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Intracranial venous thrombosis may occur in association with intracranial or maxillofacial infections, hypercoagulable states, polycythemia, sickle cell disease, and cyanotic congenital heart disease and in pregnancy or during the puerperium It is characterized by headache, focal or generalized convulsions, drowsiness, confusion, increased intracranial pressure, and focal neurologic deficits and sometimes by evidence of meningeal irritation The diagnosis is confirmed by CT scanning, MRI, MR venography, or angiography Treatment includes anticonvulsant drugs if seizures have occurred and antiedema agents (eg, dexamethasone, 4 mg four times daily and continued as necessary) or other measures to reduce intracranial pressure Anticoagulation with doseadjusted intravenous heparin followed by oral anticoagulation for 6 months reduces morbidity and mortality of venous sinus thrombosis In cases refractory to heparin, endovascular techniques including catheter-directed thrombolytic therapy (urokinase) and thrombectomy, are sometimes helpful

Ehtisham A et al Cerebral venous thrombosis: a review Neurologist 2006 Jan;12(1):32 8 [PMID: 16547444]

Solution to Question 20-1. In a relational database, the data is organized into tables, and the queries are defined by the relationships among the tables. Solution to Question 20-2. A primary key is a column that contains values that are unique to the table in which it resides, which allows you to uniquely identify each row. Solution to Question 20-3. A foreign key is a column in a table that is also the primary key in a different table. This allows you to identify the relationship among the tables. Solution to Question 20-4. To retrieve the contents of the Title column in the Books table the appropriate query would be:

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Electroencephalography is usually indicated in patients presenting with seizures and may show consistently focal or lateralized abnormalities resulting from the underlying cerebral arteriovenous malformation This should be followed by CT scanning

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Sudden onset of back or limb pain and neurologic deficit in limbs Motor, sensory, or reflex changes in limbs depending on level of lesion Imaging studies distinguish between infarct and hematoma

Surgical treatment to prevent further hemorrhage is justified in patients with arteriovenous malformations that have bled, provided that the lesion is accessible and the patient has a reasonable life expectancy Surgical treatment is also appropriate if intracranial pressure is increased and to prevent further progression of a focal neurologic deficit In patients presenting solely with seizures, anticonvulsant drug treatment is usually sufficient, and operative treatment is unnecessary unless there are further developments Definitive operative treatment consists of excision of the arteriovenous malformation if it is surgically accessible Arteriovenous malformations that are inoperable because of

The .NET Framework provides a useful method for displaying output on the screen in console applications: System.Console.WriteLine( ). How you use this method will become clearer as you progress through the book, but the fundamentals are straightforward. You call the method, and in the parentheses you pass in a string that you want printed to the console (the screen), as in the Hello World application in 1. That s useful; a string is fixed text, and you might want to output a value that can change, depending on the content of your program. For that, you can also pass in substitution parameters. A substitution parameter is just a placeholder for a value you want to display. For example, you might pass in the substitution parameter {0} as part of the string, and then when you run the program, you ll substitute the value held in the variable myInt so that its value is displayed where the parameter {0} appears in the WriteLine( ) statement.

Infarction of the spinal cord is rare It typically occurs in the territory of the anterior spinal artery because this vessel,

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