scholarly journals Unusual Suicide Case: Survived After Long Suffering

2021 ◽  
Vol 32 (1) ◽  
pp. 53-57
Author(s):  
Arfa Rahman ◽  
Homayra Tahseen ◽  
Quazi Tarikul Islam ◽  
HAM Nazmul Ahasan

Hanging is one of the common forms of violent mechanical asphyxial death. When compared to other forms of unnatural death all over the world this method stands on top as death is instantaneous.Hanging is always suicidal unless otherwise proved. The aim of this study is to gain new knowledge that would enable the design of effective of measures that would help to prevent suicide by hanging. In this case report, we will discuss the unusual presentation of a young lady who attempts suicide frequently did not result in death. We present data indicating that victims can be resuscitated even after prolonged period of suspension & unconsciousness & some of the reasons why asphyxiation by hanging may be delayed when there is no damage to the spinal cord. The logical, thoughtful management options that we chose at various stages of her disease in general ward with the use of colistin which eventually led to her cure are also discussed here. Emphasis is given on how these tricky cases can be deal with prognostically good results could be achieved, if such victims are vigorously & promptly resuscitated, irrespective of her initial presentation. Bangladesh J Medicine January 2021; 32(1) : 53-57

2020 ◽  
Vol 121 (1) ◽  
pp. 49-54
Author(s):  
Alireza Tabibkhooei ◽  
Farid Kazemi ◽  
Foad Kazemi ◽  
Morteza Taheri

Tethered cord syndrome (TCS) may rarely remain asymptomatic until degenerative or nondegenerative lumbar diseases superimpose in adulthood and expose the hidden anomaly. In such cases, different treatment options can be selected and simultaneous detethering might be considered too. We are reporting an undiscovered TCS in a young lady who underwent lumbar diskectomy due to symptomatic disk extrusion and suffered complete cauda equina syndrome (CES), postoperatively.


2011 ◽  
Vol 1;14 (1;1) ◽  
pp. 55-59
Author(s):  
Chong H. Kim

Background: Chronic renal pain secondary to uretero-pelvic junction obstruction (UPJO) is common but remains poorly understood. Patients with UPJO experience frequent infections, renal calculi and pain. Management options for patients with this condition are traditionally limited to surgical interventions to eliminate the obstruction. Spinal Cord Stimulation (SCS) has gained widespread popularity for the treatment of numerous conditions from complex regional pain syndrome to failed back syndrome. With continued success, the possible use of SCS has steadily increased. Although a significant number of patients with severe chronic renal pain will transiently respond to analgesics and physical interventions such as autonomic sympathetic blocks, substantial long-term pain relief is usually lacking. SCS therefore might be a welcome addition to the treatment of moderate to severe chronic renal pain. . Objective: This article presents a case of using spinal cord stimulation in the management of chronic renal pain secondary to Uretero-pelvic junction obstruction. Design: Case report Setting: Academic University Pain Management Center Methods: A 38-year old female presented with a 15-year history of persistent right sided flank pain secondary to congenital uretero-pelvic junction obstruction. After failing to respond adequately to stenting, medications and nerve blocks, a trial of spinal cord stimulation and subsequent permanent implantation of a spinal cord stimulator (SCS) were performed. Results: The patient reported significant improvement in pain, overall functioning and no consumption of opioids during the SCS trial and following system implant. Limitations: A case report. Conclusion: Spinal cord stimulation might be an option in the management of chronic renal pain secondary to Uretero-pelvic junction obstruction. Key words: spinal cord stimulation, renal pain, uretero-pelvic jnction obstruction, visceral pain, flank pain, pelvic pain


2010 ◽  
Vol 3;13 (3;5) ◽  
pp. 251-256
Author(s):  
Thomas T. Simopoulos

Background: Chronic pain after total knee replacement is common but remains poorly understood. Management options for patients with this condition are traditionally limited to pharmacological approaches. Objective: This article presents a case of using spinal cord stimulation in the management of chronic knee pain following total knee replacement. Design: Case report Setting: Pain management clinic Methods: A 68-year old patient presented with a 3-year history of persistent knee pain following total knee replacement. After failing to respond to medications and nerve blocks, a trial of spinal cord stimulation and subsequent permanent implantation of a spinal cord stimulator (SCS) were performed. The Oxford knee score (OKS) was used to assess her pain and functionality before and after SCS implantation. Results: The patient reported improvement in her pain and function. Her baseline OKS was 39 and fell to 26 one year post implantation of an SCS representing a reduction of pain and disability from severe to moderate. Limitations: A case report. Conclusion: Spinal cord stimulation might be an option in the management of refractory knee pain following total knee replacement. Key Words: total knee replacement, knee pain, spinal cord stimulation


Author(s):  
Alireza Niknafs ◽  
Abbas Alimoradian ◽  
Mehdi Salehi

In recent years, the common belief that herbal medications cause no side effects, have led to an increase in the consumption of these medications without prescription. Ginseng is one of the most commonly used herbs in the world and is a native of Eastern Asian countries such as China and Korea. It is also known to have several medicinal purposes. However, unreasonable use of this herb can bear consequences. In the current article, 28-year-old woman has consumed 4 capsules each day, which contained Ginseng roots, Alfalfa (Medicago sativa) extract, and Ziziphora (Ziziphora capitate) extract without a prescription to gain weight, which has resulted in serious side effects - including hepatotoxicity, psychologic, and gynecologic disorders. However, these symptoms were controlled with Chicory roots, Purslane and Jujube oxymel. PM focuses on the cooperation between food categories, nutritional instructions, food modulators, and medications. Regardless of their several therapeutic effects, medical herbs have been known to cause quite serious side effects if consumed unsystematically and without the surveillance of a doctor


Mind Shift ◽  
2021 ◽  
pp. 358-372
Author(s):  
John Parrington

This chapter challenges the common perception of scientists as a group that think and behave in very different ways from the rest of humanity. While scientists may occupy a very specific niche in society in their role in the construction of new knowledge, they are prone to the same strengths and weaknesses in terms of their individual minds, and are affected by the same social prejudices, as the rest of humanity. Moreover, far from being an alien activity, the pursuit of scientific knowledge is something that is a key resource for humanity as a whole. Everyone with an interest in the origins and fundamental nature of human conscious awareness should have a strong interest in knowing more about the process of scientific discovery, and an input into debates about both the direction and application of scientific research. To understand why, it is worth looking at how science first developed, which this chapter does. The chapter then goes on to look at some of the key ways in which scientists develop new scientific concepts about the world, building on Lev Vygotsky’s ideas about this process and extending them to a discussion of some of the main areas of science today. It also links this process back to the specific theme of the book about human consciousness.


Neurosurgery ◽  
1987 ◽  
Vol 21 (2) ◽  
pp. 235-238 ◽  
Author(s):  
Yuk-keung Lo ◽  
David Chao ◽  
Sui-hang Yan ◽  
Hsiu-chi Liu ◽  
Fu-li Chu ◽  
...  

Abstract A 43-year-old woman suffered from low back pain and bilateral footdrop. A cisternal myelogram unexpected revealed multiple filling defects in the spinal canal extending from the lower cervical region to the caudal equina. Diagnostic exploration revealed numerous cystic organisms adhering to the spinal cord and nerve roots. Histopathological examination showed these organisms to be proliferative sparganum cestode larvae. Although these cestode larval infections have been reported a dozen times in humans from various parts of the world, this is probably the first reported case of spinal cord infection.


F1000Research ◽  
2014 ◽  
Vol 3 ◽  
pp. 117 ◽  
Author(s):  
Elizabeth Speirs ◽  
Matthew Wiles ◽  
Andrew Bacon ◽  
Stephen Radley

Cauda equina syndrome is a neurosurgical emergency that requires prompt intervention to prevent irreversible spinal cord paralysis. This article describes how we managed a case of an obese pregnant patient who was placed in the prone position for surgery. We discuss the evidence behind the management options and choice of operating tables available.


2020 ◽  
Vol 37 (1) ◽  
pp. 114-116
Author(s):  
Kamila Woźniak-Dąbrowska ◽  
Agnieszka Nowacka ◽  
Wojciech Smuczyński ◽  
Maciej Śniegocki

2012 ◽  
Vol 6;15 (6;12) ◽  
pp. 511-514
Author(s):  
Yongjie Li

Background: Neuropathic pain is a relatively common outcome of Lyme disease. Pain management options for these patients have been limited to pharmaceutical treatments. Objective: We present a case of chronic pain following Lyme disease treated successfully using spinal cord stimulation (SCS). Study Design: Case report. Setting: Pain management clinic. Methods: A 62-year-old patient presented with a 5-year history of bilateral foot pain following Lyme disease that failed to respond to medication and physical therapy. The patient was treated by a trial of SCS at the clinic and then implanted with a spinal cord stimulator. The Visual Analog Scale (VAS) assessed pain before and after SCS. Results: The patient reported significant pain relief and improved foot function. The 10 point VAS score was reduced from 8−10 to 1–3. Limitations: Single case report. Conclusion: Spinal cord stimulation may be an effective option for relieving chronic pain originating from Lyme disease. Key words: Spinal cord stimulation, Lyme disease, chronic pain.


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