BACKGROUND To judge the efficacy of new, putative stroke therapies, we need a method to measure neurological deficit accurately in groups of patients before and after treatment. No single measurement technique has yet proven to be universally acceptable, but one approach is the use of rating instruments that summarize the neurological deficit found on clinical examination. Currently, stroke ass...

traumatic brain injury (tbi) is one of the most common neurological diseases with no definite treatment. erythropoietin (epo) and progesterone (prog) have been shown to have neuroprotective effects in different types of experimental brain injury models. this study was designed to determine the effect of epo, prog and combination of epo/prog on neurological outcome after traumatic brain injury. ...

AIM Burst fractures can occur with different radiological images after high energy. We aimed to simplify radiological staging of burst fractures. METHODS Eighty patients whom exposed spinal trauma and had burst fracture were evaluated concerning age, sex, fracture segment, neurological deficit, secondary organ injury and radiological changes that occurred. RESULTS We performed a new classif...

Stab wounds of the spinal canal are rare and constitute an uncommon cause of spinal cord injury. They are usually responsible for an immediate neurological deficit that requires emergency therapeutic management to minimize the extent of neurological deficit and to prevent further loss of neurological function. Magnetic resonance imaging (MRI) is used to evaluate damage to the spinal cord, inclu...

To cite: Nwankwo N, Yeddula K, Vogel J. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013009985 DESCRIPTION A 57-year-old man with a history of HIV presented to the hospital with generalised weakness, slurred speech and an unsteady gait. CT scan showed hypodensity in the left cerebellar hemisphere and middle cerebellar peduncle and an MRI of the brain was consi...

Postoperative epidural hematoma (EDH) usually present with neurological deficit. Massive EDH presenting with only severe pain without neurological deficit are rare. Atypical presentations of postoperative EDHs may lead to delayed diagnosis and treatment. We present three such cases after posterior cervical spine surgery. Three patients presented with severe neck pain and spasms without motor de...

This study was performed to assess if the kind of pump used for CPB (roller vs. centrifugal) can influence neurological outcomes of adult cardiac surgery patients. Between 1994 and 1998, 3438 patients underwent coronary and/or valve surgery at our hospital; of these, 1805 (52.5%) underwent surgery with the use of a centrifugal pump, and 1633 (47.5%) were operated with a roller pump. The effect ...

central venous catheter (cvc) insertion is a practical way to assess patients hemodynamic specially in cardiovascular surgery but this relatively simple junior level procedure is not risk free and its common reported complications include; pneumothorax, hydrothorax, hemothorax, local hematoma, cardiac tamponade, vascular injury, thrombosis, embolism, and catheter disruption. here in this articl...