ABSTRACT
Auto-evisceration is a severe form of self-mutilation. The majority of cases consist of middle-aged male psychiatric patients with a history of depression, schizophrenia or drug abuse. Here we describe a case of right-sided auto-evisceration by a 72-year-old schizophrenic patient who has been living in a psychiatric institute since she was diagnosed 33 years ago. Following a commanding auditory hallucination, she auto-eviscerated her right eye manually. The patient was admitted to the ophthalmology hospital for further evaluation and treatment.
Subject(s)
Eye Evisceration , Schizophrenia/complications , Self Mutilation/psychology , Aged , Female , Hallucinations/complications , HumansABSTRACT
Carpal Tunnel Syndrome (CTS) is the entrapment of Median nerve at wrist. Pregnancy can affect prevalence and severity of CTS. In this study frequency and severity of CTS in pregnancy was evaluated. In this study 100 pregnant women were evaluated by Hand symptoms, CTS provocation tests (Tinel and Phalen) and for definite diagnosis of CTS standard EDX studies were used. For this purpose sensory and motor distal latency of Median were measured and compared with ulnar nerve. 17% of pregnant women had CTS with 23.5% bilateral involvement and 17.5% severe CTS. Prevalence of hand symptom and clinical sign of CTS (phalen and tinel sign) were 36% and 26% respectively. Results indicated that prevalence of CTS in pregnant women was significant. Although hand signs and symptoms are useful, EDX study is more reliable.
Subject(s)
Carpal Tunnel Syndrome/epidemiology , Carpal Tunnel Syndrome/pathology , Pregnancy Complications/epidemiology , Pregnancy Complications/pathology , Adolescent , Adult , Carpal Tunnel Syndrome/diagnosis , Cross-Sectional Studies , Female , Humans , Pregnancy , Pregnancy Complications/diagnosis , Prevalence , Severity of Illness Index , Wrist/innervationABSTRACT
For comparing distal and proximal techniques. To obtain saphenous nerve sensory response, 102 healthy subjects with mean age 43.1 years and mean Body Mass Index (BMI) 25.3 were studied. Both techniques performed by using surface electrodes. In distal technique recording site was anterior to medial malleolus and stimulator 14 cm proximal to it. In proximal technique stimulation performed on the medial aspect of the knee and response recorded from the leg, 14 cm distal to the cathode. In 204 studied nerves, response obtained in 145 nerves (71%) by distal technique, in 125 nerves (61%) by proximal technique and in 94 nerves (46%) by both techniques. In 176 nerves (86%) response obtained at least by one of two techniques. In men, response obtaining rate by proximal technique (90.5%) was higher than distal one (57%) (P < 0.0001) but in women this rate was 81% by distal technique and 41% by proximal technique (P < 0.0001). Distal technique was more successful than proximal in subjects with higher age (P < 0.05) and higher BMI (P < 0.001). In conclusion, for saphenous nerve conduction study in men, it is better to perform proximal technique primarily but in women distal technique is preferred. Performing the second technique when the first one is failed is suggested.
Subject(s)
Leg/innervation , Neural Conduction/physiology , Peripheral Nervous System Diseases/diagnosis , Adult , Body Mass Index , Electrodes , Female , Humans , Male , Reference Values , Sex FactorsABSTRACT
The study of the palmar cutaneous branch of median nerve (PCBMN) was down in the Shohada hospital from september 1st 2002 to june 1st 2004. One hundred fifty healthy adult, 65 men and 85 women, with mean age of 36 year were studied by antidromic stimulation of median nerve 10 cm from the surface recording over the midthenar eminence. The nerve maybe injured by direct trauma or during surgery at the wrist. The latency was 2.07+/-0.22 (range 1.50 to 2.80) and the Amplitude of SNAP was 14.36+/-0.86 (range 12 to 16.2). the study is useful in evaluating lesions of the PCBMN