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https://www.readbyqxmd.com/read/28585887/symptomatic-ptosis-cerebelli-after-suboccipital-craniectomy-in-a-patient-with-severe-brain-trauma
#1
Ana M Castaño-Leon, Santiago Cepeda, Igor Paredes, Pedro A Gómez, Luis Jiménez-Roldán, Alfonso Lagares, Angel Pérez-Núñez
PRIMARY OBJECTIVE: To report the first case of symptomatic cerebellar ptosis after a large suboccipital craniectomy in a patient with severe brain trauma and a review of the literature. PATIENT AND METHODS: A 36-year-old man suffered severe traumatic brain injury after a four-metre fall. He underwent a large suboccipital craniectomy because his computed tomography scan revealed a posterior fossa subdural haematoma and cerebellar swelling. Four weeks after admission, he developed communicating hydrocephalus, and a ventriculoperitoneal shunt was placed...
June 6, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28537352/is-pseudotumor-cerebri-an-unusual-expression-of-chiari-syndrome-a-case-report-and-review-of-the-literature
#2
Paolo Pacca, Roberto Altieri, Francesco Zenga, Diego Garbossa, Alessandro Ducati, Michele Lanotte
The Chiari I malformation (CM-I) is a developmental alteration of the posterior cranial fossa (PCF), radiographically defined as the descent of the cerebellar tonsils = 5 mm below the foramen magnum (FM) inside the cervical canal. Headache is the most frequent symptom associated with CM-I. The association of CM-I and neurological symptoms configures with Chiari syndrome. A rare symptom associated with Chiari syndrome is intracranial hypertension syndrome with cephalea and papilloedema-the typical findings of pseudotumor cerebri (PTC)...
May 24, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/28286687/lipomatous-extensively-vacuolated-ependymoma-with-signet-ring-cell-like-appearance-analysis-of-a-case-with-extensive-literature-review
#3
Miguel Fdo Salazar, Martha Lilia Tena-Suck, Alma Ortiz-Plata, Citlaltepetl Salinas-Lara, Daniel Rembao-Bojórquez
"Lipomatous" and "extensively vacuolated" are descriptive captions that have been used to portray a curious subset of ependymomas distinctively bearing cells with a large vacuole pushing the nucleus to the periphery and, thus, simulating a signet-ring cell appearance. Here, we would like to report the first ependymoma of this kind in a Latin American institution. A 16-year-old boy experienced cephalea during three months. Magnetic resonance imaging scans showed a left paraventricular tumour which corresponded to anaplastic ependymoma...
2017: Case Reports in Pathology
https://www.readbyqxmd.com/read/28093344/unusual-intracerebral-presentation-of-a-myxoid-neurofibroma
#4
Marcos Devanir Silva da Costa, Karina Hoshino, João Norberto Stavale, Oreste Paulo Lanzoni, Sergio Cavalheiro, Manoel Antonio Paiva Neto
BACKGROUND: Neurofibromas are benign nerve sheath tumors that usually affect peripheral nerves and are related to neurofibromatosis type 1; however, they have not been described as a cause of intraparenchymal brain tumor. CASE DESCRIPTION: We report a case of intracranial myxoid neurofibroma in a 19-year-old female patient manifested as an intense and progressive cephalea, followed by nausea, vomiting, photophobia, and phonophobia. Computed tomography and magnetic resonance imaging showed an extant, expansive left frontoparietal parafalcine/parasagittal tumor...
April 2017: World Neurosurgery
https://www.readbyqxmd.com/read/27470152/antibiotics-prophylaxis-for-operative-hysteroscopy
#5
Ludovico Muzii, Violante Di Donato, Terenzio Boni, Raffaele Gaglione, Riccardo Marana, Ivan Mazzon, Ludovica Imperiale, Caterina De Medici, Alfonso Ruggiero, Pierluigi Benedetti Panici
OBJECTIVE: To evaluate the incidence of infectious complications and effect of prophylactic antibiotic administration during operative hysteroscopic procedures. METHODS: A multicentric randomized controlled trial was conducted between January 2012 and December 2013. Women (n = 180) affected by endometrial hyperplasia, myomas, or endometrial polyps undergoing operative hysteroscopy were randomized to receive cefazolin 2 g intravenously 30 minutes prior to the procedure (n = 91) and no treatment (n = 89)...
April 2017: Reproductive Sciences
https://www.readbyqxmd.com/read/26600984/-arteriovenous-malformations-checking-and-descriptive-analysis-of-52-avms-treated-for-the-2000-2010-period
#6
Mariano Rinaldi, Emilio Mezzano, Matias S Berra, Herald R Parés, Ricardo V Olocco, Francisco R Papalini
BACKGROUND: To describe our experience in treating AVMs based on age, sex, reasons for consultation and symptoms, localization and clinical diagnosis, size, types, relation with aneurysms, endovascular procedures used, postoperative results and complications. METHODS: We present 52 patients with AVMs, analysing Neurological Exam, Ct, Irm and Brain Arteriography. RESULTS: Average age: 37.71 years. Male patients 61.53% females 38.46%. Reasons for consultation Cephalea: 63...
2015: Surgical Neurology International
https://www.readbyqxmd.com/read/26433925/intradiploic-epidermoid-cyst-with-intracranial-hypertension-syndrome-report-of-two-cases-and-literature-review
#7
J C Moreira-Holguin, R Medélez-Borbonio, E Quintero-Lopez, U García-González, J L Gómez-Amador
INTRODUCTION: Intradiploic epidermoid intracranial cysts (IEIC) derive from ectodermal cells and are covered with stratified squamous epithelium. They are extremely rare, and most common locations are in the occipital, frontal and parietal bones. They have a very slow growth and can be asymptomatic until becoming evident by the deformation produced. The treatment is based on the removal of the lesion, and subsequent histopathological confirmation. PRESENTATION OF CASE: Two cases are reported, with intracranial hypertension syndrome, which is very uncommon because of the slow growth of this type of pathology; however, decompensations occurring in the space-occupying lesions at intracranial level explain this type of clinical presentation...
2015: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/26290022/-evaluation-of-the-results-of-percutaneous-closure-by-means-of-the-amplatzer-device-in-pediatric-patients-with-intra-auricular-communication-iac
#8
Saturnino Delgadillo-Pérez, José Miguel Torres-Martel, Juan Carlos Barrera de León
OBJECTIVE: To describe the results of percutaneous closure by means of the Amplatzer Septal Occluder (ASO) device in pediatric patients with intra-auricular communication (IAC). MATERIALS AND METHODS: Descriptive transversal study in patients submitted to percutaneous closure of IAC from March 2005 to March 2013. Patients aged <16 years, weight>6 kg, IAC type ostium segundum, and patent foramen ovale, with border separations borders>5 mm, and absence of coexisting pathology were included in the study...
July 2015: Gaceta Médica de México
https://www.readbyqxmd.com/read/25993593/quality-of-life-on-arterial-hypertension-validity-of-known-groups-of-minichal
#9
Ana Lúcia Soares Soutello, Roberta Cunha Matheus Rodrigues, Fernanda Freire Jannuzzi, Thaís Moreira São-João, Gabriela Giordano Martinix, Wilson Nadruz, Maria-Cecília Bueno Jayme Gallani
INTRODUCTIONS: In the care of hypertension, it is important that health professionals possess available tools that allow evaluating the impairment of the health-related quality of life, according to the severity of hypertension and the risk for cardiovascular events. Among the instruments developed for the assessment of health-related quality of life, there is the Mini-Cuestionario of Calidad de Vida en la Hipertensión Arterial (MINICHAL) recently adapted to the Brazilian culture. OBJECTIVE: To estimate the validity of known groups of the Brazilian version of the MINICHAL regarding the classification of risk for cardiovascular events, symptoms, severity of dyspnea and target-organ damage...
April 2015: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/25742421/quality-of-life-on-arterial-hypertension-validity-of-known-groups-of-minichal
#10
Ana Lúcia Soares Soutello, Roberta Cunha Matheus Rodrigues, Fernanda Freire Jannuzzi, Thaís Moreira São-João, Gabriela Giordano Martinix, Wilson Nadruz Jr, Maria-Cecília Bueno Jayme Gallani
Introductions: In the care of hypertension, it is important that health professionals possess available tools that allow evaluating the impairment of the health-related quality of life, according to the severity of hypertension and the risk for cardiovascular events. Among the instruments developed for the assessment of health-related quality of life, there is the Mini-Cuestionario of Calidad de Vida en la Hipertensión Arterial (MINICHAL) recently adapted to the Brazilian culture. Objective: To estimate the validity of known groups of the Brazilian version of the MINICHAL regarding the classification of risk for cardiovascular events, symptoms, severity of dyspnea and target-organ damage...
February 27, 2015: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/24887857/intramedullary-cervical-abscess-in-the-setting-of-aortic-valve-endocarditis
#11
María Elena Arnáiz-García, Jose María González-Santos, Javier López-Rodriguez, María José Dalmau-Sorli, María Bueno-Codoñer, Adolfo Arévalo-Abascal
Spinal cord tissue has a remarkable resistance to infection. An intramedullary abscess is an exceptional complication of infective endocarditis in the post-antibiotic era. We describe the case of a 42-year-old man who presented with fever and cephalea. Two days later, left-side numbness, lack of sphincter control, and a new aortic murmur were noticed. Magnetic resonance imaging demonstrated an 8 ×15-mm intramedullary cervical abscess. Transesophageal echocardiography revealed an aortic valve perforation as a result of infective endocarditis...
January 2015: Asian Cardiovascular & Thoracic Annals
https://www.readbyqxmd.com/read/24830588/-prolactinoma
#12
REVIEW
Andrea Glezer, Marcello D Bronstein
Prolactinomas are the most common pituitary adenomas that affect young women at fertile age. Hyperprolactinemia causes hypogonadism, menstrual irregularities or amenorrhea in women, low serum testosterone levels in men, and infertility and sexual dysfunction in both men and women. Macroprolactinomas may cause cephalea, visual disturbance, and hypopituitarism. Clinical treatment with dopamine agonists is the gold standard, with cabergoline as the first choice due to its greater efficiency and tolerability. In about 20% of the cases, treatment is partially or completely ineffective, a situation in which surgery, in general by transsphenoidal route, is indicated...
March 2014: Arquivos Brasileiros de Endocrinologia e Metabologia
https://www.readbyqxmd.com/read/24313432/-fulminant-course-of-hellp-syndrome-with-lethal-outcome-case-report
#13
D Drmlová, H Brádková, Urbánek S
OBJECTIVE: To present a case of death of a patient with fulminant course of HELLP syndrome in 32nd week of pregnancy. DESIGN: Case report. SETTING: Department of Obstetrics and Gynecology, Hospital Kladno. CASE REPORT: We report a case of 29 years old primigravida in 32nd week of pregnancy, which was admitted to the hospital in a serious condition with cephalea, vomiting and progressive full-body swelling. During the entrance examination the patient looses consciousness, due to critical pressure an emergency caesarian section is performed...
November 2013: Ceská Gynekologie
https://www.readbyqxmd.com/read/24107158/-the-clinical-histopathological-and-imaging-methods-characteristics-of-non-hodgkin-lymphomas-in-patients-with-brain-involvement
#14
S Vokurka, R Tupý, L Boudová, J Mraček, P Jindra, J Ferda, M Hrabětová
BACKGROUND: The Non- Hodgkin-lymphoma (NHL) brain infiltration carries a poor prognosis. Because of relatively rare incidence, we decided to share our experience. PATIENTS AND METHODS: Retrospective analysis of patients with NHL brain infiltration dia-gnosed in 2001- 2011 at our university hospital. RESULTS: Twenty -seven patients with median age of 61 (range 42- 82) years were analyzed. The primary diffuse large cell B cell lymphoma of CNS was defined in 22/ 27 (81%) patients, in the others systemic NHL was present...
2013: Klinická Onkologie: Casopis Ceské a Slovenské Onkologické Spolecnosti
https://www.readbyqxmd.com/read/23482649/rapid-complete-and-sustained-response-to-corticosteroids-and-pulse-cyclophosphamide-therapy-in-a-patient-with-beh%C3%A3-et-and-central-nervous-disease
#15
Concepción M Nuñez-Sotelo, Luis A Gutiérrez-Gonzalez, Martín A Rodriguez
UNLABELLED: HASH(0x4f2a470) BACKGROUND: Approximately eighty-percent of patients with neuro-Behçet have parenchyma CNS disease, probably due to small-vessel vasculitis. The most used treatment is high-dose corticosteroids followed by immunosuppressive medication but efficacy of this combination has not been proven to date. METHODS: A 23 year-old male Hispanic patient with diagnosis of Behçet's disease, with onset at the age of 18, developed a bout of oral and genital ulcers, fever 39°C to 40°C, joint inflammation, cephalea, diplopia, convergent strabismus and drowsiness...
December 2012: Mædica
https://www.readbyqxmd.com/read/22873639/meningitis-due-to-cryptococcus-neoformans-treatment-with-posaconazole
#16
Veronica G Flores, Rosa M Cervantes Tovar, Patricia G Zaldivar, Enrique A Martinez
BACKGROUND: Central nervous system infections caused by Cryptococcus neoformans remain to be opportunistic infections with high mortality in severely immunocompromised patients such as patients with AIDS. Amphotericin B deoxycholate and fluconazole remain to be the drugs of choice; however, in consideration of the intolerance to amphotericin B deoxycholate and the possible resistance to fluconazole, it is necessary to evaluate other azoles, such as posaconazole, that have demonstrated lower adverse events...
October 2012: Current HIV Research
https://www.readbyqxmd.com/read/22693307/acute-encephalopathy-with-bilateral-thalamotegmental-involvement-and-a-benign-course-a-case-report-from-brazil
#17
Regina Maria Papais Alvarenga, Vanderson Carvalho Neri, Tatiane Mendonça, Solange Camargo
This rare encephalopathy that generally affects children is preceded by a respiratory infection and fever associated with convulsions and may progress to coma. Outcome is catastrophic in most cases. This case report describes a Brazilian child of African descent with fever, cephalea and bilateral amaurosis, who evolved to coma with pyramidal signs and associated convulsions. MRI showed diffuse, symmetrical lesions in the thalamotegmental region and brainstem. Following administration of methylprednisolone, the clinical condition of the patient improved and the brain lesions regressed, leaving the child with no current neurological deficits...
2011: BMJ Case Reports
https://www.readbyqxmd.com/read/22495171/cardiovascular-adverse-reactions-after-the-administration-of-recombinant-human-erythropoietin-light-and-shade
#18
D Berardi, L Agati
From the trials published till now, it is clear that the most important and frequent adverse reactions related to the treatment with recombinant human erythropoietin (rHuEpo) are thrombovascular accidents and systemic hypertension. Only on very rare occasions cephalea and epileptic fits may occur. Even if these adverse reactions are so precisely defined, there is no evident interpretation of the biological and pathophysiological mechanisms that sustain these events. This work intends to describe the state of the art in the international literature in order to enable the reader to understand the real risks of rHuEpo administration...
April 2012: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/22393627/-neuromeningeal-cryptococcosis-in-mali
#19
D K Minta, A Dolo, M Dembele, A S Kaya, A T Sidibe, I Coulibaly, I I Maiga, M Diallo, A M Traore, M Y Maiga, O K Doumbo, H A Traore, E Pichard, D Chabasse
Cryptococcal meningitis is the most common fatal central nervous system infection in AIDS patients in Sub-Saharan Africa. The purpose of this prospective study conducted from March 2003 to February 2004 in the internal medicine and infectious diseases departments of the Point G University Hospital Center was to investigate the clinical, prognostic and epidemiological profile of Cryptococcus neoformans infection in patients hospitalized for brain and meningeale infection (BMI). Diagnosis of neuromeningeal cryptococcosis (NMC) was based on positive identification of Cryptococcus by direct exam of the cebrospinal fluid (CSF) after India ink staining and/or culture on Sabouraud medium without actidione...
December 2011: Médecine Tropicale: Revue du Corps de Santé Colonial
https://www.readbyqxmd.com/read/22386826/comparison-of-fasting-bioavailability-among-100-mg-commercial-100-mg-generic-and-50-mg-chewable-generic-sildenafil-tablets-in-healthy-male-mexican-volunteers-a-single-dose-3-period-crossover-study
#20
RANDOMIZED CONTROLLED TRIAL
Gabriel Marcelín-Jiménez, Alionka P Angeles-Moreno, Leticia Contreras-Zavala, Alberto García-González, Eduardo Ramírez-San Juan
BACKGROUND: Sildenafil citrate (SIL) was the first oral drug registered in Mexico for the treatment of erectile dysfunction. However, succinct pharmacokinetic data are available in the Mexican population. OBJECTIVE: The goals of the present work were: (1) to design a specific method to quantify SIL plasma levels by using UPLC-MS/MS; (2) to compare oral SIL bioavailability in Mexican men with pharmacokinetic data in other populations; (3) to fulfill local regulatory requests; and (4) to describe the relative tolerability of a new 50-mg chewable tablet...
March 2012: Clinical Therapeutics
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