Focal clonic seizures are a frequent epileptic phenomenon. However, there are few data about their pathogenesis. Eleven patients with focal epilepsy who experienced focal clonic seizures during prolonged video-EEG monitoring were included in this study. Nine patients had subdural electrodes on the precentral gyrus and one patient had additional bilateral subthalamic nucleus (STN) depth electrod...

please cite this article as : taherpour z, seyedian m, alasti m. simultaneous right coronary artery spasm in a patient with anterior st-segment elevation myocardial infarction: a case report. novel biomed 2013;1:29-33. simultaneous occlusion of two vessels causing infarction at different territories is an uncommon finding. we report simultaneous right ventricular and anterior st-segment elevati...

Neurovascular compression syndrome is generally caused by vascular at the root entry or exit zone of corresponding cranial nerve. Trigeminal neuralgia most frequent syndrome, followed hemifacial spasm. Despite ongoing debate in literature, pulsatile tinnitus also known to be a neurovascular resulting from vestibulocochlear Combined manifestations symptoms are very rare. We report case with simu...

BACKGROUND AND PURPOSE While it has been widely reported that the vasospasm following subarachnoid hemorrhage (SAH) is prevented/reversed by endothelin (ET) receptor antagonists selective for the ET(A) receptor and by nonselective ET receptor antagonists, ie, antagonists of both the ET(A) and ET(B) receptors, there are no reports on the possible attenuation of the spasm by selective ET(B) recep...

I a CMAJ research letter, Norman Epstein described 8 patients with acute muscle spasm. The diagnosis appears to have been based on subjective measurements of range of motion and pain; Epstein did not state how range of motion and tenderness were measured. There is no proof that pain symptoms or decreased range of motion result directly from abnormality or spasm of muscles. There is no gold stan...

OBJECTIVES The purpose of this study was to determine whether a 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor (statin) suppresses coronary spasm. BACKGROUND Coronary spasm is associated with endothelial dysfunction. Statins have been shown to improve endothelial function. METHODS This was a prospective, randomized, open-label, end point study. Sixty-four patients who had no sign...

PURPOSE To evaluate the costs and efficacy of type A botulinum toxin in the treatment of essential blepharospasm and hemifacial spasm. METHODS Pacients with essential blepharospasm and hemifacial spasm had their files analyzed. All patients were treated with type A botulinum toxin (Dysport) between April 2002 and May 2004 at the Oculoplastic Clinics of "Santa Casa de São Paulo". Twenty-seven ...

OBJECTIVES We aimed to test the hypothesis that coronary microvascular spasm (MVS) alone causes myocardial ischemia in patients with angina attributable to epicardial coronary spasm, and to determine whether there is a difference in clinical characteristics between those with and without microvascular spasm. BACKGROUND Patients with "vasospastic angina" have epicardial coronary artery spasm, ...

BACKGROUND Hemifacial spasm is usually diagnosed by inspection which mainly identifies involuntary movements of orbicularis oculi. Assessing abnormal muscle responses (AMR) is another diagnostic method. CASE DESCRIPTION We report a case of left hemifacial spasm without detectable involuntary facial movements. The patient was a 48-year-old man with a long history of subjective left facial twit...

Forty-six patients with typical hemifacial spasm had CT. Thirty-eight (83%) were abnormal, including two with surgically documented tumors. Thirty-six had a characteristic dolichoectatic vertebrobasilar artery, with the convexity pointing to the side of the spasm in 92% of the scans. This study suggests that CT is worthwhile procedure in the evaluation of hemifacial spasm and that dolichoectati...