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Articles 5341 - 5370 of 5928
Full-Text Articles in Medical Specialties
A New Antiplatelet Agent Cilostazol: What Is The Evidence For Its Use And Tolerability?, Shaista Anwar Sidddiqi, Ayeesha Kamran Kamal
A New Antiplatelet Agent Cilostazol: What Is The Evidence For Its Use And Tolerability?, Shaista Anwar Sidddiqi, Ayeesha Kamran Kamal
Section of Neurology
No abstract provided.
Peripheral (Limb) Myokymic Discharges In Motor Neuron Disease, Javeria Rauf, Junaid Akhtar, Bhojo Assumal Khealani, Liaquat Ali
Peripheral (Limb) Myokymic Discharges In Motor Neuron Disease, Javeria Rauf, Junaid Akhtar, Bhojo Assumal Khealani, Liaquat Ali
Section of Neurology
We present the case of a 28-year-old gentleman who presented with weakness and wasting in the right arm. He complained about painful cramps in his left leg but there were no sensory, visual or swallowing problems. Neurological examination was significant for asymmetric weakness of both upper and lower limbs and deep tendon reflexes were asymmetrically brisk. Initial laboratory investigations, MRI brain and MRI spine were normal. Electromyography revealed active denervation and chronic neurogenic motor unit action potential. Myokymic discharges were noted in the left deltoid muscle.
Pathophysiology And Management Of Spontaneous Intracranial Hypotension--A Review, Nadir Ali Syed, Farhan Arshad Mirza, Aqueel Hussain Pabaney, Rameez-Ul-Hassan
Pathophysiology And Management Of Spontaneous Intracranial Hypotension--A Review, Nadir Ali Syed, Farhan Arshad Mirza, Aqueel Hussain Pabaney, Rameez-Ul-Hassan
Section of Neurology
Spontaneous Intracranial Hypotension is a syndrome involving reduced intracranial pressure secondary to a dural tear which occurs mostly due to connective tissue disorders such as Marfans Syndrome, and Ehler Danlos Syndrome. Patients with dural ectasias leading to CSF leakage into the subdural or epidural space classically present with orthostatic headaches and cranial nerve deficits mostly seen in cranial nerves V-VIII. Diagnosis of SIH is confirmed with the aid of neuroimaging modalities of which Cranial MR imaging is most widely used. SIH can be treated conservatively or with epidural blood patches which are now widely being used to repair dural tears, …
A Critical Analysis Of The Current State Of Neurosurgery Training In Pakistan, Muhammad Shahzad Shamim, Muhammad Zubair Tahir, Saniya Siraj Godil, Rajesh Kumar, Arshad Ali Siddiqui
A Critical Analysis Of The Current State Of Neurosurgery Training In Pakistan, Muhammad Shahzad Shamim, Muhammad Zubair Tahir, Saniya Siraj Godil, Rajesh Kumar, Arshad Ali Siddiqui
Section of Neurosurgery
Objective: To observe interdepartmental variation in the availability of resources and academic activities within the various neurosurgery programs of Pakistan.
Methods: This was a proforma-based survey of neurosurgery trainees and young neurosurgeons of Pakistan, looking at the academic infrastructure and output of their programs. The proforma was filled by 36 respondents from 11 neurosurgery centers of the country. All these centers were accredited for neurosurgery training in Pakistan.
Results: Out of the 36 respondents, 30 were completing a Fellowship training (FCPS) and six were enrolled for a Master in Surgery (MS) program. About 80% of the participants used the Youman's …
Cerebrospinal Fluid Rhinorrhea: An Institutional Perspective From Pakistan, Muhammad Zubair Tahir, Muhammad Babar Khan, Muhammad Umair Bashir, Shabbir Akhtar, Muhammad Ehsan Bari
Cerebrospinal Fluid Rhinorrhea: An Institutional Perspective From Pakistan, Muhammad Zubair Tahir, Muhammad Babar Khan, Muhammad Umair Bashir, Shabbir Akhtar, Muhammad Ehsan Bari
Section of Neurosurgery
Background:The management of cerebrospinal fluid (CSF) rhinorrhea has evolved over the last two decades. We present here a review of our 11-year data on CSF rhinorrhea and its management at a tertiary care hospital in a developing country, with particular reference to the diagnosis, surgical management and outcome of the disease.
Methods: The medical charts of all Patients with a diagnosis of CSF rhinorrhea over an 11-year period were reviewed. The etiology of CSF rhinorrhea was classified into three categories: spontaneous, iatrogenic and traumatic. All the Patients were divided into three categories based on the type of management as …
Jean-Martin Charcot - Neurologist By Avocation, Nephrologist By Yearning, Gary Eknoyan
Jean-Martin Charcot - Neurologist By Avocation, Nephrologist By Yearning, Gary Eknoyan
Houston History of Medicine Lectures (2006-2012)
In an age of medical advances and specialization, Jean-Martin Charcot (1825-1893) helped found the discipline of neurology and in 1882 was appointed the first professor of Diseases of the Nervous System in France. As an investigator with broad interests and vast knowledge Charcot contributed to several other disciplines. An early mentor and dominant figure in Charcot's formative years was Pierre Rayer (1793-1867), famous for his seminal contributions to the study of the kidney, who gifted Charcot with his passion for clinical pathological correlations and likely a yearning for the study of kidney diseases. Famous for the clarity and incisiveness of …
Dural Sinus Thrombosis A Local Experience At Shifa International Hospital, Islamabad, Pakistan, Maimoona Siddiqui, Nadia Mehboob, Ismail A. Khatri
Dural Sinus Thrombosis A Local Experience At Shifa International Hospital, Islamabad, Pakistan, Maimoona Siddiqui, Nadia Mehboob, Ismail A. Khatri
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Variations In Practice Patterns Among Neurosurgeons And Orthopaedic Surgeons In The Management Of Spinal Disorders, Manzar Hussain, Sadaf Nasir, Amber Moed, Ghulam Murtaza
Variations In Practice Patterns Among Neurosurgeons And Orthopaedic Surgeons In The Management Of Spinal Disorders, Manzar Hussain, Sadaf Nasir, Amber Moed, Ghulam Murtaza
Section of Neurosurgery
Study design: This is a case series.
Purpose: We wanted to identify variations in the practice patterns among neurosurgeons and orthopedic surgeons for the management of spinal disorders.
Overview of literature: Spinal disorders are common in the clinical practice of both neurosurgeons and orthopedic surgeons. It has been observed that despite the availability of various guidelines, there is lack of consensus among surgeons about the management of various disorders.
Methods: A questionnaire was distributed, either directly or via e-mail, to the both the neurosurgeons and orthopedic surgeons who worked at 5 tertiary care centers within a single region of Korea. …
Pediatric Neurology In The 21st Century: Its Outlook In Pakistan, Shahnaz Ibrahim
Pediatric Neurology In The 21st Century: Its Outlook In Pakistan, Shahnaz Ibrahim
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Snap, Crackle & Pop A Normal Variant Of Increased Insertional Activity: May Be Misleading For Electromyographer, Ghulam Shabbir, M Al Hakami, Manzoor A.L, Asad Ullah, Mustafa Khan
Snap, Crackle & Pop A Normal Variant Of Increased Insertional Activity: May Be Misleading For Electromyographer, Ghulam Shabbir, M Al Hakami, Manzoor A.L, Asad Ullah, Mustafa Khan
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Biotinidase Deficiency- A Treatable Inherited Metabolic Disorder, Bushra Afroze
Biotinidase Deficiency- A Treatable Inherited Metabolic Disorder, Bushra Afroze
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Baseline Profile Of Childhood Focal Epilepsies In Jordan, Wael Hayel Khreisat
Baseline Profile Of Childhood Focal Epilepsies In Jordan, Wael Hayel Khreisat
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
The Effect Electroacupuncture On Postoperative Pain Management Following Inguinal Surgery, Kamiar Tavakkoli Tabassi, Rahim T.R, Shabnam M, A.A Kabiri, Amir G
The Effect Electroacupuncture On Postoperative Pain Management Following Inguinal Surgery, Kamiar Tavakkoli Tabassi, Rahim T.R, Shabnam M, A.A Kabiri, Amir G
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Familial Hypocupremia With Neurological Manifestations, Bilal Mustafa, Arsalan Ahmad, Ismail A. Khatri
Familial Hypocupremia With Neurological Manifestations, Bilal Mustafa, Arsalan Ahmad, Ismail A. Khatri
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Cryptococcal Meningitis In A Patient With Diabetes Mellitus And Chronic Liver Disease Case Report With Neuroimaging, Abdul Salam, Arsalan Ahmad, Ayesha Junaid, Ismail A Khatri, Maimoona Siddiqui
Cryptococcal Meningitis In A Patient With Diabetes Mellitus And Chronic Liver Disease Case Report With Neuroimaging, Abdul Salam, Arsalan Ahmad, Ayesha Junaid, Ismail A Khatri, Maimoona Siddiqui
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Neurology, Farzin Majeed Dr.
Neurology, Farzin Majeed Dr.
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Neuroradiology, Zafar Sajjad Dr.
Neuroradiology, Zafar Sajjad Dr.
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Neurosurgery, M. Shahzad Shamim Dr.
Neurosurgery, M. Shahzad Shamim Dr.
Pakistan Journal of Neurological Sciences (PJNS)
No abstract provided.
Ambulatory Blood Pressure Monitoring In Stroke Survivors: What Do We Add To The Care Of Our Patients?, Shaista Anwar Sidddiqi, Ayeesha Kamran Kamal
Ambulatory Blood Pressure Monitoring In Stroke Survivors: What Do We Add To The Care Of Our Patients?, Shaista Anwar Sidddiqi, Ayeesha Kamran Kamal
Department of Medicine
No abstract provided.
Ambulatory Blood Pressure Monitoring In Stroke Survivors: What Do We Add To The Care Of Our Patients?, Shaista Anwar Sidddiqi, Ayeesha Kamran Kamal
Ambulatory Blood Pressure Monitoring In Stroke Survivors: What Do We Add To The Care Of Our Patients?, Shaista Anwar Sidddiqi, Ayeesha Kamran Kamal
Section of Neurology
No abstract provided.
Non-Operative Management Is Superior To Surgical Stabilization In Spine Injury Patients With Complete Neurological Deficits: A Perspective Study From A Developing World Country, Pakistan, Muhammad Shahzad Shamim, Syed Faizan Ali, Ather Enam
Non-Operative Management Is Superior To Surgical Stabilization In Spine Injury Patients With Complete Neurological Deficits: A Perspective Study From A Developing World Country, Pakistan, Muhammad Shahzad Shamim, Syed Faizan Ali, Ather Enam
Section of Neurosurgery
Background: Surgical stabilization of injured spine in Patients with complete spinal cord injury is a common practice despite the lack of strong evidence supporting it. The aim of this study is to compare clinical outcomes and cost-effectiveness of surgical stabilization versus conservative management of spinal injury in Patients with complete deficits, essentially from a developing country's point of view.
Methods: A detailed analysis of Patients with traumatic spine injury and complete deficits admitted at the Aga Khan University Hospital, Pakistan, from January 2004 till January 2010 was carried out. All Patients presenting within 14 days of injury were divided in …
Mis Posterior Cervical Spine Surgery: Five-Level Fusion Through A Novel Cervical Tube, Ashwini Sharan Md, Mitchell A. Hardenbrook, Md, John K. Ratliff Md, James Harrop, Md
Mis Posterior Cervical Spine Surgery: Five-Level Fusion Through A Novel Cervical Tube, Ashwini Sharan Md, Mitchell A. Hardenbrook, Md, John K. Ratliff Md, James Harrop, Md
JHN Journal
Minimally invasive surgical (MIS) techniques to the spine have focused mainly on the lumbar region. Many reports exist on the ability to decompress the neural structures in the lumbar and thoracic spine both via an anterior and posterior approach. Familiarity with these techniques now allows one or two level interbody and pedicle fusions, and treatment of trauma through MIS approaches. Controversy exists as to the efficacy of these techniques because direct studies comparing MIS approaches with open techniques are lacking. However, proponents of these techniques site smaller incision, less muscle retraction, less blood loss, shorter length of stay and better …
Functional Recovery Of Untreated Human Immunodeficiency Virus-Associated Guillain-Barré Syndrome: A Case Report, Adam L. Schreiber, John W. Norbury Iii, Eduardo A. De Sousa
Functional Recovery Of Untreated Human Immunodeficiency Virus-Associated Guillain-Barré Syndrome: A Case Report, Adam L. Schreiber, John W. Norbury Iii, Eduardo A. De Sousa
Department of Rehabilitation Medicine Faculty Papers
HIV-associated Guillain-Barré Syndrome is a well-documented phenomenon, typically occurring at seroconversion. GBS may result in functional impairment treated with a combination of medications, plasmapheresis, and rehabilitation. The quantified functional recovery of HIV-associated GBS with or without HIV treatment is not well-described. Utilizing serial FIM scoring, we describe a patient’s recovery from HIV-associated GBS after treatment with IVIg and acute inpatient rehabilitation without HIV treatment.
Can Selective Serotonin Reuptake Inhibitors (Ssri) Improve Motor Recovery After Stroke? What Is The Role Of Neuroplasticity?, Farzin Majeed, Ayeesha Kamran Kamal
Can Selective Serotonin Reuptake Inhibitors (Ssri) Improve Motor Recovery After Stroke? What Is The Role Of Neuroplasticity?, Farzin Majeed, Ayeesha Kamran Kamal
Department of Medicine
No abstract provided.
What Are The Implications Of Accountable Care Organizations For Physical Medicine And Rehabilitation Practices?, John L. Melvin, Greg Worsowicz
What Are The Implications Of Accountable Care Organizations For Physical Medicine And Rehabilitation Practices?, John L. Melvin, Greg Worsowicz
Department of Rehabilitation Medicine Faculty Papers
The goal of delivering quality health care at a lower overall cost through accountable care organizations (ACO) as described as part of the Patient Protection and Affordable Care Act of 2010 (ACA) has gained momentum among payers, providers, and the public. The concept includes developing an organization that provides incentives for quality care while lowering the overall cost of the care. If the goals are met, then both providers and payers would be able to share in the financial savings produced by the lower health care costs achieved while improving the quality of care delivered. The Centers for Medicare and …
On The Incidence Of Pulmonary Embolism In Spinal Arthrodesis And The Need For Better Evidence And Prevention Guidelines, Zachary J. Senders, Bs, Benjamin Zussman, Bs, James S. Harrop, Md
On The Incidence Of Pulmonary Embolism In Spinal Arthrodesis And The Need For Better Evidence And Prevention Guidelines, Zachary J. Senders, Bs, Benjamin Zussman, Bs, James S. Harrop, Md
JHN Journal
Pulmonary Embolism (PE) is a rare but serious event that may occur after spinal surgery. Vascular endothelial damage during surgery and immobilization of the patient after surgery contribute to a higher risk of thrombosis and subsequent PE. Prophylaxis including intermittent pneumatic compression stockings, heparin, and other interventions is often employed by the treatment team to lower the risk of thromboembolic complications. In orthopedic, trauma, burn and other high-risk surgical patients, the incidence of PE has been thoroughly studied, and this knowledge has been used to establish prophylaxis guidelines specifically for these patients. The incidence of PE in spinal fusion patients, …
Surgical Management Of Fungal Vertebral Osteomyelitis, Benjamin M. Zussman, Bs, David L. Penn, Ms, James S. Harrop, Md
Surgical Management Of Fungal Vertebral Osteomyelitis, Benjamin M. Zussman, Bs, David L. Penn, Ms, James S. Harrop, Md
JHN Journal
Fungal vertebral osteomyelitis (FVO) is an uncommon but aggressive disease that may cause spinal instability, neurological insult, and possible death. Little data about treatment strategies and patient outcomes exist. A retrospective review of medical and surgical management with follow-up of this disease was performed.
Bevacizumab: A Controversial Agent Against High-Grade Gliomas, Sussan Salas, Md, Miguel Guzman, Md, Kevin Judy, Md
Bevacizumab: A Controversial Agent Against High-Grade Gliomas, Sussan Salas, Md, Miguel Guzman, Md, Kevin Judy, Md
JHN Journal
Glioblastoma multiforme (GBM) is the most common primary malignant brain tumor in adults. Despite the current regimen of surgical resection with subsequent external beam radiotherapy and temozolomide, mean survival is 14.6 months and 2-year survival is 26%. GBM is a highly vascular tumor, a result of its increased expression of vascular endothelial growth factor (VEGF) compared to other brain tumors. VEGF promotes endothelial cell proliferation, and is thought to have a pivotal role during tumor progression. Multiple treatment modalities have targeted VEGF and VEGF receptors (VEGFTs) due to their essential roles in the regulation of angiogenic processes. Bevacizumab is a …
Case Report On Intracranial Hemorrhage Related To Type I Cryoglobulinemia, Richard Dalyai, Md, L. Fernando Gonzalez, Md
Case Report On Intracranial Hemorrhage Related To Type I Cryoglobulinemia, Richard Dalyai, Md, L. Fernando Gonzalez, Md
JHN Journal
A traumatic intracranial hemorrhage (ICH) is a common neurosurgical pathology that affects about 20 of 100,000 people every year with a mortality of at least 40%. However, a specific etiology, cannot be identified in about 30% of spontaneous ICH. Here, we present a rare case of ICH related to a patient's previously undiagnosed cryoglobinemia.
The Prevalence Of Cervico-Arterial Dissection In Sub-Arachnoid Hemorrhage In The United States, Ali Seifi, Md, Fred Rincon, Md, Msc, Mitchell Maltenfort, Phd, Pascal Jabbour, Md, Rodney Bell, Md, Michael Moussouttas, Md
The Prevalence Of Cervico-Arterial Dissection In Sub-Arachnoid Hemorrhage In The United States, Ali Seifi, Md, Fred Rincon, Md, Msc, Mitchell Maltenfort, Phd, Pascal Jabbour, Md, Rodney Bell, Md, Michael Moussouttas, Md
Department of Neurology Faculty Papers
Objectives: In this study, we sought to determine the prevalence of cervico-arterial dissection in aubarachnoid hemorrhage (SAH) using a large administrative database.