scholarly journals Clinical and surgical management of a congenital Type II split cord malformation presenting with progressive cranial neuropathies: case report

2017 ◽  
Vol 19 (3) ◽  
pp. 349-353
Author(s):  
Patrick R. Maloney ◽  
Meghan E. Murphy ◽  
Molly J. Sullan ◽  
Kathryn M. Van Abel ◽  
Shelagh A. Cofer ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Clinical Impact ◽  
Split Cord Malformation ◽  
Cervical Cord ◽  
Clinical Scenario ◽  
Type Ii ◽  
First Case ◽  
Thoracolumbar Region ◽  
Cranial Neuropathies

Split cord malformation (SCM) is a rare abnormality of notochord development. The majority of cases occur in the thoracolumbar region, with more than 30 cases of cervical SCM reported. The clinical impact of SCMs involving the cervical cord is therefore largely unknown. In addition, the concomitant finding of brainstem involvement is presumably incompatible with life in the majority of patients, resulting in a paucity of data regarding this clinical scenario. In this paper the authors present the first case, to their knowledge, of an incomplete cervical SCM involving the brainstem and discuss its clinical impact, diagnosis, and management.

scholarly journals Type II hereditary angioedema: The first case report in Taiwan

2016 ◽  
Vol 115 (8) ◽  
pp. 680-681 ◽  
Author(s):  
Ying-Juang Chen ◽  
Shyh-Dar Shyur ◽  
Wei Te Lei ◽  
Yu-Hsuan Kao
Keyword(s):  
Case Report ◽  
Hereditary Angioedema ◽  
Type Ii ◽  
First Case

scholarly journals Preoperative Diagnosis of Suprasellar Hemangioblastoma with Four-Dimensional Computed Tomography Angiography: Case Report and Literature Review

2021 ◽  
Vol 31 (02) ◽  
pp. 499-509
Author(s):  
Yi Tong ◽  
Denis Sirhan ◽  
Maria Cortes
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Literature Review ◽  
Surgical Management ◽  
Computed Tomography Angiography ◽  
Diabetes Mellitus Type Ii ◽  
Von Hippel Lindau ◽  
First Case ◽  
Imaging Characteristics ◽  
Vhl Disease

Purpose Our case report presents the first case of suprasellar hemangioblastoma diagnosed preoperatively with dynamic computed tomography angiography (four-dimensional [4D] CTA) in a patient without Von Hippel-Lindau (VHL) disease. We illustrate the imaging characteristics of these exceedingly rare tumors and discuss the role of 4D CTA in confirming this diagnosis and guiding surgical management. Finally, we present a literature review of imaging findings, differential diagnosis, management, and prognosis. Case A 39-year-old woman known for diabetes mellitus type II and dyslipidemia presented with headache, bitemporal hemianopsia, and mild hyperprolactinemia. Initial diagnosis of suprasellar meningioma separate from pituitary gland was revised to definitive diagnosis of suprasellar hemangioblastoma after 4D CTA. Conclusion Suprasellar hemangioblastomas are extremely rare, often associated to VHL disease. They present as enhancing as suprasellar mass with prominent intra- and peritumoral vascular flow-voids on magnetic resonance imaging. 4D CTA confirms their vascular nature, demonstrates characteristic rapid shunting with feeding arteries, and enlarged draining veins, and is important in guiding surgical management.

Down's syndrome and neuromyelitis optica (Devic's disease). An autopsy-proven case

2007 ◽  
Vol 13 (3) ◽  
pp. 433-436 ◽  
Author(s):  
J.A. Cabrera-Gómez ◽  
J. Galarraga-Inza ◽  
R.M. Coro-Antich ◽  
Y. Real-González ◽  
M. Cristofol-Corominas ◽  
...  
Keyword(s):  
Case Report ◽  
Neuromyelitis Optica ◽  
Down's Syndrome ◽  
Transverse Myelitis ◽  
Down’S Syndrome ◽  
Anatomical Study ◽  
Cervical Cord ◽  
Devic’S Disease ◽  
First Case ◽  
Devic's Disease

Neuromyelitis optica (NMO) has been attributed to different underlying pathological events. The aim of this paper is to present the first case report of a patient with Down's syndrome (DS) who died of a fulminant NMO. A 29-year-old woman with DS developed acute transverse myelitis, with complete visual loss and swollen optic discs. Two days later, she developed quadriplegia, respiratory arrest and died. The anatomical study demonstrated typical findings of DS in the brain without demyelinating lesions. A severe destruction of medulla and cervical cord with a very high degree of demyelination of the optic nerves was typical of monophasic NMO (Devic's disease). Most of the cases of NMO in Cuba are of the relapsing form, but this case report is the first one with monophasic NMO and DS with a very aggressive course. The link of the pathogenetic relationship between DS and NMO remains unclear; it may well be coincidence but the fact that the patient died very shortly after the onset suggests, at least on clinical grounds, that the presence of DS could have accelerated the fatal evolution of NMO. Multiple Sclerosis 2007; 13: 433-436. http://msj.sagepub.com

scholarly journals Acute appendicitis with four appendicoliths: a first case report in the English literature

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Patrick Lafleche ◽  
Yagan Pillay
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Surgical Management ◽  
English Literature ◽  
Rare Presentation ◽  
First Case ◽  
Asymptomatic Patients

Abstract This is an extremely rare presentation of multiple appendicoliths in one appendix. Multiple appendicoliths as well as appendicoliths larger than 5 mm have been implicated in severe appendicitis as well as perforation and gangrene of the appendix. There is no known correlation with appendicular malignancy. The controversy arises in the surgical management of asymptomatic patients. There is emerging evidence that justifies an elective appendicectomy in asymptomatic patients.

Combined Cardiohepatic Transplantation Due to Severe Heterozygous Familiar Hypercholesteremia Type II: First Case in Argentina—A Case Report

2007 ◽  
Vol 39 (7) ◽  
pp. 2449-2453 ◽  
Author(s):  
L. Ahualli ◽  
A. Stewart-Harris ◽  
G. Bastianelli ◽  
D. Radlovachki ◽  
A. Bartolomé ◽  
...  
Keyword(s):  
Case Report ◽  
Type Ii ◽  
First Case

A Type II Split Cord Malformation in an Adult Patient: An Operative Case Report

2020 ◽  
Author(s):  
Taemin Oh ◽  
Lauro Nathaniel Avalos ◽  
John Frederick Burke ◽  
Nikhil Mummaneni ◽  
Michael Safaee ◽  
...  
Keyword(s):  
Adult Patient ◽  
Tethered Cord ◽  
Wound Dehiscence ◽  
Bladder Function ◽  
Split Cord Malformation ◽  
Type Ii ◽  
Fibrous Septum ◽  
Lumbar Drain ◽  
First Case ◽  
Uncommon Presentation

Abstract BACKGROUND AND IMPORTANCE Split cord malformations (SCMs) are rare conditions in which the spinal cord is split into two hemicords within either a single thecal sac or two separate thecal sacs. The hemicords are typically split by a bony or fibrous structure. We present an adult patient who presented with a type II SCM with tethered cord. This is the first case of such a presentation with an accompanying intraoperative video. Unusual features of the case were the presence of an incomplete fibrous septum and lack of a discrete filum terminale. CLINICAL PRESENTATION A 50-yr-old woman presented with back pain, radiculopathy, urinary urgency, and episodic fecal incontinence. Her exam was notable for weakness of the right extensor hallicus longus. Imaging showed an SCM extending from L3 to S1, a fibrous septum located at L4-5, and a low-lying conus at S4. She was treated with a decompressive L3-S4 laminectomy and disconnection of all the dural attachment points. She required lumbar drain placement postoperatively and reoperation for wound dehiscence and persistent pseudomeningocele. At the time of last follow-up, she was neurologically intact with improvement in bowel/bladder function. CONCLUSION SCM is an uncommon presentation in adults and is often accompanied by findings of skin stigmata, tethered cord, and other central nervous system/skeletal anomalies. Obtaining full multimodal imaging is critical to understanding subtle anatomic variations that can pose operative challenges. We report the treatment of an adult patient with type II SCM, and provide an intraoperative video demonstrating the removal of an incomplete midline fibrous septum.

Typical and reverse Takotsubo syndromes as initial manifestations of consecutive Addisonian crises in a 38-year-old patient: the heart has its reasons!

2021 ◽  
Vol 14 (1) ◽  
pp. e238189
Author(s):  
Melissa Tso ◽  
Shravan Nosib
Keyword(s):  
Case Report ◽  
Interesting Case ◽  
Syndrome Type ◽  
Type Ii ◽  
Takotsubo Syndrome ◽  
Refractory Shock ◽  
First Case ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

We report an interesting case of a 38-year-old woman presenting with reverse Takotsubo syndrome (TTS) secondary to an Addisonian crisis, her second such episode. A few years prior, she had presented with typical TTS in the setting of Addisonian crisis; diagnostic work-up revealing Auto-Immune Polyglandular Syndrome Type II (APS II). We believe this to be the first case report of typical and variant phenotypes of TTS in a patient with APS II. The pathogenic link between these two conditions is explored. In patients presenting with Addisonian crises and refractory shock, the possibility of concurrent TTS should be considered. TTS muddies the diagnostic waters and poses therapeutic challenges as outlined.

scholarly journals Bilateral Ovarian Endometriomas Presenting as Nonprogress of Labor: First Case Report in the Literature Is Concomitant Surgical Excision during Cesarean Section Advisable?

2012 ◽  
Vol 2012 ◽  
pp. 1-2
Author(s):  
Shashank Shekhar ◽  
Chanderdeep Sharma ◽  
Vinay Somya ◽  
Meghna Thusoo ◽  
Nidhi Raina
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Cesarean Section ◽  
Outcome Measures ◽  
Surgical Management ◽  
Surgical Excision ◽  
First Case ◽  
Ovarian Endometriomas

Objective. To report the first case of bilateral ovarian endometriomas, leading to nonprogress of labour, successfully excised during cesarean section.Design. Case report.Setting. Department of Obstetrics & Gynecology of Dr. RPGMC Tanda, Kangra, India.Patients. A primigravida in labour at term gestation.Interventions. Surgical management.Main Outcome Measures. Description and treatment of a pregnant woman with bilateral ovarian endometriomas during cesarean section.Results. Successful excision of ovarian endometriomas and reconstruction of the ovaries during cesarean section.Conclusion. Management of incidentally detected endometriomas during cesarean section should be individualized, taking into account the symptoms, size, bilaterality, and adhesion with adjacent organs.

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