Case Reports in Medicine最新文献

筛选
英文 中文
A Family with a High Incidence of Migraine and Vestibular Migraine and a Case of Menière's Disease. 偏头痛、前庭偏头痛高发家族及meni<e:1>病1例
IF 0.8
Case Reports in Medicine Pub Date : 2021-09-02 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9984047
Marco Familiari, Omar Gatti, Iacopo Cangiano, Roberto Teggi
{"title":"A Family with a High Incidence of Migraine and Vestibular Migraine and a Case of Menière's Disease.","authors":"Marco Familiari,&nbsp;Omar Gatti,&nbsp;Iacopo Cangiano,&nbsp;Roberto Teggi","doi":"10.1155/2021/9984047","DOIUrl":"https://doi.org/10.1155/2021/9984047","url":null,"abstract":"Vestibular migraine (VM) and Menière's disease (MD) are common neurotological disorders causing episodic vertigo. Sometimes, VM is accompanied by cochlear symptoms suggestive for MD. Therefore, in those cases, the differential diagnosis between the two disorders can be difficult. Moreover, a comorbidity with migraine in MD patients is widely reported, up to the hypothesis of a possible MD-VM overlapping syndrome. In this brief case report, we consider the clinical history of a family presenting high incidence of subjects fulfilling the diagnostic criteria of VM and single case fulfilling criteria for definite MD. The relationship between VM and MD is still under debate; anyway, it can be speculated that commonly shared genetic mutations could play a role as predisposing factors in both disorders. A congenital nystagmus in the family was present too, but its correlation with the other conditions is still not clear. Future goal of our work will be to assess genetics in this family.","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"9984047"},"PeriodicalIF":0.8,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8433000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39409062","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: 1
Neuroblastoma Soft Tissue Metastasis in a 10-Month-Old Infant with a Right Thigh Mass. 10个月大婴儿右大腿肿块的神经母细胞瘤软组织转移。
IF 0.8
Case Reports in Medicine Pub Date : 2021-09-01 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3226319
Shokouh Taghipour Zahir, Fateme Salemi
{"title":"Neuroblastoma Soft Tissue Metastasis in a 10-Month-Old Infant with a Right Thigh Mass.","authors":"Shokouh Taghipour Zahir,&nbsp;Fateme Salemi","doi":"10.1155/2021/3226319","DOIUrl":"https://doi.org/10.1155/2021/3226319","url":null,"abstract":"<p><strong>Background: </strong>Neuroblastoma is a solid tumor that occurs more frequently in pediatric populations. It may originate from any part of the sympathetic nervous system, but it most commonly arises from the paraspinal sympathetic ganglia in the abdomen or mediastinum. Local lymphadenopathy and distant metastasis to the central nervous system, orbit, and liver might be detected; however, it rarely includes soft tissue or musculoskeletal involvement. <i>Case Report</i>. Here, we report a 10-month-old infant presented with a right thigh mass with an otherwise benign physical exam and medical history. MRI of the lower extremities suggested tumoral infiltration in the soft tissue of both thighs, predominantly on the right side. Surgical pathology of the lesion confirmed neuroblastoma. A large subhepatic mass and paraaortic lymphadenopathy in the abdominal CT scan and metaiodobenzylguanidine scan findings favored primary abdominal neuroblastoma that had spread to lower extremities. The patient has been in remission since the completion of chemotherapy.</p><p><strong>Conclusion: </strong>Neuroblastoma should be considered in infants with an abnormal mass in extremities. Due to its aggressive nature, most patients struggle with distant and local tumor spread at diagnosis. Therefore, any abnormal signs and symptoms, especially in younger pediatrics, warrant immediate evaluation to avoid tumor expansion.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"3226319"},"PeriodicalIF":0.8,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8429021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39409061","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
Clozapine-Induced Pericardial Effusion Presenting with Persistent Tachycardia. 氯氮平引起的心包积液表现为持续性心动过速。
IF 0.8
Case Reports in Medicine Pub Date : 2021-08-28 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5523562
Nathan Gilbreth, Hari Nath, Fernando Quesada, Delatre Lolo
{"title":"Clozapine-Induced Pericardial Effusion Presenting with Persistent Tachycardia.","authors":"Nathan Gilbreth,&nbsp;Hari Nath,&nbsp;Fernando Quesada,&nbsp;Delatre Lolo","doi":"10.1155/2021/5523562","DOIUrl":"https://doi.org/10.1155/2021/5523562","url":null,"abstract":"<p><p>Clozapine is an atypical antipsychotic used in refractory schizophrenia and depression. Its use is often complicated by its vast side-effect profile including cardiovascular reactions, agranulocytosis, and seizures. Specifically, the cardiac complications of clozapine have been shown to predominantly cause myocarditis and pericarditis. In this case report, the case of a 58-year-old male being treated for treatment-resistant depression and schizophrenia who suffers from tachycardia is presented. He is treated empirically for orthostatic hypotension with IV fluids without much success. Further imaging and echocardiography demonstrated a pericardial effusion, a rare reaction (≤1 : 10000) that has only been documented in a handful of case reports. This anecdotal evidence highlights the significance of polyserositis/pericardial effusion in the context of clozapine-induced orthostatic hypotension resistant to rehydration. When starting a patient on clozapine, it is important to consider further workup and monitoring with laboratory baseline biomarkers and cardiac evaluation with symptomatic individuals. Upon immediate cessation of clozapine, the pericardial effusion should spontaneously resolve without complication and should not be rechallenged.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"5523562"},"PeriodicalIF":0.8,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8419507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39397169","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: 2
Dengue Infection and Its Relationship with Evans Syndrome: A Pediatric Case. 登革热感染及其与埃文斯综合征的关系:一个小儿病例
IF 0.8
Case Reports in Medicine Pub Date : 2021-08-12 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8635585
Ivan Jose Ardila Gomez, Pilar Pérez López, Mónika Rocío Hernández Carreño, Juan Camilo Barrios Torres
{"title":"Dengue Infection and Its Relationship with Evans Syndrome: A Pediatric Case.","authors":"Ivan Jose Ardila Gomez, Pilar Pérez López, Mónika Rocío Hernández Carreño, Juan Camilo Barrios Torres","doi":"10.1155/2021/8635585","DOIUrl":"10.1155/2021/8635585","url":null,"abstract":"<p><p>Dengue is a single-stranded RNA virus belonging to the Flaviviridae family. It is an endemic virus in tropical countries. In Colombia, 4 serotypes are present, and the disease is a burden for public health, social programs, and the economic sectors. The main vector is <i>Aedes aegypti</i>, and most infections are asymptomatic or minimally symptomatic. The hemorrhagic appearances of severe dengue are due to plasma leakage as a result of increased vascular permeability, severe thrombopenia, and hemoconcentration. In 2020, 78,979 cases of dengue were reported in Colombia. 38,836 (49.2%) of them were warning-free signs, 39,246 (49.7%) with warning signs, and 897 (1.1%) of severe dengue. As it is well-known, viral diseases are immune system activators, triggering off a loss of tolerance in it. Dengue is not an exception, and it is able to explain different autoimmune phenomena including macrophage activation. Mechanisms have been described by which an exacerbated response of the disease is triggered through the increase of infected cells, formation of immune complexes, and complement pathway activation, which lead to a cross-reaction of viral antigens with epithelial cells with platelets with subsequent endothelial dysfunction and bleeds. The first description of Evans syndrome was made in 1951 by Robert Evans. This syndrome is characterized by the combination of autoimmune hemolytic anemia, immune thrombocytopenia, and, less common/usual, immune neutropenia. This disease's etiology is unknown, and the dysregulation of the immune system is among its possibilities. Here, we present the case of an unusual hematological and immunological complication of a patient who developed Evans syndrome during severe dengue, taking into account the concomitantly limited literature available for these two diseases, the need for a broader diagnostic approach, multidisciplinary intervention, and a more complex therapeutic approach.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"8635585"},"PeriodicalIF":0.8,"publicationDate":"2021-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8376402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39334269","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
Schizophrenia and Hyperostosis Frontalis Interna with History of Head Injury. 有颅脑损伤史的精神分裂症和额部肥厚症。
IF 0.8
Case Reports in Medicine Pub Date : 2021-08-12 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6634640
Fatima Elghazouani
{"title":"Schizophrenia and Hyperostosis Frontalis Interna with History of Head Injury.","authors":"Fatima Elghazouani","doi":"10.1155/2021/6634640","DOIUrl":"https://doi.org/10.1155/2021/6634640","url":null,"abstract":"<p><p>Hyperostosis frontalis interna is an irregular thickening of the frontal bone. Its etiology is unknown. It has been rarely linked with schizophrenia and head injury. <i>Case Presentation</i>. We describe an unusual case of a 44-year-old female with schizophrenia and hyperostosis frontalis interna having a history of head trauma. At the age of 3 years, she had a head injury that could be classified as mild traumatic brain injury. She presents a family history of schizophrenia. She was admitted for resistant schizophrenic disorder. The cranial computed tomography showed bilateral and asymmetrical hyperostosis of the frontal bone that was more pronounced on the right side. This corresponds to the impact of the trauma with frontal atrophy without any metabolic or endocrinal abnormalities. <i>Conclusion</i>. We surmise that the long-term pathological effects of traumatic brain injury, including hyperostosis frontalis interna, are likely to interact with genetic vulnerability and may lead to schizophrenic disorder.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"6634640"},"PeriodicalIF":0.8,"publicationDate":"2021-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8376403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39334268","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: 1
A Rare Presentation of Lisegang Rings in Adrenal Cavernous Hemangioma : Case Report and Literature Review. 肾上腺海绵状血管瘤中罕见的Lisegang环表现 : 病例报告和文献综述。
IF 0.8
Case Reports in Medicine Pub Date : 2021-08-03 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9998729
Wejdan Almotairi, Abdullah Alhamam, Aali Alotaibi, Tarek El Sharkawy, Hind S Alsaif, Abdulatif Almousa, Ossamah Alsowayan, Hamed Eldarawany, Kamel Fadaak
{"title":"A Rare Presentation of Lisegang Rings in Adrenal Cavernous Hemangioma : Case Report and Literature Review.","authors":"Wejdan Almotairi,&nbsp;Abdullah Alhamam,&nbsp;Aali Alotaibi,&nbsp;Tarek El Sharkawy,&nbsp;Hind S Alsaif,&nbsp;Abdulatif Almousa,&nbsp;Ossamah Alsowayan,&nbsp;Hamed Eldarawany,&nbsp;Kamel Fadaak","doi":"10.1155/2021/9998729","DOIUrl":"10.1155/2021/9998729","url":null,"abstract":"<p><strong>Background: </strong>Adrenal cavernous hemangiomas (AH) are benign nonfunctional vascular tumors rarely discovered as incidental findings on imaging studies or autopsies. This study presents a single case report of AH with another rare finding of the Liesegang ring. Also, we reviewed 73 case reports of cavernous adrenal hemangioma to provide an overview of AH's clinical characteristics. <i>Case Report</i>. A nonfunctional AH was incidentally discovered in a 59-year-old morbidly obese female patient with a 10-year history of hypertension and thyroidectomy. An abdominal computed tomography (CT) scan showed a left suprarenal mass of ∼16 cm in diameter. While the patient had no clinical manifestations from the hemangioma, all laboratory tests were within the normal values with no indication of a functional adrenal tumor. The mass was removed by open left adrenalectomy. The microscopic histological examination revealed a laminated structure with wide blood-filled spaces with a central core of necrotic and hemorrhagic changes, characteristic of a cavernous AH with the presence of a rare Liesegang ring.</p><p><strong>Conclusion: </strong>Although rare, AH should be considered as a differential diagnosis for adrenal masses. This is the first reported case of a cavernous AH with rare microscopic findings of the Liesegang ring.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"9998729"},"PeriodicalIF":0.8,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8364425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39319686","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: 2
Atraumatic Splenic Rupture Associated with Influenza A (H1N1) Pneumonia: Case Report and Review of the Literature. 非外伤性脾破裂合并甲型H1N1流感肺炎:病例报告及文献复习。
IF 0.8
Case Reports in Medicine Pub Date : 2021-08-03 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6516064
Dilraj Deol, Huimin Wu, Anayansi Lasso-Pirot, Kathryn S Robinett, Montserrat Diaz-Abad
{"title":"Atraumatic Splenic Rupture Associated with Influenza A (H1N1) Pneumonia: Case Report and Review of the Literature.","authors":"Dilraj Deol,&nbsp;Huimin Wu,&nbsp;Anayansi Lasso-Pirot,&nbsp;Kathryn S Robinett,&nbsp;Montserrat Diaz-Abad","doi":"10.1155/2021/6516064","DOIUrl":"https://doi.org/10.1155/2021/6516064","url":null,"abstract":"<p><p>Influenza virus infection may present with fever, chills, headache, myalgia, malaise, and respiratory symptoms, with a few cases developing into pneumonia, respiratory failure, and other organ damage. Very few cases of atraumatic splenic rupture associated with influenza infection have been reported. Atraumatic splenic rupture, while rare, is associated with high mortality. Here, we report the first case of atraumatic splenic rupture associated with influenza infection in the English literature and review the prior reported literature. The patient was diagnosed with influenza A (H1N1) pneumonia and subsequently developed hemorrhagic shock requiring emergency laparotomy and removal of the ruptured spleen.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"6516064"},"PeriodicalIF":0.8,"publicationDate":"2021-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8357518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39324571","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: 2
A Case Series of Thromboelastography-Guided Anticoagulation in COVID-19 Patients with Inherited and Acquired Hypercoagulable States. 血栓弹性成像引导的COVID-19遗传和获得性高凝状态患者抗凝治疗病例系列
IF 0.8
Case Reports in Medicine Pub Date : 2021-07-31 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5568982
Anthony V Thomas, Kevin P Lin, John E Stillson, Connor M Bunch, Jacob Speybroeck, Grant Wiarda, Hamid Al-Fadhl, Laura Gillespie, Mahmud Zamlut, Daniel H Fulkerson, Rashid Z Khan, Hau C Kwaan, Mark M Walsh
{"title":"A Case Series of Thromboelastography-Guided Anticoagulation in COVID-19 Patients with Inherited and Acquired Hypercoagulable States.","authors":"Anthony V Thomas,&nbsp;Kevin P Lin,&nbsp;John E Stillson,&nbsp;Connor M Bunch,&nbsp;Jacob Speybroeck,&nbsp;Grant Wiarda,&nbsp;Hamid Al-Fadhl,&nbsp;Laura Gillespie,&nbsp;Mahmud Zamlut,&nbsp;Daniel H Fulkerson,&nbsp;Rashid Z Khan,&nbsp;Hau C Kwaan,&nbsp;Mark M Walsh","doi":"10.1155/2021/5568982","DOIUrl":"https://doi.org/10.1155/2021/5568982","url":null,"abstract":"<p><p>One of the complications of the novel coronavirus disease 2019 (COVID-19) is hypercoagulability. For this reason, patients presenting with COVID-19 are often put on therapeutic or intermediate anticoagulation upon hospitalization. A common issue of this anticoagulation is the progression to hypocoagulability resulting in hemorrhage. Therefore, monitoring the hemostatic integrity of critically ill COVID-19 patients is of utmost importance. In this case series, we present the cases of three coagulopathic COVID-19 patients whose anticoagulation was guided by thromboelastography (TEG). In each case, TEG permitted the clinical team to simultaneously prevent thrombotic and hemorrhagic events, a difficult task for COVID-19 patients admitted to the intensive care unit. The first two cases illustrate the utility of TEG to guide anticoagulant dosing for COVID-19 patients when the activated partial thromboplastin time (aPTT) is inaccurate. The first case was a severely ill COVID-19 patient with end-stage renal disease and a falsely elevated aPTT secondary to hypertriglyceridemia. The second case was a severely ill COVID-19 patient with chronic pulmonary disease who demonstrated a falsely elevated aPTT due to polycythemia and hemoconcentration. In both cases, TEG was sensitive to the hypercoagulability caused by the metabolic derangements which enabled the goal-directed titration of anticoagulants. The last case depicts a severely ill COVID-19 patient with an inherited factor V Leiden mutation who required abnormally high dosing to achieve therapeutic anticoagulation, guided by TEG. Hypercoagulopathic COVID-19 patients are difficult to anticoagulate without development of hypocoagulopathy. Treatment of these patients demands goal-directed therapy by diligent laboratory monitoring. This can be accomplished by the use of TEG coupled with aPTT to guide anticoagulation. This case series illustrates the necessity for active hemostatic monitoring of critically ill COVID-19 patients.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"5568982"},"PeriodicalIF":0.8,"publicationDate":"2021-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8337149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39290989","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: 4
Development of Acute Inflammatory Demyelinating Polyneuropathy 11 Days after Spinal Surgery: A Case Report and Literature Review. 脊柱手术后11天急性炎性脱髓鞘性多神经病变的发生:1例报告及文献复习。
IF 0.8
Case Reports in Medicine Pub Date : 2021-07-27 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6283076
Eiichi Kakehi, Tadataka Kawakami, Yukiko Ishikawa, Takashi Matsuoka, Naoki Nakagawa, Tugutake Morishita, Shohei Taniguchi, Yukinobu Akamatsu, Shigehisa Sakurai, Akane Hirotani, Takafumi Nozaki, Keisuke Shoji, Seiji Adachi, Kazuhiko Kotani, Masami Matsumura
{"title":"Development of Acute Inflammatory Demyelinating Polyneuropathy 11 Days after Spinal Surgery: A Case Report and Literature Review.","authors":"Eiichi Kakehi,&nbsp;Tadataka Kawakami,&nbsp;Yukiko Ishikawa,&nbsp;Takashi Matsuoka,&nbsp;Naoki Nakagawa,&nbsp;Tugutake Morishita,&nbsp;Shohei Taniguchi,&nbsp;Yukinobu Akamatsu,&nbsp;Shigehisa Sakurai,&nbsp;Akane Hirotani,&nbsp;Takafumi Nozaki,&nbsp;Keisuke Shoji,&nbsp;Seiji Adachi,&nbsp;Kazuhiko Kotani,&nbsp;Masami Matsumura","doi":"10.1155/2021/6283076","DOIUrl":"https://doi.org/10.1155/2021/6283076","url":null,"abstract":"<p><p>Guillain-Barré syndrome (GBS) usually has a good prognosis; however, patients may develop sequelae without prompt treatment. We herein describe an 81-year-old woman who developed acute-onset excruciating thigh pain and weakness in her lower extremities after spinal surgery. We diagnosed acute inflammatory demyelinating polyradiculoneuropathy by a nerve conduction study, which showed findings of demyelination without cerebrospinal fluid analysis because of a spinal prosthesis. Although anti-GM1 and anti-GalNAc-GD1a antibodies were positive, the patient was clinically diagnosed with acute inflammatory demyelinating polyradiculoneuropathy (a subtype of GBS), not acute motor axonal neuropathy. She recovered well with immunoglobulin therapy. A literature review of 18 cases revealed that unexplained weakness, areflexia, and numbness of the extremities after spinal surgery, a shorter time from spinal surgery to symptom onset to general GBS, abnormal nerve conduction study results, normal spinal imaging findings, and the development of atypical symptoms such as cranial and autonomic nerve syndrome and respiratory failure are useful for diagnosing GBS when cerebrospinal fluid examination cannot be performed after spinal surgery.</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"6283076"},"PeriodicalIF":0.8,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8337157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39290990","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
Biventricular Impella (Bi-Pella) in Refractory Cardiogenic Shock: The First Case from the Middle East. 难治性心源性休克的双心室冲击(Bi-Pella):中东首例病例。
IF 0.8
Case Reports in Medicine Pub Date : 2021-07-22 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6676339
Abdulaziz Almejren, Abdullah Alenezi
{"title":"Biventricular Impella (Bi-Pella) in Refractory Cardiogenic Shock: The First Case from the Middle East.","authors":"Abdulaziz Almejren,&nbsp;Abdullah Alenezi","doi":"10.1155/2021/6676339","DOIUrl":"https://doi.org/10.1155/2021/6676339","url":null,"abstract":"<p><p>Cardiogenic shock (CS) associated with biventricular failure (BiVF) carries significant in-hospital morbidity and mortality. We describe here the successful use of percutaneous biventricular Impella (Bi-Pella) for cardiogenic shock secondary to acute biventricular myocardial infarctions (AMI-CS), as guided by parameters such as mixed venous oxygen saturation (SvO2), pulmonary artery pulsatility index (PAPi), central venous pressure (CVP), and cardiac power output (CPO). We aim to highlight the promising outcomes of timely implanted biventricular Impella in (AMI-CS).</p>","PeriodicalId":9627,"journal":{"name":"Case Reports in Medicine","volume":"2021 ","pages":"6676339"},"PeriodicalIF":0.8,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8324370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39265270","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: 1
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信