Refractory Yet Transient Neonatal Hypocalcemia Due to Hitherto Undiagnosed Asymptomatic Maternal Hyperparathyroidism: A Case Report

2021 ◽  
pp. 097321792110474
Author(s):  
Sirisha Kusuma Boddu ◽  
Neelima Kharidehal ◽  
Kalyan Chakravarthy Balla

Hypocalcemia is one of the common causes of neonatal seizures and can result in significant morbidity. Among the multitude of etiologies, hypoparathyroidism as a consequence of maternal hyperparathyroidism is an uncommon one. We describe a neonate who presented with hypocalcemic seizures with relative hypoparathyroidism that unmasked a previously undiagnosed and asymptomatic maternal hyperparathyroidism, and explore the difficulties encountered in the management. Despite initial recalcitrance of hypocalcemia to therapy, parathyroid suppression was transient and recovered completely in few months.

2012 ◽  
Vol 94 (2) ◽  
pp. e60-e61 ◽  
Author(s):  
M Ahmed

Sources of arterial embolism range from the common, such as cardiac pathology, to less common causes. We present a case of an acutely ischaemic lower limb due to septic emboli from Staphylococcus aureus pneumonia.


Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 327-330 ◽  
Author(s):  
D. Cumming ◽  
A. Massraf ◽  
J. W. M. Jones

We report a case of carpal tunnel syndrome as a result of an extraosseous chondroma in a 47-year-old gentleman. This case demonstrates the importance of clinical examination and occasional radiographs in this not uncommon condition. We also highlight that this well known entrapment syndrome is not only caused by the common causes that we all know, but also any space-occupying lesion in the carpal tunnel compressing the median nerve.


1997 ◽  
Vol 3 (4) ◽  
pp. 241-247 ◽  
Author(s):  
Francisco A. R. Garcia ◽  
Joel M. Childers

Bowel injury is an uncommon but recognized risk of operative laparoscopy. Because of the significant morbidity that can occur with this complication, it is important that clinicians be aware of its incidence, presentation, and management. This manuscript outlines the common causes of bowel injury, including herniation and traumatic bowel perforation. Management of laparoscopic bowel injuries is discussed and recommendations are made for avoidance of such complications.


2007 ◽  
Vol 14 (02) ◽  
pp. 355-359
Author(s):  
KHALID MAHMOOD ◽  
SHAHBAZ AHMED ◽  
SAJID HAMEED ◽  
Liaquat Ali

Objective: To identify the various causes of intestinal obstruction ininfants. Design: Retrospective study. Period: July 1995 to March 2007. Setting: Department of Paediatric Surgery,Allied Hospital, Faisalabad. Patients and Methods: The record of all infants who presented with intestinal obstructionduring the study period was reviewed. Results: Two hundred infants presented with intestinal obstruction. It was thecommonest cause for admission (57%) from the emergency department and constituted 8.2% of the infants operatedin the unit. They were predominantly males. Average duration of symptoms was 3 days. Common causes wereintussusception (46.5%), adhesions (16%), bands (13.5%) and incarcerated inguinal hernia (8%). Wound infection(12%) and wound dehiscence (6%) were the common complications. Mortality rate was 5%. Conclusion: Intestinalobstruction is seen frequently in infants and is associated with significant morbidity. Early recognition and prompttreatment are needed.


2012 ◽  
Vol 9 (2) ◽  
pp. 17-21 ◽  
Author(s):  
E Gauchan ◽  
T Malla ◽  
S Basnet ◽  
K S Rao

Background Neurocysticercosis is one of the common neurological morbidities in childhood. Objectives To find the commonest mode of presentation of this disorder in children. The study also aims to find out the age at which it commonly occurs, commonest site affected in the brain and the ethnic group and region most commonly affected in Western Nepal. Methods Retrospective hospital based study carried out in the Department of Pediatrics, Manipal Teaching Hospital, Pokhara from June 2004 to June 2009. Results Over the period of five years, 678 patients were admitted for seizures; out of which 109 patients were diagnosed as having neurocysticercosis (16%). Out of them, 66 (60.5%) were males and 43 (39.4%) were females. The age of presentation varied from 18 months to 16 years, with mean age 9.77 years. The most common age of presentation was between 6-10 years (n=47; 43.1%) and 11-15 years (n=47; 43.1%).Maximum number of patients were from Kaski district (n=41; 37.6%) followed by Syangja (n=34; 31.1%).The commonest presentation was with seizures (n=85; 77.9 %); generalised seizures was present in 45 patients (52%). Psychiatric manifestations were present in 3 patients (2.7%). The lesions were found mostly in the parietal region (n=65; 59.6 %). Most of the lesions were single (n=89; 81.6%). Out of 109 patients, 74 patients (67.8%) improved without any recurrence of symptoms on two years follow-up. ConclusionNeurocysticercosis is a preventable zoonotic disease which results in significant morbidity in children where sanitary measures are inadequate. Any child presenting with a first episode, afebrile seizure should be screened for neurocysticercosis provided other common causes are ruled out.DOI: http://dx.doi.org/10.3126/kumj.v9i2.6281 Kathmandu Univ Med J 2011;9(2):17-21 


2021 ◽  
Vol 7 (4) ◽  
pp. 299-301
Author(s):  
Vaishali Gupta ◽  
Munish Singla ◽  
Harleen Kaur ◽  
Litik Mittal

Subcutaneous tissue emphysema in general terms is defined as an abnormal presence of air under pressure, along or between fascial planes. A sudden blast of air, during an ongoing endodontic treatment or an endodontic surgery can sometimes cause movement of this air through the loose connective tissue layers to distant areas. In case of occurrence of emphysema, the condition should be carefully examined as the entire diagnosis is based merely on clinical examination. The clinician should be aware of the common causes, characteristic diagnostic features, possible complications and the management of the condition. This entrapped air in some cases is self healing and in some cases can lead to serious complications and death. The case report described is a successful management of unintentional and unfortunate tissue emphysema. The case report also emphasis on the importance of timely and accurate diagnosis of the condition.


2014 ◽  
Vol 6 (1) ◽  
pp. 45-48
Author(s):  
K.T Divya ◽  
G. Satish

Abstract Tooth discoloration is one of the most frequent reasons that one seeks dental care. The common causes of tooth discoloration are fluorosis, enamel hypoplasia, tetracycline staining etc. Based on the severity of discoloration, treatment may vary from more conservative treatment like bleaching to more extensive treatments involving full crowns and veneers. The purpose of this article was to report the advanced treatment options and their integrated use for generalized intrinsic discoloration caused by Tetracycline encompassing bleaching to lighten the discoloration followed by Direct and Indirect veneer restorations using Composite resin and Ceramic respectively. How to cite this article Divya KT, Satish G. Integrated approach of ceramic and composite veneers in tetracycline stained teeth: A case report. CODS J Dent 2014;6;45-48


2019 ◽  
Vol 6 (4) ◽  
pp. 163-165
Author(s):  
Faranak Behnaz ◽  
Nima Saeedi ◽  
Amir Saied Seddighi

Echinococcosis granulosus is the leading cause of spinal hydatid disease. Hydatidosis of the bone happens in 0.5%-3% of all the cases: the involvement in the vertebral column is 50%. In the endemic areas, one of the common causes of spinal cord compression is hydatid disease, and the diagnosis may remain obscure until specifying symptoms ensuing from complications due to root and cord compression. We present a case of recurrent spinal cords hydatid cyst in a 44 years old patient because it occurs rarely, and anesthetic management in such cases has never evaluated before.


2021 ◽  
Vol 3 (01) ◽  
pp. 36-38
Author(s):  
Yam Bahadur Roka ◽  
Narayani Roka ◽  
Mohan Karki

The incidence of cerebral metastases has increased over the last few decades mainly due to the successful treatment of extra neural cancers and the prolonged survival of patients. The common causes of metastases are lung, kidney, breast and thyroid cancers. We present an interesting case of cerebral metastases that was managed as cerebral abscess, then as lung metastases before finally arriving to the correct diagnosis of Non-Hodgkin’s Lymphoma.


2019 ◽  
Vol 66 (1.2) ◽  
pp. 205-208 ◽  
Author(s):  
Masashi Kano ◽  
Toshihiko Nishisho ◽  
Ryo Miyagi ◽  
Fumio Chikugo ◽  
Eiji Kudo ◽  
...  

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