Non-moyamoya bilateral middle cerebral artery agenesis mimicking multiple sclerosis

We present a case of a 41-year-old woman who carried the misdiagnosis of multiple sclerosis for 13 years while on disease modifying therapy [DMT]. Her neurologic work-up showed an extremely rare type of bilateral middle cerebral artery occlusive disease, a basilar apex aneurysm and paroxysmal atrial fibrillation. A thorough search for alternative neurologic diagnosis is recommended before patients are given a definitive diagnosis and committed to DMT

Comparison between angiographic findings of the coronary artrey involved in acute myocardial infarction between military and civilian sectors

Objective: Comparison between involvement of different coronary arteries in acute myocardial infarction among military and civilian population

Place: Combined military hospital Lahore and Punjab institute of cardiology Lahore

Time Duration: From 15th March to 15th April 2010

Study Design: Comparative cross-sectional study

Patients And Methods: 50 civilians patients admitted in PIC Lahore and 50 patients admitted in CMH Lahore with confirmed acute myocardial infarction on angiography were selected in the study by consecutive sampling

Results: Involvement of left circumflex coronary artery was documented only in military personnel [p=.003], whereas left anterior descending artery was predominantly [64%] involved in civilian population [p=.091]. Military personnel had more [42%] triple vessel coronary artery disease [p=.003] and double vessel coronary artery disease [p= 0.001] in contrast to civilian population

Conclusion: Involvement of coronary arteries varies significantly [p=.000] among the different sectors of the same society