Intracranial Dural Arteriovenous Fistula Draining into Spinal Perimedullary Veins: A Rare Cause of Myelopathy

We report a rare case of progressive myelopathy caused by intracranial dural arteriovenous fistula with venous drainage into the spinal perimedullary veins. A 45-yr-old man developed urinary and fecal incontinence and muscle weakness in the lower limbs. Magnetic resonance imaging revealed brainstem edema and dilated veins of the brainstem and spinal cord. Cerebral angiography showed a dural arteriovenous fistula fed by the neuromeningeal branch of the left ascending pharyngeal artery. Occlusion of the fistula could be achieved by embolization after a diagnostic and subsequent therapeutic delay. There was no improvement in clinical condition. For the neurologic outcome of these patients it is important that fistula must be treated before ischemic and gliotic changes become irreversible

USE OF COMPLEMENTARY MEDICINES FOR OSTEOARTHRITIS

WOS: 000291327500013Complementary and alternative medicine (CAM) has recently attracted attention because of its widespread use, associated costs, and unknown effects. Osteoarthritis (OA) is a common disease in the population. Many different therapeutic interventions are currently employed for the management of OA, including pharmacological and non-pharmacological options. Continuous pain is characteristic of this chronic disease, and the rate of CAM usage for OA is estimated to be high. Patients suffering from OA are often tempted to fry 'alternative' treatment options. CAMs include herbal medicines, traditional medicines (Ayurvedic or Chinese), vitamin, mineral and nutritional supplements, homeopathic medicines and aromatherapy products. The aim of this review was to assess the use of CAM in the treatment of patients with OA

Diskopatiye bağlı siyataljilerde interferans akımların ped ve vakum elektrodlarla uygulanmasının klinik etkileri

Bu tezin, veri tabanı üzerinden yayınlanma izni bulunmamaktadır. Yayınlanma izni olmayan tezlerin basılı kopyalarına Üniversite kütüphaneniz aracılığıyla (TÜBESS üzerinden) erişebilirsiniz.-39- -OSET- ı. Bu çalışmada Lc- S. diskopatiye bağlı siyatAlji yakınmalar ı olan toplaın 40.vaka incelendi,Hastaların bir kısmına interferans akımı ped elektrodlarla,diğer kısmına da vakum elektrAdlarla uygulandı. r Bu uygulamaların etkileri.klinik yönde

Exercise in cardiac rehabilitation

WOS: 000254244400013PubMed ID: 18258535Cardiac rehabilitation is a multidisciplinary rehabilitation program established to assist individuals with heart disease in achieving optimal physical, psychological and social status within limits of their disease. It is useful to divide cardiac rehabilitation to four phases: inhospital care, the early postdischarge period, exercise training period and longterm follow up. Although cardiac rehabilitation has been recommended to all patients with stable heart disease, most of studies cover rehabilitation issues in coronary artery disease. It is also beneficial for patients with congestive heart failure, heart transplantation and heart valve surgery. This article discusses the topics on exercise programme in cardiac rehabilitation, the benefits of cardiac rehabilitation and the importance of cardiac rehabilitation in the setting of different cardiac diseases (congestive heart failure, heart transplantation, heart valve surgery and two important diseases that trigger coronary heart diseases; diabetes and hypertension)

Kalp yetersizliğinde yaşam kalitesi ve fonksiyonel durum

Objective: To assess health related quality of life of patients with congestive heart failure (CHF), to correlate quality of life with other functional parameters; maximal oxygen uptake (peak VO2) with submaximal tests (two minute walking test and shuttle walk test) and New York Heart Association (NYHA) with other clinical variables. Methods: We evaluated 35 stable congestive heart failure patients (NYHA II-III). Functional status was assessed by NYHA classification, maximal oxygen uptake (peak VO2) and submaximal tests (two minute walk test and shuttle walk test). Health related quality of life was measured with short form 36 health survey (SF 36). Results: NYHA functional class was correlated with social functioning of SF 36, peak VO2 and shuttle walk test. Peak VO2 was correlated with most of the parameters of SF 36. On the other hand 2 minute walk test and shuttle walk test were correlated with social functioning of SF 36. There was a correlation between peak VO2 and submaximal test, but there was no correlation between left ventricular ejection fraction, peak VO2 and NYHA class. Conclusion: Social functioning is impaired in patients with congestive heart failure. There is a correlation between maximal and submaximal tests. The maximal and submaximal tests can explain some degree of quality of life. Functional status can be explained with peak VO2 and shuttle walk test apart from NYHA class.Amaç: Bu çalışma, konjestif kalp yetersizliği olan hastalarda yaşam kalitesini değerlendirmek, yaşam kalitesine etki eden diğer fonksiyonel parametreleri saptamak, maksimal oksijen tüketimi ile submaksimal testler (iki dakika yürüme testi, 10 metre mekik yürüme testi) arasındaki ilişki ile New York Heart Association (NYHA) fonksiyonel sınıf ve diğer klinik değişkenler arasındaki ilişkiyi saptamak amacıyla yapılmıştır. Yöntemler: Çalışmaya stabil konjestif kalp hastalığı (NYHA II-III) olan 35 hasta alındı. Hastaların fonksiyonel durumunu belirlemek için NYHA sınıflaması, maksimal egzersiz testi (pik VO2) ve submaksimal testler (iki dakika yürüme testi, 10 metre mekik yürüme testi) kullanıldı. Yaşam kalitesi kısa form 36 (KF36) ile ölçüldü. Bulgular: NYHA ile KF36'nın sosyal fonksiyon parametresi, pik VO2 ve 10 metre mekik yürüme testi arasında korelasyon saptanmıştır. Pik VO2, KF36'nın çoğu parametresiyle, 2 dakika ve 10 metre mekik yürüme testi ise sosyal fonksiyonla korele olarak saptanmıştır. Pik VO2 ile submaksimal testler arasında korelasyon saptanmış olup, sol ventrikül ejeksiyon fraksiyonu ile (LVEF) yaşam kalitesi ve NYHA arasında ilişki saptanmamıştır. Sonuç: Konjestif kalp yetersizlikli hastalarda yaşam kalitesinin özellikle sosyal fonksiyon parametresi oldukça etkilenmektedir. Maksimal ve submaksimal testler birbiri ile ilişkili olup yaşam kalitesini belli oranlarda açıklamaktadır. Konjestif kalp yetersizliğinde fonksiyonel durumu açıklamak için NYHA sınıf dışında pik VO2 ve 10 metre mekik yürüme testi de kullanılabilir