A 66-year-old male with a history of hypertension, back pain, diverticulosis and anal fistula presents with acute onset syncopal episodes, worsening back pain, and altered mental status. The patient exhibited considerable leukocytosis but was hemodynamically stable. CT imaging of the head revealed a gas pattern in the posterior fossa and velum interpositum. CT imaging of the abdomen and pelvis ...

Objective: Tramadol is a synthetic analgesic with two mechanisms. The opioid and non-opioid mechanisms are responsible for tramadol side effects. Non-opioid side effects of tramadol are due to the reuptake inhibitions of serotonin and norepinephrine. Some of the side effects include anaphylactoid reactions, CNS depression, hypoglycemia, hypotension, respiratory depression, seizures, and seroton...

Objective and Importance: The authors report a case of a symptomatic giant serpentine MCA aneurysm treated with double STA-MCA bypass with thrombectomy and excision of aneurysm. This is the first reported case of a double bypass with concomitant thrombectomy and excision of aneurysmal segment. Clinical Presentation/Methods: We report the case of a 27-year-old Hispanic male with severe acute dec...

objectives: the current study was performed to investigate the relationship between mental impairment and each component of activity of daily living (adl) in elderly residents of the kahrizak charity foundation. methods & materials: standardized iranian mini mental examination and barthel index were used to assest cognitive status and adl in 184 elderly residents of kahrizak, respectively. resu...

conclusions the research revealed that nonsmokers showed better mental health and dyadic adjustment than smokers, thus suggesting that smoking endangers and can impair the tranquility of families and that smoking also threatens the dyadic adjustment of couples. background the mental health and dyadic adjustment of smokers is a matter of serious concern which brings many demerits on mental healt...

Objectives: To investigate the psycho-physiological mechanisms of an Altered State of Consciousness (ASC) produced through systematic mental training by correlating the results of multiple computerised bioelectrographic measurements. Design: All subjects were tested using a set of modern computerized techniques comprising: digital electroencephalography; measurement of the low-frequency bi-late...

Posterior reversible encephalopathy syndrome (PRES) is a clinical and radiological syndrome, characterized by acute onset of headache, altered mental status, visual impairment, nausea, vomiting, seizure, hypertension. PRES condition if it recognized early, but neurological damage or even death may occur. Herein, we present two cases ALL who developed during their induction therapy literature re...

OBJECTIVE Unlike seasonal influenza, seen in previous years, the strain identified in the 2009 influenza-A pandemic involved high mortality. In this study, prognostic factors and general characteristics of pneumonia cases developed in Turkey during the H1N1 pandemic between October 2009 and January 2010 were analyzed. STUDY DESIGN Multicenter retrospective study. MATERIAL AND METHODS This m...

Cerebellar Hippocampal and Basal Nuclei Transient Edema with Restricted diffusion (CHANTER) syndrome is characterized by an altered mental status. The acute MRI lesions show abnormal restricted imaging bilaterally symmetrically in the cerebellum, hippocampus, basal nuclei. This unknown presumed to be mainly opioidinduced toxidrome. Here, we present a case study wherein that it can also caused a...

Posterior reversible encephalopathy syndrome (PRES) is a clinical and radiological in which patients present with an acute presentation of seizures, headache, altered mental status, cortical blindness, classic posterior cerebral edema on imagery. Patients HIV are at risk for the development this syndrome, but it rarely reported. We report case woman HIV-positive who was diagnosed PRES.