Wolfram Syndrome (Diabetes Insipidus, Diabetes, Optic Atrophy, and Deafness): Clinical and genetic study

OBJECTIVE—Wolfram syndrome is an autosomal recessive neurodegenerative disorder characterized by diabetes insipidus, diabetes (nonautoimmune), optic atrophy, and deafness (a set of conditions referred to as DIDMOAD). The WFS1 gene is located on the short arm of chromosome 4. Wolfram syndrome prevalence is 1 in 770,000 live births, with a 1 in 354 carrier frequency

Approximate Boundary Layer Solution of a Moving Beam Problem

The transverse vibrations of a simply supported beam moving with constant velocity is considered. The case of transition from\u27,:string to beam effects is treated. In this model, the fourth order spatial derivative multiplies a small parameter and hence leads to a boundary layer problem. The problem is solved approximately using the method of multiple scales

hypoglossal nerve palsy

Spontaneous dissection of the extracranial internal carotid artery (ICA) is increasingly being recognized as a common vascular disease. We report on a 52-year-old-male presented with bilateral extracranial internal artery dissection and twelfth nerve palsy and review the previous literature. (C) 2001 Elsevier Science Ltd. All rights reserved

Evaluation of temporomandibular joint dysfunction by magnetic resonanance imaging

Many diagnostic imaging techniques are available to aid clinicians, including transcranial radiography, conventional tomography, computed tomography, arthrography, single photon emission computed tomography (SPECT) imaging and magnetic resonance imaging (MRI). The aim of this study was to evaluate clinical findings and MRI features of temporomandibunlar joint (TMJ) disorders. The clinical histories of 251 patients (502 joints) with MR images were evaluated. Eight clinical variables (articular pain, clicking, locking, limitation of mouth opening, dislocation (luxation), headache (temporal, facial or neck), occlusal disharmony) and imaging findings Normal, Anterior Disk Displacement With Reduction (ADDR), Anterior Disk Displacement Without Reduction (ADDWR) Anterior Disk Displacement With Reduction + Effusion (ADDR +E), Anterior Disk Displacement Without Reduction + Effusion (ADDWR+E), Degeneration, Osteophyte, Posterior Disk Displacement (PDD)) were evaluated. A total of 175 of the TMJs were found to be normal according to MRI findings. Fifty-six unilateral, and 210 bilateral anterior disc displacement with reduction were detected, as well as nine unilateral, and 12 bilateral ADDWR, 21 unilateral, and 58 bilateral ADDR+E; 10 unilateral, and 18 bilateral ADDWR+E; 28 unilateral, and 35 bilateral degenerative arthritic changes; 44 unilateral, and 19 bilateral osteophytes were found. The MRI of TMJs were found normal in 17.9% patients (29.2% female, 5.6% male) with clinical variables. Most of the patients (190 female, 56 male) with TMJ disorders were found to have psychological problems. All of the patients displaying clinical symptoms of TMJ disorders have occlusal disharmony (ground teeth, premature contact, mandibular prognathy or retrognathy, overbite, deepbite, openbite, laterognathy) In this current study jaw pain, locking, limitation of mouth opening, dislocation, and clicking were found 98%, 7.17%, 90.43%, 54.98%, and 75.7% respectively. In addition, etiological factors, noticed as psychological factors, inheritance, and prosthetic appliances were found 98%, 0.39%, 71.71% respectively, but none as a results of unknown trauma, orthodontic treatment, general anesthesia, or maxillofacial intervention. MRI of the TMJ can detect the abnormal changes within the disc, joint and other tissues. Disc displacement is the most common diagnosis of these patients

Spontaneous bilateral internal carotid artery dissection with hypoglossal nerve palsy.

Spontaneous dissection of the extracranial internal carotid artery (ICA) is increasingly being recognized as a common vascular disease. We report on a 52-year-old-male presented with bilateral extracranial internal artery dissection and twelfth nerve palsy and review the previous literature