Long-term antikoagulation in a neonate with sinovenous thrombosis and stroke. Case presentation and review of the literature

2008 ◽  
Vol 39 (05) ◽  
Author(s):  
M von Rhein ◽  
P Habermehl ◽  
K Schlee-Böckh ◽  
M Knuf
Keyword(s):  
Review Of The Literature ◽  
Case Presentation ◽  
Sinovenous Thrombosis ◽  
Stroke Case

scholarly journals Anabolic Steroid Use for Weight and Strength Gain in Critically Ill Patients: A Case Series and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Matthew Anstey ◽  
Shilpa Desai ◽  
Luke Torre ◽  
Bradley Wibrow ◽  
Jason Seet ◽  
...  
Keyword(s):  
Critical Illness ◽  
Critically Ill ◽  
Anabolic Steroid ◽  
Critically Ill Patients ◽  
Case Series ◽  
Recovery Phase ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Significant Weakness

Background. An important long-term complication of critical illness is significant weakness and its resulting functional impairment. Recent advances have aimed to prevent critical illness weakness via early mobilisation of patients, minimising sedation, and optimising nutrition. One other potential treatment may be to provide anabolic support in the recovery phase, especially as patients have decreased levels of anabolic hormones. Case Presentation. We describe a case series of 4 patients who had either (1) profound critical illness myopathy and (2) profound weight loss. All patients were already receiving appropriate nutritional support and physiotherapy. All patients had functional improvements in their muscle strength. Conclusions. For patients in the recovery phase of critical illness, we provide examples of when anabolic steroid supplementation may assist the treating clinicians in rehabilitating their patients who are still in the Intensive Care Unit. We discuss patient selection and the current supporting literature for anabolic supplementation in critically ill patients.

scholarly journals Bilateral Septic Hip Epiphyseal Detachment in Children: A Case Report and Review of the Literature

2021 ◽  
Vol 7 (2) ◽  
Keyword(s):  
Septic Arthritis ◽  
Lower Limb ◽  
Neonatal Period ◽  
Rare Complication ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Delayed Treatment ◽  
Bilateral Involvement ◽  
Keywords Septic Arthritis

Background: Diagnosed and treated fairly early, children’s septic arthritis of the hip has few or no complications. Septic epiphyseal detachment of the hip in children is a rare complication due to delayed treatment. Unilateral forms have been reported, but bilateral involvement has never been described in the literature. Case presentation: We report the case of an 8-year-old girl who presented with hip pain associated fever and diminished lower limb movements, approximately 4 months after the onset of symptoms. The diagnosis of bilateral septic epiphyseal detachment of the hips was made and computerized tomography (CT) scan revealed osteonecrosis of both femoral heads. The necrotic epiphyses required removal in order to control the infection. Conclusion: This report highlights the importance of early diagnosis of septic arthritis of the hip in the neonatal period. Any delay in presentation, diagnosis or management can result in irrecoverable sequelae for the developing hip and seriously impact long-term function. Keywords: Septic arthritis, Bilateral, Epiphysis detachment, Hip, Ablation.

scholarly journals Contrast-Induced Encephalopathy Post Cardiac Catheterization, A Rare Mimicry of Acute Stroke - Case Presentation and Review of the Literature

2021 ◽  
Vol 9 (5) ◽  
pp. 291-294
Author(s):  
Julian C. Dunkley ◽  
Krunal H. Patel ◽  
Andrew V. Doodnauth ◽  
Pramod Theetha Kariyanna ◽  
Emmanuel Valery ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Cardiac Catheterization ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Stroke Case

Percutaneous Transforaminal Endoscopic Decompression in Lumbar Discal Cyst

2021 ◽  
pp. 25-32
Author(s):  
Ajay Krishnan
Keyword(s):  
Lumbar Discectomy ◽  
Lumbar Radiculopathy ◽  
Review Of The Literature ◽  
Analog Scale ◽  
Case Presentation ◽  
Excellent Method ◽  
Vas Scores ◽  
Microsurgical Resection ◽  
Endoscopic Lumbar Discectomy

Background: Discal cyst is a rare pathology causing lumbar radiculopathy. Conventional open and microsurgical resection is the most commonly reported surgical treatment for discal cyst. Full-endoscopic surgeries are an efficient but sparsely reported modality. Case Presentation: This is a retrospective study that presents the outcomes of 2 patients with lumbar discal cyst (with radiculopathy in the legs and Visual Analog Scale (VAS) scores of 10 out of 10, classic clinical-radiological presentation features) who were treated with Percutaneous transforaminal endoscopic lumbar discectomy (PTELD) under local anesthesia (LA). Validated Oswestry Disability Index (ODI) and MacNab scores were used for clinical outcome assessment. Additionally, we conducted a review of the literature on full-endoscopic approaches for discal cyst, namely PTELD, percutaneous interlaminar endoscopic lumbar discectomy (PIELD), and transsacral epiduroscopic decompression (SELD). Conclusion: PTELD for lumbar discal cyst is an excellent method to yield a positive long-term out-come, and one of the most minimally invasive full-endoscopic approaches. Key words: Decompression, disc, discal cyst, full endoscopy, lumbar, stenosis, surgery, transforaminal

Long-term side effects following pneumonectomy: A case report and review of the literature

2019 ◽  
Author(s):  
BA Högerle ◽  
EL Bulut ◽  
L Klotz ◽  
F Eichhorn ◽  
M Eichhorn ◽  
...  
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Review Of The Literature

Monitoring of tricyclic antidepressant plasma levels and clinical response: a review of the literature. Part II

1989 ◽  
Vol 4 (2) ◽  
pp. 81-90 ◽  
Author(s):  
I.R. De Oliveira ◽  
P.A.S. Do Prado-Lima ◽  
B. Samuel-Lajeunesse
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Elderly Patients ◽  
Plasma Levels ◽  
Tricyclic Antidepressant ◽  
Review Of The Literature ◽  
Central Nervous System Toxicity ◽  
Routine Measurement ◽  
System Toxicity

SummaryPart II of this paper contains some general considerations on tricyclic antidepressant (TCA) monitoring. Long-term assessment of TCA plasma levels is advised by the few existent studies, although each of these focusses on different aspects. Cardiovascular and central nervous system toxicity is reviewed as well as pharmacokinetics and the importance of protein binding. Some consideration is also given to their use in elderly patients. The authors conclude that although available data support its usefulness in many situations, routine measurement of TCA levels is not warranted.

scholarly journals COVID-19 related mortality in post-operative cardiac surgical patients

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Azhar Hussain ◽  
Amina Khalil ◽  
Priyanka Kolvekar ◽  
Prity Gupta ◽  
Shyamsunder Kolvekar
Keyword(s):  
Cardiac Surgery ◽  
Long Term Outcomes ◽  
Case Presentation ◽  
Elective Cardiac Surgery ◽  
The United Kingdom ◽  
Global Pandemic ◽  
Cardiac Operations ◽  
Related Mortality

Abstract Background COVID-19 has caused a global pandemic of unprecedented proportions. Elective cardiac surgery has been universally postponed with only urgent and emergency cardiac operations being performed. The National Health Service in the United Kingdom introduced national measures to conserve intensive care beds and significantly limit elective activity shortly after lockdown. Case presentation We report two cases of early post-operative mortality secondary to COVID-19 infection immediately prior to the implementation of these widespread measures. Conclusion The role of cardiac surgery in the presence of COVID-19 is still very unpredictable and further studies on both short term and long term outcomes are warranted.

scholarly journals Fibromuscular dysplasia with recurrence after “long-term” following percutaneous transcatheter renal angioplasty: two case reports with a review of 26 patients

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Shuntaro Oribe ◽  
Takafumi Toyohara ◽  
Eikan Mishima ◽  
Takehiro Suzuki ◽  
Koichi Kikuchi ◽  
...  
Keyword(s):  
Fibromuscular Dysplasia ◽  
Age Of Onset ◽  
Case Reports ◽  
Case Presentation ◽  
Renal Angioplasty ◽  
Long Term Follow Up ◽  
Percutaneous Transluminal Renal Angioplasty ◽  
The Difference

Abstract Background Fibromuscular dysplasia (FMD) often causes renal artery stenosis with renovascular hypertension. Recent clinical outcomes encourage percutaneous transluminal renal angioplasty (PTRA) to treat FMD; however, the necessary follow-up period remains unclear. Moreover, previous studies have not revealed the difference in the period until recurrence between two major types of FMD—multifocal and focal. Case presentation We describe two patients with multifocal FMD who developed hypertension during their teenage years and had recurrence of FMD > 10 years after PTRA. We further examined the types of FMD and age of onset in 26 patients who underwent PTRA. The period until recurrence of multifocal FMD was longer than that of focal FMD. Moreover, patients with early-onset multifocal FMD are likely to have a delayed recurrence after PTRA compared to other types. Conclusions Our report suggests that patients with multifocal FMD, especially those with onset at an early age, may need long-term follow-up for at least ≥ 10 years.

scholarly journals Clinical report of a neonate carrying a large deletion in the 10p15.3p13 region and review of the literature

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Qiao-Yan Shao ◽  
Pei-Lin Wu ◽  
Bi-Yun Lin ◽  
Sen-Jing Chen ◽  
Jian Liu ◽  
...  
Keyword(s):  
Digeorge Syndrome ◽  
Clinical Manifestations ◽  
Large Deletion ◽  
Terminal Deletion ◽  
Facial Features ◽  
Clinical Report ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Contiguous Gene ◽  
Renal Abnormalities

Abstract Background Terminal deletion of chromosome 10p is a rare chromosomal abnormality. We report a neonatal case with a large deletion of 10p15.3p13 diagnosed early because of severe clinical manifestations. Case presentation Our patient presented with specific facial features, hypoparathyroidism, sen sorineural deafness, renal abnormalities, and developmental retardation, and carried a 12.6 Mb deletion in the 10p15.3 p13 region. The terminal 10p deletion involved in our patient is the second largest reported terminal deletion reported to date, and includes the ZMYND11 and GATA3 genes and a partial critical region of the DiGeorge syndrome 2 gene (DGS2). Conclusion On the basis of a literature review, this terminal 10p deletion in the present case is responsible for a specific contiguous gene syndrome. This rare case may help the understanding of the genotype–phenotype spectrum of terminal deletion of chromosome 10p.

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