Congenital segmental spinal muscular atrophy: a case report.

Spinal muscular atrophies are genetic disorders in which anterior horn cells in the spinal cord and motor nuclei of the brainstem are progressively lost. We present a patient with arthrogryposis due to congenital spinal muscular atrophy predominantly affecting the upper limbs. Spinal muscular atrophies with onset at birth may be a cause of arthrogryposis.

Effect of radiological extent and severity of bronchiectasis on pulmonary function.

Background: The aim of this study was to ascertain the effect of the extent and severity of bronchiectasis as determined with high-resolution computed tomography (HRCT) on lung function in patients with pure bronchiectasis, bronchiectasis and asthma, and bronchiectasis and chronic obstructive pulmonary disease (COPD).

Methods: One hundred nineteen patients (71 with pure bronchiectasis, 25 asthmatic patients with bronchiectasis, and 23 COPD patients with bronchiectasis) underwent HRCT and pulmonary function tests. Computed tomography features were scored by the consensus of 2 radiologists.

Intrathecal catheterization after unintentional dural puncture during orthopedic surgery.

Purpose: We investigated whether inserting an intrathecal catheter and leaving it in place for 24 h after an unintentional dural puncture in orthopedic patients reduced the incidence of post-dural puncture headache (PDPH).

Methods: The study consisted of 427 patients in whom a total of 21 unintentional dural punctures had occurred during orthopedic surgery performed between 2002 and 2006. Seven patients (phase I; evaluated retrospectively) each underwent placement of an epidural catheter at another level after dural puncture during the period January 2002 to February 2004.

The association of pagophagia with Helicobacter pylori infection in patients with iron-deficiency anemia.

This study aimed to determine the relationship between pagophagia (compulsive ice eating) and H. pylori infection in patients with iron-deficiency anemia. We identified H.

Frontochoanal polyp: case report.

Choanal polyps are solitary benign growths that can cause unilateral nasal obstruction. A frontochoanal polyp originates from the frontal sinus and extends to the nasopharynx. These lesions are rare and are usually diagnosed by endoscopic examination and computed tomography.

The efficacy of intravenous patient-controlled remifentanil versus morphine anesthesia after coronary artery surgery.

Objective: To compare the effect of remifentanil and morphine after coronary artery surgery in a patient-controlled analgesia (PCA) protocol.

Design: A prospective, randomized, double-blind clinical study.

Setting: Single institution, university hospital.

Effects of different suture materials on cartilage reshaping.

Objective: To examine the effects of different suture materials and suturation techniques on cartilage reshaping in a rabbit model.

Methods: Twenty-two rabbits were used. Posterior skin flaps were elevated, and 4 cartilage struts were prepared on each auricula.

Small bowel obstructions secondary to bezoars.

Background: We aimed to present our experience on computed tomography (CT) findings of small bowel obstruction due to bezoar impaction.

Methods: CT scans of seven patients (3 males, 4 females, age range; 30-93 years) who were diagnosed as small bowel obstruction due to bezoars were reviewed.

Results: In each patient, an intraluminal mass with a mottled gas pattern on CT enabled specific preoperative diagnosis of bezoars, and postoperative changes such as anastomotic lines and afferent-efferent loops.

Wake-up test after carotid endarterectomy for combined carotid-coronary artery surgery: a case series.

Objective: In combined carotid-coronary artery surgery, it is important to determine patients' neurologic status after carotid endarterectomy (CEA). An initial stroke could be exacerbated by cardiopulmonary bypass required for coronary artery bypass graft (CABG) surgery. Various monitoring methods (eg, electroencephalogram) have been used to reduce neurologic deficits during CEA under general anesthesia.

Case report: seizures in a child caused by a large venous angioma.

Cerebral venous angioma is a congenital anomaly of the medullary vein, the vessel that drains into the transparenchymal venous stem. This lesion is also referred to as a developmental venous anomaly. A few reports in the literature have documented developmental venous anomaly-related epilepsy, neurologic deficits, and intracranial hemorrhage.

The role of standing flexion-extension radiographs for spondylolisthesis following single level disk surgery.

Objectives: Spondylolisthesis is the forward displacement of a lumbar vertebra relative to the adjacent vertebra, occurs as result degeneration or surgery and is a special type of lumbar instability. There is no consensus about which radiologic modality or findings truly reflect the lumbar instability and the exact incidence after single level disk surgery is unknown.

Methods: In this prospective study, we have included 90 patients who were operated by the same surgeon with single level disk herniation.

Accuracy of sonography for detecting renal stone: comparison with CT.

Purpose: To determine the diagnostic accuracy values of sonography in the detection of renal stones using noncontrast CT as the gold standard. In addition, we correlated the accuracy of sonography with stone size, the kidney affected (right versus left), and body mass index (BMI).

Methods: Fifty patients underwent 2 separate sonographic examinations performed by 2 radiologists.

The effect of metoclopramide on gastric emptying in traumatic brain injury.

Objective: Gastric paresis in traumatic brain injury (TBI) hinders the effectiveness of enteral support in this patient group. In this study we have investigated the effect of metoclopramide on gastric emptying in TBI patients.

Method: In this prospective, randomized, controlled, double-blind study, 19 TBI patients with Glasgow Coma Scale scores of 3-11 were included.

Combined off-pump coronary artery bypass grafting and aorto-bicarotid bypass.

A 63-year-old man with severe coronary artery disease and occlusion of aortic arch branches presented with dizziness, syncope and unstable angina. He underwent a combined surgical procedure of aorto-bicarotid bypass and off-pump myocardial revascularization. The operation was successful and he had no complications during 11 months of follow-up.

Value of prolonged QRS duration as a predictor of low cardiac output syndrome in patients with impaired left ventricular systolic function who undergo isolated coronary artery bypass grafting.

This study determined whether prolonged QRS duration (QRSd; > or =120 ms) is an independent predictor of low cardiac output syndrome (LCOS) in patients with low left ventricular (LV) ejection fraction (EF) who underwent isolated coronary artery bypass grafting (CABG). Abnormal LV systolic function places patients at greater risk for developing LCOS after isolated CABG. In patients with this form of ventricular function impairment, prolonged QRSd is associated with adverse hemodynamic effects.

Parotid duct cyst: a case report.

Salivary gland cysts can be benign or malignant. Salivary duct cysts are benign tumours that occur mainly in the parotid gland and represent 10% of all salivary gland cysts. We report the case of a 48-year-old man who presented with a painless preauricular mass on the right side.

Epidemiologic, clinical, and imaging findings in brucellosis patients with osteoarticular involvement.

Objective: The aim of this study was to assess the epidemiologic and clinical features, complications, imaging findings, and outcomes for brucellosis patients with osteoarticular involvement.

Subjects And Methods: This prospective study was performed over 4 years (December 2000-December 2004). The subjects were 251 Turkish patients (age range, 2-77 years) who were diagnosed with brucellosis during that period.

Clinical pattern and abdominal sonographic findings in 251 cases of brucellosis in southern Turkey.

Objective: The aim of this study was to report the clinical features, complications, abdominal sonographic findings, and treatment outcomes for a series of brucellosis cases in southern Turkey.

Subjects And Methods: This prospective study involved 251 patients (age range, 2-77 years) who were hospitalized with brucellosis during a 4-year period. Patients were classified as having acute (< 3 months), subacute (3-12 months), or chronic (> 12 months) disease.

Scalding in Turkish children: comparison of burns caused by hot water and hot milk.

Introduction: Our aim in this study was to compare the clinical differences and etiologic risk factors for hot water and hot milk scald burns in Turkish children.

Methods: The retrospective study examined the cases of 140 children aged 0.1-7 years who had scald burns treated in three burn units of a Turkish hospital network between March 2000 and December 2004.

Bilateral parotid gland tuberculosis.

Tuberculosis is caused by a mycobacterium and is one of the most serious diseases in the world. Pulmonary involvement is the most common form of this condition. Primary tuberculosis of the parotid gland is rare.

Bacteriological profile and antibiotic resistance: comparison of findings in a burn intensive care unit, other intensive care units, and the hospital services unit of a single center.

The purpose of the study was to define the bacteriological profile and antibiotic resistance patterns of a burn intensive care unit (ICU) and to compare them with the patterns from three other hospital areas in the same center (ie, cardiovascular-coronary ICU, a general ICU, and the hospital service unit). Bacterial isolates were collected prospectively from the burned patients and the patients from the other hospital areas between May 2001 and November 2003. In the burn ICU, Pseudomonas aeruginosa was the isolated pathogen most frequently (40.

Nasoalveolar cysts: review of 3 cases.

Nasoalveolar cysts, also known as nasolabial cysts or Klestadt's cysts, are rare, nonodontogenic, soft-tissue lesions that arise during development of the maxilla. They occur lateral to the midline in the region of the maxillary lip and alar base. In this case report clinical features and treatment options of three patients with nasoalveolar cysts are discussed.