Colorectal cancer (CRC) is currently the most common malignity of the gastrointestinal (GI) system in the world. CRC is the third most frequently diagnosed cancer in the U.S.A and it ranks third in cancer-related causes of death. Its etiology is complex, involving both environmental and genetic factors. Hydatid disease is an endemic disease, especially in eastern countries. E. granulosus and E. multilocularis are the most frequent types responsible for hydatidosis in human beings. Echinococcus larvae develop in cystic form, mostly in the liver or lungs. We presented two cases of rectum cancer who had co-existing liver echinococcus. (JAREM 2013; 3: 123-5) Key Words: Colorectal cancer, echinococcus, hydatid disease ÖZET Kolorektal Kanserler (KRK), günümüz dünyasında en sık görülen gastrointestinal sistem (GI) tümörleridir. Amerika Birleşik Devletlerinde tanısı üçüncü sıklıkta konulan tümörler olup aynı zamanda üçüncü sıklıkta ölüm nedenidirler. Etyolojisi karmaşık olup çevresel ve genetik faktörler suçlanmaktadır. Ekinokok hastalığı özellikle doğu ülkelerinde görülen endemik bir hastalıktır. E. granülozis ve E. multilokülaris insanlarda en sık hastalık yapan parazitlerdir. Ekinokok larvaları çoğunlukla karaciğer ve akciğerlerde kistik formda gelişmektedirler. Çalışmamızda rektum karsinomuna eşlik eden iki ekinokok vakası sunduk. (JAREM 2013; 3: 123-5) Anahtar Sözcükler: Kolorektal kanser, ekinokok, hidatik hastalık
Bilateral anterior cerebral artery (ACA) territory infarction is rare localization in stroke which should always prompt a search for an anterior communicating artery (ACoA) aneurysm. The common neurological manifestations are contralateral weakness predominate in the lower extremity, behaviour disturbance, motor inertia, muteness, incontinence, grasp reflex, diffuse rigidity, akinetic mutism. We describe a 38-year-old woman presented with a left sided hemiparesia and decrease of speech for last days. She was a smoker and morbide obese. She had no any diagnosed disease. Her neurological examination had weakness of left extremities affected leg more than the arm and akinetic mutism like as no spontaneously speech and move and grasp reflex. CT showed bilateral ACA infarction which included cingulate gyrus, the right side more than left and subarachnoid hemorrhage in the interhemispheric fissure. MRI angiography showed the appearance of AcoA aneurysm. We report a patient with bilateral infarction in the ACA which a rare localization and clinicians must be alert to exist AcoA aneurysm which may bleed, different symptoms and signs like as akinetic mutism, primitive reflexes.
Sildenafil is an inhibitor of phosphodiesterase type-5 (PDE-5), is used for erectile dysfunction. There is not enough information about its effects on the central nervous system Headache, nasal congestion, facial flushing, nausea are the most common side effects. However, neurological complications such as third cranial nerve palsy, transient global amnesia, seizures, cerebral hemorrhage, and infarction are less commonly observed. We present a case of a 60-year-old man with acute ischaemic stroke, which we considered to be interrelated to sildenafil intake. Clinicians must be aware of the possibility of neurological side effects when the patient use sildenafil.
cine publishes every branch of medicine concerned with the retrospective, prospective or experimental studies, interesting case reports, invited reviews, letters to the editor, original images, congress, course, seminar, news item and declaration, brief reports on original studies, and current medical issues in the agenda. Publishers do not give any guarantees about description of the commercial product and do not accept responsibility for the subject. The journal is published six times in a year and in January, March, May, July, September ve November. The author(s) undertake(s) all scientific responsibility for the manuscript.Klinik ve Analitik Tıp Dergisi, tıbbın her dalı ile ilgili retrospektif, prospektif veya deneysel çalışmaları, ilginç olgu bildirimlerini, davet üzerine yazılan derlemeleri, editöre mektupları, orijinal görüntüleri, kongre, kurs, seminer, haber ve duyuruları, ilginç araştırmaların özetlerini ve güncel tıp gündemindeki konuları yayınlar. Yayıncılar, reklamı verilen ticari ürünlerin açıklamaları konusunda hiçbir garanti vermemekte ve konuyla ilgili sorumluluk kabul etmemektedir. Dergi yılda 6 sayı olarak Ocak, Mart, Mayıs, Temmuz, Eylül ve Kasım aylarında yayınlanmaktadır. Yazıların bilimsel sorumluluğu yazarlara aittir.
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