Oxford Medical Case Reports最新文献_第10页

Large left ventricular thrombus in a heavily trabeculated left ventricle. 左心室大血栓位于左心室重度骨小梁中。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-19 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae087

Vasileios Lamprou, Simon G Williams, Raana Alamgir, Paul Callan

引用次数: 0

Delayed presentation of traumatic cervical epidural hematoma: a case report and review of the pertinent literature. 外伤性颈椎硬膜外血肿的延迟表现：病例报告及相关文献综述。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-06 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae086

Taiki Isaji, Tadato Yukiue, Takayuki Amano

引用次数: 0

Intraoperative angiography with indocyanine green, an aid in the diagnosis and treatment of obscure digestive tract bleeding, a case report. 使用吲哚菁绿进行术中血管造影，辅助诊断和治疗不明显的消化道出血，病例报告。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-06 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae084

Edson Alquicira Alcantara, Daniela de la Hoz Camacho, Angel D Pinedo Vega, Xanat Yescas Vázquez, Pedro A Hernandez Bernal, Daniel Medina Caballero

引用次数: 0

Septic cardioembolic stroke secondary to infective endocarditis in a young patient with rheumatic heart disease: a case report. 风湿性心脏病年轻患者继发感染性心内膜炎的化脓性心栓塞性中风：病例报告。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-06 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae083

Helena Agostingo Buque, Evangelina Namburete, Deise Catamo Vaz, Frederico João Sebasteão, Yanina Baduro, Elder Lorenzo Rosales, Nachan Arroz, Lazara Bacallao, Damiano Pizzol, Lee Smith

引用次数: 0

Reversible cerebral vasoconstriction syndrome due to teprotumumab: two case reports. 特普鲁单抗导致的可逆性脑血管收缩综合征：两例报告。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-06 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae085

Mohamed Elfil, Pashayar P Lookian, Kanchan Kumari, Mohammad Aladawi, Mark Jedras, Steven M Phillips, Mithun G Sattur

{"title":"Reversible cerebral vasoconstriction syndrome due to teprotumumab: two case reports.","authors":"Mohamed Elfil, Pashayar P Lookian, Kanchan Kumari, Mohammad Aladawi, Mark Jedras, Steven M Phillips, Mithun G Sattur","doi":"10.1093/omcr/omae085","DOIUrl":"10.1093/omcr/omae085","url":null,"abstract":"Background: Reversible Cerebral Vasoconstriction Syndrome (RCVS) involves cerebral vasculature constriction and dilation. While the exact pathophysiology of RCVS is still not fully understood, there are multiple etiological factors suggested to be implicated in triggering RCVS. We report two RCVS cases potentially linked to teprotumumab. Case 1: A 59-year-old female with Graves' eye disease (GED) developed leg weakness and headache after initiating teprotumumab, and neuroimaging studies revealed multifocal cerebral vasospasm (CVS). Verapamil mitigated vasospasm and the patient overall improved. Case 2: A 71-year-old female with GED developed thunderclap headache two months after starting teprotumumab, with subarachnoid hemorrhage (SAH) and CVS revealed on neuroimaging studies. The patient improved on verapamil and was discharged without deficits.Conclusions: The temporal correlation between teprotumumab initiation and RCVS's symptom onset raises concern for the potential involvement of teprotumumab in triggering RCVS via disrupting cerebrovascular modulation. Further research is needed to investigate this proposed association.","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 8","pages":"omae085"},"PeriodicalIF":0.5,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic balloon dilation of esophageal stricture in dystrophic epidermolysis bullosa patient: challenges faced and safety of procedure. 萎缩性表皮松解症患者食道狭窄的内窥镜球囊扩张术：面临的挑战和手术的安全性。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-07-30 eCollection Date: 2024-07-01 DOI: 10.1093/omcr/omae079

Ruchi Mishra, Shivangi Tetarbe, Vinit Vinod Bedekar, Ira Shah

{"title":"Endoscopic balloon dilation of esophageal stricture in dystrophic epidermolysis bullosa patient: challenges faced and safety of procedure.","authors":"Ruchi Mishra, Shivangi Tetarbe, Vinit Vinod Bedekar, Ira Shah","doi":"10.1093/omcr/omae079","DOIUrl":"10.1093/omcr/omae079","url":null,"abstract":"Background: Epidermolysis Bullosa (EB) stands as the prototype category of disorders featuring subepidermal fragility, characterized by skin blistering induced by minimal trauma. The gastrointestinal tract is a common site of extracutaneous injury. Esophageal stricture (ES) is one of the severe complications, with nearly 70% of patients experiencing ES within the initial 25 years of life.Case report: We present a 11-year-old female child of dystrophic EB (DEB) who presented with dysphagia. Barium swallow showed a short segment proximal ES. We faced many challenges before endoscopy owing to difficult intravenous access, restricted mouth opening, multiple dental caries and low haemoglobin. Dental extraction under general anaesthesia and fibreoptic intubation with a smaller sized endotracheal tube guided over epidural catheter was done at another tertiary care institute. Child had severe bleeding due to airway manipulation.Management: At our centre endoscopy guided serial balloon dilation (BD) of ES was performed without intubation under total intravenous anaesthesia (TIVA) without any complications. The stricture was serially dilated under direct visualization till 12 mm in three sessions at three-weekly intervals using CRE (controlled radial expansion) fixed and wire-guided balloon dilators. During the first session 20 mg of triamcinolone acetate injection was also topically applied without mucosal invasion. No such further topical or submucosal applications were attempted due to risk of perforation.Conclusion: Endoscopy guided BD of ES is safe and effective in EB patients when done by experienced team.","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 7","pages":"omae079"},"PeriodicalIF":0.5,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11289837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

No small dilemma: small bowel volvulus mimicking acute coronary syndrome. 不小的难题：模仿急性冠状动脉综合征的小肠肠套叠。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-07-30 eCollection Date: 2024-07-01 DOI: 10.1093/omcr/omae080

Cristian D Armas, Sean Bademian, Mikaela Kcomt, Jessica Burgess, Xian Qiao

引用次数: 0

Severely calcified pericardium as post tuberculosis sequale. 严重钙化的心包是结核病后遗症。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-07-30 eCollection Date: 2024-07-01 DOI: 10.1093/omcr/omae077

Mohd Khairi Othman, Liew Houng Bang, Zurkurnai Yusof, W Yus Haniff W Isa

引用次数: 0

Giant cell arteritis and therapeutic response: a dual facet of immunotherapy in metastatic clear cell renal carcinoma. 巨细胞动脉炎与治疗反应：转移性透明细胞肾癌免疫疗法的双面性。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-07-30 eCollection Date: 2024-07-01 DOI: 10.1093/omcr/omae082

Ganiou Adjadé, Kelly Haag, Jérôme Meunier, Mohammed El Fadli, Ismail Essadi, Rhizlane Belbaraka

引用次数: 0

Postpartum onset Takayasu's arteritis presenting with aortic dissection. 产后发病的高安氏动脉炎伴有主动脉夹层。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-07-30 eCollection Date: 2024-07-01 DOI: 10.1093/omcr/omae078

Hirotaka Yamamoto, Yoshinori Taniguchi, Yujiro Miura, Shigeto Kobayashi

{"title":"Postpartum onset Takayasu's arteritis presenting with aortic dissection.","authors":"Hirotaka Yamamoto, Yoshinori Taniguchi, Yujiro Miura, Shigeto Kobayashi","doi":"10.1093/omcr/omae078","DOIUrl":"10.1093/omcr/omae078","url":null,"abstract":"Takayasu's arteritis (TA), also known as pulseless disease and young female arteritis, is a chronic inflammatory large-vessel vasculitis (LVV). TA is pathologically characterized by arterial wall thickening, stenotic/occlusive lesions, aneurysm formation, and dissection. TA usually develops between 20 and 30 years of age. However, pregnancy and puerperium can affect the immune system, and several cases of postpartum onset or flare-up of TA have been reported. Herein, we report an extremely rare case of postpartum-onset TA complicated by aortic dissection. This is a case of Postpartum onset Takayasu's arteritis presenting with aortic dissection. A 34-year-old healthy woman was performed cesarean section. After 2 weeks, she presented with chest pain and fever, followed by mild dysphagia and hoarseness. Laboratory findings showed C-reactive protein (CRP) 21.61 mg/dl and computed tomography (CT) demonstrated thickening of the vessel wall of mainly ascending aorta. 18F-fluorodeoxyglucose (FDG)-position emission tomography (PET)/CT revealed high FDG uptake in the same areas. We diagnosed with TA and steroid pulse therapy was started. However, five days after treatment, the patient developed worsening symptoms of hoarseness. A contrast-enhanced CT showed Stanford A type dissection, and emergency artificial vessel replacement was performed. The specimen from surgical resection of the ascending aorta suggested active TA associated with dissection. The prednisolone dosage was gradually tapered with tocilizumab. Then, her symptoms and laboratory findings improved. It is important to recall the onset of TA and/or arterial dissection, when patients develop chest pain and hoarseness in the postpartum period.","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 7","pages":"omae078"},"PeriodicalIF":0.5,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11289832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0