Introduction. Overdose with the calcium channel blocker amlodipine can cause profound hypotension that may be exacerbated by the concurrent ingestion of an angiotensin II receptor antagonist. Best management of such overdoses is uncertain although the use of hyperinsulinaemia-euglycaemia (HIE) has been recommended. Case report. We report a case of mixed amlodipine and losartan overdose in a 50-...

Bilateral subclavian stenosis is a rare clinical condition. An interbrachial pressure difference of 15 mm Hg can raise suspicion for unilateral subclavian artery stenosis, but the diagnosis of bilateral subclavian artery stenosis can be challenging. We present a case of a 75-year-old woman who presented with refractory hypotension after surgery. Initial vitals revealed blood pressure in the 60s...

INTRODUCTION Fluid-resistant arterial hypotension can result in hypoperfusion of the brain and other organs. Well-known causes of arterial hypotension in neurosurgical practice include cardiac failure, septic shock, adrenal insufficiency, brainstem, and cervical spinal cord damage. Fluid-resistant arterial hypotension can occur in patients with brain edema without damage to brainstem when hypot...

Asthma is a common reason for presentation to the Emergency Department and associated with significant morbidity mortality. While patients may have relatively benign course, there subset of who present in critical state require emergent management. This narrative review provides evidence-based recommendations assessment management severe asthma. It important consider broad differential diagnosi...

BACKGROUND AND PURPOSE Propofol is used for treating refractory status epilepticus, which has high rate of mortality. Propofol infusion syndrome is a rare but often fatal syndrome, characterized by lactic acidosis, lipidemia, and cardiac failure, associated with propofol infusion over prolonged periods of time. We investigated the clinical factors that characterize propofol infusion syndrome to...

objective neuropsychological impairment is an important co-morbidity of chronic epilepsy. the aim of this study was to determine the state of the cognitive and motor development of patients with refractory epilepsy. materials & methods  we studied 150 consecutive children with epilepsy who were referred to mofid children hospital, a third level public referral university hospital in tehran, ira...

objective several investigations have demonstrated that rosa damascena has an inhibitory effect on the hypothalamus and on pituitary system reactivity in the rat; it has also been shown that the essential oil of rosa damascena has significant antiepileptic effects on pentylentetrazole (ptz) induced seizures in rats. we aimed at assessing the effects of the essential oil of rosa damascena when u...