[Comparison between the effect of dexamethasone luntophoresis and drug therapy on 60 cases with carpal tunnel syndrome]

Carpal tunnel syndrome [CTS] is the most common entrapment neuropathy in all peripheral nervous system e of it is one of the most important causes of disability in patients. This study was designed to compare the efficacy of luontophoresis and medical treatment for idiopathic CTS. 60 consecutive patients with CTS confirmed by electromyography participated randomly in two experimental groups [drug therapy], and luontophoresis. lntervention in each group include 20 daily treatment luontophoresis [4ma, positive electrode, 15 mm/session] applied to the area over the carpal tunnel of the wrist region. Measurement were performed before and after treatment and included pain assessment, electromyo and neurography measurement [motor and sensory latency, motor and sensory nerve conduction velocity], grip strength. Improvement was significantly more pronounced in Iuntophoresis group than drug therapy group for variables, motor latency [P<0/000], sensory latency [P< 0/005], hand grip [P<0/000], and pain relief [P<0/000]. In clinical findings atrophy was not observed. Nocturnal pain and paresthesia were reduced 80% in luntophoresis group but 46/6% in control group. Results indicate both luntophoresis and drugs were effective, but luntophoresis was better than drugs. Further investigation is needed to investigate the effects of combination of these treatments in patients with mild to sever CTS

[ rare variation in branches of abdominal aorta]

Although there are many reports about variation of the branches of abdominal aorta, the present report is a very rare case that it has not been reported so far. The coeliac trunk is a wide ventral branch of abdominal aorta with 2.25cm long. The coeliac trunk divided into three branches: left gastric, common hepatic and splenic branch. Normally, the trunk has not any branches for small intestine after duodenum. In cudavr of a man with 65 years old who was dissected with grants method, the following variations were observed: a common trunk which is raised from common hepatic artery and divided to following branches: branches for pancreas near the neck and body of pancreas, a branch for head of pancreas, branches for duodenum, a huge branch for jejunum and ileum from right side, a huge branch for large intestine from left side, a communication branch between right gasteroepiploic and coeliac, arise cystic artery from common hepatic artery. Since the current report is a rare case, which has not been reported in any anatomical and clinical literatures so far, it may be an interesting and important case