Characteristics of a series of multiple sclerosis [MS] patients observed at the National MS Beta-Interferon Committee in Jordan over a one-year period [August 2009-August 2010]

To study the characteristics of multiple sclerosis [MS] in a series of Jordanian patients observed at the Beta-Interferon Committee and compare them with those from other Arab/Middle Eastern or Western countries. Data from 101 patients with MS attending the Jordanian National MS Beta-Interferon Committee over a one-year period, from August 1, 2009 to August 1, 2010, were collected. Mean age at MS onset was 27.1 years, with 70 females and 31 males [F/M ratio=2.26:l] with a peak incidence in the 3rd decade. Ten patients, all female, had early onset [below 18 years of age]. The mean disease duration was 3.3 years, with almost 1/2 of the patients having a short duration below one year. The most common clinical manifestation was limb weakness with pyramidal signs related to myelopathy followed by optic neuritis and brainstem symptoms. The most common MS pattern was relapsing-remitting [RR] in 66 patients with a relatively high number of clinically isolated syndromes [CIS] in 28 patients. There were 34 new cases in 2009 and 23 new cases over the study year [August 2009-August 2010], showing a trend toward an increase in incidence compared to previous years. All 101 patients were born and/or live in the center/North of Jordan and none in the South, with 69 patients in the capital Amman. Beta-Interferon was used in 81 patients. The general characteristics of MS in Jordan were similar to most Arab countries and Western reports. There is a possible north/south gradient of MS in Jordan and a trend toward an increase in incidence in recent years

First percutaneous balloon pericardiotomy [PBP] or pericardioplasty in Jordan: a case report and review of literature

Patients with large pericardial effusions regardless of their etiology frequently undergo surgical pericardial window to avoid recurrence that occurs in more than 50% if pericardiocentesis alone was done through the percutaneous approach. Some patients are very sick to undergo surgery options. A newly developed old procedure, Percutaneous Balloon Pericardiotomy [PBP], was introduced in 1991 and has been proven to be safe and efficient, with very low rate of recurrence, and little chance of complications. Herein, we describe this procedure done for the first time in Jordan