The “Type of Article” of this paper is “Letter to the Editor”. This paper discuses about: “Stroke Thrombolysis in Difficult Circumstance: When Benefit May Not OverruleRisk!”. No formal abstract is available. Readers are
Subacute Sclerosing Panencephalitis (SSPE) is a progressive demyelinating disease of the central nervous system, associated with chronic infection of brain tissue with measles virus. Dykan criteria for definite diagnosis of SSPE includes a) clinical features of declining cognition and myoclonus b) periodic discharges on EEG c) increased cerebrospinal fluid globulin levels d) elevated titers of anti-measles antibody and e) brain biopsy. Short term video EEG is a non invasive procedure with simultaneous EEG and video recording. EEG patterns in SSPE are characteristic and specific; which includes repetitive high amplitude paroxysmal polyphasic complexes with duration of 0.5-2 seconds and repetitive rate of 4-30 seconds. Short term video EEG is a useful diagnostic tool for confirming the diagnosis of SSPE. A simultaneous video recording will be helpful to documenting slow myoclonus and EEG correlation.
Background: Over the last few years, there has been a steady increase in the incidence of neurological diseases in Nigeria particularly stroke, epilepsy and dementia. Therefore, it was needful to determine the current burden imposed by such disorders in Nigeria especially in the rural communities. This survey was carried out in Ilie community, Southwest Nigeria. The aim of this report is to address some of the findings of the survey including the high treatment gap, social issues and societal impact of these common neurological disorders on the community.
Methods: The study was carried out in a remote community known as Ilie which is located in Osun state, Nigeria. Ilie ward was screened from door to door, to identify people who had suffered from Neurological Disorders (ND) (lifetime prevalence).In determining the prevalence of ND, a two-phase cross-sectional study design was adopted. The first phase involved the demographic data collection from each screened household and the administration of WHO screening questionnaire for ND by the trained field interviewers. The second phase was the clinical examination of the participants who were positivenduring the first phase of screening by the neurologists to confirm the diagnosis of the identified neurological disease. Social issues such as access to education, employment opportunities and marital prospects as well as treatment issues were also assessed.
Results: In the first phase, the numbers of individuals screened were 2212, all from 231 households. The female participants accounted for 1111(50.3%) and males were 1101(49.7%), therefore the females were slightly more than the males. Thirty-three (33) cases of ND were detected giving a point prevalence of 1.9% and epilepsy was discovered to be the commonest. Traditional medicine as well as spiritual healing was the mainstay of treatment.
Conclusions: The burden of neurological disease was still high in this rural community of Southwest Nigeria and knowledge, social and treatment issues were still present.
Aim: The purpose of this study was to assess the variations in the of sphenoid sinus pneumatization in the Sudanese.
Materials and Methods: The study is a cross sectional observational descriptive study included 100 patients (50 males, 50 females) who underwent Magnetic Resonance Image (MRI) of the paranasal sinuses. The paranasal sinus was assessed for the type of pneumatization.
Results: The conchal, presellar, and sellar types comprised 1%, 17%, and 82%, of participants. No significant differences were found between males and females of the study group. These results were relatively different when compared to the Indians but relatively the same with Turkish.
Conclusion: The type of pneumatization of the sphenoid sinus has different prevalence worldwide, so meticulous assessment of sphenoid sinus is mandatory before sellar and skull base surgery.