No abstract

No abstract

The use of complementary and alternative medical therapies is increasing worldwide. Many of these products have biological activity that can lead to severe toxicity or interact with prescribed medications. We present here a case of 68-year-old female, a known diabetic and hypertensive on treatment, who presented with symptoms of liver failure. This was associated with the consumption of mahogany seeds (sky fruit). She was investigated for other causes of liver failure, which turned out negative. It is important to recognize such possible complications during these therapies and promptly withdraw the offending agent.

Introduction: Obstetrical hemorrhage continues to be an important cause of maternal mortality, accounting for 15-20% of maternal deaths. Placenta previa is an important cause of both antepartum and post partum haemorrhage. Aim of the Study: To determine the risk of subsequent occurrence of placenta previa in women with history of previous Lower Segment Caesarean Section (LSCS). Materials And Methods: The study was a hospital based prospective study conducted in our medical college and teaching hospital over a period of two years (2011)(2012)(2013). A detailed history has been taken as per proforma for all pregnant women at or after 32 weeks who attended the hospital in the study period. As per inclusion and exclusion criteria of our study, study population has been selected. The study population was divided into control group [patients with unscarred uterus] and study group [patients with previous LSCS]. Placental location was done by Trans Abdominal Sonography-Ultrasound Sonogram (TAS-USS) and patients with placenta previa were followed up regularly till the time of delivery for pregnancy outcomes. Results: The incidence of placenta previa in patients without previous LSCS was 0.55% and in those patients with previous LSCS was 1.59%. It is statistically significant by Chi Square test X=4.39(P <0.05). Considering the relative risk (RR), in women with previous LSCS scar, the risk for developing placenta previa in subsequent pregnancy is three times more than women without LSCS scar. Conclusion: There is a strong association between previous LSCS and risk of subsequent development of placenta previa. The study also reinforces the importance of advocating vaginal delivery as far as possible and reduces the number of LSCS and future placenta previa.

Struge Weber Syndrome is a rare neurocutaneous disorder characterized by Leptomeninigeal & facial angiomas mainly in the course of ophthalmic& maxillary branches of the trigeminal nerve. We report a case of 14 year old male who presented with left hemiparesis since 2 to 3months & Generalized tonic clonic seizures since 5days.Diagnosis is confirmed by CT/MRI. The classical findings seen on CT/MRI are atrophy and calcification of the cerebral hemisphere. The most common neurological symptom seen are seizures, they are typically focal tonic clonic seizures, seen during first year of life. They are often refractory to anti-convulsants. Most children present with slowly progressive hemiparesis during the course of illness.