1.The study of intermediate-term survival of the patients with cerebral venous sinus thrombosis
Afshin Borhani-Haghighi ; Soroush Ghannadi ; Anahid Safari ; Mojtaba Neydavoudi ; Maryam Poursadeghfard ; Nahid Ashjazadeh ; Etrat Hooshmandi
Neurology Asia 2020;25(4):453-457
Objective: This study aimed to investigate the intermediate survival of patients with cerebral venous
sinus thrombosis (CVST). Methods: This is a retrospective study recruiting patients with a definite
diagnosis of CVST who were referred to teaching hospitals of “Shiraz University of Medical Sciences”
from 2007 to 2017. Follow-up phone calls were conducted in March 2019 till June 2019. All-cause
mortality, mortality due to CVST, and CVST recurrence were investigated. Results: Of the total of 301
patients, 213 (70.8%) were female. Patients’ age ranged from 1 to 95 year with a mean of 39.9 year.
Intermediate follow-up (mean 46.9, 95%CI: 43.6-50.2 months) was done. Intermediate term mortality
was 12.3%, mostly from CVST, and largely occurred within the first month. Age was a significant risk
factor for survival (HR=1.056, 95%CI:1.037-1.075). The difference was not statistically significant in
males in comparison to females (HR=1.3, 95%CI:0.67-2.60, P=0.41). Patients with recurrent CVST hada higher risk of mortality (HR=9.14, 95%CI:4.70-17.89, P<0.001). There was statistically higher risk
of mortality in patients with deep vein thrombosis (DVT) (HR=8.97, 95%CI: 4.32-18.61, P<0.001).
Although the risk of death for patients using oral contraceptives (OCPs) was 16% higher, this was
not statistically significant (HR=1.16, 95%CI: 0.52-2.55, P= 0.21).
Conclusions: Intermediate-term mortality was 12.3%, and associated with older age, recurrent CVST
and DVT. The reasons for these findings need further investigation.
2.The Therapeutic Potential of Conditioned Medium from Human Breast Milk Stem Cells in Treating Spinal Cord Injury
Maryam BORHANI-HAGHIGHI ; Shadan NAVID ; Yousef MOHAMADI
Asian Spine Journal 2020;14(2):131-138
Methods:
Human BMSCs were isolated and characterized, and CM was subsequently collected. Animals received an intrathecal administration of BMSC-CM after SCI. The activity of caspase-3 was measured to assess apoptosis, and levels of tumor necrosis factor-α and interleukin-1β were measured to assess inflammation. Also, sensory and locomotor performances were assessed after SCI and BMSC-CM administration.
Results:
Administration of CM from BMSC reduced apoptosis and inflammation at the site of injury in a rat model of SCI (p<0.05). Motor, sensory, locomotor, and sensorimotor performances were significantly improved in rats that received BMSC-CM after SCI.
Conclusions
Intrathecal administration of BMSC-CM improved recovery in a rat model of SCI.


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