A. Shah, Shahrin Tarmizi Che Abdullah, A. Omar, N. Ahmad, M. Rathor
Bilateral simultaneous facial nerve palsy is an extremely rare clinical entity and may occur in association with a variety of neurological, infectious, neoplastic or degenerative disorders. We describe a patient, who presented with facial diplegia and normal reflexes on examination. During the entire hospitalization, he developed no motor weakness and remained ambulatory. Whether treatment is warranted for this and other milder variants of Gullain-Barre syndrome is also discussed. Atypical presentations with preserved or brisk reflexes, can be a diagnostic dilemma.
{"title":"Bilateral facial nerve palsy secondary to an atypical presentation of Gullain-Barré syndrome","authors":"A. Shah, Shahrin Tarmizi Che Abdullah, A. Omar, N. Ahmad, M. Rathor","doi":"10.31436/IMJM.V8I1.769","DOIUrl":"https://doi.org/10.31436/IMJM.V8I1.769","url":null,"abstract":"Bilateral simultaneous facial nerve palsy is an extremely rare clinical entity and may occur in association with a variety of neurological, infectious, neoplastic or degenerative disorders. We describe a patient, who presented with facial diplegia and normal reflexes on examination. During the entire hospitalization, he developed no motor weakness and remained ambulatory. Whether treatment is warranted for this and other milder variants of Gullain-Barre syndrome is also discussed. Atypical presentations with preserved or brisk reflexes, can be a diagnostic dilemma.","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42159999","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}
H. G. Bilal, Roszaman Ramli, N. Wahab, Che Anuar Che Yaakob, J. Abdullah
Syringomyelia is a rare neurological disease, which is characterized by the formation of a cyst in the spinal cord. The aetiology of the disease still remains controversial. The damage to the spinal cord results in headache, weakness, stiffness and numbness on both lower and upper limbs. Only few a cases of syringomyelia in pregnancy have been reported thus far. As such, there is no standard management of intrapartum care. We present a case of symptomatic syringomyelia in pregnancy, its management and literature review. The mode of delivery with risks for vaginal route is discussed.
{"title":"Syringomyelia in Pregnancy- Is Caesarean Section The Best Option For Delivery? - A Case Report","authors":"H. G. Bilal, Roszaman Ramli, N. Wahab, Che Anuar Che Yaakob, J. Abdullah","doi":"10.31436/IMJM.V8I1.768","DOIUrl":"https://doi.org/10.31436/IMJM.V8I1.768","url":null,"abstract":"Syringomyelia is a rare neurological disease, which is characterized by the formation of a cyst in the spinal cord. The aetiology of the disease still remains controversial. The damage to the spinal cord results in headache, weakness, stiffness and numbness on both lower and upper limbs. Only few a cases of syringomyelia in pregnancy have been reported thus far. As such, there is no standard management of intrapartum care. We present a case of symptomatic syringomyelia in pregnancy, its management and literature review. The mode of delivery with risks for vaginal route is discussed.","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45107072","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}
A. Mawaddah, S. See-Sze, Marina Mb, Pua Kc, M. Abdullah-Sani
Total laryngectomy has stood the test of time as an oncologically safe surgery in the treatment of advanced carcinoma of the larynx since it was introduced by Billroth in the year 1880 The surgical management of the lymphatic and non lymphbearing structures, however, is a matter of debate. Our centre practices routine selective neck dissections (Level 11a, 111 and 1V) and at least hemithyroidectomy alongside total laryngectomy for patients with advanced carcinoma of the larynx.
{"title":"The Incidence of Thyroid Gland Invasion in Patients with Carcinoma of the Larynx who Underwent Total Laryngectomy","authors":"A. Mawaddah, S. See-Sze, Marina Mb, Pua Kc, M. Abdullah-Sani","doi":"10.31436/IMJM.V18I1.232","DOIUrl":"https://doi.org/10.31436/IMJM.V18I1.232","url":null,"abstract":"Total laryngectomy has stood the test of time as an oncologically safe surgery in the treatment of advanced carcinoma of the larynx since it was introduced by Billroth in the year 1880 The surgical management of the lymphatic and non lymphbearing structures, however, is a matter of debate. Our centre practices routine selective neck dissections (Level 11a, 111 and 1V) and at least hemithyroidectomy alongside total laryngectomy for patients with advanced carcinoma of the larynx.","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43250973","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}
Metastatic spread of tumors to the skull is quite unusual and often represents diagnostic and therapeutic issues. Skull involvement can be observed in various neoplasms of epithelial origin and are most often due to lung, breast, thyroid, kidney and prostate cancers. However, skull metastases from hepatocellular carcinoma (HCC) have been rarely reported. The prognosis for patients with hepatocellular carcinoma is so poor that treatment of such distant metastatic lesion cannot be achieved before death occurs due to the primary malignancy. Therefore, the clinical manifestations of cranial metastasis prior to that of primary hepatocellular carcinoma have rarely been reported. This case illustrates a rare case of skull metastasis as an initial manifestation of hepatocellular carcinoma. Although a solitary skull metastasis prior to the diagnosis of HCC demonstrates rare metastatic behavior for HCC, especially in Asia, skull metastases from HCC should be included in the differential diagnosis of skull tumors, even if the patient is asymptomatic of liver cirrhosis.
{"title":"Solitary Skull Metastasis as Initial Manifestation of Hepatocellular Carcinoma - A Case Report","authors":"El-Mehallawy Mn, A. MohdShafie","doi":"10.31436/IMJM.V8I2.758","DOIUrl":"https://doi.org/10.31436/IMJM.V8I2.758","url":null,"abstract":"Metastatic spread of tumors to the skull is quite unusual and often represents diagnostic and therapeutic issues. Skull involvement can be observed in various neoplasms of epithelial origin and are most often due to lung, breast, thyroid, kidney and prostate cancers. However, skull metastases from hepatocellular carcinoma (HCC) have been rarely reported. The prognosis for patients with hepatocellular carcinoma is so poor that treatment of such distant metastatic lesion cannot be achieved before death occurs due to the primary malignancy. Therefore, the clinical manifestations of cranial metastasis prior to that of primary hepatocellular carcinoma have rarely been reported. This case illustrates a rare case of skull metastasis as an initial manifestation of hepatocellular carcinoma. Although a solitary skull metastasis prior to the diagnosis of HCC demonstrates rare metastatic behavior for HCC, especially in Asia, skull metastases from HCC should be included in the differential diagnosis of skull tumors, even if the patient is asymptomatic of liver cirrhosis.","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47369426","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}
Islam is a way of life that rhymes with human nature.1 In harmony with its strengths, acknowledging its weaknesses and offering guidance to those who submit.2,3 Despite many misconceptions on compulsion ascribed to Islam, its practice is purely by choice.4,5 Belief in Islam is a conviction to a resolute and eternal truth, which is the unity of God. Living it, is harmonising the daily physical needs to that of constant spiritual enlightenment, neither in mutual exclusion but rather, complementary and symbiotic.
{"title":"Biomedicine and Islamic Jurisprudence in Malaysia - Quo Vadis ?","authors":"A. Shah","doi":"10.31436/IMJM.V8I2.749","DOIUrl":"https://doi.org/10.31436/IMJM.V8I2.749","url":null,"abstract":"Islam is a way of life that rhymes with human nature.1 In harmony with its strengths, acknowledging its weaknesses and offering guidance to those who submit.2,3 Despite many misconceptions on compulsion ascribed to Islam, its practice is purely by choice.4,5 Belief in Islam is a conviction to a resolute and eternal truth, which is the unity of God. Living it, is harmonising the daily physical needs to that of constant spiritual enlightenment, neither in mutual exclusion but rather, complementary and symbiotic.","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47601504","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: This study aimed to explore the associated factors related to causes of stress and coping strategies among university students. Materials and Methods: As a focus group discussion, it was universal sampling, conducted among 39 of Medical Science and Biomedicine students on their second semester from Management and Science University (MSU), Shah Alam, Malaysia. Three issues were discussed: firstly, how they define the stress; secondly, what the most important causes of stress in their life are; and thirdly, how they cope with stress. Verbal consent was obtained from all participants. Due to the small sample size, the data was analyzed manually. Results: Total of participants were 39 students, their age ranged from 21 to 26 years. Seventeen (43.6%) of the students were 21 years old and the majority were female 31 (79.5%). The most important causes of stress reported by the students were financial, lack of sleep, and family problems. In terms of coping with stress, the students were able to describe a variety of strategies to cope with their stressful situations. These included counseling services, doing meditation, sharing of problems, getting adequate sleep, and going out with friends. Conclusion: Most of the students defined stress as “a mental condition”. Lack of sleep, financial, and family problems were the most causes of stress among students. The students were able to identify some strategies to cope with stress.
{"title":"Stress and Coping Strategies among Management and Science University Students: A Qualitative Study","authors":"Redhwan Aan, Sami Ar, Karim Aj, C. R, Zaleha Mi","doi":"10.31436/IMJM.V8I2.751","DOIUrl":"https://doi.org/10.31436/IMJM.V8I2.751","url":null,"abstract":"Introduction: This study aimed to explore the associated factors related to causes of stress and coping strategies among university students. Materials and Methods: As a focus group discussion, it was universal sampling, conducted among 39 of Medical Science and Biomedicine students on their second semester from Management and Science University (MSU), Shah Alam, Malaysia. Three issues were discussed: firstly, how they define the stress; secondly, what the most important causes of stress in their life are; and thirdly, how they cope with stress. Verbal consent was obtained from all participants. Due to the small sample size, the data was analyzed manually. Results: Total of participants were 39 students, their age ranged from 21 to 26 years. Seventeen (43.6%) of the students were 21 years old and the majority were female 31 (79.5%). The most important causes of stress reported by the students were financial, lack of sleep, and family problems. In terms of coping with stress, the students were able to describe a variety of strategies to cope with their stressful situations. These included counseling services, doing meditation, sharing of problems, getting adequate sleep, and going out with friends. Conclusion: Most of the students defined stress as “a mental condition”. Lack of sleep, financial, and family problems were the most causes of stress among students. The students were able to identify some strategies to cope with stress.","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48001778","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}
ABSTRACT Introduction: The objectives of this study were to investigate the calcium intake, physical activity level and knowledge about osteoporosis in women who attended health centers in Tabriz, Iran. Materials and Methods: Three hundred ninety-nine women of childbearing age were studied. Information was collected through face to face interviews with subjects. Results: The mean daily calcium intake was 689.08±393.15 mg. Majority of subjects had low or moderate physical activity levels. Only 8% of women reported high physical activity level. Knowledge about osteoporosis in majority of subjects (63.2%) was at moderate level. Educational status of subjects was positively correlated with calcium intake. There were no significant statistics relationship between calcium intake and physical activity with other studied variables. Conclusion: Public health programs are suggested to improve calcium intake of women and elevating healthy life styles. Establishment of educational workshops to health care providers and encourage and obligate them to proper consultation with women is suggested as a suitable approach for prevention of osteoporosis. KEYWORDS: Osteoporosis, Calcium intake, Physical activity, Knowledge, women
{"title":"Osteoporosis-related life habits and knowledge about osteoporosis among women in Tabriz, Iran","authors":"M. Rafraf, Behnaz Bazyun, F. Afsharnia","doi":"10.31436/IMJM.V8I2.752","DOIUrl":"https://doi.org/10.31436/IMJM.V8I2.752","url":null,"abstract":"ABSTRACT Introduction: The objectives of this study were to investigate the calcium intake, physical activity level and knowledge about osteoporosis in women who attended health centers in Tabriz, Iran. Materials and Methods: Three hundred ninety-nine women of childbearing age were studied. Information was collected through face to face interviews with subjects. Results: The mean daily calcium intake was 689.08±393.15 mg. Majority of subjects had low or moderate physical activity levels. Only 8% of women reported high physical activity level. Knowledge about osteoporosis in majority of subjects (63.2%) was at moderate level. Educational status of subjects was positively correlated with calcium intake. There were no significant statistics relationship between calcium intake and physical activity with other studied variables. Conclusion: Public health programs are suggested to improve calcium intake of women and elevating healthy life styles. Establishment of educational workshops to health care providers and encourage and obligate them to proper consultation with women is suggested as a suitable approach for prevention of osteoporosis. KEYWORDS: Osteoporosis, Calcium intake, Physical activity, Knowledge, women","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49099189","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}
Azarisman Sms, A. A., Sahimi M, Ngow Ha, Marzuki Ao, Jamalludin Ar, Sapari S, Maskon O
ABSTRACT Introduction: Hypertension is one of the most important risk factors for cardiovascular disease in Malaysia. The prevalence of hypertension nearly doubled over a ten-year period (1986 – 1996). This has resulted in a significant rise in its attendant cost. We aim to review the institutional anti-hypertensive use, the cost incurred and the implications on management in our local setting. Materials and Methods: A retrospective review of the annual cost (2006) of anti-hypertensive medications was undertaken at the Department of Pharmacy, Hospital Tengku Ampuan Afzan, a 600-bed major regional hospital on the east-coast of Malaysia. The total number of prescriptions given out and the total cost per drug is then factored to give the annual cost per drug per person in a percentage of the total annual expenditure.Results: The majority of patients were on either 2 (46.5%) or 3 (25.9%) anti-hypertensives. The most frequently prescribed medications were ACE Inhibitors (33.45%), Calcium channel blockers (29.63%), diuretics (16.67%) and s-blockers (13.64%). In terms of cost however, the Calcium channel blockers constituted the greatest percentage of the annual anti-hypertensive budget (63.67%) compared to ACE Inhibitors at just 20.04% of the annual expenditure. The least costly group of drugs is the diuretic making up 16.67% of the total annual prescriptions but only constituting 1.23% of the annual cost. Conclusion: The majority of patients were on ACE Inhibitors and/or Calcium channel blockers. This has huge monetary implications as they represent a large proportion of the annual antihypertensive allocation. There may be a need to reverse the trend in the developing world due to cost restrictions. KEYWORDS: Hypertension, Medication, Cost.
{"title":"Evaluation of anti-hypertensive drug utilisation and cost in Hospital Tengku Ampuan Afzan, Kuantan.","authors":"Azarisman Sms, A. A., Sahimi M, Ngow Ha, Marzuki Ao, Jamalludin Ar, Sapari S, Maskon O","doi":"10.31436/IMJM.V8I2.754","DOIUrl":"https://doi.org/10.31436/IMJM.V8I2.754","url":null,"abstract":"ABSTRACT Introduction: Hypertension is one of the most important risk factors for cardiovascular disease in Malaysia. The prevalence of hypertension nearly doubled over a ten-year period (1986 – 1996). This has resulted in a significant rise in its attendant cost. We aim to review the institutional anti-hypertensive use, the cost incurred and the implications on management in our local setting. Materials and Methods: A retrospective review of the annual cost (2006) of anti-hypertensive medications was undertaken at the Department of Pharmacy, Hospital Tengku Ampuan Afzan, a 600-bed major regional hospital on the east-coast of Malaysia. The total number of prescriptions given out and the total cost per drug is then factored to give the annual cost per drug per person in a percentage of the total annual expenditure.Results: The majority of patients were on either 2 (46.5%) or 3 (25.9%) anti-hypertensives. The most frequently prescribed medications were ACE Inhibitors (33.45%), Calcium channel blockers (29.63%), diuretics (16.67%) and s-blockers (13.64%). In terms of cost however, the Calcium channel blockers constituted the greatest percentage of the annual anti-hypertensive budget (63.67%) compared to ACE Inhibitors at just 20.04% of the annual expenditure. The least costly group of drugs is the diuretic making up 16.67% of the total annual prescriptions but only constituting 1.23% of the annual cost. Conclusion: The majority of patients were on ACE Inhibitors and/or Calcium channel blockers. This has huge monetary implications as they represent a large proportion of the annual antihypertensive allocation. There may be a need to reverse the trend in the developing world due to cost restrictions. KEYWORDS: Hypertension, Medication, Cost.","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44761403","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}
T. Romeeza, A. Nadeem, J. Nauman, A. Afia, R. Kunwal
ABSTRACT Introduction: Staphylococcus aureus is a pathogen causing a wide range of infections. It changes its genome under the selection pressure of antibiotics. Methicillin resistance is commonly determined by Kirby-Bauer disc diffusion method which has low sensitivity and specificity. Thus, anti PBP-2a latex agglutination test was used to confirm the identity of those labeled as MRSA. Materials and Methods: One hundred bacterial samples characterized as MRSA according to Kirby-Bauer diffusion method were collected from different hospitals in Lahore. Results: Biochemical characterization of these MRSA isolates revealed that only 64 (64%) were actually S. aureus while the other 36 isolates (36%) were coagulase negative staphylococci. Further serological characterization revealed that among the 64 isolates of S. aureus, 50 (78%) were MRSA while 14 (22%) were MSSA. Conclusion: Therefore, overall, 50% of the bacterial strains were misidentified as MRSA. Misdiagnosis of antibiotic resistance may lead to an inappropriate prescription of medicines to these patients. KEY WORDS: MRSA, MSSA, Staphylococcus epidermidis, Agglutination
{"title":"Discrepancies in the diagnosis of methicillin resistant Staphylococcus aureus among different hospitals in Lahore, Pakistan","authors":"T. Romeeza, A. Nadeem, J. Nauman, A. Afia, R. Kunwal","doi":"10.31436/IMJM.V8I2.750","DOIUrl":"https://doi.org/10.31436/IMJM.V8I2.750","url":null,"abstract":"ABSTRACT Introduction: Staphylococcus aureus is a pathogen causing a wide range of infections. It changes its genome under the selection pressure of antibiotics. Methicillin resistance is commonly determined by Kirby-Bauer disc diffusion method which has low sensitivity and specificity. Thus, anti PBP-2a latex agglutination test was used to confirm the identity of those labeled as MRSA. Materials and Methods: One hundred bacterial samples characterized as MRSA according to Kirby-Bauer diffusion method were collected from different hospitals in Lahore. Results: Biochemical characterization of these MRSA isolates revealed that only 64 (64%) were actually S. aureus while the other 36 isolates (36%) were coagulase negative staphylococci. Further serological characterization revealed that among the 64 isolates of S. aureus, 50 (78%) were MRSA while 14 (22%) were MSSA. Conclusion: Therefore, overall, 50% of the bacterial strains were misidentified as MRSA. Misdiagnosis of antibiotic resistance may lead to an inappropriate prescription of medicines to these patients. KEY WORDS: MRSA, MSSA, Staphylococcus epidermidis, Agglutination","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47883418","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}
ABSTRACT Dural arteriovenous malformation (DAVM) is relatively rare and defined as abnormal connections or shunts between the arterial and the venous side of vascular tree located within the dura mater. Spontaneous closures of DAVM are rare and have been scarcely reported. This case report will describe the neuroimaging findings and classification of DAVM. A 50 year old lady presented with headache. Neuroimaging showed prominent serpinginous flow-void structures, cerebral angiogram confirmed the presence of DAVM at the occipital region. She had defaulted treatment and followup for 3 years. On second admission, she had a cerebral angiogram which showed normal findings with no evidence of fistulas or malformation. She was discharged well. Causes of spontaneous closure of DAVM are discussed. KEYWORDS: Dural arteriovenous malformation, Dural arteriovenous fistulae, Spontaneous closure
{"title":"Spontaneous Thrombosis of Dural Arteriovenous Malformation: A Case Report","authors":"Wz Mezlina","doi":"10.31436/IMJM.V8I2.756","DOIUrl":"https://doi.org/10.31436/IMJM.V8I2.756","url":null,"abstract":"ABSTRACT Dural arteriovenous malformation (DAVM) is relatively rare and defined as abnormal connections or shunts between the arterial and the venous side of vascular tree located within the dura mater. Spontaneous closures of DAVM are rare and have been scarcely reported. This case report will describe the neuroimaging findings and classification of DAVM. A 50 year old lady presented with headache. Neuroimaging showed prominent serpinginous flow-void structures, cerebral angiogram confirmed the presence of DAVM at the occipital region. She had defaulted treatment and followup for 3 years. On second admission, she had a cerebral angiogram which showed normal findings with no evidence of fistulas or malformation. She was discharged well. Causes of spontaneous closure of DAVM are discussed. KEYWORDS: Dural arteriovenous malformation, Dural arteriovenous fistulae, Spontaneous closure","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49089201","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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