Faculty of Medicine

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    Subdural hematoma with symptom of epileptic attacks after subarachnoidal anesthesia - a case report
    (University of Nis, Faculty of Medicine, 2018)
    Ivanov, Emilija
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    Doneva, Ana
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    Nojkov, Jordan
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    The study describes a case of subdural hematoma developed after cesarean section in a 34- year-old patient with normal intra-operative course. During the first twelve hours after the operation, the patient had a headache considered as post-dural puncture headache (PDPH) and was treated in that direction. After the third operative day the headache was reduced, and on the fifth day the patient was discharged from the hospital in good condition. As soon as the patient was discharged, the headache appeared again with stronger and persisting intensity and at the end it was accom- panied by epileptic seizure. MR scan showed subdural hematoma in absorption. After conservative therapy, the condition was improved and the patient was without neurologic consequences. The differences between PDPH and other types of headache, as well as the potential etiopathogenesis of subdural hematoma in obstetric patient, are discussed in this study. We have come to the conclusion that after the long persisting headache, if we take into consideration this complication as a possibility, the early diagnosis and adequate treatment could lead to complete recovery.
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    Generation X- Challenges in anticoagulation
    (Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2022-12)
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    Doneva, Ana
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    Angelova, Aleksandra
    Atrial fibrillation (AF) increases an individual’s risk of stroke by 4 to 6 times on average. The risk increases with age. In people over 80 years old, AF is the direct cause of 1 in 4 strokes. In these cases, anticoagulation therapy is recommended for primary prevention and secondary stroke prevention. Direct oral anticoagulants(DOACs) such asRivaroxaban are preferred over Vitamin K antagonists(VKA), according to the latest guidelines.To presentinteresting and challenging cases from the clinical practice and discuss use of Rivaroxaban in primary and secondary prevention in patients with AFand stroke.In November 2022 we organized a two-day workshop, under the auspices of the pharma company Bayer d.o.o. Ljubljana-Representative Office Skopje, Macedonia. Neurology and Cardiologyresidents presented 10 clinical cases, under the mentorship of respective specialists, experts in theirfields. Clinical features, laboratoryanalysis,neuroimaging findings and contemporary management of each case were discussed in detail. Designated mentors presented the latest guidelines and recommendations regarding use of Rivaroxaban in primary and secondary prevention in patients with AFand stroke.Belowwe present 10 clinical cases and describe in detail their physical and neurological condition, laboratory and imaging findings and therapeutic approach
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    Carotid Artery Disease and Lower Extremities Artery Disease in Patients with Chronic Obstructive Pulmonary Disease
    (Scientific Foundation SPIROSKI, 2019-07-15)
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    Kochovska-Kamchevska, Nade
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    Doneva, Ana
    To assess the frequency of carotid artery disease (CAD) and lower extremities artery disease (LEAD) in patients with chronic obstructive pulmonary disease (COPD) and their relation to the severity of airflow limitation and the level of C-reactive protein (CRP).