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Successful thrombolysis of a wake-up stroke aided by Computed Tomography Perfusion (CTP) imaging: A case report 计算机断层扫描灌注(CTP)成像辅助下成功溶栓醒脑:1例报告
Anuradhapura Medical Journal Pub Date : 2022-03-23 DOI: 10.4038/amj.v16i1.7707
Thilina Rathnasekara, Manoj Chathuranga, K. Dayaratne, Thushara M Muthunayake, P. Weerawansa, H. Senanayake
{"title":"Successful thrombolysis of a wake-up stroke aided by Computed Tomography Perfusion (CTP) imaging: A case report","authors":"Thilina Rathnasekara, Manoj Chathuranga, K. Dayaratne, Thushara M Muthunayake, P. Weerawansa, H. Senanayake","doi":"10.4038/amj.v16i1.7707","DOIUrl":"https://doi.org/10.4038/amj.v16i1.7707","url":null,"abstract":"(CTP) inability Abstract An 80-year-old man admitted with since wakeup. His Computed Tomography Perfusion (CTP) study of the brain revealed a significant but patchy penumbra with a minimal core. His Magnetic Resonance Imaging (MRI) also confirmed a mismatch between Diffusion-weighted MRI (DWI) and fluid-attenuated inversion recovery (FLAIR) sequences (DWI-FLAIR mismatch) supporting the existence of a significant ischaemic penumbra. He underwent thrombolysis with tenecteplase (TNK) after 5 hours and 40 minutes since waken up and had a good recovery with the improvement of the National Institute of Health Stroke Scale (NIHSS) from 5 to 0. Acute stroke patients could benefit from thrombolysis beyond the window period of 4.5 hours if there is a significant penumbra in the CT perfusion imaging and tenecteplase may have an added advantage over alteplase(r-tPA) in such","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47268660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Encysted retained products of conception in myometrium following surgical management of first trimester miscarriage: A case report 妊娠早期流产手术治疗后子宫肌层内残留受孕产物:1例报告
Anuradhapura Medical Journal Pub Date : 2022-03-23 DOI: 10.4038/amj.v16i1.7710
Kalana Amarasekara, Champika Gihan
{"title":"Encysted retained products of conception in myometrium following surgical management of first trimester miscarriage: A case report","authors":"Kalana Amarasekara, Champika Gihan","doi":"10.4038/amj.v16i1.7710","DOIUrl":"https://doi.org/10.4038/amj.v16i1.7710","url":null,"abstract":"","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45843224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anuradhapura Medical Journal (AMJ): Swimming against the tide 阿努拉德普勒医学杂志(AMJ):逆水行舟
Anuradhapura Medical Journal Pub Date : 2022-03-15 DOI: 10.4038/amj.v16i1.7720
Anjana Silva, K. Weerakoon
{"title":"Anuradhapura Medical Journal (AMJ): Swimming against the tide","authors":"Anjana Silva, K. Weerakoon","doi":"10.4038/amj.v16i1.7720","DOIUrl":"https://doi.org/10.4038/amj.v16i1.7720","url":null,"abstract":"","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44608189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Being late may not be too late! Widening the horizons for stroke thrombolysis with Computed Tomographic Perfusion (CTP) and Magnetic Resonance (MR) brain imaging 迟到未必太迟!计算机断层扫描灌注(CTP)和磁共振(MR)脑成像扩大脑卒中溶栓的视野
Anuradhapura Medical Journal Pub Date : 2022-03-15 DOI: 10.4038/amj.v16i1.7709
H. Senanayake
{"title":"Being late may not be too late! Widening the horizons for stroke thrombolysis with Computed Tomographic Perfusion (CTP) and Magnetic Resonance (MR) brain imaging","authors":"H. Senanayake","doi":"10.4038/amj.v16i1.7709","DOIUrl":"https://doi.org/10.4038/amj.v16i1.7709","url":null,"abstract":"thrombolytic Abstract Stroke is the leading cause of adult disability worldwide. Most strokes are ischemic in nature and amenable to cure if detected and treated early enough with reperfusion therapy. Delay in presentation and unknown onset time are key limiting factors of reperfusion therapy in current practice. Cerebral perfusion computed tomographic imaging (CTP) and magnetic resonance imaging (MRI) with special sequences aid in identifying acute stroke patients who present late or with unknown onset time, yet reperfusion treatment may have a benefit. Establishing such imaging facilities at tertiary care hospitals in Sri Lanka would strengthen acute stroke care by offering hope for a cure. It is cost-effective in long term by reducing the burden of prolonged disabilities in stroke","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44556792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Are mothers of preschool children aware about early childhood care and development (ECCD)? 学龄前儿童的母亲是否了解幼儿保育和发展(ECCD)?
Anuradhapura Medical Journal Pub Date : 2021-12-30 DOI: 10.4038/amj.v15i2.7688
R. Randika, S. U. Sendanayaka, G. Rathnayake, J. Warnasekara
{"title":"Are mothers of preschool children aware about early childhood care and development (ECCD)?","authors":"R. Randika, S. U. Sendanayaka, G. Rathnayake, J. Warnasekara","doi":"10.4038/amj.v15i2.7688","DOIUrl":"https://doi.org/10.4038/amj.v15i2.7688","url":null,"abstract":"","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45327640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Foetal valporate syndrome; the risk is still out there: a case report 胎儿瓣膜综合征；风险仍然存在：一份案例报告
Anuradhapura Medical Journal Pub Date : 2021-12-30 DOI: 10.4038/amj.v15i2.7700
J. Ranasinghe, M. Manamperi, R. Ediriweera
{"title":"Foetal valporate syndrome; the risk is still out there: a case report","authors":"J. Ranasinghe, M. Manamperi, R. Ediriweera","doi":"10.4038/amj.v15i2.7700","DOIUrl":"https://doi.org/10.4038/amj.v15i2.7700","url":null,"abstract":"","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49157964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hemichorea caused by non-ketotic hyperglycemia in a Sri Lankan woman: A case report 斯里兰卡妇女非酮症性高血糖所致血凝1例
Anuradhapura Medical Journal Pub Date : 2021-12-30 DOI: 10.4038/amj.v15i2.7695
P. P. B. Herath, W. Kularatne
{"title":"Hemichorea caused by non-ketotic hyperglycemia in a Sri Lankan woman: A case report","authors":"P. P. B. Herath, W. Kularatne","doi":"10.4038/amj.v15i2.7695","DOIUrl":"https://doi.org/10.4038/amj.v15i2.7695","url":null,"abstract":"Basal ganglia are a subcortical set of nuclei, including the caudate nucleus, putamen, external and internal segments of globus pallidus, and associated structures including substantia nigra and subthalamic nucleus. Complex neuronal networks interconnect the basal ganglia and cortical motor areas. Chorea results due to a dysfunction within this neuronal network [1,2]. This disruption can occur as a result of direct structural damage, degeneration of selective sets of neurons, neurotransmitter receptor blockage, metabolic derangements, drug exposure, genetic mutations, and also due to underlying autoimmune conditions [1].","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43207516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Visual electrophysiology in clinical practice: current status and future prospects in Sri Lanka. 视觉电生理学在临床实践中的应用:斯里兰卡的现状和未来展望。
Anuradhapura Medical Journal Pub Date : 2021-12-30 DOI: 10.4038/amj.v15i2.7708
P. Dahanayake
{"title":"Visual electrophysiology in clinical practice: current status and future prospects in Sri Lanka.","authors":"P. Dahanayake","doi":"10.4038/amj.v15i2.7708","DOIUrl":"https://doi.org/10.4038/amj.v15i2.7708","url":null,"abstract":"","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44862627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Autoimmune thyroiditis associated with primary Sjögren’s syndrome complicated with distal renal tubular acidosis and hypokalaemic paralysis: A case report 自身免疫性甲状腺炎伴原发性Sjögren综合征并发远端肾小管酸中毒和低钾血症性麻痹1例报告
Anuradhapura Medical Journal Pub Date : 2021-12-30 DOI: 10.4038/amj.v15i2.7711
K. Kalainesan, L. M. Safeek, S. Azhar
{"title":"Autoimmune thyroiditis associated with primary Sjögren’s syndrome complicated with distal renal tubular acidosis and hypokalaemic paralysis: A case report","authors":"K. Kalainesan, L. M. Safeek, S. Azhar","doi":"10.4038/amj.v15i2.7711","DOIUrl":"https://doi.org/10.4038/amj.v15i2.7711","url":null,"abstract":"","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45471553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vitiligo as a possible manifestation of infective endocarditis complicated with ischemic stroke: A case report 白癜风可能是感染性心内膜炎并发缺血性脑卒中的一例报告
Anuradhapura Medical Journal Pub Date : 2021-12-30 DOI: 10.4038/amj.v15i2.7690
D. Satharasinghe, D. H. Hettige, P. Weerawansa, N. Lokunarangoda, H. Senanayake
{"title":"Vitiligo as a possible manifestation of infective endocarditis complicated with ischemic stroke: A case report","authors":"D. Satharasinghe, D. H. Hettige, P. Weerawansa, N. Lokunarangoda, H. Senanayake","doi":"10.4038/amj.v15i2.7690","DOIUrl":"https://doi.org/10.4038/amj.v15i2.7690","url":null,"abstract":"","PeriodicalId":30600,"journal":{"name":"Anuradhapura Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47660445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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