IntroductionSeptic cavernous sinus thrombosis (CST) is a rare condition that can result in high mortality and morbidity rates if not treated immediately. CST may be aseptic or septic. Less common primary sites of infection include the tonsils, soft palate, middle ear, and orbit. Reported cases of middle ear infection are very rare, and response to treatment is poor.Case PresentationThe present study is a case report of acute otitis media which led to septic cavernous sinus thrombosis in a 56-year-old woman in Bojnord city, North Khorasan, Iran.ConclusionsFindings of laboratory tests and magnetic resonance imaging (MRI) confirmed the clinical diagnosis. Clinical-based medical care led to successful management of the patient with broad spectrum intravenous antibiotics that prevented serious complications.
Introduction: Depression is the most common psychological problems in hemodialysis patients that may lead to decreased quality of life and increased mortality rate. The aim of this study was to investigate the effect of foot reflexology on depression in patients undergoing hemodialysis. Methods: This clinical trial conducted on 78 patients who were admitted to hemodialysis wards in Imam Ali hospital and Iran Mehr Clinic of Bojnord City. Probability convenient sampling technique was used to select the sample. The patients randomly assigned to three groups including: experimental, control and placebo groups. Beck Depression questionnaire was used to measure the level of depression before and after the intervention. Foot reflexology was done in the experimental group, a simple foot massage without pushing standard reflexology points in placebo group, and the routine care in control group was conducted. Data analysis was done using SPSS 16 and ANOVA. Results: Mean depression score for patients in the experimental group, placebo group and control group were: (P < 0.001), (P = 0.016), and (P = 0.042), respectively. The depression was increased in the intervention and placebo group and had a reduction in the control group. Conclusions: Reflexology is an effective medical intervention in reducing depression in patients undergoing hemodialysis.
Dehydration and malignancies are known as the most frequent predisposing factors of cerebral venous sinus thrombosis in older adults despite the fact that 30% of them remain idiopathic cerebral venous thrombosis (CVT) cases with no clear etiology. Cases of left sigmoid sinus involvement were rarely reported. Herein, an elderly case of sigmoid sinus thrombosis with unilateral hearing loss with chronic varicose vein in the leg was reported. Sigmoid sinus thrombosis that affects hearing is one of the rare complications of otitis media. Whether or not a large chronic varicose vein in the leg can serve as a predisposing factor for CVT requires further studies. Successful management of anticoagulant therapy prevented serious complications in the patient.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.