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Journal Citation Index

 

Citation Indices from GS

AllSince 2020
Citations103335735
h-index3925
i10-index271144

 

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Central Library of Kurdistan University of Medical Sciences
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Vice-Chancellery for Research and Technology
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:: Search published articles ::
Showing 2 results for Sah

Dr Payam Khomand, Dr Afsaneh Ghaffari, Dr Vahid Yousefinejad, Dr Naseh Sigari,
Volume 16, Issue 2 (8-2011)
Abstract

ABSTRACT Background and Aim: Many finding in neuroimaging of brain death can mimic other disorders such as subarachnoid hemorrhage (SAH). Here, we report a case of brain death with a CT scan mimicking SAH. Case Report: Our patient was a 28 year old man who was transferred to Tohid Hospital because of decreased level of consciousness after drug overuse and also cardiopulmonary arrest. Brain CT scan at the stage of brain death showed increased density at the basal arteries of circle of Willis and deep venous structures which was suggestive of SAH and to lesser degree CVT. Lumbar puncture (L.P) revealed no RBC and WBC in CSF, and D-Dimer (a sensitive test for CVT) was less than 0.5mg/dl. Therefore the findings in the brain CT scan of our patient were associated with extensive thrombosis in the basal arteries and deep veins. Conclusion: Brain CT scan of a brain dead patient can mimic subarachnoid hemorrhage and cerebral vein thrombosis. Therefore history, clinical findings and paraclinical measures such as CT scan and LP can be useful for proper diagnosis. Key Words: Brain death, Brain CT Scan, Subarachnoid hemorrhage, Pseudo SAH. Conflict of Interest: Nill Received: Jan 24, 2011 Accepted: May 8, 2011
Dr Ebrahim Ghaderi, Dr Payam Khomand, Dr Behrooz Ahsan, Dr Aram Hamze Pour,
Volume 20, Issue 5 (12-2015)
Abstract

Background and Aim: Headache is one of the most common reasons causing the patients to refer to pain clinics. Most people have experienced severe headache at least once in their lifetime. This study aimed to investigate the prevalence of thunderclap headache and associated symptoms in Sanandaj.

Material and Methods: This descriptive study evaluated all patients admitted to Tohid Hospital in Sanandaj with acute or sudden headaches from October 2012 to September 2013. Data were collected from the patients' records. Using SPSS version 18, data were analyzed by descriptive statistics, T-test, Fisher's exact test, Chi-square, and Logistic regression.

Results: Based on the sites of the headache, 43 (36.1%) and 24 (20.2%), patients had frontal headache and generalized headache, respectively. 58 patients (48.7%) had a space-occupying lesion in the brain. 47 (39.5) patients had thunderclap headache. Among the patients with severe headache, 30 (25.2%) patients had subarachnoid hemorrhage, which was more common in the group with thunderclap headache. Results of logistic regression showed that risk of having brain injury in the patients suffering from  headache of less than one week duration increases up to 11.657 times (P=0.027).This risk increases in the patients with headache aggravated by coughing or sneezing and headache with no previous history to 42 times (P=0.006) and 5.6 times  respectively (P=0.052).

Conclusion: Headaches aggravated by coughing, sneezing, and with no previous history were associated with higher incidence of space-occupying lesions (brain tumor, S.A.H,…). Also subarachnoid hemorrhage (SAH) and meningitis were two major causes of thunderclap headache. Other studies showed that migraine is the most common cause of thunderclap headache, but in emergency wards, intracranial hemorrhages including SAH & ICH were more common causes of this type of headaches. Therefore, more investigations are required for the patients with thunderclap headache.

Keywords: Acute headache, Thunderclap headache, SAH, ICH, Migraine.

 

Received: Jan 5, 2015      Accepted: Oct 4, 2015



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مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
مجله علمی دانشگاه علوم پزشکی کردستان Scientific Journal of Kurdistan University of Medical Sciences
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