war has devastating implications for families, communities, cultures, economies, and state infrastructure. similarly, the last decade has seen an increase in the number of attacks against health workers in conflict zones and unstable environments. unfortunately, these attacks have grave consequences for local populations which often rely on foreign aid programs for their health and well-being. ...

0

thalamic pain syndrome, a type of central post-stroke pain (cpsp), may develops after a hemorrhagic or ischemic stroke and results in impairment of the thalamus. there is limited experience about gabapentin in treatment of central pains like cpsp.in a prospective observational study, the intensity of pain was recorded using the numeric rating scale (nrs) at the entrance to the study. patients e...

a strategy employing moderate hypothermia for the replacement of the aortic arch is proposed to avoid the complications of profound hypothermic circulatory arrest. two patients underwent the complete replacement of the aortic arch using three pumps - for the brain, thoracoabdominal aorta, and heart, respectively. there were no complications and the patients were extubated uneventfully. the meth...

background and objective: the circle of willis (cow) supports adequate blood supply to the brain. the cardiovascular system, in the current study, is modeled using an equivalent electronic system focusing on the cow. method: in our previous study we used 42 compartments to model whole car- diovascular system. in the current study, nevertheless, we extended our model by using 63 compartments to ...

We estimated the event rates for stroke and transient cerebral ischemic attacks in a prospective community-based epidemiologic study in a representative segment of the city of Perth, Western Australia, during a 10-month period in 1986. Of 349 persons with an initial diagnosis of stroke or transient ischemic attack, 154 had suffered a first stroke, 75 a recurrent stroke, and 47 a transient ische...

Moyamoya disease is a rare neurovascular disorder that involves constriction of certain arteries in the brain. In patients with moyamoya disease, it is very important to prevent cerebral ischemic attacks and intracerebral bleeding caused by fluctuating blood pressure and increased respiration. A 40-year-old woman with moyamoya disease was scheduled for extraction of her right upper and lower im...

Patients with renal failure have a higher risk for cerebrovascular events and silent brain damage and a higher cardiovascular mortality rate when compared with the general population. We present two cases where alteplase was used for hemodialysis patients (HP) with acute ischemic stroke (AIS). A 70-year-old Caucasian female with a 2-year history of hemodialysis was admitted with right hemipares...

Medical Department of Frederikssund Hospital, Dybendal, 3600 Frederikssund, Denmark Vagn R0nnov-Jessen, MD, chiefphysician Vertebrobasilar insufficiency is a comparatively young clinical entity. Transient cerebral attacks were described in the last 40 years of the nineteenth century by Raynaud in 1862, Weiss in 1882, Bastian in 1886, and Osler in 1896.' Basilar thrombosis was first described by...

The present study outlines the clinical profile and patterns of extracranial vascular abnormalities detected by continuous wave doppler ultrasonography (CWDU) in 100 patients with cerebrovascular insufficiency states. Males outnumbered females (65:35); completed stroke (CS) was a more common mode of presentation than transient ischaemic attacks (TIA); carotid strokes were more common than verte...