Volume 35 June 2009 Number 1 - University of Mosul

More documents

Recommendations

Info

Annals of the College of Medicine Vol. 35 No. 1, 2009 essential hypertension. Blood Press 2006;15:313-8 26. Toba H, Nakagawa Y, Milki S, Shimizu T, Yoshimura A, Inoue R, et al. Calcium channel blockades exhibit antiinflammatory and oxidative effects by augmentation of endothelial nitric oxide synthase and inhibition of angiotensin converting enzyme in N(G)-nitro-L-arginine methyl ester- induced hypertensive rat aorta: vasoprotective effects of amlodipine and manidipine. Hypertens Res 2005;28(8):689-700. 27. Yoshii T, Iwai M, Li Z, Chen R, Ide A, Fukunga S, et al. Regression of atherosclerosis by amlodipine via antiinflammatory and anti-oxidative actions Hypertens Res 2006;29(6):457-66 28. Messeri FM, Bakris GL, Ferrera D, Houston MC, Petrella RJ, Flack JM, et al. Efficacy and safety of co administered amlodipine and atorvastatin in patients with hypertension and dyslipidaemia; results of the AVALON trial. J Clin Hypertens (Greenwich) 2006;8(8):571-81. © 2009 Mosul College of Medicine 12
Annals of the College of Medicine Vol. 35 No. 1, 2009 Bell’s palsy in Mosul Estabrak M. Alyouzbaki Department of Medicine, College of Medicine, University of Mosul. (Ann. Coll. Med. Mosul 2009; 35(1): 13-17). Received: 4 th Nov 2008; Accepted: 4 th Jan 2009. ABSTRACT Objective: To study the incidence, sex, age, and seasonal distribution of Bell’s palsy in Mosul. Methods: A prospective study of patients with Bell’s palsy from outpatient and private neurological clinic and Neurophysiological Unit in Ibn Sena Teaching Hospital in Mosul conducted between September 2001 to August 2003. The patient's age, sex and time of occurrence of Bell’s palsy were recorded. Result: the total number of the patients was 469, male patients were 207 and females were 262. The higher number of cases was recorded in the cold months, adult affected more than other age groups. Conclusion: Bell’s palsy is the commonest cause of lower motor neuron facial nerve palsy; herpes simplex has been claimed as a cause of the condition. Keywords: Bell’s palsy; facial nerve; facial nerve paralysis. للمرضى الذين أصيبوا بشلل العصب الوجهي ‏(القحفي الى آب الخلاصة هذه الدراسة أجريت للفترة من أيلول السابع)‏ والذين قاموا بمراجعة العيادات الاستشارية والخاصة لأمراض الجملة العصبية في مستشفى ابن سينا التعليمي في من الإناث منهم الموصل.‏ وقد وجد ان عدد الذين تم فحصهم ووجدوا انهم يعانون من هذه الحالة المرضية بلغ و‎٢٠٧‎ من الذآور،‏ وان أعلى نسبة من الإصابات سجلت في خلال أشهر الشتاء.‏ إلا ان هذا العدد لايمثل العدد الحقيقي للمرض حيث ان أعدادا آبيرة لاتراجع الأطباء بسبب بعض المعتقدات والتقاليد الخاطئة.‏ آما وجد ان أآثر الأعمار عرضة للإصابة بهذا الشلل هم البالغون وخصوصا مابين ٢٠-٤٠ سنة.‏ وانها قد تكون نتيجة لإصابة سابقة بفيروسHSV تنصح هذه الدراسة بمعالجة هذه الحالات مبكرا بعقاقير الكورتيزون ومضادات الفيروسات لتفادي تشوه في الوجه وخاصة في الحالات الشديدة.‏ . ٢٦٢ ٤٦٩ ٢٠٠٣ ٢٠٠١ S ir Charles Bell first described the anatomy and function of the facial nerve in the (1, 2) 1800s Bell's initial description of facial palsy related to facial paralysis caused by trauma to the peripheral branches of the facial nerve. However, the terms "Bell's palsy" and "idiopathic facial paralysis" may no longer be considered synonymous (3, 4) . The onset of Bell's palsy can be frightening for patients, who often fear they have had a stroke or have a tumor and that the distortion of their facial appearance will be permanent. Bell’s palsy is the sudden onset of unilateral lower motor neuron dysfunction of the seventh cranial nerve that results in the paralysis of the facial muscles on the affected side of the face. Facial weakness is often preceded or accompanied by pain about the ear. Weakness generally comes on abruptly but may progress over several hours or even a day or so. Depending upon the site of the lesion, there may be associated impairment of taste, lacrimation, or hyperacusis. There may be paralysis of all muscles supplied by the © 2009 Mosul College of Medicine 13
Page 2 and 3: Annals of the College of Medicine M
Page 4 and 5: Annals of the College of Medicine M
Page 6 and 7: Annals of the College of Medicine V
Page 66 and 67:
Annals of the College of Medicine V
Page 68 and 69:
Page 70 and 71:
Page 72 and 73:
Page 74 and 75:
Page 76 and 77:
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
Page 84 and 85:
Page 86 and 87:
Page 88 and 89:
Page 90 and 91:
Page 92 and 93:
Page 94 and 95:
Page 96 and 97:
Page 98:
@@Ý-ì¾a@k @òÜª @@òíŠb“n
show all

Volume 35 June 2009 Number 1 - University of Mosul

Create successful ePaper yourself

Delete template?

Save as template?