A 65-year-old comatose man with metastatic melanoma developed rapidly cycling breathing, clusters of approximately 10 abdominal excursions within 3 seconds, interspersed by seconds apnea (video 1 and figure), mimicking myoclonus. Introduced Plum Posner1 as a respiratory pattern associated lesions in the low pons or high medulla, cluster breathing can occur without pontomedullary when alkalosis ...

introduction: neonatal hypernatremia dehydration (nhd) is a dangerous condition in neonates, which is accompanied by acute complications (renal failure, cerebral edema, and cerebral hemorrhage) and chronic complications (developmental delay). children begin learning language from birth, and hearing impairment interferes with this process. we assessed the hearing status of infants with hypernatr...

while most tinnitus cases have some degree of hearing impairment, a small percent of the patients admitted to ear, nose and throat clinics or hearing evaluation centers are those who complain of tinnitus despite having normal hearing thresholds. present study was performed in order to better understanding of the probable causes of tinnitus and to investigate possible changes in the cochlear and...

Brainstem death and brain death although practically same with regards to the concept of organ donation, remain technically different. Brain death mandates irreversible cessation of all the functions of the entire brain and brainstem while brainstem death signifies irreversible damage to the brainstem. As per the Indian law, brainstem death is the legal requirement and not brain death.

case presentation our patient was a 32-year-old primigravid woman presented with abdominal and flank pain. her gestational age was 30 weeks. during admission in aria hospital, she had a significant hemoglobin level drop and developed signs of acute abdomen. conclusions laparotomy was performed and fundal uterine vessels rupture was seen and ligated. a 30-week-male fetus was born by cesarean sec...

purpose: to evaluate the effect of early drainage of delayed suprachoroidal hemorrhage (sch) after glaucoma surgery. methods: these study reports seven cases of delayed supra-choroidal hemorrhage following glaucoma surgery managed with early drainage. in this series instead of waiting for 7 to 14 days for clot lysis, the sch was drained from the suprachoroidal space immediately after diagnosis....

Cortical spreading depression is a pathophysiological excitation wave that occurs during pathophysiological brain conditions such as ischemic brain infarction, migraine aura, and others. Judged from experiments in rodents, the brainstem is thought to be comparatively resistant to the generation of spreading depression. However, because spreading depression can be elicited in the brainstem of ra...

Brainstem auditory evoked responses (BAERs) were recorded in 40 patients with clinically definite brainstem infarction, and results were compared to localizations from physical signs and CT scans. The BAER was abnormal in 92% of patients with evidence on physical examination of dysfunction of lateral structures in the pons or midbrain. Normal BAERs were seen with medially-situated or medullary ...

normal 0 false false false en-us x-none ar-sa spinal hematoma is a rare and usually severe neurological disorder that, without adequate treatment, often leads to death or permanent neurological deficit. epidural as well as subdural and subarachnoid hematomas have been investigated in some studies. a 66-year-old man referred to our hospital because of acute onset paraplegia and incontinency star...

In two newborn infants who had experienced severe asphyxial insults, and who showed noticeable signs of brainstem dysfunction, all components of the auditory brainstem response except the eighth nerve potential became undetectable. Both babies survived, their brainstem responses returned, and one of them is judged to be developmentally normal at the age of 18 months. Clinical signs of brainstem...