Comparison of intramuscular and intravenous succinylcholine on intraocular pressure

The effect of succinylcholine on intraocular pressure was determined in one group of patients who received the drug intravenously, compared with a similar group receiving the drug intramuscularly. The group receiving intravenous succinylcholine showed a significantly earlier rise in pressure and a significantly higher rise in pressure compared to the group receiving the drug intramuscularly. In both groups the pressure returned to normal within five minutes. It is suggested that in cases with a ruptured globe or wound leak in which succinylcholine is used to facilitate tracheal intubation, the drug should be administered intramuscularly.

Isoeffect lines using TDF and CRE concepts

In most of the radiotherapy centres the treatment planning is based on isodose lines. Isoeffect lines are also being drawn based on the concepts of TDFs and CREs. It was aimed in this work to find out whether the isoeffect lines based on the concepts of TDFs, CREs and the physical isodose lines are identical in all the treatment situations. Isoeffect lines for a few treatment schedules involving treatment of carcinoma of the bladder, treatment of cancer of the uterine cervix by combined intracavitary and external beam therapies and intracavitary therapy alone have been obtained and compared in the present study. The effect of treatment mode on the isoeffect lines is also studied. It is found that the isodose curves and the isoeffect lines using the TDF and CRE concepts are not identical in all situations. Therefore, the ultimate treatment plans based on theses isoeffect lines will not be exactly the same. The dependence of the isoeffect lines with the variation of the exponents of time and number of fractions used in the empirical relationship for NSD have also been investigated. Clinical trials have been initiated in the case of cancer of the bladder and cervix uterus based on the isodose curves and the isoeffect lines using CRE and TDF concepts.

Abnormal eye movements in rubella syndrome

A patient with a characteristic picture of rubella eye disease is presented. Its interest lies in the associated finding of asymmetric nystagmus and ocular flutter. The presence of flutter would indicate cerebellar or cerebellar pathway disease, a previously unassociated finding.