Different types of seizures in patients with chronic renal diseases under regular heamodialysis program

This retrospective study was designed to detect the frequency of seizures occurrence in patients with chronic renal failure undergoing regular heamodialysis in Al Gaber Nephrology center Al Ahsa Saudi Arabia ,130 patients were reviewed, seven of them were found to experience one or more seisures during thier dialysis program in the last year 5 of them were found to have tonic clonic seizures, one with partial seizures and one with partial passing into generalized seizures. Three of them were found to experience seizures during heamodialysis session and the others were experiencing seizures in between the dialysis sessions. From this study we could conclude that seizures in patients with chronic renal failure on regular heamodialysis program is an occasional event and not a chronic disorder

Effect of metrological factors on the behavioral and psychological symptoms of dementia

Aim: This study was designed to investigate if high climate temperature have a worsening effect on Behavioral and psychological symptoms of dementia [BPSD] in demented patients and interact with the efficacy of a therapeutical program

Methods: During a week in July 2007 in Eastern region of Saudi Arabia, when atmospheric temperature was unusually high, five out of six demented patients discharged from King Fahd Hospital in Hofuf, for Dementia reported an increase of behavioral disturbance severity

Results: the three groups did not differ with respect to sociodemographic, clinical and therapeutical characteristics. On admission,frequency and severity of BPSD were similar among groups; whereas on discharge the case-group had an increase in NPI-scores [NPI during the first week [median]: 13 in the case-group vs 21 in the I control-group vs 20.5 in the II one; during last week: 24.5 vs 9.5 vs 15 respectively]

Conclusion: It could be concluded that high climate temperature may have a negative impact on behavior in demented patients

Guiliain-Barre' syndrome in aged patients clinical, electrophysiological, and therapeutic outcome

Objectives: The aim of this study is to describe the clinical and electrophysiological and therapeutic outcome of those patients with Geriatric guillain-Barre' syndrome

Patients and Methods: Guillain-Barre' syndrome in patients older than 60 years of age were collected and HUGES disability score was used to quantify neurological deficit and outcome after therapeutic trials

Results: 18 patients were included at this study with a mean age of 64, 8 years. 80% of them was found to have sensory - motor deficit. Evidence of demylination was found in 8 subjects and axonal deficit was found in another 6 subjects there were only one with Miller-Fisher syndrome and 3 unclassfied. Plasmapharesis was carried out to 12 patients and [IVIg] in 2 patients. No significant difference between the two groups as regarding disability score before treatment .no significant difference in outcome in both groups after treatment

Conclusion: Axonal GBS are more frequent in elderly and this may have a prognostic clue. plasmapharesis and IVIg treatments have no significant difference in outcome but with more complications at plasmaphresis than IVIg