Oxford Medical Case Reports最新文献_第9页

Acute massive posterior stroke with tonsillar herniation in a scuba diver. 一名潜水员急性大面积后脑中风并伴有扁桃体疝。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-26 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae094

Gufran Algaly, Sara M I Ahmed, Amro Abdelrahman, Mohamad Abdelgadir Elgassim, Ayesha Parveen

{"title":"Acute massive posterior stroke with tonsillar herniation in a scuba diver.","authors":"Gufran Algaly, Sara M I Ahmed, Amro Abdelrahman, Mohamad Abdelgadir Elgassim, Ayesha Parveen","doi":"10.1093/omcr/omae094","DOIUrl":"10.1093/omcr/omae094","url":null,"abstract":"A transient female passenger in her 40s presented to the emergency department (ED) exhibiting drowsiness post-scuba diving. Despite normal initial vitals, she reported dizziness, sleepiness, and occipital headache. A computed tomography (CT) scan showed a severe posterior circulation acute infarction affecting various brain regions, resulting in significant mass effects and complications like 4th ventricle compression, cerebellar tonsillar herniation, and hydrocephalus. Extensive diagnostic tests, blood workup, and stroke evaluations revealed normal findings, except for an incidental patent foramen ovale (PFO). Collaboration with neurosurgery led to her transfer for life-saving extraventricular drain (EVD) insertion and posterior fossa decompression. Treatment included right-side EVD insertion, suboccipital craniectomy, and foramen magnum decompression. Postoperatively, she was extubated the next day, alert, without focal neurological deficits. Upon EVD removal, a repeat CT head scan showed regression of mass effect. She was discharged home safely after 16 days, fully ambulating.","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 8","pages":"omae094"},"PeriodicalIF":0.5,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11348004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082171","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

Colo-colonic intussusception secondary to Burkitt lymphoma with concurrent malignant small bowel mesh adhesion. 继发于伯基特淋巴瘤的结肠-结肠肠套叠，同时伴有恶性小肠网状粘连。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-26 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae095

Mei Jing Ho, Faisal Syed, Wieslawa Mary Wielebinski, Kamal Galketiya

引用次数: 0

Melatonin-induced symptomatic bradycardia in an otherwise healthy male: a case report. 一名健康男性因褪黑素诱发症状性心动过缓：病例报告。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-26 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae096

Asim Alawad, Wala Sati, Sara M I Ahmed, Moayed Elgassim, Mohamad Elgassim, Abderahman Balal

引用次数: 0

Pulmonary embolism with thrombus in transit across a patent foramen ovale. 血栓穿过卵圆孔造成肺栓塞。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-23 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae091

Sumedh Iyengar, Anton Stolear, Maxim Dulgher, Ashraf Ahmed, Evgeny Shkolnik, Stuart Zarich

{"title":"Pulmonary embolism with thrombus in transit across a patent foramen ovale.","authors":"Sumedh Iyengar, Anton Stolear, Maxim Dulgher, Ashraf Ahmed, Evgeny Shkolnik, Stuart Zarich","doi":"10.1093/omcr/omae091","DOIUrl":"10.1093/omcr/omae091","url":null,"abstract":"Thromboembolism-in-transit, specifically impending paradoxical embolism (IPDE), is a rare and life-threatening condition with limited reported cases. We present a case of a 51-year-old male with obstructive sleep apnea, initially diagnosed with deep vein thrombosis and pulmonary embolism. Further evaluation revealed a saddle pulmonary embolus extending into the right atrium, straddling a patent foramen ovale (PFO), confirmed by transesophageal echocardiogram. Despite a critical left anterior descending coronary artery stenosis, surgical thrombectomy, PFO closure, and coronary artery bypass grafting were successfully performed. Thromboembolism-in-transit poses diagnostic challenges, and there is a lack of consensus on the optimal treatment strategy. Surgical interventions, including embolectomy and PFO closure, have shown promise, while thrombolytic therapy remains controversial. This case underscores the importance of tailored management in the absence of standardized guidelines, emphasizing the need for further research to establish evidence-based protocols for this uncommon but potentially fatal condition.","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 8","pages":"omae091"},"PeriodicalIF":0.5,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11343825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056826","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

Cracking the code: high ferritin load with Salmon-Colored skin episodes. 破解密码：高铁蛋白负荷与鲑鱼色皮肤发作。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-23 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae092

Paraash Satyal, Walia Sukhcharan, Neriy Yakubov, Benson Babu

引用次数: 0

Ping pong fracture. 乒乓球骨折。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-23 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae093

Boumeriem Khaoula, Bourekba Iliass, Ait Belhaj El Mahdi, Allali Nazik, Chat Latifa, El Haddad Siham

引用次数: 0

Sequential therapy for hereditary leiomyomatosis and renal cell cancer-associated renal cell carcinoma: a case report and report of a new family pedigree. 遗传性骨髓瘤病和肾细胞癌相关性肾细胞癌的序贯疗法：一例病例报告和一个新家族血统的报告。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-23 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae060

Ichiro Tsuboi, Momoko Araki, Shuhei Yokoyama, Gen Tanaka, Kazutaka Mitani, Saori Yosioka, Yusuke Kobayashi, Hirochika Nakajima, Taichi Nagami, Kohei Ogawa, Chiaki Koike, Koichiro Wada

{"title":"Sequential therapy for hereditary leiomyomatosis and renal cell cancer-associated renal cell carcinoma: a case report and report of a new family pedigree.","authors":"Ichiro Tsuboi, Momoko Araki, Shuhei Yokoyama, Gen Tanaka, Kazutaka Mitani, Saori Yosioka, Yusuke Kobayashi, Hirochika Nakajima, Taichi Nagami, Kohei Ogawa, Chiaki Koike, Koichiro Wada","doi":"10.1093/omcr/omae060","DOIUrl":"10.1093/omcr/omae060","url":null,"abstract":"Hereditary leiomyomatosis and renal cell cancer (HLRCC) is a rare autosomal-dominant disorder caused by a heterozygous germline mutation in the fumarate hydratase (FH) gene. HLRCC is clinically characterized by the development of three tumors: uterine leiomyomata, cutaneous leiomyomata, and renal cell carcinoma (RCC). HLRCC-associated RCC is aggressive and diagnosed at a much earlier age than sporadic RCC. It is essential for carriers of HLRCC to undergo annual renal screening by magnetic resonance imaging to detect early stage RCCs. Metastatic HLRCC-associated RCC must be treated by systemic therapy; however, it is unclear which medicines are most effective in treating this cancer owing to its low incidence rate. Immune checkpoint inhibitor (ICI) combinations or ICIs plus tyrosine kinase inhibitors are administered as systemic therapy for clear cell RCC. Here, we report a patient with HLRCC-associated RCC treated with sequential therapy, including ipilimumab plus nivolumab combination and cabozantinib, after diagnosis of HLRCC-associated RCC using FoundationOne Liquid CDx and single-site analysis. We also investigated familial FH mutations and describe a new family pedigree for HLRCC.","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 8","pages":"omae060"},"PeriodicalIF":0.5,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11343826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056827","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

Upper gastrointestinal bleed secondary to large right hepatic artery pseudoaneurysm: a case report. 继发于巨大右肝动脉假性动脉瘤的上消化道出血：病例报告。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-19 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae090

Swotantra Gautam, Aakash Neupane, Gurdeep Singh, Mohamad Sharbatji

引用次数: 0

Multiple thoracolumbar compression fractures induced by glucocorticoid-induced osteoporosis and cachexia in a young adult female patient with systemic lupus erythematosus: a case report with a 5-year follow-up. 一名患有系统性红斑狼疮的青壮年女性患者因糖皮质激素引起的骨质疏松症和恶病质而导致的多发性胸腰椎压缩性骨折：随访 5 年的病例报告。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-19 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae089

Kazuki Fujimoto, Taro Akiyama, Kohei Kakinuma, Toshikazu Kano, Narumi Maki, Daisuke Hashiba, Toshifumi Maeyama, Ryosuke Nakagawa, Hajime Arai, Seiji Ohtori

{"title":"Multiple thoracolumbar compression fractures induced by glucocorticoid-induced osteoporosis and cachexia in a young adult female patient with systemic lupus erythematosus: a case report with a 5-year follow-up.","authors":"Kazuki Fujimoto, Taro Akiyama, Kohei Kakinuma, Toshikazu Kano, Narumi Maki, Daisuke Hashiba, Toshifumi Maeyama, Ryosuke Nakagawa, Hajime Arai, Seiji Ohtori","doi":"10.1093/omcr/omae089","DOIUrl":"10.1093/omcr/omae089","url":null,"abstract":"Background: High doses of glucocorticoids and severe weight loss can cause osteoporosis. We present a case of glucocorticoid-induced osteoporosis and cachexia in an 18-year-old woman who experienced severe appetite loss leading to weight loss, amenorrhea, and multiple thoracolumbar compression fractures.Case presentation: The patient had been receiving high-dose glucocorticoid treatment for systemic lupus erythematosus since the age of 13 and developed unexplained appetite loss since the age of 16. She subsequently developed thoracolumbar compression fractures, which necessitated repeated hospitalization. Gradual glucocorticoid tapering using belimumab and weight regain were achieved through high-calorie nutrition administration via the central vein, which helped the patient overcome her cachexic state. Romosozumab administration increased bone mineral density.Conclusion: Long-term administration of glucocorticoids may lead to osteoporosis and cachexia, resulting in amenorrhea, especially in young adults. Approaches that taper glucocorticoids and promote weight regain may be helpful in the management of such patients.","PeriodicalId":45318,"journal":{"name":"Oxford Medical Case Reports","volume":"2024 8","pages":"omae089"},"PeriodicalIF":0.5,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005469","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

Sharpnel splinter in the common bile duct. 胆总管中的锐器碎片。

IF 0.5

Oxford Medical Case Reports Pub Date : 2024-08-19 eCollection Date: 2024-08-01 DOI: 10.1093/omcr/omae088

Ahmad Abbas, Faiz Al-Theab

引用次数: 0