scholarly journals Assumed hemorrhagic stroke in a emergency of inland hospital: a case report

2021 ◽  
Author(s):  
Vitor Sossai Bozzi ◽  
Débora Cavalini Gabriel ◽  
Francisco Mateus Vieira ◽  
Mateus Alan Marasca ◽  
Priscila Martins Langbecker ◽  
...  
Keyword(s):  
Case Report ◽  
Hemorrhagic Stroke ◽  
High Volume ◽  
Definitive Treatment ◽  
Cerebral Vessel ◽  
Fatal Hemorrhage ◽  
Diagnostic Hypothesis ◽  
Spontaneous Intracranial Hemorrhage ◽  
Unilateral Mydriasis ◽  
The Right

Context: Hemorrhagic stroke (HS) is characterized by cerebral vessel´s rupture, causing potentially fatal hemorrhage. Approximately 20% of HS are due to spontaneous intracranial hemorrhage, being risk factors: age over 55, systemic arterial hypertension, smoking, obesity, physical inactivity and alcoholism. Case Report: Male, 84 years old, previously hypertensive, is brought by family members after being found unconscious. He was admitted to hypertensive emergency room, with irregular respiratory rate, anisochoric pupils (mydriasis on the right) non-photoreactive, Glasgow Coma Scale 3 and urinary loss. He was intubated without complications and later developed bradycardia (44 bpm), keeping hypertensive (160/90 mmHg), suggesting Cushing´s Triad (CT). Capillary bloody glucose of 98 mg/dl and laboratory tests showing: hemoglobin 9,3; platelets 184000; negative troponin; urea 52; creatinine 1.7; sodium 136; potassium 3.9. Due to the abrupt installation in a previously hypertensive patient, with unilateral mydriasis on physical examination and the development of CT, the diagnostic hypothesis were HS associated with intracranial hypertension. A skull´s scancomputed tomography or lumbar puncture were not requested because were unavailable at hospital. Patient was removed to a specialized servisse, 12 hours after arrival. Conclusion: Mortality after stroke is known to be substantially lower when patients are treated in high-volume regional centers and have access to qualified interventionists who specialize in neuro-intensive treatment. As it is a servisse without resources for definitive treatment, the patient was stabilized in the best way within the hospital condition, with priority being the removal of the patient as soon as possible, in order to reduce morbidity and mortality

Recurrent Artery of Heubner Aneurysm Masquerading as Caudate Hemorrhage without Subarachnoid Hemorrhage in Moyamoya Disease: A Case Report and Literature Review

2021 ◽  
Vol 17 ◽  
Author(s):  
Chao Fu ◽  
Peng Jiang ◽  
Yang Zhao ◽  
Youxiang Li
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Literature Review ◽  
Hospital Discharge ◽  
Moyamoya Disease ◽  
Vascular Anomaly ◽  
Therapeutic Challenge ◽  
Fatal Hemorrhage ◽  
The Right

Background: Clinically, the recurrent artery of Heubner (RAH) aneurysm is extremely rare, commonly presents with subarachnoid hemorrhage (SAH). Case Report: A 73-year-old man with a known moyamoya disease who presented as caudate hemorrhage attributable to an incidental flow aneurysm distal on the right RAH, which was managed conservatively after an unsuccessful endovascular attempt. Unfortunately, the patient died five weeks after  hospital discharge because of re-rupture of the aneurysm. To the best of our knowledge, the RAH aneurysm manifesting as caudate hemorrhage without SAH has not previously been reported. Conclusion: This case highlights that the RAH aneurysm masquerading as caudate hemorrhage without SAH is exceedingly rare but can be encountered, representing a diagnostic and therapeutic challenge, and should be considered in the differential diagnosis. Moreover, early identifying and then eliminating such vascular anomaly if possible is of importance to prevent fatal hemorrhage.

scholarly journals Hemangioma of First Extensor Compartment of the Wrist– A Rare Case Report

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Rajni Ranjan ◽  
Rakesh Kumar ◽  
Madhan Jeyaraman ◽  
Sandip Biswas ◽  
Akhilesh Kumar ◽  
...  
Keyword(s):  
Case Report ◽  
Articular Surface ◽  
Functional Results ◽  
Vascular Tumor ◽  
Low Flow ◽  
Definitive Treatment ◽  
Excision Biopsy ◽  
Musculotendinous Junction ◽  
Intramuscular Hemangioma ◽  
The Right

Introduction: Although upper extremity intramuscular hemangioma is a rare clinical entity, it poses considerable morbidity in the functional needs of an individual. The diagnosis of intramuscular hemangioma poses a diagnostic glitch. The combined radiological and histopathological assessment provides a complete understanding and diagnosis for the same. Every tumor follows an individualized protocol for its management. Case Report: A 15-year-old female presented with swelling over dorsal aspect of distal 1/3rd right forearm, which was 3 cm away from the articular surface of the right wrist from the past 5 years. There was no history of trauma or infection over the right wrist. Finkelstein’s test was negative, which rule out de Quervain’s tenosynovitis. The movements of the right wrist were unrestricted without any distal neurovascular deficit. MRI of her right wrist and hand suggested the presence of low flow vascular malformation within the musculotendinous junction of APL and EPB muscles. The patient underwent excision biopsy of the hemangiomatous lesion in toto without any neurological complications. No recurrence was noted in the follow-up period for 6 months. Conclusion: Being a benign vascular tumor, MRI provides the gateway to diagnose intramuscular hemangioma for early intervention to provide better functional results. The choice of definitive treatment for APL and EPB hemangioma was excision biopsy in toto which provided better functional results in our patient. Keywords: Hemangioma, intramuscular, abductor pollicis longus, extensor pollicis brevis, MRI, excision biopsy.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

Stomach in the Right Thorax Caused by Hiatal Hernia: A Case Report

2006 ◽  
Vol 55 (4) ◽  
pp. 349
Author(s):  
Ju Won Lee ◽  
Kyung Hee Lee ◽  
Seung Min Kwak ◽  
Yong Sun Jeon ◽  
Soon Gu Cho ◽  
...  
Keyword(s):  
Case Report ◽  
Hiatal Hernia ◽  
The Right

Right Coronary Artery Fistula Draining into the Right Atrium and Associated with Mitral Valve Stenosis: A Case Report

2007 ◽  
Vol 10 (4) ◽  
pp. E325-E328 ◽  
Author(s):  
Ali Gürbüz ◽  
Ufuk Yetkin ◽  
Ömer Tetik ◽  
Mert Kestelli ◽  
Murat Yesil
Keyword(s):  
Case Report ◽  
Coronary Artery ◽  
Mitral Valve ◽  
Right Coronary Artery ◽  
Right Atrium ◽  
Coronary Artery Fistula ◽  
Mitral Valve Stenosis ◽  
The Right

Late-onset malignant glaucoma

2020 ◽  
Vol 3 ◽  
pp. 1
Author(s):  
Ramiro José Daud ◽  
Horacio Freile ◽  
Mauricio Freile ◽  
Soledad Mariano
Keyword(s):  
Intraocular Pressure ◽  
Case Report ◽  
Acute Pain ◽  
Late Onset ◽  
Slit Lamp ◽  
Normal Range ◽  
Slit Lamp Examination ◽  
Complete Occlusion ◽  
Malignant Glaucoma ◽  
The Right

A case report on a 49-year-old female with diagnoses of ocular hypertension in her left eye (LE) treated with 250 mg/day acetazolamide for 2 years. During the slit-lamp examination, complete occlusion of both iridocorneal angles was detected. Intraocular pressure (IOP) was 10 and 35 mmHg in the right eye and LE, respectively. Phacotrabeculectomy was performed in the LE. After 1 month of the procedure, the patient developed a slowly progressive miopization from −1 to −3 diopters (D) the following months. Approximately 3 months after surgery, the patient developed an episode of acute pain, athalamia, and IOP 45 mmHg in her LE. Late-onset malignant glaucoma was suspected and the patient was treated with topical hypotensive and cycloplegic agent until a prompt vitrectomy was performed. Deepening of the anterior chamber and restoration of IOP to normal range was obtained after surgery.

A rare variation in the formation of the lower trunk of the brachial plexus its embryological basis and clinical importance - a case report

2012 ◽  
Vol 6 (4) ◽  
pp. 49-52
Author(s):  
N Satyanarayana ◽  
R Guha ◽  
P Sunitha ◽  
GN Reddy ◽  
G Praveen ◽  
...  
Keyword(s):  
Case Report ◽  
Brachial Plexus ◽  
Upper Limb ◽  
Clinical Importance ◽  
Medical Sciences ◽  
Nerve Roots ◽  
Rare Variation ◽  
Lower Trunk ◽  
Male Cadaver ◽  
The Right

Brachial plexus is the plexus of nerves, that supplies the upper limb.Variations in the branches of brachial plexus are common but variations in the roots and trunks are very rare. Here, we report one of the such rare variations in the formations of the lower trunk of the brachial plexus in the right upper limb of a male cadaver. In the present case the lower trunk was formed by the union of ventral rami of C7,C8 and T1 nerve roots. The middle trunk was absent. Upper trunk formation was normal. Journal of College of Medical Sciences-Nepal,2011,Vol-6,No-4, 49-52 DOI: http://dx.doi.org/10.3126/jcmsn.v6i4.6727

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