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https://www.readbyqxmd.com/read/29244699/acute-and-rapid-development-of-spontaneous-spinal-epidural-hematoma-associated-with-combined-aspirin-dipyridamole-therapy-a-case-report
#1
Kent Yamaguchi, Justin Mathew, James M Lhi, Don Young Park
CASE: Spontaneous spinal epidural hematoma (SSEH) is a known, although rare, clinical entity that may be challenging to diagnose. This case report describes the rapid development of a large SSEH in an elderly patient on aspirin-dipyridamole combination therapy after she shifted her position in bed. Magnetic resonance imaging obtained 4 hours after the onset of symptoms demonstrated a large spinal epidural hematoma that extended from T4 to L1. CONCLUSION: With early diagnosis, the patient was successfully treated with a laminectomy and evacuation of the hematoma, and there was full neurological recovery...
January 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29244682/spinal-epidural-hematoma-rare-but-potentially-devastating
#2
Ronald W Lindsey, Allan Harper
No abstract text is available yet for this article.
January 2017: JBJS Case Connector
https://www.readbyqxmd.com/read/29243977/factors-predicting-reoperation-of-chronic-subdural-hematoma-following-primary-surgical-evacuation
#3
Rouzbeh Motiei-Langroudi, Martina Stippler, Siyu Shi, Nimer Adeeb, Raghav Gupta, Christoph J Griessenauer, Efstathios Papavassiliou, Ekkehard M Kasper, Jeffrey Arle, Ron L Alterman, Christopher S Ogilvy, Ajith J Thomas
OBJECTIVE Chronic subdural hematoma (CSDH) is commonly encountered in neurosurgical practice. However, surgical evacuation remains complicated by a high rate of reoperation. The optimal surgical approach to reduce the reoperation rate has not been determined. In the current study, the authors evaluated the prognostic value of clinical and radiographic factors to predict reoperation in the context of CSDH. METHODS A retrospective review of 325 CSDH patients admitted to an academic medical center in the United States, between 2006 and 2016, was performed...
December 15, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29242785/compressive-femoral-neuropathy-associated-with-iliopsoas-hematoma-complicating-hip-hemiarthroplasty-a-case-report
#4
L Andreani, A M Nucci, M Giuntoli, M Lisanti
Introduction: Femoral nerve compression caused by iliopsoas hematoma is a rare complication after hip surgery. To the best of our knowledge, this is the first case after hemiarthroplasty. In this case, iliacus hematoma resulted from spontaneous bleeding favored by anticoagulant therapy. Case Report: A 78-year-old female developed left groin pain associated with typical symptoms of femoral nerve palsy about 2weeks after left hip hemiarthroplasty[1, 2, 3]. Computed tomography revealed the presence of a left iliopsoas hematoma that was surgically drained...
September 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29242732/usefulness-of-tc-99m-pertechnetate-spect-ct-in-the-diagnosis-of-testicular-infarction-after-inguinal-herniorrhaphy
#5
Myoung Hyoun Kim, Chang Guhn Kim, Soon-Ah Park, Dae-Weung Kim
A 77-year-old male underwent open repair for a right indirect inguinal hernia and complained of right scrotal pain on the third postoperative day. Color Doppler imaging revealed decreased blood flow with heterogeneous hypoechogenicity in the right testis. A Tc-99m pertechnetate testicular scan showed diffuse hyperemia and increased uptake in the right scrotum. Additional SPECT/CT revealed a photon defect in the right testicle with increased uptake in the peri-testicular area. A subsequent operation revealed a large hematoma in the right spermatic cord and consequent right testicular infarction, and right orchiectomy was performed...
December 2017: Nuclear Medicine and Molecular Imaging
https://www.readbyqxmd.com/read/29241182/serum-biomarker-identification-by-mass-spectrometry-in-acute-aortic-dissection
#6
Yong Ren, Qizhu Tang, Wenwei Liu, Yongqian Tang, Rui Zhu, Bin Li
BACKGROUND/AIMS: Aortic dissection (AD) is also known as intramural hematoma. This study aimed to screen peripheral blood biomarkers of small molecule metabolites for AD using high-performance liquid chromatography-mass spectrometry (HPLC-MS). METHODS: Sera from 25 healthy subjects, 25 patients with well-established AD, and 25 patients with well-established hypertension were investigated by HPLC-MS to detect metabolites, screen differentially expressed metabolites, and analyze metabolic pathways...
December 12, 2017: Cellular Physiology and Biochemistry
https://www.readbyqxmd.com/read/29240582/the-morphologic-spectrum-of-sertoliform-cystadenoma-of-the-rete-testis-a-series-of-15-cases
#7
Swetha Paluru, Thomas M Ulbright, Mahul Amin, Rodolfo Montironi, Jonathan I Epstein
Sertoliform cystadenoma of the rete testis (SCRT) is rare with only 9 cases reported to date in the literature, none with follow-up. Four large genitourinary pathology consult services were searched. We identified 15 cases of SCRT. Men were 21 to 84 years old (mean, 46 y) and had testicular discomfort or mass. Other findings were seminoma (n=1), spermatocele (n=2), hydrocele (n=1), varicocele (n=1), and scrotal hematoma (n=1). Eight had preoperative serum tumor markers, which were normal. Tumors ranged from 0...
December 7, 2017: American Journal of Surgical Pathology
https://www.readbyqxmd.com/read/29239798/retrobulbar-hematoma-a-systematic-review-of-factors-related-to-outcomes
#8
Brian Christie, Lisa Block, Yue Ma, Alexandra Wick, Ahmed Afifi
INTRODUCTION: Retrobulbar hematoma (RBH), a rare but serious condition, can result in permanent vision loss. Although it is a known complication following trauma or facial fracture reduction, sinus surgery, or blepharoplasty, factors related to patient outcomes are not well-defined. A systematic review was performed to determine the relation of patient/treatment factors to outcomes. METHODS: Articles retrieved from a PubMed search (1989-2017) were reviewed. Demographic information, etiology, symptoms, and final vision outcomes were analyzed using Fisher's exact tests, single and multiple predictor logistic regression...
November 24, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29238663/prevention-identification-and-management-of-post-operative-penile-implant-complications-of-infection-hematoma-and-device-malfunction
#9
REVIEW
Timothy K O'Rourke, Alexander Erbella, Yu Zhang, Matthew S Wosnitzer
Penile prosthesis implant surgery is an effective management approach for a number of urological conditions, including medication refractory erectile dysfunction (ED). Complications encountered post-operatively include infection, bleeding/hematoma, and device malfunction. Since the 1970s, modifications to these devices have reduced complication rates through improvement in antisepsis and design using antibiotic coatings, kink-resistant tubing, lock-out valves to prevent autoinflation, and modified reservoir shapes...
November 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29238630/hematoma-in-the-bucco-mandibular-space-first-case-report
#10
Joe Iwanaga, Charlotte Wilson, Emre Yilmaz, Cameron K Schmidt, Rod J Oskouian, R Shane Tubbs
Our previous studies based on intraoral dissection of fresh cadavers revealed that the fissure and loose connective tissues deep to the mucosa between the incisivus labii inferioris muscle and buccinator muscle form the entrance of the newly discovered bucco-mandibular space. To support the clinical significance of this space, we report the finding of a hematoma within this space in an adult fresh cadaver. Such a finding lends credence to studying the bucco-mandibular space and might help better understand the spread of some infections in the oral region...
October 12, 2017: Curēus
https://www.readbyqxmd.com/read/29237544/cardiac-tamponade-due-to-internal-mammary-artery-injury-after-cardiopulmonary-resuscitation-a-case-report
#11
Keon Kim, Eun Kim, Duk Hee Lee
Vascular injuries caused by cardiopulmonary resuscitation (CPR) can be associated with major complications. If patients who have received CPR have sudden abnormal hemodynamic findings, it is necessary to consider the possibility of these injuries. We report a 73-year-old man who had cardiac tamponade due to an injury to the internal mammary artery following manual chest compression. This very rare injury was detected by computed tomography and was treated by thoracotomy and hematoma evacuation.
December 6, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29237474/dimethylarginines-in-patients-with-intracerebral-hemorrhage-association-with-outcome-hematoma-enlargement-and-edema
#12
Hans Worthmann, Na Li, Jens Martens-Lobenhoffer, Meike Dirks, Ramona Schuppner, Ralf Lichtinghagen, Jan T Kielstein, Peter Raab, Heinrich Lanfermann, Stefanie M Bode-Böger, Karin Weissenborn
BACKGROUND: Asymmetric dimethylarginine (ADMA)--the most potent endogenous NO-synthase inhibitor, has been regarded as mediator of endothelial dysfunction and oxidative stress. Considering experimental data, levels of ADMA and its structural isomer symmetric dimethylarginine (SDMA) might be elevated after intracerebral hemorrhage (ICH) and associated with clinical outcome and secondary brain injury. METHODS: Blood samples from 20 patients with acute ICH were taken at ≤ 24 h and 3 and 7 days after the event...
December 13, 2017: Journal of Neuroinflammation
https://www.readbyqxmd.com/read/29237359/safety-and-outcomes-of-ipsilateral-antegrade-angioplasty-for-femoropopliteal-disease
#13
James Cragg, Danielle Lowry, Jonathan Hopkins, David Parker, Mark Kay, Martin Duddy, Alok Tiwari
PURPOSE: Previous reports have suggested higher periprocedural complications after ipsilateral antegrade femoral arterial access (AA). We looked at a contemporary series comparing complication rates between AA and contralateral retrograde femoral arterial access (RA) for femoropopliteal angioplasty. METHOD: A prospective review of all cases between 2010 and 2015 in a United Kingdom tertiary vascular center. Demographical and procedural data were obtained for those undergoing percutaneous femoropopliteal angioplasty...
January 1, 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29236933/intramural-duodenal-hematoma-secondary-to-pancreatitis-case-report-and-review-of-the-literature
#14
João Henrique Botto de Oliveira, Raiza Samenica Esper, Rodrigo Campos Ocariz, Flora Specian Sartori, Lucas Marcelo Dias Freire, Elinton Adami Chaim, Francisco Callejas-Neto, Everton Cazzo
CONTEXT: Spontaneous intramural duodenal hematoma is uncommon and is usually associated with coagulopathy, anticoagulant therapy and endoscopic procedures. The aim here was to describe a case of intramural duodenal hematoma caused by chronic exacerbation of pancreatitis. CASE REPORT: A 46-year-old male with chronic alcoholic pancreatitis was admitted to hospital due to abdominal pain, melena and low hemoglobin. An intramural duodenal hematoma with active bleeding was detected and selective angioembolization was warranted...
December 7, 2017: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/29236825/the-number-of-burr-holes-and-use-of-a-drain-do-not-interfere-with-surgical-results-of-chronic-subdural-hematomas
#15
Lindolfo Carlos Heringer, Ulysses de Oliveira Sousa, Matheus Fernandes de Oliveira, Aline Silva Nunes, Katiusa de Abreu Alves, Maria Luiza Zancanaro, Ricardo Vieira Botelho
Burr hole evacuation has been the most frequently-used procedure for the treatment of chronic subdural hematomas (CSDH). OBJECTIVE: To evaluate whether the use of a drain and/or the number of burr holes for treatment of CSDH modifies the rates of recurrence and complications. METHODS: A retrospective review of 142 patients operated on because of CSDH, between 2006 and 2015, analyzing recurrence and complications of the use of one or two burr holes with or without the use of a drain...
November 2017: Arquivos de Neuro-psiquiatria
https://www.readbyqxmd.com/read/29236283/retropharyngeal-hematoma-following-botulinum-toxin-injection-for-abductor-spasmodic-dysphonia
#16
Joo Koh, Sanjay Raghav, Malcolm Baxter
No abstract text is available yet for this article.
December 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/29234838/clinical-characteristics-and-prognosis-of-traumatic-head-injury-following-road-traffic-accidents-admitted-in-icu-analysis-of-694-cases
#17
Hedi Chelly, Mabrouk Bahloul, Rania Ammar, Ahmed Dhouib, Khaireddine Ben Mahfoudh, Mohamed Zaher Boudawara, Olfa Chakroun, Imen Chabchoub, Anis Chaari, Mounir Bouaziz
BACKGROUND: The aim of the present study is to analyze the clinical and epidemiological characteristics of Traumatic Brain Injury (TBI) following Road Traffic Accidents (RTAs). Moreover, we aim to evaluate the outcome of the TBI victims referred to our medico-surgical Intensive Care Unit (ICU), and to define predictive factors associated with poor prognosis. METHODS: A retrospective study over a 4-year period (2009 to 2012) of 694 patients with head injuries, incurred during road traffic accidents, admitted to the Intensive Care Unit (ICU) of a university hospital (Sfax-Tunisia)...
December 12, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/29231793/acute-rerupture-after-coil-embolization-of-ruptured-intracranial-saccular-aneurysms-a-literature-review
#18
Kailing Li, Yunbao Guo, Ying Zhao, Baofeng Xu, Kan Xu, Jinlu Yu
Acute rerupture after coil embolization is defined as rerupture within three days after treatment; its prognosis is worse than that of rebleeding at other time periods. However, to date, little is known about complications during the acute phase. Therefore, we used the PubMed database to perform a review of acute rerupture after coil embolization of ruptured intracranial saccular aneurysms and increase our understanding. After reviewing the complications, we found that the cause of acute rerupture is unclear, but the following risk factors are involved: incomplete occlusion of the initial aneurysm, the presence of a hematoma adjacent to a ruptured aneurysm, an aneurysmal outpouching, poor Hunt-Hess grade at the time of treatment, and the location of the aneurysm in an anterior communicating artery...
January 1, 2017: Interventional Neuroradiology
https://www.readbyqxmd.com/read/29230999/-comparison-of-the-skin-and-skeletal-muscle-contusion-in-rats-induced-by-blunt-force-with-different-heights
#19
R F Bai, X J Lü, X F E, T S Yu, R Liu, H D Zhang
OBJECTIVES: To explore the differences in the repair process of skin and skeletal muscle after contusion caused by blunt force attack with different heights. METHODS: Three degrees of contusion were performed on SD rats' right hind limbs by a designed free-dropping device falling from 15, 30 and 50 cm heights, which as a main consideration factor for degree of injury. The repair process of skin and skeletal muscle at 6 h, 24 h, 3 d, 7 d and 13 d after contusion were observed using routine histological methods...
February 2017: Fa Yi Xue za Zhi
https://www.readbyqxmd.com/read/29229352/the-outcome-of-severe-traumatic-brain-injury-in-latin-america
#20
Robert H Bonow, Jason Barber, Nancy R Temkin, Walter Videtta, Carlos Rondina, Gustavo Petroni, Silvia Lujan, Victor Alanis, Gustavo La Fuente, Arturo Lavadenz, Roberto Merida, Manuel Jibaja, Luis Gonzáles, Antonio Falcao, Ricardo Romero, Sureyya Dikmen, James Pridgeon, Randall M Chesnut
Traumatic brain injury (TBI) disproportionately affects lower and middle income countries (LMIC). The factors influencing outcomes in LMIC have not been examined as rigorously as in higher-income countries (HIC). This study was conducted to examine clinical and demographic factors influencing TBI outcomes in Latin American LMIC. Data were prospectively collected during a randomized trial of intracranial pressure monitoring in severe TBI and a companion observational study. Participants were aged ≥ 13 years and admitted to study hospitals with GCS ≤ 8...
December 8, 2017: World Neurosurgery
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