Tuberothalamic Infarct after Division of a Hypoplastic Posterior Communicating Artery for Clipping of a Basilar Tip Aneurysm: Case Report

Neurosurgery ◽  
1991 ◽  
Vol 28 (3) ◽  
pp. 456-459 ◽  
Author(s):  
Luca Regli ◽  
Nicolas de Tribolet
Keyword(s):  
Case Report ◽  
Clinical Observation ◽  
Significant Risk ◽  
Posterior Communicating Artery ◽  
Microsurgical Anatomy ◽  
Parent Vessel ◽  
Pterional Approach ◽  
Basilar Tip Aneurysm

Abstract The authors present a case of a tuberothalamic infarct subsequent to division of the posterior communicating artery for clipping of a high-lying aneurysm of the basilar bifurcation using the pterional approach. In view of this clinical observation and some particular aspects of the microsurgical anatomy of the perforating vessels of the posterior communicating artery, we conclude that interrupting this parent vessel carries a significant risk of infarction.

Case report of 2 Carotid cave aneurysms: Microsurgical anatomy and technical pitfalls

2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Bruno Camporeze ◽  
Marcus Vinicius de Morais ◽  
Roger Mathias ◽  
Stephanie Caroline Barbosa Bologna ◽  
Vinicius Oliveira Fernandes ◽  
...  
Keyword(s):  
Case Report ◽  
Microsurgical Anatomy

Multiple Cerebral Aneurysm - Case Report

2014 ◽  
Vol 21 (3) ◽  
pp. 279-282 ◽  
Author(s):  
C. Kakucs ◽  
I. St. Florian
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Ct Scan ◽  
Cerebral Aneurysm ◽  
Internal Carotid ◽  
Neurological Status ◽  
Posterior Communicating Artery ◽  
Nuchal Rigidity ◽  
Angio Ct

Abstract This 41-years-old female presented with somnolence, confusion and nuchal rigidity. Preoperative angio-CT scan showed two aneurysm located on both internal carotid artery (ICA) at the site of posterior communicating artery (PComA). During surgery we discovered another dilatation on the origin of left ophtalmic artery that proves to be an infundibullum. We clipped the two communicating posterior aneurysm from the left side and the ophtalmic infundibullum was wrapped. Seven days after surgery the neurological status was improved and she was transferred to the Neurological department.

scholarly journals Repeat exit site infection in peritoneal dialysis patient with polycythemia vera – a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Edyta Gołembiewska ◽  
Kazimierz Ciechanowski
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Peritoneal Dialysis ◽  
Case Report ◽  
Polycythemia Vera ◽  
Significant Risk ◽  
Renal Amyloidosis ◽  
Site Infection ◽  
Exit Site ◽  
Exit Site Infection ◽  
First Case

Abstract Background Infectious complications of peritoneal dialysis (PD) remain a common cause of catheter loss and discontinuation of PD. Exit site infection (ESI) constitutes a significant risk factor for PD-related peritonitis and determination of predisposing states is relevant. We here present a case of repeat ESI due to Pseudomonas aeruginosa in a PD patient with skin changes in the course of polycythemia vera (PV). Case presentation A 73-year-old PD patient with chronic kidney disease secondary to renal amyloidosis and ankylosing spondylitis, presented to the nephrology unit with signs of ESI. In 2006 he was diagnosed with PV and since then has was successfully treated with hydroxyurea; however, he reported recurrent episodes of developing skin nodules in the course of the disease. Exit site swab yielded Pseudomonas aeruginosa and the infection developed in the ulcerated PV nodule that appeared in exit site 2 weeks earlier. Patient was treated with intraperitoneal amikacin and oral ciprofloxacin, however, due to neurological complications, the treatment had to be interrupted and finally catheter was removed. Similar episode of ESI with Pseudomonas aeruginosa developed in the patient two years earlier and also required catheter removal. Conclusion This is the first case report demonstrating the development of ESI on the polycythemia vera skin lesion in this area. Skin manifestations of PV might be a predisposing factor to ESI in PD patients.

scholarly journals The Microsurgical Relationships between Internal Carotid-Posterior Communicating Artery Aneurysms and the Skull Base

2017 ◽  
Vol 79 (05) ◽  
pp. 427-436 ◽  
Author(s):  
Noritaka Komune ◽  
Ryosuke Tsuchimochi ◽  
Yasutoshi Kai ◽  
Kenichi Matsumoto ◽  
Sei Haga ◽  
...  
Keyword(s):  
Skull Base ◽  
Clinical Characteristics ◽  
Internal Carotid ◽  
Posterior Communicating Artery ◽  
Microsurgical Anatomy ◽  
Anterior Clinoid Process ◽  
Anterior Clinoidectomy ◽  
Close Relationship ◽  
Anatomical Relationship ◽  
Formalin Fixed

Objective This study aimed to review the anatomical and clinical characteristics of internal carotid-posterior communicating artery (IC-PC) aneurysms, especially those located close to the skull base. Methods The microsurgical anatomy around the posterior communicating artery (PComA) was examined in a dry skull and five formalin-fixed human cadaveric heads. The clinical characteristics of 37 patients with 39 IC-PC aneurysms, who were treated microsurgically between April 2008 and July 2016, were retrospectively reviewed. Results The anterior clinoid process (ACP), as well as the anterior petroclinoidal dural fold (APF), which forms part of the oculomotor triangle, are closely related to the origin of the PComA. Among the 39 IC-PC aneurysms, anterior clinoidectomy was performed on 4 (10.3%) and a partial resection of the APF was performed on 2 (5.1%). Both of these aneurysms projected inferior to the tentorium, or at least part of the aneurysm's dome was inferior to the tentorium. Conclusion Proximally located IC-PC aneurysms have an especially close relationship with the ACP and APF. We should be familiar with the anatomical relationship between IC-PC aneurysms and the structures of the skull base to avoid hazardous complications.

scholarly journals Repeated fracture of the femoral neck. Tactics of treatment. Clinical observation

2015 ◽  
Vol 3 (2) ◽  
pp. 48-51
Author(s):  
Pavel Igorevich Bortulev ◽  
Yaroslav Nikolaevich Proshchenko ◽  
Anatoliy Vasilievich Ovsyankin ◽  
Alexey Polikarpovich Drozdetskiy ◽  
Oksana Vyacheslavovna Bortuleva
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Femoral Neck ◽  
Clinical Observation ◽  
Multiple Fractures

The article presents a case report of surgical treatment of multiple fractures of the femoral neck in 15-year old child.

Incest in the Schizophrenic patient: Case report

2017 ◽  
Vol 41 (S1) ◽  
pp. S588-S588
Author(s):  
M. Mezghani ◽  
F. Fekih-Romdhane ◽  
F. El Ghali ◽  
M. Zghal ◽  
G. Jmii ◽  
...  
Keyword(s):  
Case Report ◽  
Sexuality Education ◽  
Clinical Observation ◽  
Criminal Responsibility ◽  
Patient Case ◽  
Annihilation Anxiety ◽  
Psychiatric Expertise ◽  
Competing Interest ◽  
The Individual ◽  
The Relationship

IntroductionIncest may be defined as sexual relations between close blood relatives. Legally, incest and sexual aggression toward minors are classified as a criminal behaviour. Tunisia is among the countries from which incest cases are rarely reported.Objectives and methodThe aim of this study is to investigate the relationship between the psychotic structure and incest, and to describe the individual, clinical, and criminal traits of the incestuous father through clinical observation.Case reportMr T.G is 46 years old. He is married and has six daughters. His wife appears to be passive, and largely dependent on her husband. Mr T.G has had incestuous relationships, initially, with his two eldest daughters. The acts were followed by the mother's complicit silence and the non-denunciation of the daughters. Two years later, he starts an incestuous behavior with his third daughter. Incest took place in the context of delusion. The patient was convinced that he is responsible of his daughters’ sexuality education. He develops an incoherent theory of purification with a tendency towards morbid rationalism. It is only after four years of insufferable paternal incestuous relationships that the third daughter filed a complaint to the police. A psychiatric expertise concluded that the accused is exempt from criminal responsibility.ConclusionIncest is a multi-faceted phenomenon, which makes its approach, comprehension, and treatment quite complex. For a psychotic patient incest is a means to deny alterity by crushing other. It also allows him to find, in this complete power, control over his annihilation anxiety.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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