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Background: Spinal dural arteriovenous fistula (SDAVF) is a known cause of nontraumatic slow progressive araparesia and is frequently overlooked because its clinical features overlap with more common causes of myelopathy and also neuroimaging may be normal.

Case Report: A 53 year-old man with developed weakness of both lower limbs had symptoms begun spontaneously 3.5 month before admission and progressed from 1 month ago with bowel and bladder incontinence. The patient's physical examination was normal and neurologic testing revealed lower extremity motor strength of 3/5. Deep tendon reflexes were decreased and superficial abdominal reflexes were absent. Sensation of pinprick and temperature was absent distal to the T4-T5 level. Vibration and proprioception were decreased to the ankle and saddle anesthesia and the patient was non ambulatory. Laboratory routine and specific tests for vitamin B12 level, hepatitis, HIV, HTLV_{1, 2} were negative. MRI of spine with and without contrast raised the possibility of dural arteriovenous malformation extended from T3 level to conus medullaris which was confirmed by angiography. The patient referred to neurosurgeon for deciding route of treatment.

Conclusion: SDAVF can be a significant non traumatic slowly progressive cause of myelopathy. The majority of the affected patients are males older than 50 years of age. Rapid diagnosis in these patients leads to significant improvement.

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Background & objectives: Mitochondrial dysfunction is one of the main risk factors for neurological diseases which are associated with aging. On the other hand, aerobic exercise has beneficial effects on the brain health and cognitive function, and also improves mitochondrial dynamics. Therefore, the aim of the present study was to investigate the effect of 4 weeks of aerobic exercise on spatial learning, memory performance and mitochondrial dynamics in the hippocampal tissue of old rats.
Methods: For this purpose, 14 male Wistar rats at 20 months of age were randomly divided into 2 groups: aerobic exercise (n=7) and control group (n=7). The exercise group performed 4 weeks of treadmill training (5 days per week at a speed of 10 to 15 m/min). Forty-eight hours after the last training session, the animals underwent behavioral tests. Twenty-four hours after the behavioral test, all rats were killed and hippocampal tissue was extracted. The mRNA expression of OPA1, Mfn2 and Drp1 genes were assayed using Real Time-PCR. The Independent t test was used for statistical analysis.
Conclusion: Aerobic exercise in old animals improved spatial learning and memory performance, increased hippocampal OPA1 gene expression, and decreased Drp1 gene expression compared to the control group (p≤0.01).
Conclusion: It seems that aerobic exercise can improve the function of brain mitochondria by modulating fusion and fission processes and it can be considered as an effective non-pharmacological method to deal with aging-related learning and memory perturbations.

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Background & objectives: Maintaining the capacity of mitochondrial biogenesis during aging is considered a key factor to prevent the development of age-related diseases. this study aimed  to investigate the effect of 8-weeks of high-intensity interval training (HIIT) and hawthorn extract on the peroxisome proliferator- activated receptor-γ gamma coactivator-1α (PGC-1α) and mitochondrial transcription factor A (TFAM) proteins levels in the soleus muscle of aged rats.
Methods: Thirty-six aged rats were randomly and equally assigned into control (CON), HIIT, extract or combined (COM, HIIT+ extract) groups. The HIIT protocol consisted of 6 to 9 sets×5-min of running on a treadmill, which was performed 4 minutes at 16 m/min and one minuteat a speed velocity of 25 m/min, 5 times a week for 8 weeks. Over the intervention period, rats in the extract and COM groups received 100 mg/kg per day hawthorn. After the interventions, TFAM and PGC-1α protein expression levels were detected in the soleus muscle using the western blotting method.
Results: There was a significant increase in PGC-1α for all interventions when compared to the CON, although this increase in the COM was significantly higher than the other groups. After 8 weeks , there was a significant increase in TFAM level in  extract group compared to CON,also, the training groups had more effects on this marker in comparison to the former intervention (p>0.05).   
Conclusion: It seems that, 8-weeks of the HIIT+ intake hawthorn is a more efficient approach in improving mitochondrial oxidative capacity compared to HIIT and extract alone.