Unusual Sequelae of Meningococcal Infection: A Case Report of Hepatic Dysfunction, Protracted Neurological Complications and Late Cutaneous Manifestations Associated with Serogroup Y

2003 ◽  
Vol 46 (3) ◽  
pp. 186-188
Author(s):  
G. Perera ◽  
S. Eykyn
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuyan Nie ◽  
Weimin Zhou ◽  
Shaoqiang Huang

Abstract Background The preferable choice of anesthesia for the patients with congenital atlantoaxial dislocation (CAAD) and type I Arnold Chiari malformations (ACM-I) has been a very confusing issue in clinical practice. We describe the successful administration of combined spinal-epidural anesthesia for a woman with CAAD and ACM-1 accompanied by syringomyelia. Case presentation Our case report presents the successful management of a challenging obstetric patient with CAAD and ACM-1 accompanied by syringomyelia. She had high risks of difficult airway and aspiration. The injection of bolus drugs through the spinal or epidural needle may worsen the previous neurological complications. The patient was well evaluated with a multidisciplinary technique before surgery and the anesthesia was provided by a skilled anesthesiologist with slow spinal injection. Conclusions An interdisciplinary team approach is needed to weigh risks and benefits for patients with CAAD and ACM-1 undergoing cesarean delivery. Therefore, an individual anesthetic plan should be made basing on the available anesthetic equipments and physicians’ clinical experience on anesthetic techniques.


Author(s):  
Midori Awazu ◽  
Tetsuya Tanaka ◽  
Seiji Sato ◽  
Makoto Anzo ◽  
Masataka Higuchi ◽  
...  

1997 ◽  
Vol 3 (6) ◽  
pp. 460-464 ◽  
Author(s):  
Elennora PM Corssmit ◽  
Maureen A Leverstein-Van Hall ◽  
Peter Portegies ◽  
Piet Bakker

1982 ◽  
Vol 4 (5) ◽  
pp. 385-389 ◽  
Author(s):  
Ruth Nass ◽  
Theresa Voorhies ◽  
M Lyta Alonso

2016 ◽  
Vol 05 (02) ◽  
pp. 107-109
Author(s):  
Saranya Deb Barma ◽  
Gunamani Rabba ◽  
Kunjalal Talukdar

AbstractThe atlas vertebra articulates with the occipital bone of the skull by a pair of sunovial joints. Occipitalization is a congenital fusion of the atlas to the base of the occiput which reduces the foramen mangnum dimension leading to neurological complications due to compression of spinal cord. Individuals with occipitalization of the atlas may have low hairline, torticollis, restricted neck movement and abnormal short neck. During routine osteology demonstration class for undergraduate students, a total atlanto-occipital fusion was seen. The clinical implications of altanto-occipitalization may be beneficial for neurosurgeons, neurologists, orthopaedic surgeons and radiologists in day-to-day clinical practice.


2007 ◽  
Vol 27 (4) ◽  
pp. 391-394 ◽  
Author(s):  
Kim C.E. Sigaloff ◽  
Carola W.H. de Fijter

Neurological complications of varicella zoster virus (VZV) reactivation have rarely been described in dialysis patients. We report a case of a continuous ambulatory peritoneal dialysis (CAPD) patient who developed herpes zoster encephalitis. The patient was treated with acyclovir and steroids and had a slow but complete return to her prior cognitive status. The available literature is reviewed and the differential diagnosis with acyclovir toxicity is discussed.


2018 ◽  
Vol 24 (5) ◽  
pp. 529-532 ◽  
Author(s):  
Manuel Bolognese ◽  
Alexander von Hessling ◽  
Martin Müller

Neurological complications of infective endocarditis are frequent, especially ischaemic strokes. As intravenous thrombolysis in infective endocarditis-related ischaemic stroke has a controversial benefit/risk ratio, alternative treatment regimens have to be considered. We present the case of a young patient with septic embolism of the middle cerebral artery who was successfully treated with mechanical thrombectomy, and give a short review of the existing literature.


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