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Abstract:Objective: Cerebral palsy (CP) is a disability that affects individuals throughout their lifespan. This study was conducted to evaluate the clinical status of adults with cerebral palsy. Results: Antenatal maternal medical problems were recorded in 17 (34%) cases. Kernicterus was the most common possible cause occurring in 14 (28%) cases. Spastic hemiplegia was reported in 16 (32%) patients. Various forms of combinations occured in 14 (28%) cases. Of the secondary disabilities, musculoskeletal disorders were the most common (60%), followed by epilepsy (42%), mental retardation (40%), speech disorders (30%), bladder dysfunction (4%) and visual impairment (2%). Relationships between musculoskeletal deformities and the development of mental retardation were statistically significant (P value 0.0001) . Methods Conclusion:Adults with CP are at risk of many highly preventable secondary conditions that cause loss of function and deterioration of quality of life.

Objectives: Guillain-Barre syndrome )GBS( is an acute autoimmune-mediated peripheral nervous system disease. Different studies from various geographical regions have reported considerable variability regarding its epidemiology, clinical features, and outcome. Our study aimed to document demographics, clinical features, and outcomes among GBS patients admitted to a single tertiary care hospital in Muscat, Oman. Methods:A retrospective data analysis of 44 GBS patients, who were admitted during a two-year period

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Episodic ataxia is a heterogeneous group of disorders with an autosomal dominant pattern of inheritance mostly; however sporadic cases are also reported. It is characterized by attacks of incoordination, imbalance and progressive truncal ataxia that may last for minutes to few hours. This case report describes a 45 years old Omani female, known case of chronic migraine headaches since childhood and with positive family history of migraine headache, presenting with attacks of vertigo, ataxia and interictal nystagmus. These attacks increased significantly, in frequency and duration, without obvious precipitating factor. The patient was diagnosed clinically to have episodic ataxia and proved by a positive genetic testing showing heterogeneity for missense mutation in the CACNB4 gene with c.1412G>A (p.Arg471Lys) variant. Her episodes improved successfully to treatment with Acetazolamide.

Thoracic Endovascular Aortic Repair (TEVAR) became the standard treatment for patients with Blunt Thoracic Aortic Injury (BTAI) because it is a minimally invasive intervention, with proven lower morbidity and mortality compared with open surgery, especially in multiple trauma patients. However, there is still some debate about the grade of BTAI which requires intervention, the durability of the stent, and its future complications, as well as about the age limit for the younger age group to be treated by TEVAR. We report a case of a 19-year-old male who presented to the emergency department complaining of lower chest and upper abdominal pain radiating to his back with gradual loss of motor ability at his lower limbs for the previous 2 days. These symptoms started immediately after heavy lifting and a jump from a scaffold at the patient's workplace. The patient had a history of BTAI, associated with other injuries, treated successfully with TEVAR, and discharged from hospital 13 months ago, after an uneventful post-intervention period. He was not committed to the follow-up schedule and continued his strenuous job after being discharged. The patient was admitted, and computerized tomography angiography showed distal aortic stent fracture with thrombosis occluding the lower thoracic aorta, for which the patient was treated with another stent graft. This is the first case report of stent fracture after TEVAR in a young patient provoked by strenuous work, demonstrating an early stent fracture, which usually occurs as a late complication of TEVAR.

A 37-years-old Omani woman, not known to have any past medical history developed gradual sub-acute onset of dizziness associated with unsteadiness and blurry vision that caused recurrent falls. Subsequently, she had intermittent nausea, vomiting and oscillopsia. Symptoms exacerbated with movement, progressing over time and led her to use walking aid. The symptoms significantly affected her daily activities. The patient reported 10 kg weight loss in 6 months, with no history of changes in bowel habits. Furthermore, there was neither