Spontaneous evacuation of hyperacute extradural hematoma: two illustrative case reports

2016 ◽  
Vol 33 (1) ◽  
pp. 193-196
Author(s):  
Mahesh Krishna Pillai ◽  
Rajeev Kariyattil ◽  
Venkatesh Govindaraju ◽  
Koshy Kochummen
Keyword(s):  
Case Reports ◽  
Illustrative Case ◽  
Extradural Hematoma ◽  
Spontaneous Evacuation

scholarly journals Delayed Extradural Hematoma after Evacuation of Contralateral Acute Extradural Hematoma

2020 ◽  
Author(s):  
Majid Anwer ◽  
Atique Ur Rehman ◽  
Farheen Ahmed ◽  
Satyendra Kumar ◽  
Md Masleh Uddin
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Postoperative Period ◽  
Road Traffic ◽  
Case Reports ◽  
Mass Effect ◽  
Extradural Hematoma ◽  
Traumatic Head Injury ◽  
Neurologic Deterioration ◽  
The Right

Abstract Introduction Traumatic head injury with extradural hematoma (EDH) is seen in 2% of patients. Development of EDH on the contralateral side is an uncommon complication that has been reported in various case reports. Case Report We report here a case of an 18-year-old male who had a road traffic injury. He was diagnosed as a case of left-sided large frontotemporoparietal acute extradural bleed with a mass effect toward the right side. He was managed with urgent craniotomy and evacuation of hematoma. A noncontrast computed tomography (NCCT) scan performed 8 hours after postoperative period showed a large frontotemporoparietal bleed on the right side with a mass effect toward the left side. He was again taken to the operating room and right-sided craniotomy and evacuation of hematoma were performed. A postoperative NCCT scan revealed a resolved hematoma. The patient made a complete recovery in the postoperative period and is doing well. Conclusion Delayed onset epidural hematoma is diagnosed when the initial computed tomography (CT) scan is negative or is performed early and when late CT scan performed to assess clinical or ICP deterioration shows an EDH. The diagnosis of such a condition requires a high index of suspicion based on the mechanism of injury along with fracture patterns. Additionally, change in pupillary size, raised intracranial pressure, and bulging of the brain intraoperatively are additional clues for contralateral bleeding. Neurologic deterioration may or may not be associated with delayed EDH presentation. An early postoperative NCCT scan within 24 hours is recommended to detect this complication with or without any neurologic deterioration.

Pediatric Pulmonology

2011 ◽  
Author(s):  
AAP Section on Pediatric Pulmonology
Keyword(s):  
Case Reports ◽  
Therapeutic Strategies ◽  
Illustrative Case ◽  
Spinal Deformities ◽  
Know How ◽  
Anatomy And Physiology ◽  
American Academy Of Pediatrics ◽  
Pediatric Pulmonology ◽  
Assessment And Testing ◽  
Text Content

All new resource expertly guides you through the diagnosis, treatment, and ongoing management of virtually every pulmonary issue you're likely to encounter. This policy book from the American Academy of Pediatrics guides you through the diagnosis, treatment, and ongoing management of virtually every pulmonary issue you're likely to encounter. You'll turn here often for the latest AAP findings and recommenations; assessment and testing how-tos; proven therapeutic strategies; procedures, and techniques; home care and monitoring considerations; and much more. Powerful problem-solving features in each information-rich chapter include illustrative case reports, key point summaries; and definitions of pulmonary-specific terms. Nearly 300 finely detailed images complement the text. Content highlights: Foundation knowledge and know-how - anatomy and physiology; physical examination; pulmonary testing; imaging; bronchoscopy; Allergic conditions - acute bronchopulmonary aspergillosis; asthma; Anatomical disorders; congenital anomalies; chest wall and spinal deformities and much more.

scholarly journals Calcified Prolactinoma of the Pituitary Gland: Illustrative Case Reports Highlighting Medical versus Surgical Intervention

2019 ◽  
Vol 81 (01) ◽  
pp. 022-029
Author(s):  
Sherwin Tavakol ◽  
Asma Hasan ◽  
Michelle A. Wedemeyer ◽  
Joshua Bakhsheshian ◽  
Chia-Shang J. Liu ◽  
...  
Keyword(s):  
Pituitary Gland ◽  
Pituitary Adenomas ◽  
Standard Treatment ◽  
Tumor Response ◽  
Surgical Intervention ◽  
Case Reports ◽  
Illustrative Case ◽  
Tumor Shrinkage ◽  
Endoscopic Endonasal ◽  
Diffuse Calcification

AbstractThe presence of calcification is uncommon in pituitary adenomas, and often lends support to other diagnoses including craniopharyngioma. The majority of calcified pituitary adenomas are prolactin-secreting tumors. We report two patients with calcified macroprolactinomas, one that was treated medically with a biochemical response and partial tumor response, and one that was treated successfully via an endoscopic endonasal transsphenoidal approach. Suspected calcified prolactinomas can be initially managed medically as per standard treatment for typical prolactinomas; however, the presence of diffuse calcification may hinder tumor shrinkage. Tumors that are refractory to medical treatment can be safely managed with surgery.

scholarly journals Abscopal effect in lung cancer: three case reports and a concise review

Immunotherapy ◽  
2019 ◽  
Vol 11 (17) ◽  
pp. 1445-1461 ◽  
Author(s):  
Elena Garelli ◽  
Achim Rittmeyer ◽  
Paul Martin Putora ◽  
Markus Glatzer ◽  
Ralf Dressel ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Small Cell Lung Cancer ◽  
Cell Lung Cancer ◽  
Case Reports ◽  
Small Cell ◽  
Illustrative Case ◽  
Abscopal Effect ◽  
Small Cell Lung ◽  
Antitumor Effects ◽  
Concise Review

The abscopal effect describes the ability of locally administered radiotherapy to induce systemic antitumor effects. Over the past 40 years, reports on the abscopal effect following conventional radiation have been relatively rare, especially in less immunogenic tumors such as lung cancer. However, with the continued development and use of immunotherapy, reports on the abscopal effect have become increasingly frequent during the last decade. Here, we present three illustrative case reports from our own institution and previous published cases of the abscopal effect in patients with non-small cell lung cancer, treated with immune checkpoint inhibitors and radiotherapy. We also present a concise review of the clinical and experimental literature on the abscopal effect in non-small cell lung cancer.

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