| Trigeminal Nerve Atrophy due to Vertebrobasilar Dolichoectasia: A Rare Entity | 
| Author : Ahmad Al Ali, Ihsan F Shanti, Zaynab I Shanti, Bilal F Shanti and Hani Al-Ali. | 
| Abstract  |  Full Text | 
| Abstract :The term dolichoectasia implies abnormal dilatation and elongation of an artery or vein. In the brain, this condition most commonly affects the vertebrobasilar system. The exact etiologic mechanism of the disease is unknown. However, many theories are suggested such as hypertension, atherosclerosis, and congenital factors (Marfan’s disease, Ehlers Danlos disease, autosomal recessive polycystic kidney disease, Fabry disease and sickle cell anemia). | 
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| Brain Organoids and the New Context of Bioethical Redefinition | 
| Author : Antonio Bartolomeu Jácomo Ferreira | 
| Abstract  |  Full Text | 
| Abstract :The development of the use of organoids, as well as adult stem cells, is the expression that the origin of the relationship between science ethics is complementarity.The ethical challenge of organoids lies in the fact that their cells in their development differ and form structures related to those seen in embryonic tissues.One of the challenges that bioethics faces in the area of  organoids is the fact that today we are able to use cells in ways that we might not have imagined until a few years ago. | 
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| Surgical Management of Metastatic Spinal Lesions in National Cancer Center of Belarus | 
| Author : Ivan Papkou and Siarhei Zaretski. | 
| Abstract  |  Full Text | 
| Abstract :According to different publications, nearly 96% of all spinal neoplasms are metastatic tumors. It is observed that majority (nearly 80%) of patients with disseminated malignant tumors develop spinal metastases | 
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| The Tipping Point: How Little Things Can Make a Big Difference | 
| Author : Chaturvedi Surbhi , Kalia Anchin, Capoor Shekhar and Tank ML | 
| Abstract  |  Full Text | 
| Abstract :Stroke  is  a  common  neurological  complication  of  cardiac  arrhythmias  and  is  associated  with  increased  morbidity  and  mortality  unless diagnosed and treated. Sometimes it becomes difficult to discover cardiac arrhythmias in absence of ECG and 2-D echo findings. Here, we are reporting a similar unique case of recurrent stroke who initially was labelled as a case of cryptogenic stroke later found out to have cardioembolic stroke. | 
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| Therapeutic Applications of Repetitive Transcranial Magnetic Stimulation in Neurology | 
| Author : Suprakash Chaudhury* and Daniel Saldanha | 
| Abstract  |  Full Text | 
| Abstract :Some neurological and psychiatric disorders present with disabling symptoms for which presently effective, mechanism-based treatments are lacking. As a result, researchers all over the world are searching and evaluating newer drugs and also more advanced non-invasive  therapeutic  methods.  One  of  these  methods  that  modulate  brain  activity  and  may  be  useful  in  clinical  practice  is  repetitive  transcranial  magnetic  stimulation  (rTMS).  In  this  non-invasive  procedure  stimulation  of  electrical  activity  in  the  brain  takes place through a pulsed magnetic field. rTMS is being evaluated for number of disorders all over the world. | 
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| An Overview of Conversion Disorder: Prevalence, Causes, and Treatment | 
| Author : Dhruv Beri and K Jayasankara Reddy | 
| Abstract  |  Full Text | 
| Abstract :This  paper  reviews  an  overall  picture  of  conversion  disorder  to  develop  a  clear  and  systematic  understanding  of  its  etiology,  causes, and treatment. | 
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| Transient Blindness due to Posterior Reversible Encephalopathy Syndrome (PRES) in a Patient of Beta-thalassemia Major | 
| Author : Muhtamim Chowdhury, Purushuttom Baniya, Vijay Kumar Raut, Fahtiha Nasreen,Tonazzina Hossain Sauda, Zakia Jabin Loskor, Md Moshiur Rahman and Asifur Rahman. | 
| Abstract  |  Full Text | 
| Abstract :Posterior Reversible Encephalopathy Syndrome (PRES) is a clinical but mostly radiological diagnosis with a wide variety of etiologies that is commonly underdiagnosed and missed due to the complete reversibility of its course. The pathophysiology lies in the raised blood pressure that disrupts the internal autoregulation within brain. Ours is a patient who presented as such, is a diagnosed case  of  B-thalassemia  major.  One  previous  author  reported  of  PRES  in  gravid  women  with  abnormal  blood  picture  which  being  a  rarity interested us in reporting this case [1]. Diagnosis now is more MR based but treatment yet remains elusive and mostly symptomatic. | 
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| Patient Management Strategy and Resilience in COVID-19 Era | 
| Author : Mohammad Noor A Alam, Ruma Parvin, Jalal Mohsin Uddin, AQM Omar Sharif, Umme Kulsum Sharmin Zaman, Md Moshiur Rahman and Mohammad Shahidullah. | 
| Abstract  |  Full Text | 
| Abstract :The  COVID-19  worldwide  pandemic  has  profoundly  affected  our   everyday   lifestyle,   yet   in   addition   to   human   services   conveyance  and  wellbeing  frameworks  around  the  world.  Each  pandemic begins suddenly, unusually and it surpasses the limit of medical  frameworks  [1].  Throughout  this  current  year,  wellbeing  frameworks  reacted  to  the  pandemic  danger  with  a  lifestyle  of  general  wellbeing  estimates  intended  to  both  treat  and  sort  the  disease, yet additionally to forestall contaminations and critically, to set up the wellbeing framework itself for a surge of contaminated patients.  One  of  the  most  well-known  components  to  build  a  wellbeing framework and medical clinic limit has been the wiping out or postponement of planned and elective medical procedures. | 
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| 10,000-Fold Effect by a Nitric Oxide Donor (Sodium Nitroprusside) in Motor Neuron Disease Via Intrathecal Superfusion | 
| Author : Vinod Kumar Tewari, Neeraj, Devesh Johari and Lori Tewari | 
| Abstract  |  Full Text | 
| Abstract :Motor Neuron Disease (MND) or Amyotrophic lateral sclerosis (ALS) is a slow fatal neurodegenerative disease characterized by selective and gradual motor neuronal death with unknown aetiology. The insufficient clearance of glutamate through the glutamate transporter and the specific distribution of Ca2+-permeable  AMPA  receptors  in  spinal  motor  neurons,  indicates  that  glutamate induced neurotoxicity is involved in its pathogenesis. NO is generated by nitric oxide synthase (NOS) which acts via 10000-fold effect to reverse the neuronal death. NO is destructive within 5 to 7 days as noted in earlier study by various authors. We have used intrathecal sodium nitroprusside to activate the 10000-fold effect to modulate the retrograde neuroregulation in MND.  | 
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| Deregulated Homocysteine Metabolism in Friedreich’s Ataxia Patients: A Risk Factor? | 
| Author : Deepti Pathak, Achal K Srivastava, Sheffali Gulati and Moganty R Rajeswari | 
| Abstract  |  Full Text | 
| Abstract :Friedreich’s ataxia (FRDA) is a progressive neurodegenerative disorder primarily caused by sub-optimal levels of mitochondrial protein, frataxin, and is characterized by hypersensitivity to oxidative stress. Homocysteine (Hcy) is well acknowledged to mediate oxidative stress-induced toxicity and mitochondrial dysfunction in pathogenesis of several cardiovascular and neurological diseases.Here,  we  tried  to  explore  the  correlation  between  plasma  Hcy  levels  with  various  biochemical,  genetic  and  clinical  parameters  in  FRDA. Assessment of Hcy levels in blood plasma of FRDA patients (N = 25) and healthy controls (N = 25) showed that mean levels of Hcy were significantly elevated (9.78 ± 2.7 µmol/l) in FRDA as compared to those of controls (7.0 ± 2.05 µmol/l). The clinical severity of FRDA, as reflected by the (GAA) expansion number in DNA (extent of genetic error), the decreased levels of frataxin protein (primary pathogenic marker), longer disease duration and the high score of Friedreich’s Ataxia Rating Scale (measure of neuromuscular activity) revealed positive correlation with plasma Hcy levels in FRDA patients.  | 
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| The Role of Cytokins in Some Viral Infectious Diseases | 
| Author : Shimon Shatzmiller, Galina Zats, Inbal Lapidot and Rami Krieger | 
| Abstract  |  Full Text | 
| Abstract :Cytokines  are  small  glycoproteins  produced  by  several  cell  types, mainly leukocytes, which regulate immunity, inflamma-tion  and  hematopoiesis.  They  control  several  physiological  and  pathological  roles,  including  innate  immunity,  acquired  protec-tion, and an abundance of inflammatory responses. The research of cytokines starts in the 1950s. However, the exact identification of the structure and its function took many years to explore. The original findings were those of IL-I, IFN, and neurodevelopment factors (NGFs); However, these cytokines were purified and trans-ferred in their name years later.  | 
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