, et al. @ 2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Olena Buriakovska Department of Complex risk Reduction of Chronic non-communicable diseases, L.T. Malaya Therapy National Institute of the National Academy of Medical Sciences of Ukraine, Ukraine E-mail: alena.tbtch@gmail.com ABSTRACT
{"title":"Sleep Disorders in Patients with Hypertension and Type 2 Diabetes Mellitus","authors":"A. Isayeva, O. Buriakovska, undefined undefined","doi":"10.30654/mjn.10018","DOIUrl":"https://doi.org/10.30654/mjn.10018","url":null,"abstract":"Copyright: Isayeva A, et al. @ 2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Olena Buriakovska Department of Complex risk Reduction of Chronic non-communicable diseases, L.T. Malaya Therapy National Institute of the National Academy of Medical Sciences of Ukraine, Ukraine E-mail: alena.tbtch@gmail.com ABSTRACT","PeriodicalId":346755,"journal":{"name":"Mathews Journal of Neurology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131386142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Intraoperative electrocorticography (ECOG) is performed during stereotactic EEG (SEEG) depth lead implantation in order to confirm the signal integrity of each individual contact on all depth leads. ECOG also allows for the analysis of brain activity and the ability to detect and eliminate extraneous signal interference in real-time. At Boston Children’s Hospital the Epilepsy Monitoring Unit (EMU) team of epileptologists and technologists work closely with the neurosurgeons and operating room staff during SEEG implantation procedures. During one invasive monitoring case our team encountered an unusually high amplitude fast rhythm on ECOG affecting one depth lead. Initially the signal appeared to be an extraneous artifact but on closer inspection a spread field involving other contacts on the same lead suggested a physiological source. Intra-operative CT imaging identified the source to be an air bubble-inadvertently trapped during implantation-that had surrounded the mid-section of the SEEG depth lead.
{"title":"SEEG Depth Lead Records Inside an Air Bubble: A Case Report","authors":"S. Manganaro, S. Stone","doi":"10.30654/MJN.10015","DOIUrl":"https://doi.org/10.30654/MJN.10015","url":null,"abstract":"Intraoperative electrocorticography (ECOG) is performed during stereotactic EEG (SEEG) depth lead implantation in order to confirm the signal integrity of each individual contact on all depth leads. ECOG also allows for the analysis of brain activity and the ability to detect and eliminate extraneous signal interference in real-time. At Boston Children’s Hospital the Epilepsy Monitoring Unit (EMU) team of epileptologists and technologists work closely with the neurosurgeons and operating room staff during SEEG implantation procedures. During one invasive monitoring case our team encountered an unusually high amplitude fast rhythm on ECOG affecting one depth lead. Initially the signal appeared to be an extraneous artifact but on closer inspection a spread field involving other contacts on the same lead suggested a physiological source. Intra-operative CT imaging identified the source to be an air bubble-inadvertently trapped during implantation-that had surrounded the mid-section of the SEEG depth lead.","PeriodicalId":346755,"journal":{"name":"Mathews Journal of Neurology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122433447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Results: Men had an almost linear correlation between increasing TC levels (< 5 mmol/L; 5-6.4 mmol/L; and ≥ 6.5 mmol/L), and increasing risk of MI during life, P = 0.016, and cardiovascular death (CVD) (not index stroke), P = 0.002; women had a U-shaped correlation. Men had an inverse correlation between TC levels and death due to cancer, P=0.008. Comparisons pairwise between sexes: TC 5-6.4 mmol/L, increased survival in women, P=0.038. According to Cox regression analyses, TC ≥ 6.5 mmol/L was a predictor of MI, and TG > 2.2 mmol/L had an unfavourable effect on survival.
{"title":"Long-term prognosis related to fasting total-cholesterol and triglyceride levels after TIA/stroke","authors":"S. Eriksson","doi":"10.30654/MJN.10014","DOIUrl":"https://doi.org/10.30654/MJN.10014","url":null,"abstract":"Results: Men had an almost linear correlation between increasing TC levels (< 5 mmol/L; 5-6.4 mmol/L; and ≥ 6.5 mmol/L), and increasing risk of MI during life, P = 0.016, and cardiovascular death (CVD) (not index stroke), P = 0.002; women had a U-shaped correlation. Men had an inverse correlation between TC levels and death due to cancer, P=0.008. Comparisons pairwise between sexes: TC 5-6.4 mmol/L, increased survival in women, P=0.038. According to Cox regression analyses, TC ≥ 6.5 mmol/L was a predictor of MI, and TG > 2.2 mmol/L had an unfavourable effect on survival.","PeriodicalId":346755,"journal":{"name":"Mathews Journal of Neurology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130045858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This process maybe imprinted or genetic, I am not the one to ask on this. But I have learned that frequently a small challenge to the typical question ‘how are you’ when seeing a pain-patient for the first time can prove helpful. By challenge I mean to ask them to justify their automatic response. Some may respond well to ‘if you’re ok, why did you come!!?’ Most will not of course and the approach must be less direct and gentler – such as those well known to most.
{"title":"Looking Over the Fence. A look at Psychiatry from Another Discipline","authors":"D. Zimmerman","doi":"10.30654/MJN.10013","DOIUrl":"https://doi.org/10.30654/MJN.10013","url":null,"abstract":"This process maybe imprinted or genetic, I am not the one to ask on this. But I have learned that frequently a small challenge to the typical question ‘how are you’ when seeing a pain-patient for the first time can prove helpful. By challenge I mean to ask them to justify their automatic response. Some may respond well to ‘if you’re ok, why did you come!!?’ Most will not of course and the approach must be less direct and gentler – such as those well known to most.","PeriodicalId":346755,"journal":{"name":"Mathews Journal of Neurology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124585133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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