ABSTRACT
Introduction : Cavernous sinus syndrome is a disorder characterized by paralysis of cranial nerve 3, 4 6, and 5. Causes of this syndrome are infectious and non – infectious source, such as mucormycosis, bacteria and malignancy. Delay in diagnosis and improper management contributed to high mortality rate. We report cavernous sinus syndrome patients at Srinagarind hospital for recognition and clinical comparison between mucormycosis and non – mucormycosis. Patient and Method : Review of patient charts from 1985 to 1994 at Srinagarind Hospital, Department of medicine, Faculty of Medicine, Khon Kaen university with sinus thrombosis.Result : There were 25 patients, 9 male, 16 female, male to female ratio was 1:1.7, age range form 30-79 years, mean was 55.08 years. Common presenting symptoms were headache 96%, eye pain 76%, visual impairment 56% ptosis 52% . Physical examination showed paralysis of CN 3,4,6 100%, visual impairment 90%, chemosis 72%, proptosis 64%, black crust 28% weakness 20% and associated with sinusiis 80% . Underlying diseases were diabetes mellitus 48% and chronic renal failure 20%. Mortality rate was 54% . The common causes of cavernous sinus syndrome were mucormycosis 60% , bacteria 36% and lymphoma 4%. Clinical comparison between mucormycosis and non-mucormycosis, visual impairment, weakness, black crust were more common in mucormycosis group, high level of BS, BUN and CSF sugar to BS ratio were more common in mucormycosis group too, but fever was more common in non-mucormycosis group (P
ABSTRACT
Background: Evaluation is one of the essential parts of education. Before the academic year 2003, only final examination was used to evaluate students’ knowledge in Department of Radiology, Faculty of Medicine, Khon Kaen University.Objective: To compare students’ knowledge in diagnostic radiology between pre- and post-learning periods.Subject and Method: All the fifth-year medical students in the academic year 2003 were divided into 12 groups (10-15 per group), total 156 students. Each group rotated to attend in diagnostic radiology for 2 weeks. Each student was evaluated by pre- and post-tests which were the same test.Result: One hundred and fifty-two students (97.43%) showed improvement in their knowledge. The average score of the pre-test was 6.8, while that of the post-test was 10.91. There was no relationship between the score and final grade, except 4 students who got same score from the tests. They also got low score from the final examination, both theory and practice sections.Conclusion: Students had more knowledge in diagnostic radiology after learning.