scholarly journals Cerebrovascular disease in neonates: evaluation of four cases

1999 ◽  
Vol 57 (1) ◽  
pp. 84-87 ◽  
Author(s):  
MARIA VALERIANA LEME DE MOURA-RIBEIRO ◽  
MONICA A. PESSOTO ◽  
SÉRGIO TADEU MARTINS MARBA
Keyword(s):  
Computed Tomography ◽  
Laboratory Tests ◽  
Clinical Course ◽  
Cranial Ultrasound ◽  
Careful Evaluation ◽  
Neurological Sequelae ◽  
Ultrasound Computed Tomography ◽  
One Year ◽  
Etiologic Diagnosis

The clinical and neurological study in four neonates infants with cerebral infarction are reported. The purpose of this study is to call attention for the clinical course, cranial ultrasound, computed tomography and laboratories tests, in order to evaluate the neurological sequelae. A careful evaluation has be taken in order to determine the significance of clinical and laboratory tests for syndromic, topographic and etiologic diagnosis after one year ambulatorial follow-up.

scholarly journals Mucinous Neoplasm of the Appendix as a Mimic of Cystic Adnexal Pathology

2018 ◽  
Vol 8 ◽  
pp. 32 ◽  
Author(s):  
Chris Hutchinson ◽  
Jonathan Lyske ◽  
Vimal Patel ◽  
Gavin Low
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Mucinous Tumor ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Mucinous Neoplasm ◽  
Ultrasound Computed Tomography ◽  
Adnexal Pathology

Pelvic pain presents a common diagnostic conundrum with a myriad of causes ranging from benign and trivial to malignant and emergent. We present a case where a mucinous neoplasm of the appendix acted as a mimic for tubular adnexal pathology on imaging. With the associated imaging findings on ultrasound, computed tomography, and magnetic resonance imaging, we wish to raise awareness of mucinous tumors of the appendix when tubular right adnexal pathology is present both in the presence of pelvic or abdominal pain or when noted incidentally. Tubular pathology such as uncomplicated paraovarian cysts or hydrosalpinx is frequently treated conservatively with long-interval follow-up imaging or left to clinical follow-up. Thus, if incorrectly diagnosed as tubular pathology, an appendix mucocele or mucinous neoplasm of the appendix is likely to be undertreated. We wish to clarify some of the confusion around nomenclature and classification of the multiple entities that are comprised by the terms mucocele and mucinous tumor of the appendix.

scholarly journals Computed tomography patterns predict clinical course of idiopathic pulmonary fibrosis

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Byoung Soo Kwon ◽  
Jooae Choe ◽  
Kyung Hyun Do ◽  
Hee Sang Hwang ◽  
Eun Jin Chae ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Lung Function ◽  
Idiopathic Pulmonary Fibrosis ◽  
Pulmonary Fibrosis ◽  
Exercise Capacity ◽  
Clinical Course ◽  
Usual Interstitial Pneumonia ◽  
The Other ◽  
Hrct Patterns

Abstract Background A new clinical guideline for idiopathic pulmonary fibrosis (IPF) uses high-resolution computed tomography (HRCT) patterns for diagnostic purposes. However, it is unknown how they relate to the IPF clinical course. We aimed to investigate whether HRCT patterns could be used to predict lung function changes and survival in patients with IPF. Methods Clinical data were retrospectively reviewed in 337 patients with IPF (all biopsy-proven cases). HRCT patterns were classified according to the 2018 IPF diagnostic criteria. Results The median follow-up was 46.9 months. The mean age was 62.5 years, and 74.2% were men. Among the HRCT patterns, usual interstitial pneumonia (UIP), probable UIP, indeterminate for UIP, and an alternative diagnosis were identified in 163 (48.4%), 110 (32.6%), 33 (9.8%), and 31 (9.2%) patients, respectively. The indeterminate for UIP group showed higher lung function and exercise capacity and better prognosis than the other groups. They also had a lesser decline in lung function than the other groups during follow-up. In the multivariate Cox analysis, which was adjusted by age, smoking status, lung function, exercise capacity, and use of antifibrotic agents, indeterminate for UIP pattern was found to be an independent prognostic factor (hazard ratio 0.559, 95% confidence interval 0.335–0.933, P = 0.026). However, the probable UIP group had similar lung function changes and prognosis when compared the UIP group. Conclusions Our results suggest that indeterminate for UIP pattern on HRCT may predict a more favorable clinical course in patients with IPF, supporting the validity of the new IPF diagnostic guidelines.

scholarly journals Magnesium-Based Absorbable Metal Screws for Intra-Articular Fracture Fixation

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Roland Biber ◽  
Johannes Pauser ◽  
Markus Geßlein ◽  
Hermann Josef Bail
Keyword(s):  
Case Report ◽  
Magnesium Alloy ◽  
Fracture Fixation ◽  
Clinical Course ◽  
Radial Head Prosthesis ◽  
Osteochondral Fracture ◽  
Articular Fracture ◽  
One Year ◽  
Biodegradable Magnesium

MAGNEZIX® (Syntellix AG, Hanover, Germany) is a biodegradable magnesium-based alloy (MgYREZr) which is currently used to manufacture bioabsorbable compression screws. To date, there are very few studies reporting on a limited number of elective foot surgeries using this innovative implant. This case report describes the application of this screw for osteochondral fracture fixation at the humeral capitulum next to a loose radial head prosthesis, which was revised at the same time. The clinical course was uneventful. Degradation of the magnesium alloy did not interfere with fracture healing. Showing an excellent clinical result and free range-of-motion, the contour of the implant was still visible in a one-year follow-up.

scholarly journals Serie de Casos: Intoxicación por Amlodipino

2020 ◽  
Vol 12 (2) ◽  
pp. 145-150
Author(s):  
Carlos Fernando Ordoñez Troya ◽  
Giovanni Paolo González Pazmiño ◽  
Lupe Nataly Mora Robles ◽  
María Eduarda Clavijo Izquierdo
Keyword(s):  
Laboratory Tests ◽  
Pediatric Patients ◽  
Clinical Course ◽  
Case Reports ◽  
Treatment Plan ◽  
Low Frequency ◽  
Pediatric Intensive Care ◽  
Evidence Based ◽  
Support Measures

BACKGROUND: Drug poisoning is an important cause of morbidity and mortality in pediatric patients. However, amlodipine poisoning, a widely used dihydropyridine calcium chanel blocker, is not fully documented in Ecuador. Treatment consists of classic measures for shock management and specific measures for this type of intoxication. CASE REPORTS: We present two case reports, both of teenage patients admitted into the pediatric intensive care unit for suicide attempt by taking amlodipine and some other drugs. EVOLUTION: During hospital stay, they presented a different evolutionary course. In both cases vasoactive drugs were needed, dosage was modified according to clinical course. Also in both patients, calcium gluconate was administered along with other support measures described in this paper. Finally, both patients presented a good outcome and were discharged after psychological and psychiatric assessment and follow up. CONCLUSION: The low frequency of amlodipine poisoning and the lack of evidence-based knowledge, constitute it as a diagnostic and therapeutic challenge. Based on our experience, we highlight the importance of early suspicion and prioritizing the use of vasopressors over fluid resuscitation. Additionally, we recommend documenting the exact dose of intake and inquiring about consumption of other drugs to properly classify the severity of the poisoning and stablish the treatment plan. Finally, constant clinical monitoring and support of laboratory tests will guide the conduct.

scholarly journals Prognosis in Decompensated Cirrhosis - A complete follow up study of twenty five cases

2016 ◽  
Vol 9 (3) ◽  
Author(s):  
Fatima Mehmoob
Keyword(s):  
Hepatic Encephalopathy ◽  
Cause Of Death ◽  
Clinical Course ◽  
Average Duration ◽  
Decompensated Cirrhosis ◽  
Severity Of Disease ◽  
Follow Up Study ◽  
Variceal Bleed ◽  
One Year

Objective of this study is to see the clinical course of decompensated cirrhosis especially with reference to differences in presentation, age, sex and disease complications regarding the type of virus involved i.e., HCV or HBV. It is a prospective. randomized hospital based study. The patients were selected from inpatient and outpatient department of North medical Ward. The patients were followed up from October 1998 to April 2003. Twenty five patients suffering from decompensated cirrhosis were studied. The patients were followed up till their death or till the last visit. The maximum follow up was for 4 years and 7 months. The minimum follow up was three months and 10 days. Eleven patients died during the study. The average duration of follow up was one year and 4% months. The usual cause of death w as Variceal bleed or hepatic encephalopathy. There is a difference in presentation, age, sex and severity of disease in patients suffering from HCV or HBV. When there is coinfection of HCV and HBV in a patient the prognosis is worse and the patient is having rapid downhill course.

scholarly journals Clear Cell Adenocarcinoma Arising from Abdominal Wall Endometriosis

2008 ◽  
Vol 2008 ◽  
pp. 1-3 ◽  
Author(s):  
Thouraya Achach ◽  
Soumaya Rammeh ◽  
Amel Trabelsi ◽  
Rached Ltaief ◽  
Soumaya Ben Abdelkrim ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Wall ◽  
Clear Cell ◽  
Rare Event ◽  
Clear Cell Adenocarcinoma ◽  
Pelvic Ultrasound ◽  
Ultrasound Computed Tomography ◽  
Lost To Follow Up ◽  
Wall Mass

Endometriosis is a frequent benign disorder. Malignancy arising in extraovarian endometriosis is a rare event. A 49-year-old woman is presented with a large painful abdominal wall mass. She underwent a myomectomy, 20 years before, for uterus leiomyoma. Computed tomography suggested that this was a desmoid tumor and she underwent surgery. Histological examination showed a clear cell adenocarcinoma associated with endometriosis foci. Pelvic ultrasound, computed tomography, and endometrial curettage did not show any malignancy or endometriosis in the uterus and ovaries. Adjuvant chemotherapy was recommended, but the patient was lost to follow up. Six months later, she returned with a recurrence of the abdominal wall mass. She was given chemotherapy and then she was reoperated.

Neurological Sequelae of Toluene Abuse

1982 ◽  
Vol 1 (3) ◽  
pp. 281-287 ◽  
Author(s):  
Mary D. King
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Complete Recovery ◽  
Acute Encephalopathy ◽  
Neurological Sequelae ◽  
Blood Assay ◽  
The Central Nervous System ◽  
One Year ◽  
Lost To Follow Up

1 Twenty patients, aged eight to 14 years, were admitted to hospital over a six year period with an acute encephalopathy following toluene abuse. 2 In all cases toxicity was confined to the central nervous system. Electroencephalography performed in ten patients was abnormal in three. 3 Fourteen patients made a complete recovery, five had evidence of personality impairment but were lost to follow-up, one had a persistent cerebellar ataxia one year after admission, despite absence of exposure to toluene. 4 Solvent abuse may be impossible to establish on history, as in six of these patients. Blood assay of toluene is vital in such cases, as is an awareness that toluene abuse may lead to acute encephalopathy.

Intracranial Migration of Halo Fixation Pins: A Complication of Using an Extraoral Distraction Device

2001 ◽  
Vol 38 (4) ◽  
pp. 401-404 ◽  
Author(s):  
Bach T. Le ◽  
James M. Eyre ◽  
Monica C. Wehby ◽  
Michael J. Wheatley
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Distraction Osteogenesis ◽  
Review Of The Literature ◽  
Neurological Sequelae ◽  
Maxillary Hypoplasia ◽  
Distraction Device ◽  
Intravenous Antibiotics ◽  
Halo Device

Objective: Distraction osteogenesis is a well-accepted technique in the treatment of patients with hypoplastic craniofacial components. Complications of distraction osteogenesis are well described in the literature. We describe a complication of using an external distraction device in a 9-year-old girl with Pfeiffer. Intervention and Results: A modified Lefort III osteotomy was performed for maxillary hypoplasia with application of an external distraction halo device by a pediatric neurosurgeon. A postoperative computed tomography (CT) scan showed 0.5-cm skull penetration of the cranial pins. The pins were repositioned and the patient was followed up on a regular basis until discharge from the hospital. At 3-week follow-up, a CT scan of the head showed migration of the pins 1.5 cm intracranially. The halo was removed and repositioned at a different site. No detectable neurological sequelae from the pin penetration were noted. The patient developed cellulitis at the site of the penetration and was admitted to the hospital for a course of intravenous antibiotics. There were no other complications, and the rest of her treatment course proceeded as planned. A review of the literature on complications of halo usage as well as suggestions for their management in association with distraction osteogenesis is described.

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