scholarly journals Evans index among adult Ghanaians on normal head computerized tomography scan

Heliyon ◽  
2021 ◽  
Vol 7 (5) ◽  
pp. e06982
Author(s):  
Klenam Dzefi-Tettey ◽  
Emmanuel Kobina Mesi Edzie ◽  
Philip Narteh Gorleku ◽  
Edmund Kwakye Brakohiapa ◽  
Bernard Osei ◽  
...  
2021 ◽  
pp. 1025-1030
Author(s):  
Ilya Noginskiy ◽  
Neil Nimkar ◽  
Madhumati R. Kalavar

A retroperitoneal finding on a computerized tomography scan, in a symptomatic patient, can harbor the clinician to many differential diagnoses from infectious to malignancy. Desmoid fibromatosis (DF), a relatively innocuous mass that can spread locally, can be found in that anatomical region. Even for a rare tumor such as DF, our patient did not meet the usual benchmarks of this cancer, being an elderly female and having it appear as an abscess radiologically. Timely clinical response with radiotherapy and tamoxifen allowed our patient’s DF to regress and resolved her symptoms.


2001 ◽  
Vol 119 (6) ◽  
pp. 206-211 ◽  
Author(s):  
Eduardo Toledo de Aguiar ◽  
Alex Lederman ◽  
Celso Higutchi ◽  
Gerd Schreen

CONTEXT: Indications and results of carotid endarterectomy have been defined from clinical multicentric trials like the European Carotid Surgery Trialists, North-American Symptomatic Carotid Endarterectomy Trial and Asymptomatic Carotid Atherosclerosis Study. The patients included in these trials were highly selected, as were the surgeons performing the operations. Clinical practice is different but the same results should be achieved. OBJECTIVE: To study indications, technique, early and late results, and whether carotid endarterectomy has been performed in accordance with standards defined by multicentric trials. DESIGN: Retrospective case report study. SETTING: A tertiary care private hospital. PARTICIPANTS: 57 patients, on whom 70 carotid endarterectomies were performed over a 10-year period. The median age was 66.4 ± 7.8 years; 43 (75.4%) were male, 41 (71.9%) hypertensive, 36 (63.1%) current smokers and 24 (21.0%) had diabetes. Bilateral carotid stenosis was present in 31 (54.3%) patients, peripheral arterial occlusions in 32 (56.1%) and ischemic cardiopathy in 25 (43.1%). All patients had had angiography and 41 (71.9%) had also had a duplex-scan of neck arteries. Cerebral imaging via computerized tomography scan or magnetic resonance imaging was obtained for 36 patients. Patients were followed up over a period of one to 122 months. MAIN MEASUREMENTS: early and late post-operative death, early and late post-operative stroke, and recurrence of atheroma plaque and symptoms relative to carotid stenosis. RESULTS: There was one post-operative death (1.4%) caused by myocardial infarction and two early strokes (2.8%): a total complication rate of 4.2%. After 3 and 5 years, 95.4% and 81.3% of patients respectively were stroke-free and 72.8% and 67.3% were alive. There were four recurrences and two of them related to stroke. Forty-nine (70%) stenoses operated on were symptomatic. Brain infarction was detected in 59.2% of patients who underwent computerized tomography scan or magnetic resonance imaging. CONCLUSIONS: Carotid endarterectomy was done in accordance with international standards. The most frequent cause of late death was myocardial infarction, and recurrences were related to stroke. Patients should be followed up closely.


2021 ◽  
Vol Volume 13 ◽  
pp. 457-463
Author(s):  
Sorravit Savatmongkorngul ◽  
Chaiyaporn Yuksen ◽  
Wapee Maspol ◽  
Pungkava Sricharoen ◽  
Sirote Wongwaisayawan ◽  
...  

2019 ◽  
Vol 5 (2) ◽  
pp. 103-108
Author(s):  
S. Abdykerimov ◽  
D. Kochkunov

The paper analyzes the results of ventriculoperitoneal shunting operations in the treatment of congenital hydrocephalus in 55 patients aged 3 months up to 3 years. There were 37 boys and 18 girls who underwent various types of shunting operations after the failure of conservative treatment. Retrospectively, by the nature of the performed surgical interventions, the patients were divided into two groups: the first group included 25 children with congenital forms of cerebral dropsy, where ventriculoperitoneal shunting is performed with fixation of the distal shunt by separate sutures into the abdominal cavity; the second group included 30 children of similar ages, who underwent ventriculoperitoneal shunting without fixation by creating a tunnel and two, three holes fixing it. By studying the nature and causes of occlusive syndromes, the authors modified the method of shunting operations, which proved its rationality and effectiveness. In the scientific–grounded causes of occlusion of shunt catheters and methods for their correction. Dynamics with the use of neurosonography and MRI are recommended for detection and early treatment of disturbed shunt conditions. The most dangerous complication hyperdrainage detected during the operation was the formation of hydromas. To prevent the development of this pathology, it is enough to put the patient on the bed with the lowered head end. For the detection and subsequent treatment of conditions associated with dysfunction of the shunt required regular re not, with the spuriousness of this method is the computerized tomography scan or MRI. It is very important to have a conversation with the parents of the child who underwent shunting operations about the properties of the drainage system, the nature of possible complications and tactics of behaviour that allows you to timely provide the necessary assistance to patients.


Sign in / Sign up

Export Citation Format

Share Document