introduction the current study introduces a case with adrenal insufficiency that was suspected to have congenital adrenal hypoplasia because of undescended testis and failure to thrive due to muscle involvement. case presentation the patient was a 34-month-old boy who had loss of consciousness, hypotension, hypoglycemia, hyponatremia and hyperkalemia with severe failure to thrive, hyper pigment...

chronic subdural hematoma (csdh) is a curable entity frequently encountered by neurosurgeons. the present study was conducted to explore expert opinion and common practice in iran. besides, a review of randomized clinical trials in literature was performed. a questionnaire including six questions discussing major aspects of practice on csdh, with multiple choices was designed. a pilot study was...

spinal epidural haemorrhage may present as back pain associated with radicular symptoms and can be a catastrophic clinical scenario with progression to paraplegia or even sudden death. being a rare entity, it needs a high index ofclinical suspicion to diagnose it. fractures have been documented as a cause of hematorrachis but such hematomas only extend to one or two vertebral segments. large ep...

Introduction: Traumatic brain injury is considered as the major cause of mortality and hospitalization of about ten million people across the globe. Most of these patients are young and active people suffering disabilities. Tranexamic acid therapy is commonly used to reduce blood loss and need for blood transfusions in surgical cases. This study aimed at investigating the effect of tr...

Bilateral adrenal hemorrhages rarely occur during the neonatal period and are often associated with traumatic vaginal deliveries. However, the adrenal gland has highly regenerative capabilities and adrenal insufficiency typically resolves over time. We evaluated a newborn female after experiencing fetal macrosomia and a traumatic vaginal delivery. She developed acidosis and acute renal injury. ...

introduction : limb fracture is always accompanied by a sever pain that doctors try to reduce it when they treat such fractures and this in turn results in a better treatment. hematoma-block is one of the ways that is used to reduce the pain in colle’s fracture. this study examines the clinical analgesia in reduction of colle’s fracture by hematoma-block. materials & methods : in this quasi exp...

conclusions in evaluation of adrenal masses cystic lymphangioma should be considered as a differential diagnosis. introduction adrenal cystic lymphangioma is a rare benign tumor, which is nearly always asymptomatic and incidentally discovered during routine imaging work-ups or investigating other pathologies. case report a 43-year-old female presented hypertension, which during routine work-up ...

introduction extramedullary hematopoiesis in the kidney and adrenal are rarely reported in medical literature and are usually found as incidentaloma. it usually occurs in patients with hematologic disorder such as thalassemia. case presentation the patient was a 23-year-old iranian man with beta thalassemia who was admitted with a suprarenal mass. adrenal mass was detected by ultrasonography an...

There is little information concerning the correlation between clinical and CT findings in chronic subdural hematoma . This study was performed on 69 hematoma patients to find correlations between CT findings and GCS. Ninety one percent of patients were male and 9℅ were female. The average age was 63. In 87℅ of cases, the lesions was unilateral and in the remaining 13℅ , it was bilateral. The r...