Seizures during the Immediate Postoperative Period

Neurosurgery ◽  
1983 ◽  
Vol 12 (1) ◽  
pp. 14-17 ◽  
Author(s):  
David A. Kvam ◽  
Christopher M. Loftus ◽  
Brian Copeland ◽  
Donald O. Quest
Keyword(s):  
Computed Tomography ◽  
Arteriovenous Malformation ◽  
Postoperative Period ◽  
Previous History ◽  
Metabolic Abnormalities ◽  
Postoperative Hematoma ◽  
Anticonvulsant Medication ◽  
History Of ◽  
Postoperative Seizure ◽  
Common Association

Abstract Twenty-three of 538 patients undergoing elective craniotomy had a seizure within 24 hours after operation. The lesion had been located extra-axially in 15 patients and intra-axially in 8 patients. Except for 1 patient who had a parietal craniotomy for an arteriovenous malformation, all patients had a frontal or temporal exposure. Only 5 patients had a previous history of seizures. Adequate levels of anticonvulsant medication were not present in 19 of the 23 patients before operation. No major postoperative metabolic abnormalities were noted in any of the 23 patients. Thirteen of the 23 patients underwent computed tomography to evaluate the etiology of their seizures; none had a significant intracerebral or extracerebral hematoma. This review suggests that an early postoperative seizure is unlikely to be due to a postoperative hematoma or to metabolic abnormality. The most common association in this series was with inadequate anticonvulsant prophylaxis. An approach to postoperative seizure prophylaxis and management is presented.

scholarly journals Computed Tomography Findings of Pulmonary Mycobacterium simiae Infection

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Ayeh Baghizadeh ◽  
Payam Mehrian ◽  
Poopak Farnia
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Pulmonary Infection ◽  
Previous History ◽  
Treatment Protocol ◽  
Zonal Distribution ◽  
Sputum Production ◽  
History Of ◽  
Nodular Lesions ◽  
Mycobacterium Simiae

Nontuberculous mycobacterial (NTM) pulmonary infections can be quite similar to tuberculosis, both clinically and radiologically. However, the treatment protocol is not similar. Mycobacterium simiae is a rare cause of NTM pulmonary infection. Herein, we aimed to evaluate and compare the computed tomography (CT) scan findings of M. simiae infection in lungs. For this reason, thirty-four patients (n=34) with M. simiae lung infection were retrospectively evaluated. Diagnosis was confirmed by American Thoracic Society (ATS) guidelines and CT scans were reviewed in both lung and mediastinal windows. The average age of patients was 63±14.54 years and 52.9% were male. The majority of patients had cough (91.2%) and sputum production (76.5%). Clinically, 41.2% of patients had previous history of TB (14/34), 38.2% had cardiac diseases (13/34), and 35.3% had diabetes mellitus (12/34). The most common CT findings in our study were nodular lesions (100%) and bronchiectasis (85.29%). Regarding the severity, grade I bronchiectasis was the most prevalent. Other prominent findings were tree-in-bud sign (88.2%), consolidation (52.94%), and lobar fibrosis and volume loss (67.6%). There was no significant zonal distribution of findings. In conclusion, nodular lesions and bronchiectasis are the most frequent features in CT scan of M. simiae pulmonary infection.

scholarly journals Serous Cystadenoma of the Pancreas Presenting as a Third Primary Neoplasm

2003 ◽  
Vol 17 (9) ◽  
pp. 552-554 ◽  
Author(s):  
Aydın Şeref Köksal ◽  
Aysel Ülker ◽  
Mehmet Asıl ◽  
Bilge Tunç ◽  
Arda Kemal ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Previous History ◽  
Serous Cystadenoma ◽  
The Body ◽  
Pathological Examination ◽  
Cystic Neoplasms ◽  
Serous Cystadenomas ◽  
History Of ◽  
Primary Neoplasm ◽  
Other Neoplasms

Serous cystadenomas are the most common cystic neoplasms of the pancreas. They may occur solely or coexist with other neoplasms. A 10 cm mass involving the body of the pancreas was observed in the computed tomography of a 61-year-old man with a previous history of bladder and prostate carcinoma. Ultrasonography and computed tomography of the mass demonstrated multiple small cysts associated with a central calcified scar. A distal pancreatectomy was performed. Pathological examination confirmed the diagnosis of serous microcystic adenoma. This is the first report of a serous cystadenoma of the pancreas with two metachronous neoplasms. This feature should be kept in mind during the diagnosis and evaluation of patients with serous cystadenoma.

scholarly journals Symptomatic giant cavernous hemangioma of the liver in a 42-year-old man

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Abdu Hamisu Dambatta
Keyword(s):  
Computed Tomography ◽  
Cavernous Hemangioma ◽  
Previous History ◽  
Abdominal Ultrasound ◽  
Mass Lesion ◽  
Hepatic Hemangioma ◽  
Case File ◽  
History Of ◽  
Upper Abdominal ◽  
The Right

Most cases of liver hemangioma are asymptomatic and discovered incidentally on liver ultrasound or computed tomography scan. Giant cavernous hemangioma (GCH) are however clinically distinct from smaller asymptomatic ones and may be confused with primary or metastatic malignancy. Symptomatic GCH of the liver are rare. The aim of the study was to show the rare case of symptomatic giant cavernous hemangioma of the liver which may be confuse with primary or metastatic malignancy. The patient’s images (abdominal ultrasound and computed tomography scans) and case file were reviewed and summarized. The subject matter of giant cavernous hemangioma was reviewed in the literature. The index case was discussed and compared with literature. We report a 42-year-old man who presented with a 2-year history of right upper abdominal pain and 6-month history of chest pain. No history of jaundice, body swelling or previous history of blood transfusion. No history of smoking or alcohol consumption. The patient is a known diabetic. Abdominal ultrasound scan showed hepatomegaly with a huge well defined oval shaped mixed echogenic mass lesion with lobulated margins occupying 4th and 5th segments of liver, measuring 84.9×111 mm in size suggestive of adenoma. The remaining hepatic parenchyma was normal. No intrahepatic biliary dilatation was seen. Initial histological examination revealed adenoma. Repeat histology done later however revealed hepatitis. Abdominal CT scan was later carried out and showed hepatomegaly but with no discernible mass lesion on precontrast images. Contrast enhanced images however, showed a fairly rounded mass lesion with peripheral enhancement and delayed filling-in at the venous phase, seen in the superior aspect of the right lobe extending to the dome. The intrahepatic vasculature and biliary ducts are not dilated. A diagnosis of cavernous hemangioma was made based on criteria of delayed (centripetal) filling-in. The patient however was lost to follow up. Hepatic hemangioma can be giant and symptomatic and despite its rarity, may still be encountered in practice.

scholarly journals Acute hemichorea associated with ipsilateral chronic subdural hematoma

2020 ◽  
Vol 9 (1) ◽  
pp. 287
Author(s):  
Tarun Kumar Ralot ◽  
Umesh Chahar ◽  
Jainendra Kumar Sharma ◽  
Chinmay Vishwanath Hegde ◽  
Raghavendra G.
Keyword(s):  
Computed Tomography ◽  
Head Trauma ◽  
Postoperative Period ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Involuntary Movements ◽  
Routine Blood ◽  
History Of ◽  
Neurosurgical Intervention

Here we are describing left-sided hemichorea in a 71-year-old female which developed within 3 days without any history of weakness, unconsciousness, fever, headache, vomiting. She had a history of head trauma 5 year back. No abnormality was detected in routine blood investigations. Computed tomography revealed a left chronic subdural hematoma. Neurosurgical intervention in form of left temporal “burr hole” drainage was performed and the patient’s involuntary movements improved in the postoperative period.  

scholarly journals Pulmonary arterovenous malformation causing hemothorax in a pregnant woman without Osler- Weber-Rendu syndrome

Open Medicine ◽  
2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Vincenzo Di Crescenzo ◽  
Filomena Napolitano ◽  
Alessandro Vatrella ◽  
Pio Zeppa ◽  
Paolo Laperuta
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Arteriovenous Malformations ◽  
Previous History ◽  
Tube Placement ◽  
Pulmonary Arteriovenous Malformations ◽  
Chest Tube Placement ◽  
Chest Computed Tomography ◽  
Lower Lung ◽  
History Of

AbstractPulmonary arteriovenous malformations (PAVMs), although most commonly congenital, are usually detected later in life. Case report: We present a case of a 19-year-old woman with no previous history of AVM or telangiectasia, who presented dyspnea and hypoxia by massive left hemothorax in the 34th week of gestation. After emergent cesarean delivery, a chest computed tomography (CT) with i.v. contrast showed a likely 3 cm area of active contrast in left lower lung. Chest tube placement revealed about 2 liters of blood. The patient was subsequently found to have pulmonary AVM. A successful embolisation of AVM followed by lung atipic resection involving AVM and decortication for lung re-expansion were the treatments provided. Conclusions: Women with known pulmonary AVM should be maximally treated prior to becoming pregnant, and the physician should be alert to complications of pulmonary AVM during pregnancy.

405: Previous History of Bladder Cancer is an Independent Prognostic Factor for Upper Tract Transitional Cell Carcinoma

2007 ◽  
Vol 177 (4S) ◽  
pp. 135-135
Author(s):  
Eiji Kikuchi ◽  
Akira Miyajima ◽  
Ken Nakagawa ◽  
Mototsugu Oya ◽  
Takashi Ohigashi ◽  
...  
Keyword(s):  
Bladder Cancer ◽  
Prognostic Factor ◽  
Transitional Cell Carcinoma ◽  
Cell Carcinoma ◽  
Transitional Cell ◽  
Previous History ◽  
Independent Prognostic Factor ◽  
Upper Tract ◽  
History Of

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

Rhabdomyolysis in DOMS

1999 ◽  
Vol 38 (05) ◽  
pp. 164-168 ◽  
Author(s):  
Gloria Ruiz Hernandez ◽  
C. Sanchez Marchori ◽  
J. Munoz Moliner ◽  
C. Martinez Carsi
Keyword(s):  
Bone Scintigraphy ◽  
Previous History ◽  
Biochemical Studies ◽  
History Of ◽  
Increased Activity

SummaryA 26-year-old man with a previous history of external twin bursitis was remitted to our Department for a bone scintigraphy. Before the study, the patient performed an elevated number of intense sprints. Bone scintigraphy showed a bilaterally increased activity in both anterior rectum muscles suggesting rhabdomyolysis. Biochemical studies and MRT confirmed the diagnosis.

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