Hashem, S. E. - S., E. S. Belal, M. M. Hegazy, A. A. El-Bassiony, S. M. Ahmed, and I. I. Zaid1, "Cerebrovascular reactivity recovery following carotid angioplasty and stenting", The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, vol. 2019, issue 55, 2019.
application/pdf iconcerebrovascular_reactivity_recovery_following_carotid_angioplasty_and_stenting.pdf
Zaid, I. I., N. O. R. A. I. ABBAS, E. Shaker, and F. Abd-Allah, "Multiple Major Thrombo-Embolic Events, including Stroke, in a Patient with Combined Congenital Anti-Thrombin III Deficiency and MTHFR Homozygous Mutation", World Journal of Cardiovascular Diseases, vol. 7, pp. 71-78, 2017. Abstractmajor_thrombo-embolic_events_._case_presentation.pdf

We report a case of a young male patient suffering from congenital Anti-
Thrombin III (AT III) deficiency, presented with four major thrombotic
events. These events were acute coronary syndrome (Non-ST elevation myocardial
infarction), cerebral infarction, peripheral acute upper limb (UL) ischemia
and bilateral extensive deep venous thrombosis. The latter two developed
despite that the patient was receiving full anticoagulation therapy. His International
normalized ratio (INR) was 2.5. Eventually, the patient developed
pulmonary embolism and died. He had a prominent family history of thrombotic
events. Screening for AT III deficiency in young patients with thrombotic
event (thrombophilia) is essential especially those having family history
of the latter. This is justified as thrombotic events may occur in up to 80% of
these patients. Our patient with 4 major thrombotic events ending in fatality
in less than 1 month deserves the nomenclature.

Belal, E. S., H. S. Mourad, S. M. Ahmed, and I. I. Zaid, "Impact of Hyperglycemia on Cerebral Vasospasm and Delayed Cerebral Ischemia in Spontaneous Subarachnoid Hemorrhage", Egypt J Neurol Psychiat Neurosurg, vol. 51, issue 1, pp. 7-11, 2014. Abstractimpact_of_hyperglycemia_on_cerebral_vasospasm_and_delayed_cerebral_ischemia_in_spontaneous_subarachnoid_hemorrhage.pdf

Background: Subarachnoid hemorrhage (SAH) is a significant cause of morbidity and mortality. Hyperglycemia
seems to play a role in predictive outcome. Aggressive hyperglycemic control is associated with better prognosis.
Objective: Evaluate hyperglycemia following spontaneous subarachnoid hemorrhage and its impact on outcome.
Methods: Twenty patients with spontaneous SAH were recruited at day one of hemorrhage and followed for 14 days.
Transcranial Doppler examination using Lindegaard ratio (Lr) was used to assess vasospasm. CT scan was used to assess
delayed cerebral ischemia (DCI). Average mean glucose burden (GB) was calculated all through the first 14 days.
Results: At the day of admission the Mean GB was 150±76.4 mg/dl. Vasospasm occurred in 16 patients. DCI occurred in
9 patients. Mean GB was higher in patients with severe vasospasm (Lr>6) and those with DCI (P=0.02 and 0.03
respectively). Conclusion: Hyperglycaemia affects the course of the SAH critical illness through increasing the incidence
of vasospasm and delayed cerebral ischemia. [Egypt J Neurol Psychiat Neurosurg. 2014; 51(1): 7-11]
Key Words: Subarachnoid hemorrhage (SAH), hyperglycemia, vasospasm, delayed cerebral ischemia (DCI)

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