Open Access DOI:10.23937/2643-4474/1710016
Psychogenic Hemiplegia after Cervical Spine Discectomies and Fusion
Siavash S Haghighi
Article Type: Case Report | First Published: June 08, 2019
A case report of psychogenic hemiplegia following a two level anterior cervical discectomies and fusion was contradicted by a thorough electrophysiological findings. To report an unusual case of post-operative hemiplegia in spite of normal electrophysiological and noncompromising radiographic findings. Conversion disorder with sensory or motor system symptoms is a subtype which includes symptoms such as impaired motor balance, paraplegia, muscle weakness, and urinary retention....
Open Access DOI:10.23937/2474-3690/1510040
Lactate Dehydrogenase in Hypertensive Disorders in Pregnancy: Severity or Diagnosis Marker?
Fernando Vazquez-Alaniz, Jose Manuel Salas-Pacheco, Ada Agustina Sandoval-Carrillo, Osmel La-llave-Leon, Edna Madai-Mendez Hernandez, Marcelo Barraza-Salas, Eda Guadalupe Ramirez- Valles, Norma Urtiz-Estrada, Mario Lumbreras Marquez, Jose Miguel Montes-Herrera and Cesar Yhamel Sanchez-Bernal
Article Type: Research Article | First Published: June 06, 2019
Lactate dehydrogenase has had an exciting journey as a utility marker in different illnesses, but currently, its clinical utility has been relegated to confirm hemolysis, as a tumor marker, and as a diagnostic biomarker of preeclampsia. The findings of lactate dehydrogenase concentrations taking reference values to healthy persons are not consistent when these are related to hypertensive disorders in pregnancy, mainly to begin symptoms or little severity presentation. The goal in this work was t...
Open Access DOI:10.23937/2643-4091/1710009
The Effect on Disc Height and Sagittal Alignment in 56 Consecutive Patients Undergoing Lateral Access Surgery
Donald A Deinlein, Sakthivel Rajaram, Jorge L Perez and Mason B Frazier
Article Type: Research Article | First Published: June 06, 2019
The lateral approach to the spine, for spinal fusion, has gained interest from spine surgeons in recent years. The approach is less invasive, with less blood loss, decreased morbidity, and decreases length of stay in the hospital. The procedure has been shown to allow indirect decompression of the spinal canal and the intervertebral foramen. Segmental interbody arthrodesis may result in improved coronal and sagittal balance....
Open Access DOI:10.23937/2572-3308.1510041
Clinical and Spirometric Characteristics of Premenstrual Asthma
S Aissani, I Ararem, H Haouichat, ME Haffaf and A Zitouni
Article Type: Research Article | First Published: June 06, 2019
Premenstrual asthma (APM) is often confused by the patient and/or doctor with the symptoms of asthma in general. The purpose of our study is to investigate the clinical and spirometric characteristics of APM. Prospective descriptive study from 2011 to 2017, on 95 non-menopausal asthma patients, divided into 2 with and without APM. They benefited on a single menstrual cycle of spirometry during the follicular phase, luteal and premenstrual and cutaneous tests....
Open Access DOI:10.23937/2469-567X/1510055
HIV and Hepatitis Coinfection among HIV-1 Infected Individuals in Republic of the Congo
NIAMA Roch Fabien, MOUNDOSSO Thierry Stephane, PEMBE ISSAMOU MAYENGUE, BAYONNEKOMBO Edith Sophie, OSSIBI IBARA Roland Bienvenu, DIAFOUKA Merlin, MAHAMBOU NSONDE Dominique, LOUZOLO Igor, LOUKABOU Bongolo Nadia Claricelle, DZABATOU-BABEAUX Angelie Serge Patrick, MALOUMBI Marie Genevieve and PARRA Henri-Joseph
Article Type: Original Article | First Published: June 06, 2019
HIV and Hepatitis co-infection is common and contribute significantly to morbidity and mortality in persons living with HIV (PLWH). The objective of this study was to determine the prevalence of this co-infection in patients receiving second-line antiretroviral therapy in Pointe-Noire and Brazzaville. A cross-sectional study was conducted between January and July 2014 to collect demographic data and perform blood sampling from consenting patients who came for routine visits in sites that provide...
Open Access DOI:10.23937/2378-2951/1410149
Impact of Low-Dose Intracoronary Alteplase Infusion after Successful Primary Percutaneous Coronary Intervention
Ismail Mohamed Ibrahim, Ahmed S Eldamanhory, Mahmoud Abdelaziz and Abdelrashid Abdelaziz
Article Type: Research Article | First Published: June 05, 2019
In ST elevation myocardial infarction (STEMI), intracoronary thrombolysis after primary percutaneous coronary intervention (PPCI) was found to improve microvascular perfusion, yet without improvement in left ventricular (LV) remodeling. Our study aimed to find out possible effect on LV longitudinal function. 102 anterior STEMI patients eligible for PPCI were divided into: Alteplase group (53 patients; received intracoronary 0.3 mg/kg alteplase after PPCI) and control group (49 patients; treated ...
Open Access DOI:10.23937/2469-5866/1410028
Pressure Pain Threshold in Depression: Is There a Difference between Unipolar and Bipolar Depressed Patients?
Ozlem Kazan Kizilkurt, Buket Niflioglu, Fusun Mayda Domac and Sermin Kesebir
Article Type: Original Article | First Published: June 06, 2019
complex relationship exists between mood and pain, which is supported by different pain tolerance in clinically depressed patients compared to healthy people. In the present study we aimed to investigate pressure pain threshold (PPT) in unipolar and bipolar depressed patients and assess any differences between these two diagnoses. This study included 40 patients diagnosed with unipolar depression and 89 patients diagnosed with bipolar depression according to DSM-IV criteria, also 40 healthy, age...
Open Access DOI:10.23937/2474-3674/1510080
The Outcome of Undisplaced Femoral Neck Fracture in Elderly
Adnan A Faraj, FRCS, Parvez Hussain, MRCS and Karthika Velusamy, MBBS
Article Type: Review Article | First Published: June 06, 2019
The management of Garden type 1 and 2 undisplaced proximal femoral intracapsular fracture in elderly patients is controversial. Many options including arthroplasty and fixation have been suggested based on patient's age and cognitive function. We have retrospectively reviewed 85 elderly patients with undisplaced femoral neck fracture. The mean age of the cohort was 81 years. 52 patients were treated with cemented hemi-arthroplasty, 19 with dynamic hip screw fixation, 10 had cannulated screw fixa...
Open Access DOI:10.23937/2643-4563/1710015
Impact of the Number of Dissected Axillary Lymph Nodes on Survival in Breast Cancer Patients
Emad Eldin Nabil, Ahmed M Maklad, Ashraf Elyamany, Emad Gomaa and Moamen M Ali
Article Type: Research Article | First Published: June 05, 2019
For patients with breast cancer, axillary dissection was a standard treatment, especially with patient with positive metastases in the sentinel nodes. For some patients axillary dissection might be over-treatment, including those who have had a mastectomy. Especially with the new trend of many radiation-therapy centers, provide radiation-therapy for any number of positive lymph nodes. The aim of our work is to evaluate the impact of number of dissected axillary Lymph Nodes (LN), on Overall Survi...
Open Access DOI:10.23937/2474-3674/1510079
Pneumococcal Sepsis as a Cause of Massive Splenic Infarction in Patient with Unknown Celiac Disease
Alessandro Graziani, Federica Mirici Cappa, Erica Fiorini, Pierpaolo Casalini and Francesco Albertini
Article Type: Case Report | First Published: June 06, 2019
Splenic Infarction (SI) is a rare event that occurs when the Splenic Artery (SA) or its branches become occluded by embolus or by in situ thrombosis. Most SI events are a result of embolic sources either cardiac or aortic. However malignant hematological disorders and autoimmune diseases are the predominant causes of splenic thrombosis. Massive Splenic Infarction (MSI) results from compromised blood flow to more than half of the spleen. In this paper we describe a case of a previously healthy pa...