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Volume 20, Issue 77, January - February 2016

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Descriptions of split cord malformation (SCM) appeared in the medical literature as early as the 17th century (Barkovich, 1990; Bademci, 2006).Several terminologies were in vogue in literature like “diastematomyelia” and “diplomyelia” with a poor distinction. In 1992, Pang and colleagues proposed a unified theory attributing both type I and type II SCM to a single error in embryogenesis: adhesion between the ectoderm and endoderm leading to a persistent neurenteric canal (Beardmore et al, 1958; Pang et al, 1992). Increasingly SCM is being recognised as a cause of Tethered Cord Syndrome (TCS). We present an interesting case of SCM in a male infant, who presented to our institute as a part of medical tourism in India and discuss briefly it’s clinical presentation, illustration of surgical technique and avoidance of complications (Upadhyay PK, Pandey P, Mishra Y, Gupta U, Pandey S. Split Cord Malformation – Illustration and precautions in surgical technique and complication avoidance. Medical Science, 2016, 20(77), 21-27).

Table of Contents

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REVIEW

A detailed account of heat stroke

Muhammad Nehal Nadir, Bharti Kachela, Neeha Nadir, Zehra Khan

Heat stroke is defined as hyperthermia or exceptionally high fever which occurs due to soaring body temperatures above 41.1°C (106°F) associated with pathophysiological changes that result in neurologic, multi-organ system dysfunction and death. Characterized by CNS dysfunction, it is also responsible for a number of organs malfunctioning of the body and is basically of two types. Various pathophysiological changes occur in the body which consequently leads to a heat stroke.

Medical Science, 2016, 20(77), 1-4

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PERSPECTIVE

Ayurvedic Naturoceuticals: Evidence Based Data and Clinical Implications. Part I

Neil K Agarwal, Shashi K Agarwal

Ayurveda is a several millennia old Indian medical system. Data from historical, epidemiological, experimental and clinical studies provide compelling evidence that several ayurvedic neutraceticals, not only provide prophylactic and therapeutic activity against several diseases, but may actually improve general health and promote longevity.

Medical Science, 2016, 20(77), 5-9

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Ayurvedic Naturoceuticals: Evidence Based Data and Clinical Implications. Part II

Neil K Agarwal, Shashi K Agarwal

Ayurveda is a several millennia old Indian medical system. Data from experimental, epidemiological and clinical studies provide compelling evidence that several ayurvedic neutraceuticals not only provide prophylactic and therapeutic activity against several diseases, but may actually improve general health and promote longevity.

Medical Science, 2016, 20(77), 10-15

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CASE STUDY

Case of primary hyperparathyroidism presenting with ADHD (Attention Deficit Hyperactivity Disorder)-like symptoms

Alyahyawi Huda Yahya

The paper presents the case report of a 14-year-old adolescent boy initially presented to the psychiatric clinic with behavioral symptoms consistent with those associated with Attention Deficit Hyperactivity Disorder (ADHD) including inability to concentrate, hyperactivity, and poor school performance.

Medical Science, 2016, 20(77), 16-20

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SURGICAL GUIDELINES

Split Cord Malformation – Illustration and precautions in surgical technique and complication avoidance

Upadhyay PK, Pandey P, Mishra Y, Gupta U, Pandey S

Descriptions of split cord malformation (SCM) appeared in the medical literature as early as the 17th century (Barkovich, 1990; Bademci, 2006). Several terminologies were in vogue in literature like “diastematomyelia” and “diplomyelia” with a poor distinction. In 1992, Pang and colleagues proposed a unified theory attributing both type I and type II SCM to a single error in embryogenesis: adhesion between the ectoderm and endoderm leading to a persistent neurenteric canal (Beardmore et al, 1958; Pang et al, 1992). Increasingly SCM is being recognised as a cause of Tethered Cord Syndrome (TCS).

Medical Science, 2016, 20(77), 21-27

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