A 48-year-old man developed severe chest pain and became unconscious. Coronary cineangiography revealed single coronary artery of the type L2b by Sharbaugh and White. Ergonovine, 0.2 mg i.v., produced coronary arterial spasm in the right coronary artery. This case suggests that coronary arterial spasm might be a cause of sudden death in patients with single coronary artery. However, an associat...

Spasm of the near reflex, as first described by Cogan in 1955, is a triad of intermittent convergent strabismus, accommodative spasm, and pupillary miosis. The accommodative spasm induces pseudo-myopia that is usually accompanied by visual blurring. It is a functional disorder that has been attributed to hysteria, although it can have an organic etiology. Definitive treatment remains problemati...

Abstract Background Factor VII deficiency is a rare, inherited disorder secondary to reduction or absence of factor (FVII) the coagulation pathway presenting with autosomal recessive transmission and caused by different types mutation F7 gene. The clinical manifestations syndrome are highly variable: depending on case, it can remain asymptomatic, present episodes bleeding trauma surgery, manife...

PURPOSE Among different seizure types, tonic-clonic seizures are more significant because they are more often associated with morbidity. No prior study has been done to investigate risk factors associated with tonic-clonic seizures in patients with mesial temporal epilepsy. METHODS In this retrospective study, all drug-resistant mesial temporal epilepsy patients in the database of patients wh...

Focal coronary spasm is often associated with an area of mural plaque disease. This report describes a patient with recurrent severe coronary spasm unresponsive to medical treatment. Coronary arteriography and intravascular ultrasound identified a candidate area of minor coronary atheromatous disease but ergonovine provocation testing showed the spastic coronary segment to be distal to and dist...

A prospective, interventional study was carried out on all the patients of Essential Blepharospasm Symdrome, Hemifacial Spasm and Meige’s syndrome who underwent treatment with botulinum toxin A in BP Koirala Lions Centre for Ophthalmic studies during a study period of one and half years. Pretreatment grading of the spasm was done with Jankovic spasm grading and post treatment response was seen ...

PURPOSE InvDup(15) syndrome is one of the most common chromosomal abnormalities associated with epilepsy. Here we review the seizure types described in InvDup(15) patients and the main electroclinical, therapeutic, and prognostic aspects of the syndrome. METHODS A literature search of PubMed, MEDLINE, and EMBASE was performed to identify papers examining InvDup(15) syndrome and epilepsy. RE...

Carbamazepine in the treatment of generalised tonic clonic seizures in juvenile myoclonic epilepsy Juvenile myoclonic epilepsy is characterised by bilateral myoclonic jerks on wakening, and generalised tonic clonic seizures with onset in the mid-teens, which may be preceded by typical absences in 33% of patients.' Findings on EEG include bilateral spikes or multiple spike-slow wave discharges a...

We injected acetylcholine (ACh), the neurotransmitter of the parasympathetic nervous system, into the coronary arteries of 28 patients with variant angina. Injection of 10 to 80 micrograms ACh into the coronary artery responsible for the attack induced spasm together with chest pain and ST segment elevation or depression on the electrocardiogram in 30 of the 32 arteries of the 25 of the 27 pati...

Experimental Study on the Genesis of Cerebral Vasospasm • The cerebral vasospasm produced by blood, fractions of blood, and blood-borne agents administered intracisternally was studied arteriographically to attain a better understanding of the genesis of vasospasm. The results indicate this phenomenon is multifarious in origin, involving a number of spasmogens. Whole blood, platelets, platelet ...