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Article
Malignant features of Meningioma CT scan Study.

Author: Ali K. AL-Shalchy
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2010 Volume: 52 Issue: 3 Pages: 266-267
Publisher: Baghdad University جامعة بغداد

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Abstract

CT scan features of Malignant Meningioma
Objective: Meningioma which is a common benign Brain tumor can be malignant, but the final decision is by biopsy. However CT. Scan features can help to evaluate malignancy of a lesion. The aim of this retrospective study is to look for the malignant features of a malignant meningioma .
Patients and Methods: This is a retrospective study of 50 malignant meningiomas in the neuro-surgical unit in the specialized surgical hospital (previously AL-Shaheed Adnan hospital), for the period from March 1992 to March 2007. We search specially for Malignant features on the CT scan study of the patients.
Results: 94%of the patients had different features of malignant meningioma, only 6% CT scan did not show any malignant features, we also evaluated the results of surgery .
Conclusion: CT scan is one of the most important diagnostic procedures for diagnosis of brain tumor; however final diagnosis can only be emphasized by the histo-pathological studies.


Article
Clinical Presentations and CT Scan Findings in Children with Cerebral Palsy
الخصائص السريرية ونتائج مفراس الدماغ للاطفال المصابين بشلل الدماغ

Author: Mohammed Jalal Hussein Al-Khalidi محمــد جــلال حسيــن الخالــدي
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2009 Volume: 22 Issue: 1 Pages: 40-47
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Cerebral palsy is non- progressive disorder of posture or movement due to a lesion of the developing brain. It is the commonest physical disability in childhood.Objective: To study the clinical, neurological abnormalities, prevalence of convulsion (epilepsy) & to asses the value of CT scans of brain in patients with cerebral palsy.Patients& Methods: It is a cross-sectional hospital based study, carried at Al-Kindy Teaching hospital out-patient pediatrics unites for the period from first of January through June 2005.A total of 91 cases (52 boys, 39 girls) with over all mean age 25.6-month range (1 month-84 month) were collected. Data were collected from their parents about age, sex, main clinical presentation, and prenatal, perinatal, postnatal history, history of convulsion. They all had clinical examination.All patients were sent to radiology department at same hospital for CT scan of brain.Results: The study revealed that boys affected more than girls (52 boys, 39 girls) with male to female ratio 1.33:1,thecommonest age group affected between 7 month-12 month (30.8%), followed by the age group between 13-24 month (20.9%). delayed milestone with hypertonia & convulsion was the commonest clinical presentation, each represent (48.3%) followed by delayed milestone with hypotonia (34.0 %), microcephaly (29.6%) & speech delay (27.4%). The commonest type of cerebral palsy was spastic form (53. 9%), followed by hypotonic form (34.0%). Convulsion was predominant in quadriplegic cerebral palsy (50%). cortical brain atrophy was commonest CT scan finding (41.7%), followed by sub cortical brain atrophy (28.6%). Cortical brain atrophy was predominant in quadriplegic cerebral palsy (27.5%).CT scan was normal in (19.8%), predominantly in hypotonic cerebral palsy (13.2%).Conclusion: The pattern of clinical presentation & prevalence of convulsion in patients with cerebral palsy in the present study are comparable to the result from studies in other clinical settings with slight variation. CT scan of brain is highly valuable in patients with cerebral palsy.Key Words: Cerebral palsy, Convulsion, CT scan

خلفية الدراسة :- شلل الدماغ هو عوق حركي وموضعي ثابت سببه خلل في تركيب الدماغ النامي . وهو من أكثر الأمراض التي تسبب عوقاً حركياً وعقلياً عند الأطفال .هدف الدراسة :- هو دراسة الخصائص السريرية والعصبية الغير الطبيعية ومدى مصاحبتها بنوبات الصرع .ولتقييم مدى أهمية مفراس الدماغ في تشخيص المرض .طريقة الدراسة :- شملت الدراسة مرضى شلل الدماغ المراجعين للعيادة الاستشارية لطب الأطفال في مستشفى الكندي التعليمي للفترة من الأول من كانون الثاني ولغاية نهاية شهر حزيران عام 2005 . لقد تم جمع 91مصاباً بالمرض (52 ولد ، 39 بنت )، معدل عمرهم 25,6 شهر ويتراوح بين (1 شهر– 48 شهر ) جمعت معلومات من الأبوين حول العمر ،الجنس ، العلامات السريرية ،معلومات ما قبل الولادة (فترة الحمل)، فترة الولادة , فترة ما بعد الولادة ، معلومات عن الصرع او الاختلاجات .تم فحص المرضى سريرياً وأرسل جميع المرضى إلى شعبة الأشعة في المستشفى لإجراء فحص مفراس الدماغ .النتائج : بينت الدراسة ان الأولاد مصابون بالمرض اكثر من البنات (52 ولد ،39 بنت) ونسبة اصابة الولد إلى البنت هي 1,3 :1 . أكثر الأعمار المصابة بالمرض كانت بين عمر 7-12 شهراً وبنسبة (8 و30 % ) ويليه العمر بين 13-24 شهر بنسبة (20,9 % ) . تأخر التطور الحركي مع تشنج الأطراف ،والصرع كانت أكثر العلامات السريرية شيوعاً وتمثل كل واحدة منها نسبة (48,3 % ) يليه تأخر التطور الحركي مع رخاوة الأطراف بنسبة (34%) ، صغر حجم الرأس بنسبة (29,6 % ) وتأخر النطق بنسبة(27,4%).أكثر أنواع شلل الدماغ كان النوع التشنجي وبنسبة (53,9 % ) يليه شلل الدماغ الرخوي وبنسبة (34%) . الصرع كان أكثر شيوعاً عند المرضى المصابين بتشنج الإطراف وبنسبة (50%) . إن نتائج فحص مفراس الدماغ بينت أن ضمور الدماغ القشري هو أكثر الأنواع شيوعاً وبنسبة (41,7 % ) . يليه ضمور الدماغ تحت القشري وبنسبة ( 28,6 %) . إن معظم حالات ضمور الدماغ القشري كانت عند المرضى المصابين بتشنج الأطراف الرباعي وبنسبة( 27,5%) .كان مفراس الدماغ سالباً بنسبة( 19,8% ) . ومعظم الحالات السالبة كانت عند المرضى المصابين بشلل الدماغ الرخوي وبنسبة (13,2%) .الاستنتاجات:- الصفات السريرية والعصبية لمرضى شلل الدماغ في هذه الدراسة مشابهة لبحوث سريرية في أماكن مختلفة في العالم مع اختلافات بسيطة وان لمفراس الدماغ قيمة عليا في تشخيص المرض .

Keywords

Cerebral palsy --- Convulsion --- CT scan


Article
Craniometric asymmetry assessment in class I and class II skeletal relationship patients using helical computed tomography sample aged between 18-35 years

Authors: Uday A. Taha --- Lamia H. Al-Nakib لمياء حامد النقيب
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2013 Volume: 25 Issue: 4 Pages: 60-65
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Asymmetry assessment is an important component of orthodontic diagnosis and treatment planning.Several studies attempted to find the relationship between craniometric asymmetry and skeletal jaws relationshipand many authors found some extent of asymmetry in individuals with normal jaws relationship. The use of Computedtomography (CT) allows for the assessment of asymmetry on a dimensionally accurate volumetric image, aim of thestudy is to determine if there are differences in craniometric asymmetry between patient with skeletal class I andpatients with skeletal class II relationship using Helical CT scan.Materials and Methods: Ninety individuals with clinically symmetrical faces were imaged with Helical CT scan, andaging 18-35 years, divided into two groups, class Ι group consisted of 31 individuals and class ΙΙ group consisted of59individuals. Anatomical landmarks were defined and reference planes were established to determine thevariance of the landmarks using a coordinate plane system. Sagittal radiographs were used to determine theamount of the ANB angle. Asymmetry was analyzed by calculating the linear measurements and asymmetry indicesof the anatomical landmarks by using coronal and axial radiographs in both classes.Results: Clinically symmetrical faces demonstrated a computed tomographic significant asymmetry with the verticaldimensions being significantly larger than the bilateral dimensions and the amount of asymmetry was more at thelevel of the mandible and less at the maxillary area.Conclusions: The craniometric structures in terms of size and shape were larger in males than in females. The amountof asymmetry was independent on gender and skeletal jaws relationship and age


Article
CORRELATIONS BETWEEN SYMPTOMS, NASAL ENDOSCOPY AND COMPUTED TOMOGRAPHY IN PATIENTS WITH CHRONIC RHINOSINUSITIS

Author: Naser E. Naser ناصر عيدان ناصر
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2014 Volume: 12 Issue: 2 Pages: 108-113
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Rhinosinusitis is the inflammation of nasal and paranasal sinus mucosa and is associated with mucosal alteration ranging from inflammatory thickening to gross nasal polyp formation. Concha bullosa is the term used for an aerated middle turbinate or a cell found within the middle turbinate. These structures appear as a widened area of the middle turbinate, and they may obstruct the ostio meatal complex. In the absence of a history of sinusitis, the incidental finding of widened middle turbinate during endoscopy or concha bullosa on computed tomography (CT) does not mandate further investigation.Objectives:To determine the symptoms described at presentation, radiological findings, endoscopy and to compare endoscopy and computed tomography scan findings of the nose and paranasal sinuses in patients with chronic rhinosinusitis before endoscopic sinus surgery.Methods:Forty three patients with chronic rhinosinusitis were studied. Physical history, ear, nose and throat examinations plus endoscopic examinations of nose and paranasal sinuses were performed. Computed tomography scan of the sinuses and ostiomeatal complex were done for all patients.Results:The patients aged 17 to 53 years (32.44 ± 9.83 years), and male to female ratio was 1.15:1. Headache is the commonest symptom (69.76%). The duration of symptom was 1-5 years in 44.18% of patients. Septal deviation was the most common finding 46.51% by endoscopic examination. Mucosal thickening present in all patients (100%) by CT-scan. Between endoscopic and CT scan findings There is a significant statistical difference for enlarged ethmoid bulla but not for septal deviation, abnormal uncinate proces and hypertrophy of inferior turbinate.Conclusion:Endoscopy and CT-scan of the nose and paranasal sinuses are mandatory before endoscopic sinus surgery of nose and paranasal sinuses in patients with chronic rhinosinusitis.Keywords:Chronic sinusitis, endoscope, CT-scan


Article
Intracranial complications of ventriculo-peritoneal shunt: computed tomography evaluation

Authors: Ali Nabeel علي نبيل --- Sameer Abdullateef سمير عبد اللطيف --- Abdul-Kader Tapoo عبد القادر طابو
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2006 Volume: 32 Issue: 1&2 Pages: 51-56
Publisher: Mosul University جامعة الموصل

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Abstract

Objective: To analyze the intracranial complications following ventriculo-peritoneal (V-P) shunt among patients in our locality.
Design: Prospective study utilizing CT scan.
Participants: 140 hydrocephalus patients with V-P shunt.
Setting: Computed tomography (CT) scanner Unit at Ibn Sina Teaching Hospital over a period between January 2001 and September 2003 in Mosul City .
Main results: One hundred forty hydrocephalus patients with V-P shunt covering all age groups were analyzed, 93 cases (66.4%) were males and 47 cases (33.6%)were females. 37 cases (26.4%) showed impaired or malfunctioning shunt due to obstructive causes, 26 cases (18.6%) were suffering from inter ventricular collection/cyst. 20 cases (14.3%) were suffering from chronic subdural heamatomas.
Conclusions: Inter ventricular collection/cyst ,and subdural heamatomas were found as frequent complications among our patients. This may be related to unavailability of programmable valves during embargo or their poor quality, together with lack of proper antibiotics and also break down of the CT scanner which led to delay in the diagnosis and follow up in the shunted patients.

Key words: CT scan, post VP shunt complications.


Article
A study of 74 cases of brain Abscess

Author: Ali. K. AL-Shalchy
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2008 Volume: 50 Issue: 4 Pages: 438-439
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Brain abscess is collection of pus in the brain parrynchima surrounded by a true capsule. Usually diagnosed by CT & MRI, & treated surgically by drainage by burr hole, or excision.Objective: evaluate our work with brain abscess.Patient& method: 74 Patients collected in the specialized surgical hospital neuro-surgical department, from Jan. 1995 till Jan. 2005 treated surgically, all cases fully evaluated clinically & radiologically & then evaluation of the surgical procedure.Results: there is a slight male predominance & prevalence more in the 1st 2decades of life mostly in children with cong. heart disease, headache was the most common presenting feature, with other signs of infection diagnosis was mostly by CT scan, all cases were managed surgically & the out come is compared other studies.Conclusion: Brain abscess a relatively common disease, each case should be managed individually & depending on surgeon experience.


Article
Cranioplasty: Comparison Between Utilizing Titanium Mesh, Prefabricated Polymethyl methacrylate and Autograft Bone.
تقويم القحف: دراسة مقارنة بين استخدام شبكة التيتانيم ومادة البولي مثيل ميثا اكريليت المعدة مسبقا والعظم ذاتي الطعم

Author: Hisham Maddah Al-Alousi هشام مداح الالوسي
Journal: Al- Anbar Medical Journal مجلة الأنبار الطبية ISSN: PISSN: 27066207 / EISSN: 26643154 Year: 2012 Volume: Vol.10 Issue: 1 Pages: 28-34
Publisher: University of Anbar جامعة الانبار

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Abstract

Background: A Cranioplasty is the term for any operation in which a defect of the skull bone is repaired. A traumatic injury is often the reason , but there are other reasons including previous tumour surgery or surgery for some forms of stroke. Aim Of Study: The aim of this study is to compare between the using of titanium mish, polymethylmethacrylate (PMMA), and Autograft bone in cranioplasty. Material And Method: In our study 20 patients , 12 males (60%) and 8 females (40%), ages ranged for 15-45 years, were subjected to cranioplasty that were performed to achieve morphological and functional rehabilitation of the cranial vault using ;polymethylmethacrylate ,titanium mish and autograft bone. Our patients underwent elective delayed cranioplasty in Al-Ramadi Teaching Hospital during the period from December 2006 to December 2010.Results: Although the use of titanium may cause artifact on computed tomography (CT scans) ,which can limit follow –up imaging studies, but our study proved that the use of titanium is remarkable. Prefabricated PMMA prostheses are effective for cranioplasty, so reduced surgical time, reduced surgical blood loss and technical simplicity. The infection rate associated with use of prefabricated PMMA prostheses is lower than that for autograft bone flaps. All patients were highly satisfied with the cosmetic appearance ,Cranioplasty was carried out with no major complication except in two cases.Conclusion: The use of titanium mesh for cranioplasty is a good alternative in spite of the disadvantages, causing an artifact on CT and magnetic resonance imaging (MRI) , and it's expensiveness. Prefabricated PMMA prostheses are effective for cranioplasty in respect to reduced surgical time, reduced surgical blood loss and technical simplicity. The infection rate associated with use of prefabricated PMMA prostheses is lower than that for autograft bone flaps.

تقويم القحف, هي العملية التي يتم بها معالجة العيب الحاصل بعظم الجمجمة جراحيا , وعادة ما تكون الجروح الكلومية السبب في مثل هكذا عيوب, الا انه هناك اسباب اخرى منها عمليات الاورام السرطانية السابقة , والعمليات اللازمة لبعض حالات السكتة الدماغية. الهدف من هذه الدراسة, هو المقارنة بين استخدام شبكة التيتانيم ومادة البولي مثيل- ميثا اكريليت المعدة مسبقا والعظم ذاتي الطعم في عمليات تقويم القحف. طريقة العمل: في هذه الدراسة تم معالجة عشرين مريضا, اثنا عشر من الذكور(60%),وثمانية من الاناث(40%) وبمعدل عمري ما بين 15-45 سنة, باستخدام هذه المواد الثلاثة من اجل اعادة تأهيل الجمجمة وضيفيا وشكليا. جميع هؤلاء المرضى قد خضعوا لعمليات اختيارية مؤجلة لتقويم القحف في مستشفى الرمادي التعليمي خلال الفترة من (كانون الاول 2006-كانون الاول 2010). النتائج: تم تقسيم المرضى الى ثلاثة مجاميع بالاعتماد على المادة المستخدمة لتقويم القحف. المجموعة الاولى تضمنت المرضى المعالجين باستخدام العظم ذاتي الطعم, المجموعة الثانية وتضمنت المرضى المعالجين باستخدام شبكة التيتانيوم, المجموعة الثالثة وتضمنت المرضى المعالجين باستخدام مادة البولي مثيل-ميثا اكريليت. على الرغم من الصورة المخادعة التي تكونها مادة شبكة التيتانيم عند اجراء فحص المفراس الحلزوني والتي من شأنها اعاقة متابعة المريض صوريا باستخدام المفراس الحلزوني, الا ان هذه الدراسة قد اثبتت الاستخدام الرائع للشبكة في عمليات التقويم. كما ان استخدام مادة البولي مثيل-ميثا اكريليت كان فاعلا ايضا من خلال سهولة العملية وقلة الدم المفقود خلالها, وكذلك من حيث التقليل من وقت اجراء العملية. اضف الى ذلك ان الالتهابات الخمجية المصاحبة لمثل هذه العمليات هي اقل مما هو عليه في استخدام مادة العظم ذاتي الطعم. جميع النتائج كانت مرضية للمرضى من الناحية الجمالية والوظيفية , ولم تكن هناك اية مضاعفات كبرا مصاحبة للعمليات , عدا حالتان. الاستنتاجات: ان استخدام شبكة التيتانيوم في معالجة تقويم القحف هي طريقة جيدة على الرغم من الصور المخادعة التي تسببها في فحوصات المفراس, وكونها غالية الثمن. اما بالنسبة لمادة البولي مثيل-ميثا اكريليت فهي مجدية في هكذا عمليات من خلال سهولة العملية وقلة الدم المفقود خلالها, وكذلك من حيث التقليل من وقت اجراء العملية اضف الى ذلك ان الالتهابات الخمجية المصاحبة لمثل هذه العمليات هي اقل مما هو عليه في استخدام مادة العظم ذاتي الطعم.


Article
A Technique of Computer-Simulated Dose Reduction for Conventional Chest Computed Tomography (CT)
تقنية الكومبيوتر لتقليل الجرعة الاشعاعية لمنطقة الصدر بواسطة جهاز المفراس

Author: Runak Tahr Ali د. روناك طاهرعلي
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2009 Volume: 22 Issue: 2 Pages: 105-111
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Abstract: Computed Tomography is a diagnostic imaging modality giving higher patient dose in comparison with other radiological procedures. The level of CT radiation dose is of concern to radiologists, medical physicists, government regulators, and the media. This review addresses this problem with particular reference to radiation dose in chest CT. Specifically it outlines the topics of measurement units used to quantify radiation exposure, factors affecting CT scanner dose efficiency, scanner settings that determine the administered radiation dose, and radiation dose reduction in chest CT.The Objective: Aim of this study is to determine minimal tube current (mAs) required for good image quality on conventional chest CT (Computed Tomography).Patients & Methods: Prospectively, 35 consecutive patients (mean weight, 65 kg; range, 38-92 kg) older than 45 undergoing conventional chest CT with standard technique (120 kVp, 400 mAs) had four additional sections imaged at reduced tube current (200, 140, 80, 20 mAs) at two levels (tracheal carina and left atrium). CT scans were evaluated in random order by two independent observers who were blinded to technical factors used. Results: The 400 mAs scan was considered the reference standard. When compared with the reference technique (400 mAs), the first and second (200 mAs and 140 mAs) reduction levels showed no significant difference (p > .05) in subjective image quality. A significant difference (p < .001) was seen at the third and fourth (80 mAs and 20 mAs) reduction levels. A two fold reduction in tube current (400-140 mAs) and resultant radiation dose did not cause a significant change in subjective image quality or in detection of lung abnormalities with conventional chest CT. One hundred forty milliampere-seconds is the minimal tube current required to provide good image quality in patients of average weight.CT is a diagnostic imaging modality giving higher patient dose in comparison with other radiological procedures. CT scan parameters have been adjusted with the aim of working towards optimization of image quality and patient dose. Conclusions: The effective dose of our population is (1.8 mSv) compared with UK, Crawly et al and Hughes et al have the same value.Key words: Radiation dose, CT scan& Reduction dose.

الملخص: جهاز المفراس هو لتشخيص الصوروتوضيحها من خلال جرعة اشعاعية مؤثرة,اذا قارناها مع اجهزة اخرى لتشخيص هذه العملية. ان مستوى الجرعة الاشعاعية يتعلق ب الاشعاعين والفيزياء الطبيةوالوسط. وفائدة استخدام الفحص الطبقى المبرمج هى من خلال استخدامها لتشخيص الامراض كما انها دليل برامج التدخل والعلاجية , هذه الفوائد لا تخلوا من المخاطر ولهذا فان توضيح هذه المخاطر وتقليلها ذو أهمية بالغة من خلال التحكم والابقاء على الجرع الاشعاعية فى مثل هذه الانواع من الفحوصات على أقل المستويات المقبولة وخصوصا بالنسبة للاطفال والبالغين من الشباب والذين هم أحيانا يستلمون جرع اشعاعية أكثر من اللازم للحصول على صور تشخيصية ذات معلومات واضحة . الهدف من هذه الدراسة هو ايجاد اقل زمن تيار للتعرض (mAs) مع وضوح الصورة بواسطة جهاز المفراس. وقد اختيرو 35 مريضا وكان معدل الوزني 65 كيلوغرام وبمدى ( 38-92) كيلوغرام وكان عمرهم اكبر من 45 سنة من خلال فحصهم بجهاز المفراس لمنطقة الصدر, وبتقنية معيارية ثابتة لزمن التعرض 400 mAs)) وبتقليل زمن التيار)20,80,140.200( mAs . زمن التيار للتعرض 400 mAs هو كمرجع معيارى ثابت , عند مقارنة زمن التيار مع الاول والثاني )140-200( mAs نرى ان هنالك معيارا غير معنويا P>0.05) ( لخلال الدقة للصورة. ولكن نرى معيارا معنويا P<0.001) ( لزمن تيار للتعرض الثالث والرابع )20-80) mAs وتقليل جرع الاشعاعية .اذا زمن تيار للتعرض 140 -400 mAs لا نرى غموضا للصورة التشخيصية او عدم وضوح منقة المطلوبة بواسطة جهاز المفراس للاوزان المختلفة. أما معدل الجرعة المؤثرة للمرضى هو )1.8 mSv ( مقارنة مع UK. , Crawly et. al, Hugusted et.al


Article
THE SAFETY OF I.V. IODINATED LOW OSMOLAR CONTRAST MEDIUM IN PATIENTS WITH PENICILLIN ALLERGY IN CT SCAN EXAMINATIONS

Author: Abdulameer Abudi Mohammed عبدالامير عبيد محمد
Journal: Thi-Qar Medical Journal مجلة ذي قار الطبية ISSN: 19929218 Year: 2012 Volume: 6 Issue: 1 Pages: 99-105
Publisher: Thi-Qar University جامعة ذي قار

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Abstract

Background: Intravenous (I.V.) low osmolar contrast media (LOCM) is commonly used during computerized tomography CT scan examinations, especially in diagnosis and staging of tumours, trauma and abdominal examinations. Many radiologists are relactant to do enhanced examination if patients had history of penicillin allergy. This study aims to evaluate the incidence of LOCM-related side-effects in patients with penicillin allergy compared to patients without penicillin allergy. Methods and patients: Prospective study of 357 patients examined in CT scan unit in Al-Yarmouk teaching hospital, 44 of them had history of penicillin allergy, all given i.v. contrast medium (LOCM), and the prevalence of LOCM related side effects calculated for both groups.Results: The prevalence of contrast medium related side effect was 0.64% in patients without history of penicillin allergy, while of the 44 patients with penicillin allergy, no side effects has been encountered. Conclusion: No significant increase in LOCM related side effect was seen in patients with penicillin allergy.


Article
Correlation Between the Stroke Site and Depression

Authors: Abdul-Rasoul Al-Yasiri --- ShaimaaNaser
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2015 Volume: 14 Issue: 1 Pages: 151-160
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACKGROUND: Post stroke depression is a common neuropsychiatric consequence of stroke. Some studies show that left hemisphere lesions may be associated with a higher incidence of depression. Others found no significant correlation between lesion location and depressive alterations after stroke.OBJECTIVE: To determine whether post stroke depression is correlated with the site of stroke lesion and to evaluate other determinants for the development of depression post stroke.METHODOLOGY : A cross sectional study was conducted at Baghdad teaching hospital on 50 patients with single demarcated unilateral lesions was selected according to CT scan of the brain, psychiatric assessment were performed to assess the presence of depression according to DSM-IV criteria. The severity of functional impairment of all patients was performed on the modified Rankin scale (mRS).RESULTS :The study showed that 54% of stroke patients were depressed and 46% of them had no depression. Patients with higher functional impairment score were more likely to have depression rather than those with lower score. No significant association had been found between depression with all other variables including site of stroke lesion.CONCLUSION: There is no correlation between the sites of stroke lesion and post stroke depression in patients with stroke.

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