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Balneo Research Journal DOI: Vol.11, No.2, May 2020 P: 107–114 BALNEO RESEARCH JOURNAL Vol 11 No. 2, May 2020 Climatology Balneology Medical Hydrology Physical and Rehabilitation Medicine Website http://bioclima.ro/Journal.htm E-mail: [email protected] ISSN: 2069-7597 / eISSN: 2069-7619 Balneo Research Journal is part of the international data bases ﴾BDI﴿ as follow: EBSCOhost. CrossRef, DOAJ, Electronic ﴿Journals Library ﴾GIGA﴿, USA National Library of Medicine - NLM, Emerging Sources Citation Index ﴾Thomson Reuters ﴿Publisher: Romanian Association of Balneology ﴾Bucharest Asociatia Romana de Balneologie / Romanian Association of Balneology Editura Balneara Balneo Reserch Journal Table of Contents: Vol 11 No. 2, May 2020 (324) Tattooing-induced inflammatory reactions, unusual trigger factor for stroke in a young man chronic user of tobacco and marijuana, with unknown neurovascular anatomical variants and patent foramen ovale – a “happy ending” case report - ANGHELESCU Aurelian, MAGDOIU Anca Magdalena Balneo Research Journal. 2020;11(2):107–114 Full Text DOI 10.12680/balneo.2020.324 (325) The impact of cognitive decline on stroke rehabilitation - FĂTU Ana-Maria, PÂSLARU Ana Maria, CREANGĂ-ZĂRNESCU Valerica, LUNGU Mihaela , VERENCA Mădălina Codruța, CIUBARĂ Anamaria Balneo Research Journal. 2020;11(2):115–119 Full Text DOI 10.12680/balneo.2020.325 (326) Investigation the effect of oral Aloe Vera gel pills supplementation on the intensity of primary menstrual pain (Dysmenorrhea) - Samaneh Sardashti, Tahere Sarboozi Hosein Abadi, Shoaib Sarboozi Hosein Abadi, Rasool Raznahan Balneo Research Journal. 2020;11(2):120–124 Full Text DOI 10.12680/balneo.2020.326 (327) Pathogenetic mechanisms of affiliation generalized parodontal diseases and anorexia nervosa - ANTONENKO Maryna, ZELINSKAYA Natalia, RESHETNYK Lujdmila, POPOV Roman, SLAVINSKAYA Valentuna Balneo Research Journal. 2020;11(2):125–132 Full Text DOI 10.12680/balneo.2020.327 (328) Are cardiovascular rehabilitation programs implemented in young patients with acute coronary syndromes following revascularization procedu- res? - ANCHIDIN Ovidiu-Ionuț, NEMEȘ Ancuța, MOLNAR Adrian, ROȘIANU Adela, ROȘIANU Ștefan Horea, POP Dana Balneo Research Journal. 2020;11(2):133–140 Full Text DOI 10.12680/balneo.2020.328 (329) Clinicoradiologic aspects of periodontal diseases in patients with gluten-related disorders - KUSTRO T., ANTONENKO M., GUBSKA O. Balneo Research Journal. 2020;11(2):141-144 Full Text DOI 10.12680/balneo.2020.329 (330) Functional Exercise Capacity and Quality of Life in Type II Diabetes Mellitus Patients - AMARICAI Elena Balneo Research Journal. 2020;11(2):145–148 Full Text DOI 10.12680/balneo.2020.330 (331) DIAGNOSTIC ISSUES OF ALLERGIC PHARINGITIS - PUKHLIK Sergey, SUVORKINA Alisa Balneo Research Journal. 2020;11(2):149–153 Full Text DOI 10.12680/balneo.2020.331 (332) Investigation of the effectiveness of tranexamic acid solution to optimize the control of perioperative bleeding during tonsillectomy - PUKHLIK Sergey1, KOLESNICHENKO Volodymyr1, GUSHCHA Sergey Balneo Research Journal. 2020;11(2):154-158 Full Text DOI 10.12680/balneo.2020.332 (333) Approaches to the stage-by-stage and complex treatment of children with dysplastic scoliosis of i - ii degrees - VOLOSHYNA Olena, BALASHOVA Iryna, DUKOVA Olga, LYSIY Igor, DICHKO Tetiana, ZBITNIEVA Viktoria, GUSHCHA Sergey Balneo Research Journal. 2020;11(2):159-163 Full Text DOI 10.12680/balneo.2020.333 (334) Management of temporomandibular disorders with ultrasound therapy and transcutaneous electrical nerve stimulation – a literature up-date - KUI Andreea, CIUMAȘU Alexandru, NEGUCIOIU Marius, TISLER Corina, ALMASAN Oana, IACOB Simona, CIUREA Anca, BUDURU Smaranda Balneo Research Journal. 2020;11(2):164–168 Full Text DOI 10.12680/balneo.2020.334 (335) The Ki-67 immunohistochemical expression of colorectal polyps - SAFIYEVA Aynur, BAYRAMOV Nuru Balneo Research Journal. 2020;11(2):169–173 Full Text DOI 10.12680/balneo.2020.335 (336) Quantitative evaluation of alkalinizing features of natural mineral waters of Transcarpathia - LEMKO Ivan S., HAYSAK Margarita O., DYCHKA Lyudmila V. Balneo Research Journal. 2020;11(2):174-179 Full Text DOI 10.12680/balneo.2020.336 (337) I have an arrhythmia. Do I need Cardiac Rehabilitation ? - ZGIIA Alexandra, MAATAOUI Fadi, CISMARU Gabriel, CISMARU Andrei, GURZAU Diana, FRANGU Florina, MARTIS Alexandru, CALOIAN Bog- dan, COMSA Horatiu, GUSETU Gabriel, PUIU Mihai, Istratoaie Sabina, ROSU Radu, POP Dana, ZDRENGHEA Dumitru Balneo Research Journal. 2020;11(2):180-186 Full Text DOI 10.12680/balneo.2020.337 (338) THE EFFECTS OF PHYSIOTHERAPY PROGRAMS IN THE RECOVERY OF CALCANEAL SPURS - ONU Ilie, CRISTEA Florentina, GHEORGHIU Aurelian, GHERGHEL Robert Balneo Research Journal. 2020;11(2):187-190 Full Text DOI 10.12680/balneo.2020.338 (339) Tear biomarkers in neurodegenerative diseases - STANESCU Ioana, BULBOACĂ Adriana, DOGARU Gabriela, NICULA Cristina Balneo Research Journal. 2020;11(2):191–195 Full Text DOI 10.12680/balneo.2020.339 (340) The impact of the dry eye syndrome on the quality of life in elderly patients-minireview - NICULA Cristina Ariadna, NICULA Dorin, DOGARU Gabriela, BULBOACĂ Adriana Elena Balneo Research Journal. 2020;11(2):196–203 Full Text DOI 10.12680/balneo.2020.340 (341) An uncommon association of dry eye syndrome with relapsing polychondritis and necrotizing scleritis - NICULA Cristina Ariadna, SUCIU Corina, BOJAN Anca, DAMIAN Laura, BULBOACĂ Adriana Elena Balneo Research Journal. 2020;11(2):204-209 Full Text DOI 10.12680/balneo.2020.341 (342) Adherence to CPAP Therapy - a necessity in the Pulmonary Rehabilitation of patients with Obstructive Sleep Apnea - MAIEREAN Anca, PERNE Mirela Georgiana, TONCA Claudia, MAN Milena, DANTES Elena, ARGHIR Oana, CHIS Ana, MOTOC Nicoleta Balneo Research Journal. 2020;11(2):210-219 Full Text DOI 10.12680/balneo.2020.342 (343) Pulmonary rehabilitation in severe post-tuberculosis sequelae - case presentation - CROITORU Alina, MAHLER Beatrice, MAIEREAN Anca, CIUMARNEAN Lorena, DOGARU Gabriela, DANTES Elena Balneo Research Journal. 2020;11(2):220-223 Full Text DOI 10.12680/balneo.2020.343 (344) The effects of regular physical activities on subjective well-being levels in women of menopause period - Yasemin Çakmak Yıldızhan, Eser Ağgön Balneo Research Journal. 2020;11(2):224–229 Full Text DOI 10.12680/balneo.2020.344 (345) Сlinical experience of using mineral water and vitafonotherapy in the complex treatment of patients with chronic viral hepatitis C with concomi- tant non-alcoholic fatty liver disease - IZHA Anna Balneo Research Journal. 2020;11(2):230–235 Full Text DOI 10.12680/balneo.2020.345 Tattooing-induced inflammatory reactions, unusual trigger factor for stroke in a young man chronic user of tobacco and marijuana, with unknown neurovascular anatomical variants and patent foramen ovale – a “happy ending” case report ANGHELESCU Aurelian1,2, MAGDOIU Anca Magdalena3 Corresponding author: ANGHELESCU Aurelian, E-mail: [email protected] Balneo Research Journal DOI: http://dx.doi.org/10.12680/balneo.2020.324 Vol.11, No.2, May 2020 p: 107–114 1. "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania 2. Neurorehabilitation Clinic, Teaching Emergency Hospital "Bagdasar-Arseni", Romania 3. CMI Dr MAGDOIU. Bucharest, Romania Abstract Introduction: Extensive tattooing co-occurring with other lifestyle risk factors (cannabis and tobacco smoking) represents unhealthy behavior trends in some groups of teenagers and young adults. Case report: This case study synthetically presents a 2 years evolution of a 37-year-old man, with 20-year history of progressive and regular cannabis exposure and tobacco smoking. In January 2017 he suffered a severe paramedian thalamo-mesencephalic embolic stroke of undetermined source and coma, preceded by laborious tattooing maneuvers. Uncommon anatomical variants of cerebral circulation (a right-sided fetal type posterior cerebral artery and an inferred artery of Percheron) were detected. The rehabilitation program and abstinence from smoking tobacco and marijuana led to significant neurologic improvement, with no vascular recurrence until September 2018, when he suddenly suffered from a transient ischemic attack in the vertebrobasilar arterial territory. Recurrence of the cerebral ischemic event during a disciplined program of abstinence imposed clinical re-examination, blood analysis, peripheral venous Doppler, 24-hours ECG Holter. Finally transesophageal echocardiography has revealed the embolic source, and detected patent foramen ovale (PFO) with minimal shunt. He was informed that he should undergo PFO closure. His first option was for conservatory management, using a dual antiplatelet medication (75 mg clopidogrelum, 75 mg aspirin). In October 2019 his cardiac congenital malformation was successfully operated. Case closed. Discussion: Stroke was triggered by extensive tattooing maneuvers that induced bleeding, local and systemic inflammatory reactions, in a young person predisposed to cerebral infarction. The complex physiopathological picture included a "puzzle" of harmful xenobiotics (contained in cannabis and tobacco smoke, respectively in tattooing ink), overlapping with the unknown pre-existing asymptomatic cardiac malformation, and neurovascular uncommon anatomic variant. Prevention of stroke in young adults is the primary treatment strategy, as Hippocratic Oath postulates: "I will prevent disease whenever I can, for prevention is preferable to cure". Healthcare professionals must educate people and promote prophylactic interventions against modifiable
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