Chorioretinal Atrophy after Spontaneous Resolution of Myopic Foveoschisis

Myopic foveoschisis is one of the major complications of pathologic myopia, and it was most recently identified by new imaging modalities. During the natural evolution of this complication, anatomical and visual improvement without surgical intervention is an unusual course, and most of these eyes remain stable or progressively worsen. The authors report a case of a highly myopic eye that developed patchy chorioretinal atrophy after spontaneous resolution of myopic foveoschisis, which to the best of our knowledge has not been reported previously in the medical literature.

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Case-based review: conservative management of appendicitis – are we delaying the inevitable?

Annals of The Royal College of Surgeons of England ◽

10.1308/003588412x13171221590296 ◽

2012 ◽

Vol 94 (4) ◽

pp. 232-234 ◽

Cited By ~ 6

Author(s):

S Davies ◽

A Peckham-Cooper ◽

A Sverrisdottir

Keyword(s):

Acute Appendicitis ◽

Conservative Management ◽

Surgical Intervention ◽

Primary Treatment ◽

Spontaneous Resolution ◽

Primary Treatment Modality ◽

Uncomplicated Appendicitis ◽

Recurrent Appendicitis ◽

Appendiceal Inflammation ◽

Surgical Presentation

Acute appendicitis is a common surgical presentation for which surgical intervention, an appendicectomy, has remained a largely unchallenged primary treatment modality. Traditionally, it has been felt that the pathophysiological progressive nature of appendicitis ultimately leads to perforation. A number of recent studies, however, suggest that the process of appendiceal inflammation may follow a more remitting nature with evidence indicating spontaneous resolution. It is hypothesised that the treatment of uncomplicated appendicitis may therefore be amenable to conservative management with antibiotics. This article aims to highlight some of the issues and challenges relating to the conservative management of acute appendicitis and further demonstrates potential diagnostic and treatment difficulties involved in managing the more unfamiliar condition of recurrent appendicitis.

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Spontaneous resolution of large non-traumatic bilateral acute-on-chronic subdural hematoma

Romanian Neurosurgery ◽

10.1515/romneu-2017-0002 ◽

2017 ◽

Vol 31 (1) ◽

pp. 8-16

Author(s):

D. Adam ◽

D. Iftimie ◽

Gina Burduşa ◽

Cristiana Moisescu

Keyword(s):

Conservative Treatment ◽

Subdural Hematoma ◽

Clinical Presentation ◽

Surgical Intervention ◽

Chronic Subdural Hematoma ◽

The Elderly ◽

Neurological Status ◽

Spontaneous Resolution ◽

Subdural Hematomas ◽

Gcs Score

Abstract Background and importance: Chronic subdural hematomas are a frequently encountered neurosurgical pathology, especially in the elderly. They often require surgical evacuation, but recent studies have shown good results with conservative treatment in selected cases. Clinical presentation: We report the case of a 72-year old patient that developed large, non-traumatic, bilateral, acute-on-chronic subdural hematoma after repeated abdominal surgery for appendicular carcinoma. He presented an abdominal wound infection and good neurological status (GCS score of 14 points), factors that indicated the delay of surgical intervention. Subsequent clinical and radiological improvement forestalled the operation altogether and he presented complete spontaneous resolution of subdural hematomas at only 5 months after diagnosis. Conclusion: Although surgical treatment is performed in the majority of chronic subdural hematomas, in clinically and radiologically selected cases, the operation can be avoided. The hematoma can present resolution, either spontaneously or with the help of conservative treatment.

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Spontaneous resolution of a Chiari malformation with syringomyelia

BMJ Case Reports ◽

10.1136/bcr-2021-241789 ◽

2021 ◽

Vol 14 (6) ◽

pp. e241789

Author(s):

Hadleigh Cuthbert ◽

Joshua Pepper ◽

Rupert Price

Keyword(s):

Natural History ◽

Literature Review ◽

Chiari Malformation ◽

Surgical Intervention ◽

Chiari I Malformation ◽

Spontaneous Resolution ◽

Conservative Approach ◽

Resonance Imaging ◽

History Of ◽

Chiari I

The Chiari I malformation (CM-I) is characterised by overcrowding of the posterior fossa and descent of the cerebellar tonsils and is associated with syringomyelia. With the increasing availability of magnetic resonance imaging, CM-I is placing a growing burden on neurosurgical services. However, its natural history remains poorly understood, and the timing and nature of surgical intervention is controversial. We present a case of a significant, symptomatic CM-I with associated syrinx which underwent complete spontaneous resolution over a 4-year period. Spontaneous regression of Chiari malformation and syringomyelia is exceedingly rare; a literature review reveals 15 other cases and only one case which underwent complete resolution. The present case and literature review suggest a more benign natural history of CM-I and support a more conservative approach to its management. Further studies are required to determine whether any factors can predict resolution for certain patient cohorts.

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Pulmonary Pseudocysts in the Newborn Infant

PEDIATRICS ◽

10.1542/peds.59.2.199 ◽

1977 ◽

Vol 59 (2) ◽

pp. 199-204

Author(s):

Howard Harris

Keyword(s):

Newborn Infant ◽

Airway Pressure ◽

Surgical Intervention ◽

Hyaline Membrane Disease ◽

Spontaneous Resolution ◽

Pulmonary Interstitial Emphysema ◽

Interstitial Emphysema ◽

Clinical Recovery ◽

Hyaline Membrane

Five neonates who developed a pulmonary pseudocyst are reported. All infants had clinical hyaline membrane disease and were treated with continuous distending airway pressure. The pseudocysts developed between 39 hours and 7 days of age. In all but one pulmonary interstitial emphysema preceded or occurred together with the development of the pseudocyst. All babies went on to complete clinical recovery without surgical intervention. Radiologic documentation of the spontaneous resolution of the pseudocyst was obtained in three infants and occurred over three days, five days, and three months, respectively.

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Vitreous Tamponades in Highly Myopic Eyes

BioMed Research International ◽

10.1155/2014/420380 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

X. Valldeperas ◽

J. Lorenzo-Carrero

Keyword(s):

Physical Properties ◽

Macular Hole ◽

High Myopia ◽

Visual Loss ◽

Pathologic Myopia ◽

Myopic Foveoschisis ◽

Advantages And Disadvantages ◽

Younger Age

The use of endotamponade agents has gained a major role in the management of macular complications of high myopia. Myopic foveoschisis and macular hole are the main macular complication of pathologic myopia, this growing condition that is a main cause of visual loss, especially in patients at a younger age. We discuss the physical properties and advantages and disadvantages of the main ocular tamponade agents used in the treatment of these diseases.

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Significant visual improvement after spontaneous resolution of longstanding macular detachment due to optic disc pit

Acta Ophthalmologica ◽

10.1111/j.1755-3768.2014.f101.x ◽

2014 ◽

Vol 92 ◽

pp. 0-0

Author(s):

E PARIKAKIS ◽

I CHATZIRALLI ◽

E STRATOS ◽

V PEPONIS ◽

D KARAGIANNIS ◽

...

Keyword(s):

Optic Disc ◽

Spontaneous Resolution ◽

Optic Disc Pit ◽

Macular Detachment ◽

Visual Improvement

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A Review of the Effect of Lower-Extremity Pathology on Automobile Driving Function

Journal of the American Podiatric Medical Association ◽

10.7547/16-089 ◽

2019 ◽

Vol 109 (2) ◽

pp. 132-140 ◽

Cited By ~ 1

Author(s):

Andrew J. Meyr ◽

Laura E. Sansosti

Keyword(s):

Lower Extremity ◽

Medical Literature ◽

Surgical Intervention ◽

Automobile Driving ◽

Foot And Ankle ◽

State Regulations ◽

Driving Function ◽

Lower Limb Surgery ◽

Musculoskeletal Pathology ◽

Made In

The effect of lower-extremity pathology and surgical intervention on automobile driving function has been a topic of contemporary interest in the medical literature. The objective of this review was to summarize the topic of driving function in the setting of lower-extremity impairment. Included studies involved lower-extremity immobilization devices, elective and traumatic lower-limb surgery, chronic musculoskeletal pathology, and diabetes as it relates to the foot and ankle, focusing on the effect each may have on driving function. We also discuss the basic US state regulations with respect to impaired driving and changes to automobile structure that can be made in the setting of lower-extremity pathology.

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CLINICAL FEATURES OF PATCHY CHORIORETINAL ATROPHY IN PATHOLOGIC MYOPIA

Retina ◽

10.1097/iae.0000000000002575 ◽

2020 ◽

Vol 40 (5) ◽

pp. 951-959 ◽

Cited By ~ 4

Author(s):

Ran Du ◽

Yuxin Fang ◽

Jost B. Jonas ◽

Tae Yokoi ◽

Hiroyuki Takahashi ◽

...

Keyword(s):

Clinical Features ◽

Pathologic Myopia ◽

Chorioretinal Atrophy

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CMV Ileitis: To Treat or Not to Treat? Implications of Initiating Biologic Therapy for Concurrent Crohn’s Disease

Case Reports in Gastrointestinal Medicine ◽

10.1155/2019/4513795 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Kendra T. Stilwell ◽

Jason Estes ◽

Maria T. Kurtz ◽

James M. Francis ◽

David T. Lynch ◽

...

Keyword(s):

Crohn’S Disease ◽

Mortality Rate ◽

Crohn's Disease ◽

Medical Literature ◽

Biologic Therapy ◽

Antiviral Treatment ◽

Current Medical ◽

Spontaneous Resolution ◽

Cmv Infection ◽

Current Guidelines

Cytomegalovirus (CMV) enteritis is traditionally thought to be a self-limited infection in immunocompetent individuals. Consequently, current guidelines recommend against treating nonimmunocompromised patients with antiviral therapy. Conversely, recent data suggests that spontaneous resolution occurs less frequently than previously believed; furthermore, mortality rate in immunocompetent individuals is similar to that of the immunosuppressed. We present a case of a 43-year-old male who was simultaneously diagnosed with CMV ileitis and Crohn’s Disease. When discovered concomitantly, there is no guidance in the current medical literature regarding the benefit of antiviral treatment of the CMV infection prior to initiating biologic therapy versus the risks of withholding treatment, as is currently recommended for nonimmunosuppressed individuals.

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Aneurysm of an aberrant splenic artery: An extremely rare occurrence

Vascular ◽

10.1177/1708538115597372 ◽

2015 ◽

Vol 23 (6) ◽

pp. 637-638 ◽

Cited By ~ 1

Author(s):

Rohit Bhoil ◽

Ashwani Tomar ◽

Sushma Makhaik ◽

RG Sood ◽

Nishant Nayyar

Keyword(s):

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Rare Case ◽

Splenic Artery ◽

Surgical Planning ◽

Medical Literature ◽

Surgical Intervention ◽

Rare Occurrence ◽

Anatomical Variant ◽

English Medical Literature

An aberrant splenic artery arising from the superior mesenteric artery, also known as the splenomesenteric trunk, is a rare anatomical variant seen in less than 1% of the population and is more common in females. Aneurysms of the splenic artery originating anomalously from the superior mesenteric artery are extremely rare; only 35 cases of aneurysm of an aberrant splenic artery have been described so far in the English medical literature. We report an extremely rare case of aneurysm of aberrant splenic artery in a 28-year-old man in whom the lesion was detected during routine abdominal scanning and confirmed on computed tomography angiography. Aneurysms of an anomalous splenic artery originating from the superior mesenteric artery are extremely rare; however, they are clinically important because possible rupture could be catastrophic. Exploring these variations is important especially if surgical intervention is contemplated. This could greatly affect the surgical planning and avoid injuries to major arteries and organs intraoperatively.

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