scholarly journals An interesting case of neonatal aural myiasis in a 13 hours old neonate in a tertiary care hospital

Author(s):  
Abnish Kumar Bharti ◽  
Jay Kishore ◽  
Aditya Dixit

Myiasis is infestation by fly larvae (diptera) in live vertebrates, including humans. Newborn period is very unusual for any infestation. In literature there are only a few cases reported of neonatal aural myiasis from India. We described a case of aural myiasis caused by the Sarcophagidae family in a 13 hours old newborn in this paper. Aural myiasis in a newborn can be dangerous because of the fatality risk due to penetration to the brain.

2021 ◽  
Vol 36 (1) ◽  
Author(s):  
K. Kaiser ◽  
M. Nayil ◽  
A. Ramzan ◽  
S. Sarbjit ◽  
W. Abrar ◽  
...  

Abstract Background Indocyanine green (ICG) is a near-infrared (NIR) fluorescent dye. After intravenous injection, it reaches the vessels of the brain within 30 s. A real-time visualization of the cerebral vasculature is possible. Results The infarction rate and the postoperative rebleed rate in the pre-ICG era group were higher than in the ICG era. Conclusion Intraoperative ICGVA is a safe and effective method to confirm the exclusion of the clipped aneurysm from the circulation. It also helps to assess the patency of the surrounding vessels.


2018 ◽  
Vol 5 (2) ◽  
pp. 400
Author(s):  
Maheshkumar Muthuraja ◽  
Manikandan Paramasivam

Background: New onset afebrile seizures are very common in children. They are diagnosed by neuroimaging techniques. The aim of the present study was to examine the presenting characteristics and to assess and compare the prevalence of neuroimaging and neurological abnormalities in new onset afebrile seizures in children.Methods: This prospective study was conducted in a tertiary care hospital at Chennai during the period from July 2014 to August 2016. Out of 65 patients included in the study, 58 had an MRI, 5 had a CT scan and 2 patients had a neurosonogram. All the findings were documented in the proforma and evaluated for incidence of neuroimaging abnormality in children.Results: The most common age group to be affected was the adolescent age group followed by the infantile group. The most common presentation noticed was generalized seizures 72% (47/65). Among the primary generalized seizures, GTCS 57% (27/47) was the most common. Of the 65 patients in our study, 22 had Neuroimaging abnormality and 16 had neurological abnormality. The most common abnormalities seen in various neuroimaging studies were ring enhancing lesions 10 (45%). Ring enhancing lesions were more common in the adolescent age group, while structural disorder was more common in the infantile age group.Conclusions: Neuroimaging techniques helped in finding the brain developmental abnormalities among children with afebrile seizures.


2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Muhammad Faisal Khilji ◽  
Niranjan Lal Jeswani ◽  
Rana Shoaib Hamid ◽  
Faisal Al Azri

Arachnoid cyst of the brain is common in children but its association with spontaneous subdural hygroma is rare. A case of a nine-year-old boy, without any preceding history of trauma, is presented here who came to the emergency department of a tertiary care hospital with complaints of headache, nausea, and vomiting for the last two weeks but more for the last two days. Examination showed a young, fully conscious oriented boy with positive Cushing’s reflex and papilledema of left eye. MRI (magnetic resonance imaging) of the brain showed left temporal extra-axial cystic lesion of 5.40 × 4.10 cm in size, representing arachnoid cyst, with bilateral frontoparietal subdural hygromas. Cyst was partially drained through left temporal craniectomy and subdural hygromas were drained through bilateral frontal burr holes. Postoperatively the child recovered uneventfully and was discharged on the seventh postoperative day. Histopathology proves it to be arachnoid cyst of the brain with subdural CSF (cerebrospinal fluid) collection or hygroma.


Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  

Author(s):  
Vinod Kumar ◽  
Bhupen Songra ◽  
Richa Jain ◽  
Deeksha Mehta

Background: the present study was under taken to determine the role of CA-125 in the diagnosis of acute appendicitis (AA), to prevent its complications and also in preventing negative appendicectomies in tertiary care hospital. Methods: The study was conducted at a tertiary care and research center between 01/03/2018 to 30/06/2019. Patients admitted to the surgery department with diagnosis of AA were considered for the study. After informed consent, a, standardized history was obtained as a case Performa. Serum samples from all the cases with clinical diagnosis of AA were obtained and stored. Only the cases with histopathologically approved AA were included in the study. Cases operated for clinical diagnosis of AA, but not histopathologically proven AA was not included in the study. CA125 levels in cases with definitive diagnosis of AA were measured. Results: In present study, ROC curve analysis revealed the sensitivity of 87.27 % and specificity of 90.91 % when the CA 125 cut-off value of > 16.8 was taken to diagnose acute appendicitis. AUC was 0.911 with a standard error of 0.0292. Conclusion: In this study we have observed that CA125 showed a positive correlation with acute appendicitis, that was statistically not significant (P>0.05). We didn’t evaluate the correlation with the disease severity. We consider that CA125 can be used as a marker in acute appendicitis cases although further research is still needed. Keywords: CA125, Acute Appendicitis, Surgery.


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