Abstract 1122‐000097: Recurrent Carotid Cavernous Fistula Requiring Complex Repair of Ruptured Cavernous Carotid Aneurysm: A Case Report

2021 ◽  
Vol 1 (S1) ◽  
Author(s):  
Rami Z. Morsi ◽  
Faten El Ammar ◽  
Sonam Thind ◽  
Scott J. Mendelson ◽  
Cedric McKoy ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Large Scale ◽  
Mechanical Valve ◽  
Covered Stent ◽  
Stent Grafts ◽  
Cerebral Angiogram ◽  
Safety And Efficacy ◽  
Third Nerve Palsy ◽  
History Of

Introduction : There are no studies investigating the safety and efficacy of covered stent grafts, particularly the newly developed stents such as the PK Papyrus stent, for endovascular treatment of direct carotid cavernous fistulas (CCFs). Methods : We present a case of a 75‐year‐old female who presented to the hospital with a three‐week history of worsening left eye vision, chemosis, proptosis, and partial third nerve palsy. Patient was found to have left direct Type A CCF secondary to ruptured cavernous segment carotid aneurysm. Results : The CCF was treated with coil embolization and pipeline Shield stent embolization devices with immediate stagnation and improvement of symptoms. Patient had history of an aortic mechanical valve and thus was started on warfarin and ASA. After achieving INR level of 2.5‐3.5, patient started to have recurrent swelling of the left eye associated and decreased visual acuity. Repeated diagnostic cerebral angiogram revealed residual CCF. Onyx liquid embolization and a Surpass Evolve Flow Diverter were attempted to slow the fistulization with no success. Multiple attempts for direct percutaneous superior ophthalmic vein cannulation were also unsuccessful. At this point, two coronary graft‐covered PK Papyrus stents were implanted across the fistula pouch, which resulted in immediate resolution of the CCF with evidence of persistent normal flow within left ophthalmic artery. Patient’s visual acuity and left eye movement improved. Conclusions : This case report highlights the effectiveness and safety of covered stent grafts, particularly more flexible stents such as the PK Papyrus stent, in navigating the carotid vasculature and closing direct CCFs and may be used as a first‐line technique. More large‐scale studies are warranted to investigate the safety and efficacy of using such stent grafts to treat direct CCFs in the setting of antithrombotic agents and anticoagulation.

Adjunctive citalopram is effective on hallucinations and depersonalization symptoms: a case report

2004 ◽  
Vol 19 (3) ◽  
pp. 185-185 ◽  
Author(s):  
Vittorio Di Michele ◽  
Francesca Bolino
Keyword(s):  
Case Report ◽  
Weight Gain ◽  
Potential Interaction ◽  
The Body ◽  
Adjunctive Treatment ◽  
Low Doses ◽  
Safety And Efficacy ◽  
The Social ◽  
History Of ◽  
Comprehensive Rehabilitation

The treatment of depressive symptoms in patients affected by schizophrenia is often a concern for clinicians [2] due to potential interaction, in terms of safety and efficacy. Citalopram seems to be a safe SSRI as adjunctive treatment to Olanzapine because of the lack of interactions. We report a serendipitous finding showing that the adjunction of Citalopram to Olanzapine, led to disappearence of residual hallucinations and depersonalization symptoms in a few weeks.Mr A is a 27-year-old male, living in the community, with a 4-year history of schizophrenia,. He was treated with low doses of Olanzapine (10 mg/daily) since 2000 because of an intolerance to dose increments (weight gain and mydriasis).The persistence of sporadic hallucinations (commenting voices) and depersonalization symptoms (when he walked alone he felt his self leaving the body) was well tolerated by the patient. The social functioning was satisfactory: he had a protected job and was involved in a comprehensive rehabilitation programme.

Valsalva retinopathy associated with intranasal cocaine abuse: A case report

2018 ◽  
Vol 29 (3) ◽  
pp. NP5-NP8 ◽  
Author(s):  
Evdoxia-Maria A Karasavvidou ◽  
Georgios P Athanasopoulos ◽  
Anastasios G Konstas ◽  
Eleni A Tsirampidou ◽  
Paris G Tranos
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Cocaine Abuse ◽  
Posterior Pole ◽  
Normal Limits ◽  
Valsalva Retinopathy ◽  
Intranasal Cocaine ◽  
Treatment Measures ◽  
History Of ◽  
Field Defect

Introduction: The purpose of this report is to describe a case of Valsalva retinopathy in an intranasal cocaine user. Case report: A 49-year-old male presented with a history of sudden loss of vision and inferior visual field defect in his left eye. Clinical evaluation of the affected eye showed best corrected visual acuity of 20/25 and fundus examination revealed a preretinal hemorrhage superior to the disk with multiple intraretinal hemorrhages in and around the posterior pole. On further questioning, the patient revealed intranasal cocaine use the day before the onset of his visual symptoms. Blood tests were requested to exclude blood dyscrasias or predisposition to vascular occlusive disorders and no further treatment measures were taken. The patient was reviewed a month later when his hemorrhages had completely resolved and his visual acuity had improved to 20/20. His blood results were within normal limits. Conclusion: Although never been reported before, Valsalva retinopathy can be associated with intranasal cocaine abuse and should be considered in the differential diagnosis of visual reduction in such population.

Ibopamine Treatment in Chronic Hypotony Secondary to Long-Lasting Uveitis. A Case Report

2000 ◽  
Vol 10 (4) ◽  
pp. 332-334 ◽  
Author(s):  
P. Pivetti-Pezzi ◽  
S. Da Dalt ◽  
M. La Cava ◽  
M. Pinca ◽  
F. De Gregorio ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Case Report ◽  
Side Effects ◽  
Visual Field ◽  
Clinical Efficacy ◽  
Eye Drops ◽  
Days Of Therapy ◽  
History Of

Purpose To assess the clinical efficacy of ibopamine eye drops in severe hypotony secondary to chronic progressive uveitis. Methods Case report. A 47-year-old man with a 37-year history of diffuse uveitis and severe refractory hypotony was treated with topical 2% ibopamine (Trazyl®) six times a day. Intraocular pressure, visual acuity, visual field and side effects were recorded during 15 months of follow-up. Results IOP, visual acuity and visual field increased after four days of therapy and lasted for two months when the drug was suspended because of the onset of filamentous keratopathy. A new course of treatment with 2% ibopamine eye drops in a different solvent (BSS®) resulted in a stable increase in IOP, VA and visual field, with no side effects in a follow-up of 13 months. Conclusions Ibopamine 2% eye drops in BSS® solvent seem effective in the treatment of uveitis-related hypotony.

scholarly journals Arterioureteral Fistula: Treatment of a Hemorrhagic Shock with Massive Hematuria by Placing a Balloon Catheter

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Nicolas Merzeau ◽  
Hervé Riquet ◽  
Ioannis Nicolacopoulos ◽  
Abbas Alame ◽  
Stéphane Larré
Keyword(s):  
Case Report ◽  
Hemorrhagic Shock ◽  
Balloon Catheter ◽  
Covered Stent ◽  
Pelvic Radiotherapy ◽  
Oncological Surgery ◽  
Double J Stent ◽  
Arterioureteral Fistula ◽  
History Of ◽  
Fistula Treatment

Arterioureteral fistulas (AUF) are serious diseases with increasing incidence. This case report relates the management of AUF in a patient with a history of abdominal oncological surgery, pelvic radiotherapy, and a double J stent in place. The fistula was discovered during a hemorrhagic shock with massive hematuria. The bleeding was controlled by a balloon catheter which led to endovascular treatment consisting of a covered stent.

scholarly journals The electrophysiological features of X-linked juvenile retinoschisis in a young male: a case report

2022 ◽  
Vol 50 (1) ◽  
pp. 030006052110395
Author(s):  
Weiming Yan ◽  
Yunpeng Wang ◽  
Qian Ye ◽  
Xiaohong Chen ◽  
Yanjin Chen ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Visual Evoked Potential ◽  
Structural Changes ◽  
Young Male ◽  
Corrected Visual Acuity ◽  
Medical Observation ◽  
Juvenile Retinoschisis ◽  
History Of ◽  
Delayed Phase

This case report describes the detailed electrophysiological features and the corresponding relationship with the structural changes in a case of X-linked juvenile retinoschisis (XLRS). A 25-year-old male presented with a history of several years of decreased visual acuity in both eyes. The best corrected visual acuity was 20/200 in oculus dexter (OD) and 20/80 in oculus sinister. Retinoschisis was found in the macula by optical coherence tomography, which was more severe in OD. Electroretinogram revealed a similar electronegative waveform in both eyes. Visual evoked potential detected a reduced amplitude and delayed phase in P100-wave, which was worse in OD. The patient was diagnosed as XLRS and advised to undergo continuous medical observation. He was followed up for the next year, with no significant change in retinal function and structure being observed. These current findings suggest that electrophysiology permits the detailed analysis of the clinical picture of XLRS and helps to gain a deeper understanding of the pathogenesis.

scholarly journals Endovascular Rescue of Simultaneous Renal Stent Thrombosis: Case Report

2018 ◽  
Vol 1 (1) ◽  
pp. 33-37
Author(s):  
Fernando Gallardo Pedrajas ◽  
Rubén Rodriguez Carvajal ◽  
Alberto Martín-Palanca ◽  
Rocio Martin-Palanca Verdes ◽  
Teresa Hernández Carbonell ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Case Report ◽  
Stent Thrombosis ◽  
Covered Stent ◽  
Endovascular Management ◽  
Stent Grafts ◽  
Abdominal Aortic ◽  
Before And After ◽  
Aortic Pathologies ◽  
Possible Cause

The chimney/periscope technique has been used to address complex aortic pathologies. This case report aims to report the outcomes of the endovascular management of the acute and simultaneous thrombosis of both renal covered stent grafts after bilateral renal arteries chimney technique for endovascular repair (CH-EVAR) of a juxtarenal abdominal aortic aneurysm. The cause of this early occlusion of stent grafts may be related to how procedures and devices combinations alter the native anatomy. The authors aimed to compare renal artery geometry before and after CH-EVAR to find a possible cause of stent thrombosis.

Punctate inner choroidopathy reactivation following COVID-19: A case report

2021 ◽  
pp. 112067212110287
Author(s):  
Michele Nicolai ◽  
Maria Jolanda Carpenè ◽  
Nicola Vito Lassandro ◽  
Paolo Pelliccioni ◽  
Vittorio Pirani ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Multimodal Imaging ◽  
Fundus Autofluorescence ◽  
Functional Improvement ◽  
Caucasian Woman ◽  
High Dose ◽  
Punctate Inner Choroidopathy ◽  
Corrected Visual Acuity ◽  
History Of

Purpose: The purpose of this study is to report our experience with a case of punctate inner choroidopathy (PIC) reactivation following COVID-19. Case report: A 29-year-old caucasian woman with past ophthalmological history of bilateral PIC reported sudden visual acuity decrease in her right eye (RE) 3 weeks after SARS-CoV-2 infection. Her best-corrected visual acuity (BCVA) was 20/32 in RE; fundus examination and multimodal imaging (including indocyanine-green angiography, fundus autofluorescence, and optical coherence tomography) was consistent with unilateral PIC reactivation. The active choroidal lesions responded to high-dose corticosteroids, with functional improvement. Conclusion: Sars-CoV-2 infection could induce autoimmune and autoinflammatory dysregulation in genetically predisposed subjects. We report a case of PIC reactivation following COVID-19.

scholarly journals Giant Intracranial Dermoid Cyst: Case Report and Review of the Literature on Intracranial Dermoids and Epidermoids

1975 ◽  
Vol 2 (2) ◽  
pp. 127-134 ◽  
Author(s):  
Neil R. Miller ◽  
Melvin H. Epstein
Keyword(s):  
Case Report ◽  
Dermoid Cyst ◽  
Cerebral Hemisphere ◽  
Clinical Characteristics ◽  
Johns Hopkins Hospital ◽  
Review Of The Literature ◽  
Left Temporal Lobe ◽  
Cerebral Angiogram ◽  
Parietal Lobes ◽  
History Of

SUMMARY:A 45-year old man was referred to the Johns Hopkins Hospital with a seven-year history of repeated episodes of light-headedness, increasing irritability and forgetfulness. Examinations revealed a right superior, incongruous quadrantanopsia. EEG showed an abnormality in the left temporal lobe, and a cerebral angiogram outlined an avascular mass in the left cerebral hemisphere. At operation, the patient was found to have a giant dermoid cyst involving the left frontal, temporal and parietal lobes. Over the last 30 years we have encountered only 6 cases of intracranial epidermoids and 3 cases of intracranial dermoids. These cases are cited, and a discussion of the embryology, histology, clinical characteristics, and treatment of these lesions with a review of the literature is undertaken.

scholarly journals Subcutaneous Uptake on [18F]Florbetaben PET/CT: a Case Report of Possible Amyloid-Beta Immune-Reactivity After COVID-19 Vaccination

2021 ◽  
Author(s):  
Riccardo Laudicella ◽  
Irene Andrea Burger ◽  
Francesco Panasiti ◽  
Costanza Longo ◽  
Salvatore Scalisi ◽  
...  
Keyword(s):  
Heart Disease ◽  
Case Report ◽  
High Risk ◽  
Large Scale ◽  
Immune Reactivity ◽  
Case Presentation ◽  
Vaccination Programs ◽  
Pet Ct ◽  
Risk Patients ◽  
History Of

Abstract Introduction Large-scale worldwide COVID-19 vaccination programs are being rapidly deployed, and high-risk patients with comorbidity are now receiving the first doses of the vaccine. Physicians should be, therefore, aware of new pitfalls associated with the current pandemic vaccination program, also in the case of [18F]Florbetaben PET/CT. Case Presentation We described the first image of [18F]Florbetaben PET/CT in the evaluation of a 70-year-old male with suspicious Alzheimer disease and unclear history of heart disease. We detailed the diagnostic imaging PET/CT workup with different findings. Conclusion In this case, [18F]Florbetaben PET/CT can demonstrate potential beta-amyloid immune-reactivity and deposition associated with the current COVID-19 pandemic vaccination programs.

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