Arwa Abdulnasser Nattouf; Mayssa Ragheb Ali
Volume 1, Issue 4 , December 2023
Abstract
A prospective cohort study in cerebral venous sinus thrombosis patients hospitalized in Neurology department, Tishreen University Hospital -Syria from January 2021 to January 2023, aims to evaluate the ophthalmic symptoms in CVST patient . 72 patients were identified,49 females (68.1%) mean age 39.9±11.2 ...
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A prospective cohort study in cerebral venous sinus thrombosis patients hospitalized in Neurology department, Tishreen University Hospital -Syria from January 2021 to January 2023, aims to evaluate the ophthalmic symptoms in CVST patient . 72 patients were identified,49 females (68.1%) mean age 39.9±11.2 , 23 males (31.9%) mean age 53.2±17.4 years ( p:0.002). The most common complaint led to diagnosis was headache in 34 cases (47.2%) ,hemiparesis and blurred vision in 11 cases (15.3%) for each of them, the ophthalmic complaints were the reason for medical consultation in 19 cases (26.4%). Infection represented the most frequent risk factor (23.6%), followed by hypertension (22.2%), oral contraceptives (16.7%). Ocular symptoms were the initial presentation in 72.2%(52/72), blurred vision represented the most frequent symptom (54.2%). Papilledema was the most frequent manifestation in 57 cases (79.2%). Superior sagittal the most affected sinus (69.4%). Complete recovery was observed in 37 cases (51.4%), ophthalmic complications were present in (34.7%), neurologic complications in (6.9%), mortality rate was (6.9%). Presence of papilledema, orbital pain, increasing the number of affected sinuses, and elevated ICP were associated with poor outcome(p<0.05). Early ophthalmic symptoms were more frequent than neurologic, so that early recognition and initiation of treatment will improve the outcome.
Mayssa Ragheb Ali; Arwa Abdulnasser Nattouf
Volume 1, Issue 4 , December 2023
Abstract
This Randomized control trail research designs a proposed rehabilitation program using conservative treatment: McKenzie exercises and electrical stimulation TENS and diclofenac to relieve chronic sciatica pain. Sciatica is a common cause of pain and disability, has a less favorable outcome. However, ...
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This Randomized control trail research designs a proposed rehabilitation program using conservative treatment: McKenzie exercises and electrical stimulation TENS and diclofenac to relieve chronic sciatica pain. Sciatica is a common cause of pain and disability, has a less favorable outcome. However, conservative treatment including McKenzie exercises, TENS and diclofenac have very effectible outcomes for lumber back pain including sciatica conducted on 300 patients to show its effect in reducing pain and other associated symptoms. The research sample was chosen by the intentional method from Imam Zain AlAbedeen hospital and AL-saidaKhadija al-kubra hospital. Study research duration was from August 2022 to August 2023. We used oxford scale for muscle strength, visual analog scale (VAS) for pain, and goniometer for joint range of motion (ROM).Results showed that there was a significant improvement in diclofenac group more than TENS and McKenzie exercises in reducing pain (p=0.006) (p=0.001) and improve knee flexion ROM(P=0.548 ). , increasing muscle powerThere was significant decrease in patient pain by TENS modality and increase in muscle power by all treatment methods and there for, the knee flexion ROM improvement in diclofenac, but no significant difference between the two other treatment group