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Microsurgical Treatment of Intracranial Aneurysms: Report of a Series of Cases in a Single Cuban Hospital 显微外科治疗颅内动脉瘤:古巴一家医院的一系列病例报告
Pub Date : 2018-06-21 DOI: 10.26420/AUSTINJCLINCASEREP.2019.1132
Dr. C. Angel Jesus Lacerda Gallardo
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引用次数: 0
Pleomorphic Adenoma of Buccal Minor Salivary Gland: A Case Report 颊小涎腺多形性腺瘤1例报告
Pub Date : 2018-06-18 DOI: 10.4172/2165-7920.10001132
H. Khoja, D. Jain
Salivary gland tumors are relatively uncommon tumors, accounting approximately 3-10% of head and neck neoplasm. Most of them are benign and pleomorphic adenoma is the commonest among them that involves both major (90%) and minor (10%) salivary glands. The most predominant site of pleomorphic adenoma is palate; however, it may occur in any part of oral cavity like lip, floor of mouth, tongue, tonsil, pharynx, retromolar area and nasal cavity. Mucosa of cheek (4%) is an extremely rare site. A case of 25 years young male is reported here possessing pleomorphic adenoma of buccal minor salivary gland that was presented to us with a mobile swelling over right cheek that found to be pleomorphic adenoma of buccal minor salivary gland after histopathological examination. Surgical excision was done by intra oral approach with adequate margins. Patient had an uneventful postoperative course and discharged same day on oral antibiotics.
唾液腺肿瘤是相对罕见的肿瘤,约占头颈部肿瘤的3-10%。大多数是良性的,多形性腺瘤是其中最常见的,包括大(90%)和小(10%)唾液腺。多形性腺瘤最主要的部位是腭;然而,它可能发生在口腔的任何部位,如嘴唇、口底、舌头、扁桃体、咽部、磨牙后区和鼻腔。颊粘膜(4%)是一个极其罕见的部位。本文报告一例25岁年轻男性口腔小唾液腺多形性腺瘤,经组织病理学检查,右脸颊出现活动性肿胀,为口腔小唾液腺体多形性腺瘤。手术切除是通过口内入路进行的,有足够的边缘。患者术后疗程平静,当天口服抗生素出院。
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引用次数: 0
A Patient Diagnosed with POEMS Syndrome with Atypical Presentation: A Case Report 一位被诊断为POEMS综合征的非典型患者:一例报告
Pub Date : 2018-06-15 DOI: 10.4172/2165-7920.10001130
H. Semiz, Roxana Carmen Geana, D. Sorostinean, Iliescu Va, A. Drăgan
POEMS syndrome is a paraneoplastic syndrome due to an underlying plasma cell neoplasm. The major criteria for the syndrome are polyradiculoneuropathy, clonal plasma cell disorder (PCD), sclerotic bone lesions, elevated vascular endothelial growth factor, and the presence of Castleman disease. Minor features include organomegaly, endocrinopathy, characteristic skin changes, papilledema, extravascular volume overload, and thrombocytosis.
POEMS综合征是一种由潜在浆细胞肿瘤引起的副肿瘤综合征。该综合征的主要标准是多神经根性神经病、克隆性浆细胞病(PCD)、骨硬化病变、血管内皮生长因子升高以及是否存在Castleman病。次要特征包括器官肥大、内分泌疾病、特征性皮肤变化、视乳头水肿、血管外容量超负荷和血小板增多症。
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引用次数: 0
Bilateral Ruptured Ectopic Pregnancies with Massive Hemo-Peritonium: A Case Report in a Resource-Low Setting in Sub-Saharan Africa 撒哈拉以南非洲资源匮乏地区双侧破裂型异位妊娠伴大量出血性腹膜炎一例报告
Pub Date : 2018-06-08 DOI: 10.4172/2165-7920.10001127
Dongmo Gael, Binwe Hapmo Bienvenu, D. Francois, Silatsa Dongmo Fabrice, Kengne Mbobda Willy Stephane, P. Tolefac, Biyoma Marcella Derboise Christelle, Tocki Toutou Grâce, Tameyi Tatsa Joel, Danwang Celestin, N. Marcelin
Background: Bilateral ruptured ectopic pregnancy is the rupture of two implanted product of conception outside of the uterine cavity. Bilateral ruptured ectopic pregnancy without an initial induction of ovulation is extremely rare. It’s occurrence with a major life threatening complication such as massive hemo-peritonium worsens the prognosis. Immediate diagnosis and surgical intervention is required. Few cases have been identified. Case report: We report the case of bilateral ruptured ectopic pregnancy with massive hemo-peritonium diagnosed in a 28-year- old female and managed at African Genesis Health Clinic Yaounde. Discussion and Conclusion: prompt diagnosis and surgical intervention is needed to improve the prognosis related to bilateral ruptured ectopic pregnancies with massive hemo-peritonium. Counseling for assisted means of procreation is important.
背景:双侧破裂型异位妊娠是指两个植入的妊娠产物在子宫腔外破裂。双侧破裂型异位妊娠未经初次诱导排卵的情况极为罕见。它的发生伴有严重的危及生命的并发症,如大量的腹膜积血,会使预后恶化。需要立即诊断和手术干预。很少发现病例。病例报告:我们报告了一例双侧破裂异位妊娠伴大量腹膜积血的病例,该病例诊断为一名28岁女性,在雅温得非洲创世纪健康诊所接受治疗。讨论与结论:双侧异位妊娠破裂伴大量腹膜出血,需要及时诊断和手术干预,以改善预后。为辅助生殖手段提供咨询很重要。
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引用次数: 0
Recurrent Infective Endocarditis in a Drug Addict: A Case Report 吸毒成瘾者复发性感染性心内膜炎1例报告
Pub Date : 2018-05-30 DOI: 10.4172/2165-7920.10001123
G. Menafra, A. Pingitore, A. Gurgo, D. Magrí, E. Pagannone, M. Testa, M. Volpe
Infective endocarditis is a disease with a high mortality rate; mortality increases with the number of new episodes. Patients with relapsing endocarditis have a higher mortality rate per year (20%) than patients with a single episode (9%); moreover, the episodes of infective endocarditis on the prosthetic valve have a worse prognosis, with a mortality rate of 45% for each episode. In relapsing endocarditis, the following are distinguished: the relapses, characterized by the same germ, less than six months after the previous episode, and the reinfections, which may be caused by a different germ, or by the same germ, more than six months after previous episode. A recent analysis of the risk factors of recurrent bacterial endocarditis showed that the use of intravenous drugs, hemodialysis, immunosuppression and previous episodes of infective endocarditis played a major role, especially if they occurred on the prosthetic valve and if caused by S. aureus. Recurrent infectious endocarditis occurs more frequently in young male patients with HIV seropositivity, who routinely use intravenous drugs. We have analyzed the clinical case of a 36-year-old immunocompetent man with a long history of parenteral drug abuse, who has presented 6 new episodes of relapsing infective endocarditis on mitral valve and 2 reinfections since 2013. Between 2013 and 2016, the patient underwent two mitral valve replacements with a biological prosthesis implant and a mitral valve replacement with a mechanical prosthesis implant and a tricuspid annuloplasty. The remaining episodes were treated with medical therapy only. Currently in the literature 6 episodes of relapsing infective endocarditis and 1 reinfection in a single patient is the highest number of reported events.
感染性心内膜炎是一种死亡率很高的疾病;死亡率随着新发作次数的增加而增加。复发性心内膜炎患者的年死亡率(20%)高于单次发作的患者(9%);此外,人工瓣膜上感染性心内膜炎发作的预后较差,每次发作的死亡率为45%。在复发性心内膜炎中,可区分以下两种情况:在前一次发作后不到6个月以同一种细菌为特征的复发,以及在前一次发作后6个月以上由不同细菌或同一细菌引起的再感染。最近对复发性细菌性心内膜炎危险因素的分析表明,静脉注射药物、血液透析、免疫抑制和既往感染性心内膜炎发作起主要作用,特别是发生在假体瓣膜上和由金黄色葡萄球菌引起的。复发性感染性心内膜炎更常见于HIV血清阳性的年轻男性患者,他们经常静脉注射药物。我们分析了一名36岁的免疫功能正常男性,长期静脉注射药物滥用史,自2013年以来出现6次二尖瓣感染性心内膜炎复发和2次再感染的临床病例。在2013年至2016年期间,患者接受了两次生物假体二尖瓣置换术和一次机械假体二尖瓣置换术和三尖瓣环成形术。其余发作仅用药物治疗。目前在文献中,单个患者6次复发性感染性心内膜炎和1次再感染是报道事件的最高数量。
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引用次数: 0
Familial Glucocorticoid Deficiency Presenting as Progressive Hyperpigmentation: A Case Report 家族性糖皮质激素缺乏表现为进行性色素沉着:1例报告
Pub Date : 2018-05-28 DOI: 10.4172/2165-7920.10001120
A. Refaei, A. Alali, M. Soeid, N. A. Jurayyan, B. Alenazi, Taleb Ra
Familial glucocorticoid deficiency (FGD) is a rare autosomal recessive disease caused by resistant of ACTH receptor at adrenal cortex leading to (usually) isolated glucocorticoid deficiency with normal mineralocorticoid secrete. Patients with FGD usually presented in neonatal–childhood period with signs/symptoms of glucocorticoid deficiency such as hypoglycemia, hyperpigmentation, Failure to thrive, shock and death if treatment was delayed. Labs usually revealed high ACTH, low cortisol but normal 17 OHP, electrolyte, androgen. Here we describe a 3-yearsold Saudi girl, with history of progressive hyperpigmentation for first year of life, but no history of hypoglycaemia or neonatal jaundice, no history of a lacrimation or dysphagia and positive similar family history. She had generalized Hyperpigmentation with normal female genitalia. Her cortisol was low with high ACTH level, but normal electrolyte 17, Hydroxyprogesterone, aldosterone, renin, androgen. Familial Glucocorticoid Deficiency was diagnosed, and maintenance dose of hydro cortisol was started, and patient pigmentation was improved few week latter.
家族性糖皮质激素缺乏症(Familial glucocorticoids deficiency, FGD)是一种罕见的常染色体隐性遗传病,由肾上腺皮质ACTH受体抵抗引起(通常)孤立性糖皮质激素缺乏症,而矿化皮质激素分泌正常。FGD患者通常出现在新生儿-儿童期,伴有糖皮质激素缺乏的体征/症状,如低血糖、色素沉着、发育不良、休克和治疗延迟死亡。实验室通常显示高ACTH,低皮质醇,但正常的17 OHP,电解质,雄激素。在这里,我们描述了一个3岁的沙特女孩,有进行性色素沉着的历史,从出生的第一年开始,但没有低血糖或新生儿黄疸的历史,没有流泪或吞咽困难的历史,阳性的类似家族史。她有广泛性色素沉着与正常的女性生殖器。她的皮质醇低,ACTH高,但电解质正常,羟孕酮,醛固酮,肾素,雄激素。诊断为家族性糖皮质激素缺乏症,并开始维持剂量的氢化皮质醇,几周后患者色素沉着有所改善。
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引用次数: 0
Report Case of Van Der Knaap Syndrome in Two Ecuadorian Siblings 厄瓜多尔两名兄弟姐妹罹患Van Der Knaap综合征
Pub Date : 2018-05-28 DOI: 10.4172/2165-7920.10001122
M. Ja
Van Der knaap syndrome is a very uncommon disease seen mainly in the Aggarwal community in northern India. The characteristics of this disease are early onset macrocephaly with mild motor developmental delay, progressive gait alterations, muscular stiffness (spasticity), progressive ataxia, sporadic seizures and usually mild cognitive impairment (MCI) which is of late appearance. Only a few cases of this pathology have been reported in worldwide literature. for the knowledge of all, there are no reports so far of two siblings of parents in which there is apparently no Indian descent or consanguinity. In this case the brothers started with abnormal growth of the cephalic perimeter, difficulty to start the march which progressively got worse, muscular stiffness was developed while intellectual functioning was preserved for several years after onset of the disorder. Was more notorious in one of the two brothers in terms of motor and speech deficit.
Van Der knaap综合征是一种非常罕见的疾病,主要见于印度北部的Aggarwal社区。这种疾病的特征是早期出现的大头畸形,伴有轻度运动发育迟缓,进行性步态改变,肌肉僵硬(痉挛),进行性共济失调,散发性癫痫发作,通常是晚期出现的轻度认知障碍(MCI)。在世界范围的文献中,只有少数病例被报道过。据大家所知,到目前为止,还没有关于父母中有两个兄弟姐妹明显没有印度血统或血缘关系的报道。在这种情况下,兄弟俩开始时头周生长异常,开始行走困难,并逐渐恶化,肌肉僵硬,而智力功能在发病后几年仍保持不变。两兄弟中有一个在运动和语言障碍方面更臭名昭著。
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引用次数: 0
Treatment for Severe Pregnancy Induced Hypertension and Preterm Labor with Concomitant Administration of Estradiol and Progesterone under Monitoring Aminopeptidases: A Case Report 氨基肽酶监测下雌孕激素联合应用治疗严重妊娠高血压和早产1例
Pub Date : 2018-05-25 DOI: 10.4172/2165-7920.10001115
S. Mizutani, E. Mizutani, A. Iwase, K. Shibata
The knowledge for molecular mechanisms of preterm labor and preeclampsia is still premature. In the previous review, the author proposed that sex steroid treatment should be conserved for prospective clinical study in both preterm labor and preeclampsia. Unfortunately, little attention has been paid so far on the review article. Here, the authors present two cases of severe, complicated preeclampsia associated with preterm labor.
对早产和先兆子痫的分子机制的了解还为时过早。在先前的综述中,作者提出,在早产和先兆子痫的前瞻性临床研究中,性类固醇治疗应该保守。不幸的是,到目前为止,对这篇评论文章的关注还很少。在此,作者报告了两例与早产相关的严重、复杂的先兆子痫。
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引用次数: 3
Psychogenic Nonepileptic Seizures in a Mother and Her Son–Fate or Chance? 母亲和儿子的心因性非癫痫性癫痫发作是命运还是偶然?
Pub Date : 2018-05-21 DOI: 10.4172/2165-7920.10001114
Shah V, Hamouda D, Masel T
Psychogenic Nonepileptic Seizures (PNES) are defined as typical seizure-like activities or behaviors without cortical epileptiform discharges. The diagnosis of PNES remains a challenge and continuous video electroencephalography (cEEG) remains the gold standard to differentiate between epileptic seizures and PNES. Despite advances made in our understanding of PNES, diagnosing and treating this well-known entity remains a challenge. 25% of patients with seizures will be misdiagnosed as having PNES or epileptic seizures even by certified Neurologists. Do patient characteristics and demographics increase our accuracy to diagnose PNES? We present a case of a mother and her son, both diagnosed with PNES by cEEG monitoring in our epilepsy monitoring unit. While familial prevalence of conversion disorders is reported in the literature, this will be the first case report describing the incidence of PNES in two members of the same family. Do psychogenic epilepsies run in families? Will the diagnosis of PNES in one family member increase the probability of PNES in their relatives with seizures? Larger patient pools need to be studied to draw a definite conclusion regarding our observation.
心因性非癫痫性发作(PNES)被定义为典型的癫痫样活动或行为,没有皮质癫痫样放电。PNES的诊断仍然是一个挑战,连续视频脑电图(cEEG)仍然是区分癫痫发作和PNES的金标准。尽管我们对PNES的了解有所进展,但诊断和治疗这一众所周知的实体仍然是一项挑战。25%的癫痫发作患者会被误诊为PNES或癫痫发作,即使是经过认证的神经科医生。患者特征和人口统计学是否能提高PNES诊断的准确性?我们提出一个病例的母亲和她的儿子,都诊断为PNES脑电图监测在我们的癫痫监测单位。虽然文献中报道了转换障碍的家族患病率,但这将是第一个描述同一家庭两名成员中PNES发病率的病例报告。心因性癫痫有家族遗传吗?一个家庭成员的PNES诊断是否会增加其癫痫发作亲属的PNES概率?需要对更大的患者群体进行研究,才能对我们的观察得出明确的结论。
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引用次数: 0
Torpedo Maculopathy: A Case Report of a 9-Year-Old Girl in Albania 鱼雷黄斑病变:阿尔巴尼亚1例9岁女童报告
Pub Date : 2018-05-18 DOI: 10.4172/2165-7920.10001112
M. Krasniqi
Torpedo maculopathy is a rare, congenital anomaly of the retinal pigment epithelium (RPE) which is characterized by the appearance of a ‘torpedo‐shaped’ lesion located temporal to the fovea. In our case a 9 years old girl on her routine eye examination was discover to have a bilateral macular RPE defect with a pointed-oval shape directed toward the foveola and hyperpigmented. OCT and Foto fundus was done to the patient and diagnoses of torpedo maculopathy was made. Regular was recommended.
鱼雷黄斑病变是一种罕见的先天性视网膜色素上皮(RPE)异常,其特征是出现位于中央凹颞部的“鱼雷状”病变。在我们的病例中,一名9岁的女孩在例行眼部检查中发现双侧黄斑RPE缺陷,呈指向小凹的尖椭圆形,色素沉着。对患者进行OCT和Foto眼底检查,诊断为鱼雷性黄斑病变。建议定期使用。
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引用次数: 0
期刊
Journal of clinical case reports
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