● All patients with lumbar canal stenosis had significant improvement after surgery
● Patients with higher Body Mass Index (BMI), longer duration of symptoms, history of psychiatric disease, and
smoking had poor outcome after decompression surgery.
● Patients with higher preoperative disability scores and lower Lumbar Lordosis (LL) had better improvement and
higher post-operative quality of life.

● There was an association between GCS score and Magnesium level in patients with diffuse axonal injury.
● There was no any association between GCS score and sodium, potassium zinc levels in patients with diffuse axonal injury.

● Memory function of pregnant women gradually decreases during pregnancy.
● Memory function of pregnant women is better in the first and second trimesters than in the third trimester of pregnancy.
● General cognitive function does not change considerably during pregnancy.

● Electroconvulsive Therapy (ECT) is a therapeutic method in psychiatry particularly in patients resistant to treatments.
● Anesthesia management of ECT patients is challenging. Succinylcholine is known as the preferred drug for this
process, but it has several contraindications.
● Atracurium can be a safe alternative to succinylcholine in the ECT process when succinylcholine is contraindicated.

● Olfactory dysfunction is common in patients with COVID-19 in Northern Iran which includes hyposmia, phantosmia,
and anosmia cases.
● Both primary and secondary phantosmia are common during the initiation of COVID-19 infection, where secondary
phantosmia is more common.
● The prevalence of olfactory dysfunction is significantly higher in patients under 40 years of age and in females.
● Olfactory recovery occurs in about 90% of patients with COVID-19 within 3 months.

● Twenty-five functional tests were found to evaluate the functional balance of PwMS.
● Functional balance tests included static balance, dynamic balance and multi-item balance tests.
● Single-leg stance test, Balance Error Scoring System test and steady stance test is test battery for static balance of PwMS.
● Six-spot step test, timed up and go test, and figure-of-8 hop test is test battery for dynamic balance of PwMS.
● Balance evaluation systems test is a valid multi-item test for functional balance of PwMS.

● Von-Willebrand disease is a common bleeding disorder.
● The role of coagulation system has been identified in neuro-degenerative diseases including multiple sclerosis.
● Here, we present a patient with Von-Willebrand disease who is diagnosed with multiple sclerosis.

● There is a rare case of immune-mediated necrotizing myopathy with increased creatine phosphokinase and positive
signal recognition particle.