ACUTE STROKE-ELICITED EPILEPSIA PARTIALIS CONTINUA RESPONSIVE TO LEVETIRACETAM

2021 ◽  
pp. 24-25
Author(s):  
Tilottama parate ◽  
Tony K S ◽  
Sonali chavan ◽  
Shital Gadge ◽  
Kavyasree S
Keyword(s):  
Standard Treatment ◽  
Seizure Activity ◽  
General Medicine ◽  
Interesting Case ◽  
Ischemic Damage ◽  
Epilepsia Partialis Continua ◽  
Acute Complication ◽  
Acute Infarct ◽  
Cortical Ischemia ◽  
Interesting Alternative

We present an interesting case of epilepsia partialis continua (EPC) responsive to levetiracetam treatment as an acute manifestation of cortical ischemia. A 54 -year-old, right-handed man presented with Epilepsia partialis continua (EPC) ensued as an acute complication of an acute infarct in high parietal region, with clonic jerks of left upper limb, was admitted to our department of general medicine. When the standard treatment with benzodiazepines and phenytoin failed, levetiracetam was started. This completely abolished seizure activity, bringing an improvement of the patient's neurological condition EPC may be an acute complication of cortical ischemic damage and levetiracetam, is an interesting alternative for the treatment of this poorly studied condition.

scholarly journals Local Excision and Endoscopic Resections for Early Rectal Cancer

2017 ◽  
Vol 30 (05) ◽  
pp. 313-323 ◽  
Author(s):  
Juan Celentano ◽  
Flavia Alexandre ◽  
Bruna Vailati ◽  
Guilherme São Julião
Keyword(s):  
Rectal Cancer ◽  
Local Excision ◽  
Standard Treatment ◽  
Diagnostic Tools ◽  
Transanal Local Excision ◽  
Rectal Cancers ◽  
Endoscopic Microsurgery ◽  
Poor Outcomes ◽  
Interesting Alternative ◽  
The Ideal

AbstractRadical surgery is considered as the standard treatment for rectal cancer. Transanal local excision has been considered an interesting alternative for the management of selected patients with rectal cancers for many decades. Different approaches had been considered for local excision, from endoscopic submucosal dissection to resections using platforms, such as transanal endoscopic microsurgery or transanal minimally invasive surgery. Identifying the ideal candidate for this approach is crucial, as a local failure after local excision is associated with poor outcomes, even for an initial early rectal tumor. In this article, the diagnostic tools and criteria to select patients for local excision, the different modalities used, and the outcomes are discussed.

Effect of strain on ADF-STEM high-resolution images

1991 ◽  
Vol 49 ◽  
pp. 666-667
Author(s):  
M. Kelly ◽  
D.M. Bird
Keyword(s):  
High Resolution ◽  
Strong Influence ◽  
Intensity Variation ◽  
Dark Field ◽  
Atomic Resolution ◽  
Strain Fields ◽  
High Resolution Image ◽  
Annular Dark Field ◽  
High Resolution Images ◽  
Interesting Alternative

It is well known that strain fields can have a strong influence on the details of HREM images. This, for example, can cause problems in the analysis of edge-on interfaces between lattice mismatched materials. An interesting alternative to conventional HREM imaging has recently been advanced by Pennycook and co-workers where the intensity variation in the annular dark field (ADF) detector is monitored as a STEM probe is scanned across the specimen. It is believed that the observed atomic-resolution contrast is correlated with the intensity of the STEM probe at the atomic sites and the way in which this varies as the probe moves from cell to cell. As well as providing a directly interpretable high-resolution image, there are reasons for believing that ADF-STEM images may be less suseptible to strain than conventional HREM. This is because HREM images arise from the interference of several diffracted beams, each of which is governed by all the excited Bloch waves in the crystal.

Chronic Pain: Fundamental Scientific Considerations, Specifically for Legal Claims

2013 ◽  
Vol 18 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Robert J. Barth
Keyword(s):  
Health Outcomes ◽  
Pain Perception ◽  
Driving Forces ◽  
Psychological Treatment ◽  
Dominant Role ◽  
Meta Analysis ◽  
General Medicine ◽  
Pain Syndrome ◽  
Problematic Relationship

Abstract Scientific findings have indicated that psychological and social factors are the driving forces behind most chronic benign pain presentations, especially in a claim context, and are relevant to at least three of the AMA Guides publications: AMA Guides to Evaluation of Disease and Injury Causation, AMA Guides to Work Ability and Return to Work, and AMA Guides to the Evaluation of Permanent Impairment. The author reviews and summarizes studies that have identified the dominant role of financial, psychological, and other non–general medicine factors in patients who report low back pain. For example, one meta-analysis found that compensation results in an increase in pain perception and a reduction in the ability to benefit from medical and psychological treatment. Other studies have found a correlation between the level of compensation and health outcomes (greater compensation is associated with worse outcomes), and legal systems that discourage compensation for pain produce better health outcomes. One study found that, among persons with carpal tunnel syndrome, claimants had worse outcomes than nonclaimants despite receiving more treatment; another examined the problematic relationship between complex regional pain syndrome (CRPS) and compensation and found that cases of CRPS are dominated by legal claims, a disparity that highlights the dominant role of compensation. Workers’ compensation claimants are almost never evaluated for personality disorders or mental illness. The article concludes with recommendations that evaluators can consider in individual cases.

Abstract #703: Idiopathic Hypoparathyroidism Associated with Deafness; Renal Anomaly: An Interesting Case of HDR (Hypoparathyroidism; Deafness and Renal Anomaly) Syndrome

2017 ◽  
Vol 23 ◽  
pp. 132-133
Author(s):  
Shilpi Singh ◽  
Andrea George ◽  
Arjun Theertham ◽  
Mohsen Zena ◽  
John Christopher Gallagher
Keyword(s):  
Interesting Case ◽  
Renal Anomaly

Neonatal myocardium is more sensitive to perioperative ischemic damage than myocardium of elder children

2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
J. Suc ◽  
A. Purbojo ◽  
A. Rüffer ◽  
A. Koch ◽  
K.P. Eberle ◽  
...  
Keyword(s):  
Ischemic Damage

Cardiac arrhythmias related to psychiatric medication

2017 ◽  
Vol 36 (09) ◽  
pp. 747-750
Author(s):  
R. W. Freudenmann ◽  
C. Schönfeldt-Lecuona ◽  
B. J. Connemann ◽  
M. Gahr ◽  
M. Elsayed
Keyword(s):  
Cardiac Arrhythmias ◽  
Torsade De Pointes ◽  
General Medicine ◽  
Fold Increase ◽  
Cardiac Risk ◽  
Psychiatric Medication ◽  
Cardiac Side Effects ◽  
Torsade De Pointes Tachycardia ◽  
Multiple Drugs ◽  
Available Information

SummaryThis narrative review summarizes current available information about cardiac arrhythmias (QT prolongation, Torsade de pointes Tachycardia [TdP], sudden cardiac death) associated with psychiatric medication. Among the most commonly used antipsychotics, amisulpride and ziprasidone are most frequently associated with TdP. Treatment with some antidepressants (SSRIs, tricyclic antidepressants) is associated with a 5- to 6-fold increase in the incidence of out-of-hospital cardiac arrest. Lithium is associated with bradycardia, T-wave changes and AV-block; anxiolytics of the benzodiazepine group do usually not have cardiac side effects. The combination of multiple drugs (including medications from general medicine) that prolong the QT interval has a particularly high cardiac risk.

Sign in / Sign up

Export Citation Format

Share Document