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Biomedical subjects

M R el-Sonbaty

Publications and source records attributed to M R el-Sonbaty.

5 recordsLinked to original sources
PubMed1997

Stroke in Kuwait: a three-year prospective study.

To study the pattern of stroke in Kuwait, prospective data were collected from all patients admitted with first-ever stroke to our hospital over 3 years: 1989, 1992 and 1993. The primary-care registry over the same period was examined to ascertain that all cases of stroke seen by the primary-care doctors were referred to a hospital. Death certificates issued for people who died outside the hospital were also examined. The study included: clinical evaluation, computed tomography, electrocardiography, blood laboratories, serum chemistry and other investigations as required. The overall annual crude incidence rate was 27.6/100,000 population. The age-adjusted annual crude incidence rate was 145.6/100,000 population. No seasonal variation in the stroke incidence was observed in our study. Carotid-territory large infarction represented 46.5% of all strokes followed by intracerebral haemorrhage in 19.9%, lacunar infarction in 17%, basilar infarction in 8.3% and subarachnoid haemorrhage in 1.7%. The overall case fatality rate was 10%. Mortality increased with age and when loss of consciousness was present. The study demonstrated that stroke incidence in Kuwait is very low due to the young average age of the Kuwaiti population.

Adolescent↗
PubMed1996

Vitamin D deficiency in veiled Kuwaiti women.

OBJECTIVE: To study vitamin D deficiency in veiled Kuwaiti women. DESIGN: Prospective on cases and volunteers. SETTING: The medical department in a general hospital in Kuwait serving about 300000 persons (Adan Hospital). SUBJECTS: The authors saw four cases of unexplained vitamin D deficiency osteomalacia in otherwise healthy veiled Kuwaiti women. This stimulated us to study 50 veiled volunteer Kuwaiti women aged between 14 and 45 years old who had three children or less, and 22 unveiled volunteer Kuwaiti women with matched age and number of children as control. INTERVENTIONS: Blood samples were taken to check levels of 25-hydroxy cholecalciferol, calcium, phosphorus and alkaline phosphatase. Blood urea, serum creatinine, serum bilirubin, serum alanine transaminase, serum aspartate transaminase, serum lactic dehydroginase, prothrombin time, urine for proteins and pH were checked to exclude renal and hepatic disease. RESULTS: showed subclinical vitamin D deficiency among veiled women and two cases of clinically overt osteomalacia were discovered among the veiled volunteers suggesting a high prevalence of the disease among veiled Kuwaiti women.

Adolescent↗
PubMed1995

Multiple intracranial tuberculomas mimicking brain metastases.

A 50-year-old woman was admitted to our hospital with upper gastro-intestinal tract (GIT) bleeding, and complaining of severe headache and recurrent generalized tonic clonic seizures for the last year. Physical examination showed no focal neurological deficits. The patient was diagnosed with multiple brain metastases with occult primary depending on computerised tomography (CT) findings. Biopsy of enlarged left axillary lymph nodes showed caseating tuberculoid lymphadenitis compatible with tuberculosis. Intracranial lesions resolved completely on antituberculosis treatment.

Brain Diseases↗
PubMed1995

Hypokalaemic paralysis precipitated by working in hot weather.

Twenty-two cases of hypokalaemic paralysis seen over the past 7 years, are presented here. They included five Chinese, five Bangladeshis, six Arabs, four Philippinos and two Indians. The number of cases related to the population of each nationality in our area showed that the Chinese had the biggest number of cases in relation to their population in our area, followed by Philippinos then Bangladeshis. All patients were men admitted in the hot season, dehydrated and not able to walk. It seems that dehydration was an important precipitating factor in our cases. Although family history was positive in one patient, apart from four thyrotoxic patients, the others were apparently healthy. Patients improved dramatically with i.v. potassium and rehydration. Four patients were readmitted with the same picture.

Adult↗