Cerebral venous system anatomy

Cerebral venous system can be divided into a superficial and a deep system. The. superficial system comprises of sagittal sinuses and cortical veins and these drain superficial surfaces of both cerebral hemispheres. The deep system comprises of lateral sinus, straight sinus and sigmoid sinus along with draining deeper cortical veins. Both these systems mostly drain themselves into internal jugular veins. The veins draining the brain do not follow the same course as the arteries that supply it. Generally, venous blood drains to the nearest venous sinus, except in the case of that draining from the deepest structures, which drain to deep veins. These drain, in turn, to the venous sinuses. The superficial cerebral veins can be subdivided into three groups. These are interlinked with anastomotic veins of Trolard and Labbe. However, the superficial cerebral veins are very variable. They drain to the nearest dural sinus. Thus the superolateral surface of the hemisphere drains to the superior sagittal sinus while the posteroinferior aspect drains to the transverse sinus. The veins of the posterior fossa are variable in course and angiographic diagnosis of their occlusion is extremely difficult. Blood from the deep white matter of the cerebral hemisphere and from the basal ganglia is drained by internal cerebral and basal veins, which join to form the great vein of Galen that drains into the straight sinus. With the exception of wide variations of basal vein, the deep system is rather constant compared to the superficial venous system. Hence their thrombosis is easy to recognize

Aflatoxin M1 in milk from urban and rural farmhouses of Punjab, Pakistan

Aflatoxin M1 (AFM1) was determined in 107 milk samples collected from urban and rural farmhouses from Punjab, Pakistan, by HPLC with fluorescence detection. An incidence rate of 64% (38/59) in milk samples from urban farmhouses was found, with a mean concentration of 0.064 ± 0.023 μg L−1. In rural samples about 52% (25/48) of milk samples were contaminated with AFM1, with a mean of 0.04 ± 0.034 μg L−1. About 42% of milk samples from urban and 27% from rural farmhouses were well above the limit permitted by the European Union (EU). However, only 15% and 8% of milk samples from urban and rural farmhouses, respectively, exceeded the limit of USDA/Codex regulations. The results showed that the contamination of milk with AFM1 from Punjab, Pakistan, when compared with Codex limit is present and needs continuous monitoring. The awareness and education among dairy farmers on the potential health risks associated with aflatoxins should be communicated

Natural occurrence of aflatoxin B1 and aflatoxin M1 in “halva” and its ingredients.

A total 431 samples including halva (56), pistachio (71), almond (63), semolina (69), cardamom (34), raisins (46), halva puri (39) and wheat powder (53) were analyzed using HPLC equipped with florescence detector. The results have shown that 32 (57%) samples of halva, 45 (63%) pistachio, 43 (68%) almond, 46 (67%) semolina, 21 (62%) cardamom, 19 (41%) raisins, 21 (54%) halva puri and 22 (42%) of wheat powder samples were found contaminated with AFB1, and 11 (20%), 23 (32%), 34 (54%), 12 (17%), 11 (32%), 7 (15%), 9 (23%) and 11 (21%) samples, respectively were above the European Union permissible limit (2 μg/kg). The results have shown that 20 (59%) samples of halva that contained milk were found contaminated with AFM1 and 3 (9%) samples were found above the recommended limit for AFM1 i.e. 0.05 μg/kg. Limit of detection (LOD) and Limit of quantification (LOQ) for AFB1 and AFM1 were 0.04 μg/kg, 0.12 μg/kg, and 0.004 μg/L, 0.012 μg/L, respectively

Aflatoxins in dates and dates products

A total of 153 samples of dates and dates products (date cookies, date cake and date halva) from Punjab and Khyber Pakhtunkhwa, Pakistan were evaluated for aflatoxins (AFs) using HPLC equipped with fluorescence detection. Thirty eight out of 96 samples (39.6%) of different date varieties and 18 out of 57 (31.6%) samples of date products contained AFs. The total mean level of AFs ranged between 2.90 to 4.96 μg/kg and 2.76 to 4.80 μg/kg in dates and dates products, respectively. About 16 and 20 samples of dates were found above the permissible level for AFB1 and total AFs, respectively (i.e. 2 μg/kg, 4 μg/kg). Furthermore, two samples of date's cookies and one sample of date cake were found above the level of AFB1 and total AFs and three and five samples of date halva were found above the recommended limit for AFB1 and total AFs, respectively. The high occurrence of AFs may cause health hazards and limit exports

Cerebral deep venous thrombosis: case report and literature review

The case of a 28 years old woman presenting with headache, drowsiness and vomiting of a short duration, is presented. She was diagnosed as deep cerebral venous thrombosis on the basis of MRI findings. Treatment with heparin gave completed recovery

Assessment of aflatoxins, ochratoxin A and zearalenone in breakfast cereals

Aflatoxins (AFs), ochratoxin A (OTA) and zearalenone (ZEN) were analysed in 237 breakfast cereal samples collected from central areas of Punjab, Pakistan. According to the results, 41% of the samples were found contaminated with AFs, out of which 16% and 8% samples were found to be above the European Union (EU) maximum content for AFB1 and total AFs, respectively. About 48% samples were found contaminated with OTA and 30% samples were found to be above the EU maximum content. The results have shown that 53% samples of breakfast cereals were found contaminated with ZEN and 8% samples were found to be above the permissible limit of EU. The highest mean level of AFB1 and total AFs were found in semolina i.e. 3.60 and 4.55 μg/kg, respectively. Similarly, semolina was the highest contaminated breakfast cereal for OTA (3.90 μg/kg), while cornflakes (brand B) was found highest contaminated with ZEN (13.45 μg/kg)

Detection of aflatoxins and zearalenone contamination in wheat derived products

In present study the natural occurrence of aflatoxins (AFs) and zearalenone (ZEN) has determined in 147 samples of wheat derived products i.e. spaghetti (25), noodles (34), macaroni (29), lasagne (37), and bucatini (22), collected from major districts of Punjab, Pakistan. The mean of AFs was found 9.12 in spaghetti, 7.35 in noodles, 5.91 in macaroni, 8.39 in lasagne, and 9.61 μg/kg in bucatini and 28, 18, 17, 22 and 27% of samples were found above the European Union's legal limit (i.e. 4 μg/kg) for total AFs, respectively. However, mean value of ZEN was found 7.36 in spaghetti, 6.80 in noodles, 4.98 in macaroni, 6.90 in lasagne, and 8.89 μg/kg in bucatini samples and 16, 15, 21, 19 and 36% of samples were found to be above the recommended limit. The study urged the need to focus more comprehensive survey for these toxins in wheat derived products from Punjab, Pakistan

Magnetic resonance imaging (MRI) findings in white matter disease of brain

Demyelinating and dysmyelinating white matter diseases are important components of neurological problems. Recently, Magnetic Resonance Imaging (MRI) has played a key role in diagnoses of white matter diseases. Therefore, the purpose of the current study is to evaluate the usefulness of MRI in determining the type and frequency of white matter disease. We studied 35 patients who visited the Radiology Department of the Aga Khan University Hospital (AKUH) for MRI with suspected demyelinating/dysmyelinating disorder from January 2003 to December 2005. Multiple Sclerosis (MS) (17; 48%) and leukodystrophies (10; 29%) were the most common diseases. The MRI helped identify the sites and types of the lesion precisely and thereby helped made clearer. distinction between various types of white matter diseases. The current study demonstrated the effective use of the imaging and clinical presentation for arriving at the correct diagnosis

Role of focused appendiceal computed tomography in clinically equivocal acute appendicitis

Objective: To determine the accuracy of FACT (focused appendiceal computed tomography) in evaluation of acute appendicitis.Methods: The study was conducted in Aga Khan University Hospital, Karachi, over a period of one year. Sixty-three patients with clinically equivocal acute appendicitis underwent thin-section non-enhanced helical CT. Axial scans were obtained in a single breath hold from L2 vertebral level to the pubic symphysis with 5-mm collimation and a pitch of 1.5. All scans were obtained without oral, intravenous, or rectal contrast material. Criteria for diagnosis of acute appendicitis included an enlarged appendix (\u3e6 mm diameter) and periappendiceal inflammation. Final diagnoses were established with the results of surgical or clinical follow-up.Results: There were 21 true-positive diagnoses, 38 true-negative diagnoses, no false-positive diagnoses, and 2 false-negative diagnoses, which yielded a sensitivity of 91% and a specificity of 100%.CONCLUSION: Non-enhanced FACT is a highly accurate problem solving technique in clinically equivocal cases of acute appendicitis

Variation of aflatoxin M1 contamination in milk and milk products collected during winter and summer seasons

Total 221 samples of milk and milk products were collected during winter (November 2011–February 2012) and 212 samples were collected during summer (May–August 2012) from central areas of Punjab, Pakistan. The samples were analyzed for the presence of aflatoxin M1 (AFM1) with a validated HPLC method equipped with florescence detector. The results revealed that from winter season almost 45% samples of milk and milk products were found to be contaminated with AFM1 i.e. 40% of raw milk, 51% of UHT milk, 37% of yogurt, 60% of butter and 43% of ice cream samples and 27, 24, 25, 34 and 17% of samples were found above the recommended limit for AFM1, respectively. However, from summer season 32% samples of milk and milk products were found to be contaminated i.e. 36% of raw milk, 31% of UHT milk, 29% of yogurt, 40% of butter and 24% of ice cream and 23, 23, 18, 20 and 5% of samples were found above the permissible limit for AFM1, respectively. The levels of contamination in winter milk and milk product samples were significantly higher (α ≤ 0.05) than in summer season. The occurrence of AFM1 in milk and milk products were higher, demanding to implement strict regulations and also urged the need for continuous monitoring of milk and milk products in order to minimize the health hazards