Pulmonary infarction caused by sarcoidosis vascular involvement: A case report

2021 ◽  
Author(s):  
Takashi Tasaki ◽  
Kazuhito Hatanaka ◽  
Ikumi Kitazono ◽  
Hirotsugu Noguchi ◽  
Kazuhiro Tabata ◽  
...  
2003 ◽  
Vol 44 (3) ◽  
pp. 316-318
Author(s):  
M. Sanada ◽  
M. Terada ◽  
E. Suzuki ◽  
A. Kashiwagi ◽  
H. Yasuda

Peripheral neuropathy due to vasculitis without any complications of vasculitis in other organs was first reported in 1987. This condition was termed non-systemic vasculitic neuropathy (NSVN). Although vasculitis is believed to develop in small arteries and arterioles in this disease, the level of vascular involvement has not been fully established. We present a case of NSVN followed up by MR angiography, which was thought to be useful to assess the level as well as the state of vascular lesions in this condition.


Neurosurgery ◽  
2011 ◽  
Vol 69 (3) ◽  
pp. E752-E755 ◽  
Author(s):  
Betsy D Hughes ◽  
Ciaran J Powers ◽  
Ali R Zomorodi

Abstract BACKGROUND AND IMPORTANCE: This is the first case report of clipping a cerebral aneurysm in a patient with Loeys-Dietz syndrome (LDS). LDS is a newly described autosomal dominant connective tissue disease with systemic vascular involvement. Unique to this syndrome is the development of aneurysms at a young age with the propensity of dissection or rupture at a stage that is earlier than when surgical intervention is typically indicated. We describe the nuances in intraoperative and postoperative management. CLINICAL PRESENTATION: A 31-year-old woman who recently received a diagnosis of with LDS type II presented to neurosurgical attention for management of an unruptured right ophthalmic artery aneurysm. The patient underwent a right pterional craniotomy for clipping of the aneurysm, with lumbar drain placement before the procedure. Papaverine had to be used several times to counteract vasospasm of the vessels during arachnoid dissection. Because of vascular reactivity, temporary clipping was not used, and the aneurysm was clipped successfully. CONCLUSION: LDS is a newly described disorder that warrants awareness in the neurosurgical community because of its association with intracerebral aneurysms as well as craniosynostosis (19%), scoliosis (20%), cervical spine instability (7%), hydrocephalus, and Arnold-Chiari malformation. When clipping aneurysms in these patients, the surgeon should be aware of the potential for severe vascular reactivity during dissection and avoid temporary clipping when possible. Avoidance of lumbar drainage intraoperatively reduces the risk of intracranial hypotension after removal.


2018 ◽  
Vol 10 (1) ◽  
pp. E55-E58 ◽  
Author(s):  
Tsutomu Shinohara ◽  
Keishi Naruse ◽  
Norihiko Hamada ◽  
Takashi Yamasaki ◽  
Nobuo Hatakeyama ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Rati Chadha

Background.Klippel-Trenaunay-Weber syndrome is a rare neurocutaneous syndrome with vascular involvement. Given the rarity of the syndrome, its management in pregnancy is based on the outcome of a few case reports and expert opinion.Case Summary.The management of a complicated case with its antepartum, intrapartum, and postpartum concerns has been addressed in this review.Conclusions.Prenatal consults with anesthesia, general surgery, intervention radiology, and internal medicine should be arranged, prior to delivery in anticipation of all the possible complications. Apart from the pregnancy management, preconceptional counselling including the genetics, prognosis, and contraception has an important role in patient management.


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