introduction:   sometimes physicians need to assess some markers on selected children's cerebrospinal fluid specimen according to lumbar puncture (lp). although immediate diagnosis and treatment especially for meningitis is necessary, but just at this moment, due to some incorrect believe in society, some parents may not allow physician to do lp. the reality is that most of these people, i...

Background and Importance: Lumboperitoneal shunts are commonly used to treat several conditions, but their use can result in significant complications. We discuss a complication of these shunts that has not been reported in the literature to date. Case Presentation: An obese, 41-year-old woman admitted to Rasool Akram Hospital complaining of a severe headache and blurred vision. The ...

BACKGROUND The increase in obesity in the general population brings more frequent challenges in imaging, as an increasing number of patients exceed the weight or girth limits of existing computed tomogram (CT) or magnetic resonance (MR) scanners. We describe a technique used for plain CT and CT angiogram of the head in a morbidly obese patient. CASE REPORT A 46-year-old man presented to the eme...

We report a case of a 22-year-old female student nurse who presented to hospital with an acute neuro-ophthalmological syndrome characterized by papilledema, ataxia, ophthalmoplegia and headache after a single first time use of 150 mg medroxyprogesterone intramuscular injection. Clinical, laboratory, radiological and ophthalmological investigations were in keeping with the diagnosis of idiopathi...

Background: The post-dural puncture headache (PDPH) is a common complication in spinal anesthesia. Headache may occure seven days after dural puncture. The headache may be worsened in sitting position and be better in supine position. PDPH is common in younger and tall people. The incidence rate of PDPH related to the size of spinal needle and the number of try and decrease with small, cutting ...

Lumbar puncture (LP) is a common procedure in various medical specialties to aid in diagnosis, despite the relatively high occurrence of complications, of which postLP headache is most notable. Ultrasonography, as an adjuvant to osseous palpation, may increase the success rate and decrease the rate of post-LP headache. Through a retrospective chart review of all patients who underwent an LP in ...

We report a case of difficult lumbar puncture due to the inability to obtain adequate cerebrospinal fluid (CSF) in a patient later diagnosed with spinal epidural lipomatosis (SEL). A 76-year-old man with a body mass index (BMI) of 24.1 kg/m2 was scheduled for transurethral resection of a bladder tumor for superficial bladder cancer under spinal anesthesia. The patient had a 3-year history of in...