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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • Annals of Medical Research



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  • Annals of Medical Research

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  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is published monthly.

Editor-in-Chief

 

Unpredicted respiratory arrest following hypoglossal nerve palsy during subarachnoid hemorrhage: Experimental study (p.95-100)

Unpredicted respiratory arrest following hypoglossal nerve palsy during subarachnoid hemorrhage: Experimental study (p.95-100)

Muhammed Enes Aydin1, Umit Ali Malcok2, Aysel Erdogan3, Ozgur Caglar4, Mehmet Dumlu Aydin5, Canan Atalay1, Betul Gundogdu6, Ahmet Nezih Kok7
1Department of Anesthesiology, Ataturk University Faculty of Medicine, Erzurum, Turkey
2Department of Neurosurgery, Canakkale University Faculty of Medicine, Canakkale, Turkey
3Department of Pulmonology, Erzincan University Faculty of Medicine, Erzincan, Turkey
4Department of Pediatric Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey
5Department of Neurosurgery, Ataturk University Faculty of Medicine, Erzurum, Turkey
6Department of Pathology, Ataturk University Faculty of Medicine, Erzurum, Turkey
7Department of Forensic Medicine, Ataturk University Faculty of Medicine, Erzurum, Turkey
Copyright@Author(s) - Available online at www.annalsmedres.org
Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Abstract

Aim: Although acute respiratory arrest is the most dangerous complication of subarachnoid hemorrhage; if there is any association between hypoglossal nerve-tongue palsy induced acute mechanical upper airway obstruction has not been extensively described so far. Our aim is to evaluate if there is a relationship between hypoglossal ischemia-tongue paralysis and upper airway obstruction during subarachnoid hemorrhage.
Materials and Methods: Formerly studied 23 rabbits’s documents chosen from our SAH experiments. A control group (Group A) include 5 normal animals, Sham group (Group B) include 5 animals which saline was administered, and a study group (Group C) include 13 animals (7 survive-C1 / 6 dead-C2) which were injected with homologous blood into the cisterna magna. Blood pressure values and and electrocardiograhic changes were recorded per days of all animals before, during and after surgery during two weeks and all animals decapitated under general anesthesia. Hypoglossal nerves, tongue muscles and upper arways were evaluated. Numbers of degenerated axons/neurons density of hypoglossal nerves-atrophic tongue muscles and airway obstruction scores (AOS) of all animals were determined and analysed statistically with ANOVA. AOS was classified according to tongual sliding down distances to larynx numbered between 1-7 mm to scored with 1-7.
Results: Important neurodegeneration was noticed in axons of the hypoglosssal nerves and tongue muscle denervation injury was in more severe in AOS observed animals. The hypoglossal nerves, degenerated axon density (n/mm2), numbers of atrophic muscles (n/mm3) and AOS was: 4±2, 1±1, 1±1 in A; 7±3, 2±1, 2±1 in B and 98±11, 23±5, 5±2 in C1 groups. P values between the axonal degeneration of hypoglossal nerves/muscles and AOS was p0.005 for C2/C1; p0.0005 for C2/A and p0.0001 C2/B.
Conclusion: Hypoglossal ischemia induced tongual muscle palsy related respiratory arrest should be remembered in neurocritical cases. Maintaining normal respiratory functions is only possible with airway tone, which is possible with an intact hypoglossal nerve.

Keywords: Hypoglossal palsy; respiratory disfunctions; subarachnoid hemorrhage

 

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doi:10.5455/annalsmedres.2020.10.1074

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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