Gökhan Akdur, Okan Bardakçı, O. Akdur, Murat Daş, U. Atalay
Case Report: A 43 years old male patient was admitted to our emergency department with the complaint of pain, swelling and redness on the left side of the neck, which was noticed after chemotherapy 1 day ago. The swelling and redness of the hand, starting from the left clavicle and extending to the corner of the left mandible, were detected in the physical examination of the patient. The patient underwent bedside ultrasonography imaging by the emergency medicine specialist. Ultrasonography examination of the patient was performed with 5-12 MHz linear probe. After visualization of the vascular structures carotid, vascular structures were observed in the sagittal and longitudinal plane by gradual compression. Hyper echoic thrombus was seen in the incompressible internal jugular vein.
{"title":"A Rare Cause of the Emergency Department Visit: Internal Jugular Vein Thrombosis","authors":"Gökhan Akdur, Okan Bardakçı, O. Akdur, Murat Daş, U. Atalay","doi":"10.33706/JEMCR.859366","DOIUrl":"https://doi.org/10.33706/JEMCR.859366","url":null,"abstract":"Case Report: A 43 years old male patient was admitted to our emergency department with the complaint of pain, swelling and redness on the left side of the neck, which was noticed after chemotherapy 1 day ago. The swelling and redness of the hand, starting from the left clavicle and extending to the corner of the left mandible, were detected in the physical examination of the patient. The patient underwent bedside ultrasonography imaging by the emergency medicine specialist. Ultrasonography examination of the patient was performed with 5-12 MHz linear probe. After visualization of the vascular structures carotid, vascular structures were observed in the sagittal and longitudinal plane by gradual compression. Hyper echoic thrombus was seen in the incompressible internal jugular vein.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49366357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Epistaxis and gingival bleeding are among the most common presentation to the emergency department for patients with thrombocytopenia. Here, we present a case who was admitted to the emergency department with thrombocytopenia and was diagnosed with metastatic cancer of unknown primary origin. Case Report: A 26-year-old male patient was admitted to the emergency department with gingival bleeding and epistaxis. The body temperature was 38.3 °C. Petechial rash, ecchymosis or organomegaly was not detected on physical examination. Laboratory results revealed thrombocytopenia as 31 × 103 (159-388 × 103/μL). Although hemoglobin and leukocyte counts were normal, no band or precursor cell was observed in the patient's peripheral blood smear. There was no history of weight loss, night sweats, arthritis, malar rash, photosensitivity, contact with ticks, animals, or a COVID-19 patient. Serological tests performed for infections such as HIV, EBV, HCV, Crimean-Congo hemorrhagic fever were negative. Bone marrow biopsy was performed due to the unexplained cytopenia, reported as "signet ring cell metastatic adenocarcinoma". Gastrointestinal system endoscopy was performed to detect primary cancer. A biopsy was taken from the antrum and corpus revealed gastritis. An FDG PET-CT was revealed heterogeneously pathologically increased FDG attitude in all axial and appendicular bones. Despite all the modalities of diagnosis, the origin was not found and the patient was transferred to the oncology department for treatment with a diagnosis of cancer of unknown origin with bone marrow infiltration. Conclusion: Bone marrow metastases should be kept in mind in patients presenting with thrombocytopenia.
{"title":"Common Symptom, Rare Etiology: A Case Metastatic Cancers of Unknown Primary Origin Presenting with Epistaxis and Gingival Bleeding","authors":"F. Yalçınkaya, O. A. Uyaroğlu","doi":"10.33706/JEMCR.885104","DOIUrl":"https://doi.org/10.33706/JEMCR.885104","url":null,"abstract":"Introduction: Epistaxis and gingival bleeding are among the most common presentation to the emergency department for patients with thrombocytopenia. Here, we present a case who was admitted to the emergency department with thrombocytopenia and was diagnosed with metastatic cancer of unknown primary origin. Case Report: A 26-year-old male patient was admitted to the emergency department with gingival bleeding and epistaxis. The body temperature was 38.3 °C. Petechial rash, ecchymosis or organomegaly was not detected on physical examination. Laboratory results revealed thrombocytopenia as 31 × 103 (159-388 × 103/μL). Although hemoglobin and leukocyte counts were normal, no band or precursor cell was observed in the patient's peripheral blood smear. There was no history of weight loss, night sweats, arthritis, malar rash, photosensitivity, contact with ticks, animals, or a COVID-19 patient. Serological tests performed for infections such as HIV, EBV, HCV, Crimean-Congo hemorrhagic fever were negative. Bone marrow biopsy was performed due to the unexplained cytopenia, reported as \"signet ring cell metastatic adenocarcinoma\". Gastrointestinal system endoscopy was performed to detect primary cancer. A biopsy was taken from the antrum and corpus revealed gastritis. An FDG PET-CT was revealed heterogeneously pathologically increased FDG attitude in all axial and appendicular bones. Despite all the modalities of diagnosis, the origin was not found and the patient was transferred to the oncology department for treatment with a diagnosis of cancer of unknown origin with bone marrow infiltration. Conclusion: Bone marrow metastases should be kept in mind in patients presenting with thrombocytopenia.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48607683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Akbas, A. Koçak, Alpaslan Unlu, S. Doğruyol, S. T. A. Gur
The clinical symptoms comprising piriformis syndrome emerge as a result of the compression of the sciatic nerve due to anatomical variations or patho- logical conditions related to the piriformis muscle. The underlying cause in 6% of cases of lumbar pain, piriformis syndrome might be also defined as entrapment neuropathy of the sciatic nerve. While piriformis syndrome is not rare, it is not well known. As the clinical symptoms may be misleading, it can easily be overlooked, or lead the clinician to an incorrect diagnosis (such as discopathy). In this report, our objective was to present the case of a 18-year-old female patient who presented to the emergency department with sciatalgia and received a diagnosis of piriformis syndrome caused by pyomyositis of the piriformis muscle. The patient arrived at the emergency department reporting severe pain and paresthesia in the right pelvis, thigh, and leg with the inability to walk due to pain. Vital signs were normal except for a high fever. Her Lasègue test was positive, and the patient had severe pain with both internal and external rotation. After radiological examination, the patient was diagnosed with an abscess in the piriformis muscle due to pyomyositis. It was determined that the cause of sciatalgia was piriformis syndrome, with the abscess in the piriformis muscle compressing the sciatic nerve. The abscess was drained after the patient was admitted to the hospital; the patient was then discharged without further complication. The need for high-cost therapeutic methods or even death may result in instances where piriformis syndrome is overlooked by emergency department clinicians, or when it is given the misleading diagnosis of sciatalgia.
{"title":"A rare cause for sciatalgia: Piriformis syndrome","authors":"I. Akbas, A. Koçak, Alpaslan Unlu, S. Doğruyol, S. T. A. Gur","doi":"10.33706/JEMCR.883699","DOIUrl":"https://doi.org/10.33706/JEMCR.883699","url":null,"abstract":"The clinical symptoms comprising piriformis syndrome emerge as a result of the compression of the sciatic nerve due to anatomical variations or patho- logical conditions related to the piriformis muscle. The underlying cause in 6% of cases of lumbar pain, piriformis syndrome might be also defined as entrapment neuropathy of the sciatic nerve. While piriformis syndrome is not rare, it is not well known. As the clinical symptoms may be misleading, it can easily be overlooked, or lead the clinician to an incorrect diagnosis (such as discopathy). In this report, our objective was to present the case of a 18-year-old female patient who presented to the emergency department with sciatalgia and received a diagnosis of piriformis syndrome caused by pyomyositis of the piriformis muscle. The patient arrived at the emergency department reporting severe pain and paresthesia in the right pelvis, thigh, and leg with the inability to walk due to pain. Vital signs were normal except for a high fever. Her Lasègue test was positive, and the patient had severe pain with both internal and external rotation. After radiological examination, the patient was diagnosed with an abscess in the piriformis muscle due to pyomyositis. It was determined that the cause of sciatalgia was piriformis syndrome, with the abscess in the piriformis muscle compressing the sciatic nerve. The abscess was drained after the patient was admitted to the hospital; the patient was then discharged without further complication. The need for high-cost therapeutic methods or even death may result in instances where piriformis syndrome is overlooked by emergency department clinicians, or when it is given the misleading diagnosis of sciatalgia.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48682888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Hepatic encephalopathy (HE) is a neuropsychiatric syndrome that occurs in the severe liver dysfunction and is characterized by a wide range of central nervous system symptoms. Hepatic encephalopathy precipitated with mostly infections, gastrointestinal bleeding, diuretic overdose, electrolyte imbalance, constipation and drugs. Traditional local foods for example honey can contain toxins for the liver and could cause acute decompensation in patients with chronic liver disease (CLD). This toxins can cause dose related severe symptoms. Spectrum of the symptoms are from nausea, vomiting to life threatening bradycardia and/or hypotension. Case Report: A 66-years-old man with prior hepatitis B-related Child-Pugh B cirrhosis admitted to the hospital with nausea, vomiting, confusion, gross disorientation and bizarre behavior. By the aid of medical history, physical examination, laboratory tests and imaging techniques; hepatic encephalopathy diagnosed with distinct aetiology, is mad honey consumption. Conclusion: In this paper; we reported first time in English literature a cirrhotic case with hepatic encephalopathy due to consumption of mad honey. words:
{"title":"A New Risk Factor for Hepatic Encephalopathy: Ingestion of Mad Honey","authors":"M. Yakarışık, Cafer Akköz, M. Ayvaz, A. Dülger","doi":"10.33706/JEMCR.861552","DOIUrl":"https://doi.org/10.33706/JEMCR.861552","url":null,"abstract":"Introduction: Hepatic encephalopathy (HE) is a neuropsychiatric syndrome that occurs in the severe liver dysfunction and is characterized by a wide range of central nervous system symptoms. Hepatic encephalopathy precipitated with mostly infections, gastrointestinal bleeding, diuretic overdose, electrolyte imbalance, constipation and drugs. Traditional local foods for example honey can contain toxins for the liver and could cause acute decompensation in patients with chronic liver disease (CLD). This toxins can cause dose related severe symptoms. Spectrum of the symptoms are from nausea, vomiting to life threatening bradycardia and/or hypotension. Case Report: A 66-years-old man with prior hepatitis B-related Child-Pugh B cirrhosis admitted to the hospital with nausea, vomiting, confusion, gross disorientation and bizarre behavior. By the aid of medical history, physical examination, laboratory tests and imaging techniques; hepatic encephalopathy diagnosed with distinct aetiology, is mad honey consumption. Conclusion: In this paper; we reported first time in English literature a cirrhotic case with hepatic encephalopathy due to consumption of mad honey. words:","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47764370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isolated motor nerve paresis can occur due to central nervous system lesions. This condition is extremely rare, they are often misdiagnosed as a peripheral nerve lesion. 83-year-old male, applied to our hospital with 4th and 5th digit weakness. Neuroimaging revealed cortical-subcortical diffusion restriction in the medial gyrus of the precentral gyrus. The patient was diagnosed as ischemic stroke. In this article, we presented a case of ischemic stroke that mimics ulnar nerve paresis and be easily overlooked.
{"title":"Pseudoulnar Palsy Due to Ischemic Stroke; Case Report","authors":"Ş. Atiş, Ö. Bozan, B. Çekmen","doi":"10.33706/JEMCR.870978","DOIUrl":"https://doi.org/10.33706/JEMCR.870978","url":null,"abstract":"Isolated motor nerve paresis can occur due to central nervous system lesions. This condition is extremely rare, they are often misdiagnosed as a peripheral nerve lesion. 83-year-old male, applied to our hospital with 4th and 5th digit weakness. Neuroimaging revealed cortical-subcortical diffusion restriction in the medial gyrus of the precentral gyrus. The patient was diagnosed as ischemic stroke. In this article, we presented a case of ischemic stroke that mimics ulnar nerve paresis and be easily overlooked.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42145732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Subdural hematoma is the most common type of hemorrhage as a shunt complication following ventriculoperitoneal shunt procedures. This hemorrhage is caused by rupture of the bridging veins between the dura mater and brain due to a suddenly developing decrease in intracranial pressure. On the other hand, the mechanism of late epidural hemorrhage, a complication of ventriculoperitoneal shunt, could not been clarified very clearly. Case Presentation: A 7-year old female patient had been operated for meningomyelocele after birth. One month later, ventriculoperitoneal shunt had been placed. She presented to the emergency department with nausea, vomiting, blurred consciousness and loss of strength (2/5) in the left upper extremity 4 years after the revision. She had a Glasgow Coma Scale score of 10. Brain computed tomography revealed a giant epidural hematoma in the right hemisphere. Conclusion: Brain computed tomography should be obtained in the postoperative period and anti-siphon device should be used when placing ventric-uloperitoneal shunt. In addition, we argue that use of moderate-high pressure shunt is not definitely effective in preventing development of epidural hemorrhage.
{"title":"LATE ACUTE SPONTANEOUS GIANT EPIDURAL HEMATOMA AFTER VENTRICULOPERITONEAL SHUNT SURGERY","authors":"Engin Yücel, N. Taş","doi":"10.33706/JEMCR.836595","DOIUrl":"https://doi.org/10.33706/JEMCR.836595","url":null,"abstract":"Introduction: Subdural hematoma is the most common type of hemorrhage as a shunt complication following ventriculoperitoneal shunt procedures. This hemorrhage is caused by rupture of the bridging veins between the dura mater and brain due to a suddenly developing decrease in intracranial pressure. On the other hand, the mechanism of late epidural hemorrhage, a complication of ventriculoperitoneal shunt, could not been clarified very clearly. Case Presentation: A 7-year old female patient had been operated for meningomyelocele after birth. One month later, ventriculoperitoneal shunt had been placed. She presented to the emergency department with nausea, vomiting, blurred consciousness and loss of strength (2/5) in the left upper extremity 4 years after the revision. She had a Glasgow Coma Scale score of 10. Brain computed tomography revealed a giant epidural hematoma in the right hemisphere. Conclusion: Brain computed tomography should be obtained in the postoperative period and anti-siphon device should be used when placing ventric-uloperitoneal shunt. In addition, we argue that use of moderate-high pressure shunt is not definitely effective in preventing development of epidural hemorrhage.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45395141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lemierre's Syndrome: A Case Report","authors":"I. Atas, Ö. Bilir, Alpaslan Ünlü, F. Taşçı","doi":"10.33706/JEMCR.838532","DOIUrl":"https://doi.org/10.33706/JEMCR.838532","url":null,"abstract":"","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45616289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sevil Alkan Çeviker, A. Şener, Cihan Yüksel, T. Önder, Anıl Akça, Servan Vurucu, S. Güçlü
Introduction: Coronavirus disease 2019 (COVID-19) has caused thousands of deaths since it was declared as a pandemic. Recently it continues to be one of the most followed topics in the world in terms of its course and treatment. Favipiravir is a broad-spectrum anti-viral agent that has been shown to be effective against various Coronaviruses in vitro. However, as with any drug use, side effects may develop with the use of favipravir treatment. Case Report: We reported a 55-year-old female patient with acute urticarial with angioedema whom had COVID-19 pneumonia. She had no history of allergy, atopy, previous similar episodes or family history of hereditary angioedema. There is no drug or food consumption that may be suspicious in terms of allergy described by the patient other than favipravir. Conclusion: As far as we know, it is the first case reported from our country. Since there is no specific examination for differential diagnosis, we cannot distinguish as a rare side effect due to favipiravir treatment or COVID-19 cutaneous manifestation. As a result, studies involving more cases of COVID-19 skin findings are needed.
{"title":"Angioedema and acute urticaria in a patient with COVID 19 pneumonia: Favipiravir side effect or COVID-19 cutaneous manifestation","authors":"Sevil Alkan Çeviker, A. Şener, Cihan Yüksel, T. Önder, Anıl Akça, Servan Vurucu, S. Güçlü","doi":"10.33706/JEMCR.851107","DOIUrl":"https://doi.org/10.33706/JEMCR.851107","url":null,"abstract":"Introduction: Coronavirus disease 2019 (COVID-19) has caused thousands of deaths since it was declared as a pandemic. Recently it continues to be one of the most followed topics in the world in terms of its course and treatment. Favipiravir is a broad-spectrum anti-viral agent that has been shown to be effective against various Coronaviruses in vitro. However, as with any drug use, side effects may develop with the use of favipravir treatment. Case Report: We reported a 55-year-old female patient with acute urticarial with angioedema whom had COVID-19 pneumonia. She had no history of allergy, atopy, previous similar episodes or family history of hereditary angioedema. There is no drug or food consumption that may be suspicious in terms of allergy described by the patient other than favipravir. Conclusion: As far as we know, it is the first case reported from our country. Since there is no specific examination for differential diagnosis, we cannot distinguish as a rare side effect due to favipiravir treatment or COVID-19 cutaneous manifestation. As a result, studies involving more cases of COVID-19 skin findings are needed.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46006717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Akbas, A. Koçak, S. Utlu, S. Doğruyol, Z. Çakır
Paracetamol is the most widely used and prescribed drug word-wide. It is the most common cause of the poisoning and of the fatality due to the toxic administration throughout the world. A 34-year-old female patient applied to our ED with the complaint of swallowing 33 g of paracetamol. After routine toxicity treatment, on the third day of the hospitalization, dyspnea and pain on the right hemithorax and right flank occurred. Chest X-ray showed blunted right sinus. CT revealed bilateral pleural effusion. With thoracentesis, clear, colorless and odor-free fluid of about 500cc was drained. Laboratory examination of the fluid confirmed it as transudate. We believed pleural effusion is related to high-dose paracetamol intake and it occurred due to decrease in pleural permeability and the consequent decrease of the fluid absorption. In conclusion, high-dose intake of paracetamol might cause transudative pleural effusion as a complication.
{"title":"Paracetamol Overdose May Cause Transudative Pleural Effusion in Adults","authors":"I. Akbas, A. Koçak, S. Utlu, S. Doğruyol, Z. Çakır","doi":"10.33706/JEMCR.834306","DOIUrl":"https://doi.org/10.33706/JEMCR.834306","url":null,"abstract":"Paracetamol is the most widely used and prescribed drug word-wide. It is the most common cause of the poisoning and of the fatality due to the toxic administration throughout the world. A 34-year-old female patient applied to our ED with the complaint of swallowing 33 g of paracetamol. After routine toxicity treatment, on the third day of the hospitalization, dyspnea and pain on the right hemithorax and right flank occurred. Chest X-ray showed blunted right sinus. CT revealed bilateral pleural effusion. With thoracentesis, clear, colorless and odor-free fluid of about 500cc was drained. Laboratory examination of the fluid confirmed it as transudate. We believed pleural effusion is related to high-dose paracetamol intake and it occurred due to decrease in pleural permeability and the consequent decrease of the fluid absorption. In conclusion, high-dose intake of paracetamol might cause transudative pleural effusion as a complication.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44460190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Berrak Barutcu Asfuroğlu, Yaprak Özüm Ünsal, Umut Asfuroğlu, A. Koç
Introduction: Status epilepticus (SE) is a neurological emergency in which prolonged seizures require rapid diagnosis and treatment. It is classified as convulsive, non-convulsive and electrographic patterns. Neuroimaging findings associated with status epilepticus may raise suspicion of ischemia, encephalitis, or neoplastic lesions possibly leading to additional studies and surgical treatment. Further follow-up imaging may prevent unnecessary intervention due to the fact that findings in status epilepticus may be reversible. Case Report: We report a case of convulsive status epilepticus with electroencephalography and cranial magnetic resonance imaging (MRI) findings discussing differential diagnosis. Conclusion: Our case highlights that clinicians should be aware of this potential fatal condition and start the treatment immediately.
{"title":"Magnetic Resonance Imaging Findings in Status Epilepticus: A Case Report","authors":"Berrak Barutcu Asfuroğlu, Yaprak Özüm Ünsal, Umut Asfuroğlu, A. Koç","doi":"10.33706/JEMCR.845999","DOIUrl":"https://doi.org/10.33706/JEMCR.845999","url":null,"abstract":"Introduction: Status epilepticus (SE) is a neurological emergency in which prolonged seizures require rapid diagnosis and treatment. It is classified as convulsive, non-convulsive and electrographic patterns. Neuroimaging findings associated with status epilepticus may raise suspicion of ischemia, encephalitis, or neoplastic lesions possibly leading to additional studies and surgical treatment. Further follow-up imaging may prevent unnecessary intervention due to the fact that findings in status epilepticus may be reversible. Case Report: We report a case of convulsive status epilepticus with electroencephalography and cranial magnetic resonance imaging (MRI) findings discussing differential diagnosis. Conclusion: Our case highlights that clinicians should be aware of this potential fatal condition and start the treatment immediately.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2021-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46650322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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