Early inappropriate secretion of antidiuretic hormone after trans-sphenoidal pituitary adenomectomy

1990 ◽  
Vol 104 (11) ◽  
pp. 894-895 ◽  
Author(s):  
G. E. Murty ◽  
P. Lamballe ◽  
A. R. Welch
Keyword(s):  
Antidiuretic Hormone ◽  
Clinical Features ◽  
Early Presentation ◽  
Inappropriate Secretion ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Late Phenomenon

AbstractThe syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is a rare but life-threatening complication of trans-sphenoidal pituitary adenomectomy. It has previously only been described as a late phenomenon. We report an early presentation within the first week. The pathophysiology, clinical features and treatment are discussed.

scholarly journals Life threatening hyponatraemia following evacuation of spontaneous chronic subdural haematoma

2014 ◽  
Vol 96 (6) ◽  
pp. e26-e27
Author(s):  
R Johnson ◽  
T Ibrahim
Keyword(s):  
Antidiuretic Hormone ◽  
Subdural Haematoma ◽  
Chronic Subdural Haematoma ◽  
Burr Hole ◽  
Pituitary Stalk ◽  
Brain Shift ◽  
First Report ◽  
Inappropriate Secretion ◽  
Life Threatening

We report the case of a 43-year-old woman who developed life threatening hyponatraemia 4 days following burr hole drainage of a spontaneous chronic subdural haematoma (CSDH). Syndrome of inappropriate secretion of antidiuretic hormone was confirmed. This is the first report of delayed life threatening hyponatraemia developing postoperatively in CSDH. The mechanism remains unclear but may involve brain shift on the pituitary stalk following subdural evacuation.

Risperidone-Induced Neuroleptic Malignant Syndrome: A Case Report and Review

1996 ◽  
Vol 41 (1) ◽  
pp. 52-54 ◽  
Author(s):  
Gb Meterissian
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Neuroleptic Malignant Syndrome ◽  
Clinical Features ◽  
Prior History ◽  
Extrapyramidal Side Effects ◽  
Life Threatening ◽  
History Of ◽  
Life Threatening Complication ◽  
The One

Objectives: 1. To report the case of a 53-year-old patient who developed neuroleptic malignant syndrome (NMS) — a rare but potentially life-threatening complication of neuroleptic therapy — 4 days after treatment with risperidone was initiated. 2. To review previously reported cases of NMS associated with risperidone. Methods: A computerized search of several databases, including MEDLINE, was conducted to find all previously reported cases of NMS with risperidone. Results: Five reported cases of risperidone-induced NMS were found in the literature. All cases including the one reported here displayed typical clinical features of NMS and all 6 patients had a prior history of extrapyramidal side effects and/or NMS. Age and duration of exposure to risperidone did not seem to be of significance. Conclusions: These cases illustrate that clinicians should be on the lookout for risperidone-induced NMS.

Intraoperative herniation of a tracheostomy tube cuff

1995 ◽  
Vol 109 (2) ◽  
pp. 159-160 ◽  
Author(s):  
Yaron Bar-Lavie ◽  
Albert Gatot ◽  
Ferit Tovi
Keyword(s):  
Nitrous Oxide ◽  
Clinical Features ◽  
Tracheostomy Tube ◽  
Tube Cuff ◽  
Tube Obstruction ◽  
Tube Lumen ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Distal Tube ◽  
Nitrous Oxide Diffusion

AbstractA case of intraoperative tracheostomy tube obstruction is reported. The clinical features and the chain of events leading to the diagnosis of cuff herniation are presented. The different mechanisms of herniation are discussed. In the present case we speculate that a manufacturing defect together with nitrous oxide diffusion into the cuff caused dilatation and herniation of the latter which led to obstruction of the distal tube lumen. We draw attention to this rare but life-threatening complication.

scholarly journals SARS-CoV-2-induced Multisystem Inflammatory Syndrome in a Young Adult

2021 ◽  
Author(s):  
haldun bulut ◽  
Alexandra H.E. Herbers ◽  
Ilse M.G. Hageman ◽  
Paetrick M. Netten ◽  
Hendrik J.M. de Jonge ◽  
...  
Keyword(s):  
Heart Failure ◽  
Young Adult ◽  
Clinical Features ◽  
Cardiac Involvement ◽  
Volume Loading ◽  
Male Athlete ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Cardiac Status ◽  
Inflammatory Syndrome

Abstract We describe a case of a previous healthy 20-year-old male athlete who presented with an atypical clinical profile with multiorgan involvement five weeks after confirmed SARS-CoV-2 infection, suggestive for multisystem inflammatory syndrome (MIS). MIS is a rare, potentially life-threatening complication associated with SARS-CoV-2 and shares several similar clinical features with overlapping hyperinflammatory syndromes that may create a great challenge to distinguish between them. MIS should promptly be considered and treated, as uncontrolled MIS has a high mortality. In MIS cardiac involvement, heart failure may present as an additional problem, especially because volume loading is advised in accordance with proposed therapy. Carefully monitoring of the respiratory and cardiac status in response of resuscitation is therefore warranted.

Presentation of Gall Stone Ileus as Gut Obstruction

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 117-119
Author(s):  
Munir Ahmad Wani ◽  
Mubarak Ahmad Shan ◽  
Syed Muzamil Andrabi ◽  
Ajaz Ahmad Malik
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Emergency Surgery ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Life Threatening ◽  
Life Threatening Complication ◽  
Gall Stone Ileus

Gallstone ileus is an uncommon and often life-threatening complication of cholelithiasis. In this case report, we discuss a difficult diagnostic case of gallstone ileus presenting as small gut obstruction with ischemia. A 56-year-old female presented with abdominal pain and vomiting. A CT scan was performed and showed an evolving bowel obstruction with features of gut ischemia with pneumobilia although no frank hyper density suggestive of a gallstone was noted. The patient underwent emergency surgery and a 60 mm obstructing calculus was removed from the patient's jejunum, with a formal tube cholecystostomy. JMS 2018: 21 (2):117-119

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