Introduction. Intraoperative rupture (IOR) of an aneurysm is a frightful complication that causes significant morbidity and mortality worldwide. IOR can be attributed to various parameters, including hypertension, increased intracranial pressure (ICP), fragility of the vessels, and inadequate anaesthesia. IOR due to insufficient anaesthesia is scarcely reported in the literature. Here, we describe a re-ruptured anterior communicating artery (ACoA) after incomplete clipping of the neck during craniotomy closure due to unintended early wake-up from anaesthesia with a discussion about the management. Case description. A 38-year-old male suddenly developed a severe headache, a brief loss of consciousness, and vomiting. Computed tomography (CT) scan showed a subarachnoid haemorrhage in the basal cistern. CT angiography showed a bilobed right ACoA aneurysm with a wide neck and Murphy's teat. The patient was considered for surgery. Clipping of the aneurysm neck was done through two curved clips. During craniotomy closure, the patient started coughing and gagging then a huge IOR was encountered. These events can be mainly attributed to unintended inadequate anaesthesia, particularly muscle relaxants. The bleeding ceased after two suction catheters were inserted, temporary clips were applied, and the readjustment of permanent clips. After surgery, the patient showed a left-sided weakness. His postoperative CT scan showed a right distal anterior cerebral artery (ACA) territory infarction. The weakness improved in the follow-up period. Conclusion. Delayed IOR due to early awaking from anaesthesia should be considered a potential source of complications and bad outcomes in aneurysm surgery.
Praise be to God, Lord of the Worlds, and prayers and peace be upon the Master of Messengers, Muhammad, and upon God
The evil of the scholars of jurisprudence is that the reciter and the reciter must have attained the aspects of good grammar and morphology so that he does not make mistakes in the matters of jurisprudence according to the seven readers and others, and they require phonetic, morphological, and grammatical explanations, and this is called aqeed.
Our ancient scholars are known for knowledge and it is linked to narration, and our topic is studied from both sides of narration and knowledge, as it is one of the topics of fundamentals.
The seven readers and others, and his relationship is clear and close
... Show MoreThe aim of human behavior is the psychological element that is no less important than the other psychological elements, and its importance in the formation of human behavior. Raising the subject of the aim came in view of the importance of the aim element in criminal behavior, the terrorist crime as one of the types or forms of that behavior has a specificity that distinguishes it from the rest of the crimes where the role of the criminal aim appears clear and gives the terrorist crime the distinctive element in its moral corner, the Iraqi legislator in the Anti-Terrorism Law No. 13 For the year 2005 explicitly stipulated the terrorist aim, but did not clarify or specify the meaning of the purpose of the jurisprudence of the judiciary, w
... Show MoreIntroduction:
Vibrios are gram negative rods bacteria that are all widely distributed in nature the vibrose are found in marine and surface waters. They are curved aerobic rods
and are motile, possessing a polar flagellum. V.vibrios sero group 01 and related Vibrios cause cholera cause sepsis or enteritis Vibrio cholerae The epidemiology
of cholera closely parallels the recognition of V.cholerae transmission in water and the development of sanitary water system (1,2,6,9). V. C is a comma-shaped, curved rod 2-4 long .It is actively motile by means of polar flagellu on prolonged cultivation. Vibros may become straight rod that resemble the gram-negative enteric bacteria (1,2,6,9). V.C. grow well
Background: Squamous carcinoma accounts for majority of esophaged cancinoma Most patients with esophaged cancer are middle aged or elderly with make to female ratio 2.5:1.
Aim of study : to present a fairly representative picture of the carcinoma of esophagus in' yemen.
Patients& Methods: Seventy-six patients were treated for carcinoma of esophagus over a 5 - year period by cardiothoracic and vascular surgeon working in Sana a - Yemen. Amongst them there were thirty one men and forty-five women, with male/female ratio 1:1.45, age incidence (range 38 - 40year).
Results:. Adenocarcinoma was 65% of cases and other 35% was squamous cel! carcinoma. The major risk factors were founded chewing quat, silicon particles, thermal injur
The present study discusses the significant role of the historical memory in all the Spanish society aspects of life. When a novelist takes the role and puts on the mask of one of the novel’s protagonists or hidden characters, his memory of the events becomes the keywords of accessing the close-knit fabric of society and sheds lights on deteriorating social conceptions in a backwards social reality that rejects all new progressive ideas and modernity. Through concentrating on the society flawing aspects and employing everything of his stored memory, the author uses sarcasm to criticize and change such old deteriorating reality conceptions.
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... Show MoreThe purpose of this paper is to identifying the values of some physical and Bio- Kinematic variables during the performance of the jump spike serve skill, and identifying the effect of the proposed training program using intermittent training to develop some physical and Bio- Kinematic variables and accuracy of the jump spike serve skill among the research sample. The experimental method was used and the research was conducted on a deliberately chosen sample of the players of the Army Club, who were primarily advanced in volleyball, and the number of the sample was (10) players. The conclusions were reached that the proposed training program using intermittent training has a positive effect on some of the physical and Bio- Kinematic variabl
... Show MoreA newly developed analytical method characterized by its speed and sensitivity for the determination of metoclopramide hydrochloride (MCP-HCl) in pure and pharmaceutical preparations via absorbance measurement by Ayah 6SX1-T-2D Solar cell-CFI Analyser. The method is based on the oxidation of the drug with Ce(IV)sulfate in acidic medium to form a red color species which determined using homemade Ayah 6SX1-T-2D Solar cell . Chemical and physical parameters were studied and optimized. The calibration graph was linear in the range of 0.05- 16 mMol.LP-1Pwith correlation coefficient r = 0.9855. The limit of detection(S/N = 3) 0.332 μg/sample from the step wise dilution for the minimum concentration in the linear dynamic ranged of the calibrat
... Show MoreBaghdad governorate has many areas of distinctive architectural and architectural character, which are heritage and valuable areas that we must preserve and take care of. But we see many manifestations of it, which have a negative impact on buildings, areas and roads, so that they distort the view and thus lead to visual pollution in general. The research examined the visual pollution from random advertising, which stretched buildings, walls, electricity poles and sidewalks. The study covered different areas of al-Karkh and al-Rassafa (Jadreya Bridge, Nation Square, Jordan Square, alkindy Street)Most of the distortions were the result of non-removable posters, Handwriting, election candidate adve
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