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Ulnar nerve usually gets entrapped at cubital sulcus, but it may rarely occur at the wrist region and the most frequent reason is chronic pressure. Entrapment of the ulnar nerve at the arm region is very rare and only a few case reports have been published. Arcade of Struthers, which is found in the middle region of the arm, is an entrapment area for ulnar nerve. We aimed to underline the importance and presence of arcade of Struthers by presenting a 20 year old male patient with a clinical presentation of ulnar entrapment neuropathy and having electrophysiological findings of ulnar entrapment at the middle region of his arm.

Objective: Cerebral venous sinus thrombosis (CVT) is a disease that is difficult to diagnose because of large variability of clinical symptoms and signs. Poor prognosis may occur due to late diagnosis. Methods: The demographic characteristics, initial symptoms and signs, clinical features, etiologies, imaging findings and treatments were retrospectively reviewed in the 17-patients accepted to our hospital between May-2003 and January-2011 with Cerebral Venous Thrombosis diagnosed by cranial magnetic resonance imaging and magnetic resonance venography. Results: The patients followed in our clinic with a diagnosis of cerebral venous thrombosis were 9-female and 8-men. All of the patients complained from headache, eight of the patients had epileptic seizures, six of patients had weakness and/or a complaint of numbness. Evaluation of etiologic factors revealed that CVT developed after pregnancy in three patient, after oral contraceptives in three patient. As the most common neurological examination findings during the first applicant were papillae edemas in 13 patients, 6 patients had motor deficits, sixth cranial nerve involvement was detected in 3 patients. All the patients were diagnosed with cerebral venous thrombosis were managed by anticoagulation therapy. One of our patients died. Conclusion: Although SVT is a rare disease, patient admitted with severe headaches and papilledema, epileptic seizure, and with prone to thrombosis, it should be considered. Early diagnosis is very important for CVT and anticoagulant, thrombolytic, antiepileptic and etiologic treatments should be done. Anticoagulant therapy is the first-line treatment for cerebral venous sinus thrombosis because of its efficacy and safety.

Progressive supranuclear palsy (PSP) is a form of neurodegenerative disease which affects the brainstem and basal ganglia. Patients present supranuclear ophthalmoplegia, postural instability and mild dementia. We analyzed five cases of PSP from 1 January 2005 to 31 December 2009. All patients underwent a memory test, autonomic examination, brain magnetic resonance imaging (MRI) and they evaluated by formal neurologic examination. All were taking L-dopa or dopamine agonists. At the onset of PSP the initial diagnosis was Parkinson’s disease in all patients. The brain MRI findings were revealed severe midbrain atrophy, while mini-mental state examination disclosed cognitive impairment, with predominant subcorticalfrontal involvement. Autonomic tests were failure in three of the patients. We emphasize the still obvious current difficulty in diagnosing PSP at an early stage in clinical practice. Therefore it is essential to formulate better clinical diagnostic criteria, to permit correct management of the disease.