Pub Date : 2018-10-30DOI: 10.46619/joccr.2018.1-1027
H. L., E. H. Kimberley, E. Jeffrey, P. Curt
The supra-patellar approach represents one approach to intramedullary nailing (IMN) of diaphyseal tibia fractures. Violation of the knee joint utilizing an intra-articular start point represents a risk for septic arthritis of the knee in the post-operative period. Previous retrospective studies of open tibia and femur fractures demonstrated that post-operative knee sepsis is rare, occurs in the chronic phase after injury, and due to extent of soft tissue injury rather than immune compromise. Here, we review current literature on post-operative knee sepsis, and present a case of acute septic arthritis of the knee following supra-patellar nailing of an open tibia fracture in a patient on chronic immune suppression. In this unique case, co-morbid patient factors likely led to this manifestation of a rare complication.
{"title":"Acute Septic Arthritis Following Supra-Patellar Nailing of an Open Diaphyseal Tibia Fracture in an Immune Compromised Patient","authors":"H. L., E. H. Kimberley, E. Jeffrey, P. Curt","doi":"10.46619/joccr.2018.1-1027","DOIUrl":"https://doi.org/10.46619/joccr.2018.1-1027","url":null,"abstract":"The supra-patellar approach represents one approach to intramedullary nailing (IMN) of diaphyseal tibia fractures. Violation of the knee joint utilizing an intra-articular start point represents a risk for septic arthritis of the knee in the post-operative period. Previous retrospective studies of open tibia and femur fractures demonstrated that post-operative knee sepsis is rare, occurs in the chronic phase after injury, and due to extent of soft tissue injury rather than immune compromise. Here, we review current literature on post-operative knee sepsis, and present a case of acute septic arthritis of the knee following supra-patellar nailing of an open tibia fracture in a patient on chronic immune suppression. In this unique case, co-morbid patient factors likely led to this manifestation of a rare complication.","PeriodicalId":73665,"journal":{"name":"Journal of clinical cases & reports","volume":"17 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82936343","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}
Pub Date : 2018-10-30DOI: 10.46619/joccr.2018.1-1026
Sparacino Gina, Ablove Robert
Ring entrapment on swollen digits is frequently encountered in urgent and emergent settings. Various removal methods have been described. Special tools and techniques are required to remove rings and bands from fingers in order to prevent finger ischemia and necrosis. Non-cutting removal techniques are preferable, but when unsuccessful, cutting or destructive techniques may be necessary. Techniques are material dependent and directly related to hardness and malleability. We present a case of digital entrapment in the lug hole of a tire, extricated utilizing a Dremel tool and provide a summary of other ring removal techniques.
{"title":"A Case of Digital Ring Entrapment: A Review of Ring Removal Techniques in the Emergency Setting","authors":"Sparacino Gina, Ablove Robert","doi":"10.46619/joccr.2018.1-1026","DOIUrl":"https://doi.org/10.46619/joccr.2018.1-1026","url":null,"abstract":"Ring entrapment on swollen digits is frequently encountered in urgent and emergent settings. Various removal methods have been described. Special tools and techniques are required to remove rings and bands from fingers in order to prevent finger ischemia and necrosis. Non-cutting removal techniques are preferable, but when unsuccessful, cutting or destructive techniques may be necessary. Techniques are material dependent and directly related to hardness and malleability. We present a case of digital entrapment in the lug hole of a tire, extricated utilizing a Dremel tool and provide a summary of other ring removal techniques.","PeriodicalId":73665,"journal":{"name":"Journal of clinical cases & reports","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80810691","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}
Pub Date : 2018-10-30DOI: 10.46619/joccr.2018.1-1023
Tiedemann Svendsen Mathias, Ejner Andersen Klaus
Objective: We describe a psoriasis patient who let his dog lick his psoriasis lesions, which resulted in nonadherence to prescribed topical calcipotriol/betamethasone dipropiontae (Cal/BD) cutaneous foam. Methods: The patient’s adherence to (Cal/BD) cutaneous foam was objectively monitored by a chip in the medication dispenser and the patient was subsequently visited at his home to observe the dog’s licking process and obtain clinical photos. Conclusion: Topical antipsoriatic drugs containing corticosteroid/calcipotriol preparations are first-line treatment for mild-to-moderate psoriasis, but adherence rates to topical antipsoriatic drugs are low and a barrier for full efficacy of the treatment. Physicians should be aware that a dog licking off psoriasis scales can lead to nonadherence to topical treatment as well as expose the dog owners and their dogs to a risk of adverse events.
{"title":"Nonadherence to Treatment with Topical Calcipotriol/Betamethasone Dipropionate Cutaneous Foam due to a Dog Licking off Psoriasis Scales: A Case Report","authors":"Tiedemann Svendsen Mathias, Ejner Andersen Klaus","doi":"10.46619/joccr.2018.1-1023","DOIUrl":"https://doi.org/10.46619/joccr.2018.1-1023","url":null,"abstract":"Objective: We describe a psoriasis patient who let his dog lick his psoriasis lesions, which resulted in nonadherence to prescribed topical calcipotriol/betamethasone dipropiontae (Cal/BD) cutaneous foam. Methods: The patient’s adherence to (Cal/BD) cutaneous foam was objectively monitored by a chip in the medication dispenser and the patient was subsequently visited at his home to observe the dog’s licking process and obtain clinical photos. Conclusion: Topical antipsoriatic drugs containing corticosteroid/calcipotriol preparations are first-line treatment for mild-to-moderate psoriasis, but adherence rates to topical antipsoriatic drugs are low and a barrier for full efficacy of the treatment. Physicians should be aware that a dog licking off psoriasis scales can lead to nonadherence to topical treatment as well as expose the dog owners and their dogs to a risk of adverse events.","PeriodicalId":73665,"journal":{"name":"Journal of clinical cases & reports","volume":"256 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79518869","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}
Pub Date : 2018-07-30DOI: 10.46619/joccr.2018.1-1013
Nasim Sana, Shahzad Noman, Mistry Akbar, Chundriger Qurratulain, Muhammad Inam Pal Khwaja
Solid Pseudopapillary Neoplasm (SPN) of the pancreas is a rare neoplasm that typically affects young females. It is a low-grade malignant tumor which is quite commonly misdiagnosed as pancreatic pseudo-cyst. We report a case of SPN in a young female who presented with epigastric pain. Computerized Tomographic (CT) scan of pancreas revealed well demarcated lesion in the head of pancreas. She underwent Whipple procedure. Histopathology confirmed the diagnosis. She did not need any further treatment.
{"title":"Solid Pseudopapillary Neoplasm of Pancreas, Presentation and Management of a Rare Case","authors":"Nasim Sana, Shahzad Noman, Mistry Akbar, Chundriger Qurratulain, Muhammad Inam Pal Khwaja","doi":"10.46619/joccr.2018.1-1013","DOIUrl":"https://doi.org/10.46619/joccr.2018.1-1013","url":null,"abstract":"Solid Pseudopapillary Neoplasm (SPN) of the pancreas is a rare neoplasm that typically affects young females. It is a low-grade malignant tumor which is quite commonly misdiagnosed as pancreatic pseudo-cyst. We report a case of SPN in a young female who presented with epigastric pain. Computerized Tomographic (CT) scan of pancreas revealed well demarcated lesion in the head of pancreas. She underwent Whipple procedure. Histopathology confirmed the diagnosis. She did not need any further treatment.","PeriodicalId":73665,"journal":{"name":"Journal of clinical cases & reports","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85971647","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}
Pub Date : 2018-07-30DOI: 10.46619/joccr.2018.1-1012
Saraswathy Maha
Based on a follow up update on a previous study performed 2 decades earlier (Ann SM; 2000; 20(2): 135-136). Portraying alarming results on knowledge and attitudes on breast cancer among healthcare professionals from and university hospital. This review aims to explore the current performance of healthcare professionals towards breast cancer awareness in a potentially developed era. Materials and Methods: This Cross-Sectional pilot tested study was conducted at a university hospital targeting all healthcare professionals between June 2017 - December 2017. Designed structured questionnaires were directly distributed to cover demographic data, high-risk factors, knowledge and attitudes towards breast cancer. The target population was 600. Results: The total respondents were 532(88%). Age ranged between 19-59 years with the mean age of 28 years. These where 200(37%) final year medical students, 118(22%) interns, 60(11%) residents 22(4%), specialist 30(5%), 28(5%) consultants, and 74(13%) nurses. High risk group accounted for 120(23%) of all participants. The highest scores were obtained from the younger group of staff, the internsstudents (91%, 97%) as compared to the specialistconsultant categories (75%, 82%). Nurses unexpectedly had shown lower scores in knowledge (71%) which may suggest that the practical education in nursing practice supersedes knowledge in special fields. High risk group did not show significant difference in the overall knowledge scores (84%) yet, they scored higher in attitudes towards BCAP (94%). Conclusion: The necessity for (BCAP) cannot be overstated. The impressive and remarkable improvement of breast cancer awareness coupled with the availability and readiness of human resources assist in the planning, implementing and setting guidelines and strategies for breast cancer early detection programs. It can be declared that our community is equipped with knowledgeable medical staff, who can perform adequately run Breast Cancer Awareness Programs.
{"title":"Breast Cancer Awareness among Healthcare Professionals - 2 Decades later: An Observational Review","authors":"Saraswathy Maha","doi":"10.46619/joccr.2018.1-1012","DOIUrl":"https://doi.org/10.46619/joccr.2018.1-1012","url":null,"abstract":"Based on a follow up update on a previous study performed 2 decades earlier (Ann SM; 2000; 20(2): 135-136). Portraying alarming results on knowledge and attitudes on breast cancer among healthcare professionals from and university hospital. This review aims to explore the current performance of healthcare professionals towards breast cancer awareness in a potentially developed era. Materials and Methods: This Cross-Sectional pilot tested study was conducted at a university hospital targeting all healthcare professionals between June 2017 - December 2017. Designed structured questionnaires were directly distributed to cover demographic data, high-risk factors, knowledge and attitudes towards breast cancer. The target population was 600. Results: The total respondents were 532(88%). Age ranged between 19-59 years with the mean age of 28 years. These where 200(37%) final year medical students, 118(22%) interns, 60(11%) residents 22(4%), specialist 30(5%), 28(5%) consultants, and 74(13%) nurses. High risk group accounted for 120(23%) of all participants. The highest scores were obtained from the younger group of staff, the internsstudents (91%, 97%) as compared to the specialistconsultant categories (75%, 82%). Nurses unexpectedly had shown lower scores in knowledge (71%) which may suggest that the practical education in nursing practice supersedes knowledge in special fields. High risk group did not show significant difference in the overall knowledge scores (84%) yet, they scored higher in attitudes towards BCAP (94%). Conclusion: The necessity for (BCAP) cannot be overstated. The impressive and remarkable improvement of breast cancer awareness coupled with the availability and readiness of human resources assist in the planning, implementing and setting guidelines and strategies for breast cancer early detection programs. It can be declared that our community is equipped with knowledgeable medical staff, who can perform adequately run Breast Cancer Awareness Programs.","PeriodicalId":73665,"journal":{"name":"Journal of clinical cases & reports","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82082190","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}
Pub Date : 2018-07-30DOI: 10.46619/joccr.2018.1-1011
Kraj Leszek, Krawczyk Joanna, Ziarkiewicz Mateusz, Boguradzki Piotr, W. Wiesław
Administration of several chemotherapeutic agents is associated with a significant risk of neurotoxicity. Neurologic adverse reactions are frequently observed after ifosfamide, which metabolites may cause acute ifosfamide-induced encephalopathy (IIE). There is no standard management in this clinical setting. Herein we report a case of 28 year old male with a B-cell lymphoma unclassifiable, with features intermediate between diffuse large B-cell lymphoma and classical Hodgkin lymphoma. The patient developed a severe IIE with catatonia, as well as fecal and urinary incontinence during combined systemic ifosfamide-based chemotherapy. The infusion was interrupted; hydration and forced diuresis were implemented. Drugs with known sedative effect on the central nervous system were eliminated. Nevertheless, no improvement was observed. At this point a decision was made to administer methylene blue (MB). Two doses were infused at intervals of 6 hours with fast improvement and elimination of IIE symptoms on the second day after MB infusion. Noteworthy, no toxicity attributable to MB was observed. Described treatment was based on previous case reports and small retrospective series and obtained results fully confirmed the conclusions of these publications.
{"title":"Methylene Blue in Management of Acute Ifosfamide-Induced Encephalopathy-Case Report and Literature Review","authors":"Kraj Leszek, Krawczyk Joanna, Ziarkiewicz Mateusz, Boguradzki Piotr, W. Wiesław","doi":"10.46619/joccr.2018.1-1011","DOIUrl":"https://doi.org/10.46619/joccr.2018.1-1011","url":null,"abstract":"Administration of several chemotherapeutic agents is associated with a significant risk of neurotoxicity. Neurologic adverse reactions are frequently observed after ifosfamide, which metabolites may cause acute ifosfamide-induced encephalopathy (IIE). There is no standard management in this clinical setting. Herein we report a case of 28 year old male with a B-cell lymphoma unclassifiable, with features intermediate between diffuse large B-cell lymphoma and classical Hodgkin lymphoma. The patient developed a severe IIE with catatonia, as well as fecal and urinary incontinence during combined systemic ifosfamide-based chemotherapy. The infusion was interrupted; hydration and forced diuresis were implemented. Drugs with known sedative effect on the central nervous system were eliminated. Nevertheless, no improvement was observed. At this point a decision was made to administer methylene blue (MB). Two doses were infused at intervals of 6 hours with fast improvement and elimination of IIE symptoms on the second day after MB infusion. Noteworthy, no toxicity attributable to MB was observed. Described treatment was based on previous case reports and small retrospective series and obtained results fully confirmed the conclusions of these publications.","PeriodicalId":73665,"journal":{"name":"Journal of clinical cases & reports","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74787451","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}
Pub Date : 2018-07-30DOI: 10.46619/joccr.2018.1-1014
Siddiqui Shahla, Quindipan Mariam, Jiexun Wang
Aims: The aim of this audit done prior to the release of the 4th guidelines was to audit the compliance with the brain trauma foundation guidelines in our Surgical Intensive Care Unit from Dec 2013 to Mar 2014. Methods: All adult traumatic brain injury patients admitted to the SICU between December 2013 and March 2014 were included. The third edition of the BTF guidelines was taken as a standard to assess compliance. A computerized ICU database established in 2011 allowed access to the patient records and all data was cross checked with the hospital patient record system. Results: A total of 28 patients were admitted to the SICU during the audit period. 15 variables were checked from the database and corroborated from the hospital records. The variables were collected at 24 hours after admission. All patients were with low Glasgow coma scale (GCS) and admitted to the ICU for neuro monitoring. Of the 15 variables recommended the compliance rate was 60.7%. The ICU mortality for this group of TBI patients during this period was 25%. Conclusions: Our audit shows a higher compliance rate and an acceptable mortality rate. Further studies will be required to see the mortality benefit between groups as well as development of local protocols to improve adherence to the guidelines suggested.
{"title":"Compliance with Brain Trauma Foundation Guidelines in TBI Patients","authors":"Siddiqui Shahla, Quindipan Mariam, Jiexun Wang","doi":"10.46619/joccr.2018.1-1014","DOIUrl":"https://doi.org/10.46619/joccr.2018.1-1014","url":null,"abstract":"Aims: The aim of this audit done prior to the release of the 4th guidelines was to audit the compliance with the brain trauma foundation guidelines in our Surgical Intensive Care Unit from Dec 2013 to Mar 2014. Methods: All adult traumatic brain injury patients admitted to the SICU between December 2013 and March 2014 were included. The third edition of the BTF guidelines was taken as a standard to assess compliance. A computerized ICU database established in 2011 allowed access to the patient records and all data was cross checked with the hospital patient record system. Results: A total of 28 patients were admitted to the SICU during the audit period. 15 variables were checked from the database and corroborated from the hospital records. The variables were collected at 24 hours after admission. All patients were with low Glasgow coma scale (GCS) and admitted to the ICU for neuro monitoring. Of the 15 variables recommended the compliance rate was 60.7%. The ICU mortality for this group of TBI patients during this period was 25%. Conclusions: Our audit shows a higher compliance rate and an acceptable mortality rate. Further studies will be required to see the mortality benefit between groups as well as development of local protocols to improve adherence to the guidelines suggested.","PeriodicalId":73665,"journal":{"name":"Journal of clinical cases & reports","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87317489","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}
Pub Date : 2018-07-30DOI: 10.46619/joccr.2018.1-1015
Vaibhav Pandey Vipul, S. Sk
This is a case study of gender based violence among the different area of Jharkhand addressing the gender. It elaborates the common phenomenon of male violence and women empowerment in all societies and all social groups and classes. The experiences from field study are juxtaposed with a growing number of innovative violence against women program targeting men in the role of perpetuators.
{"title":"Addressing “Gender” in Gender Based Violence: A Qualitative Study of Gender Transformative Approach among Tribal’s in Jharkhand","authors":"Vaibhav Pandey Vipul, S. Sk","doi":"10.46619/joccr.2018.1-1015","DOIUrl":"https://doi.org/10.46619/joccr.2018.1-1015","url":null,"abstract":"This is a case study of gender based violence among the different area of Jharkhand addressing the gender. It elaborates the common phenomenon of male violence and women empowerment in all societies and all social groups and classes. The experiences from field study are juxtaposed with a growing number of innovative violence against women program targeting men in the role of perpetuators.","PeriodicalId":73665,"journal":{"name":"Journal of clinical cases & reports","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73850903","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}
Pub Date : 2018-07-30DOI: 10.46619/joccr.2018.1-1018
Sato Takuya, Sasa Masuo, Arai Takeshi, N. Hisateru
We present a case of a two-year-old boy with hemophilia A and high titer factor inhibitor, who developed forearm compartment syndrome two days after taking blood samples for a regular check-up of serum concentration of Factor VIII. Emergency fasciotomy was performed to prevent Volkmann contracture. The patient needed bypass therapies including recombitant activated factor VII (rFVIIa), activated prothrombin complexes (aPCC), factors VII・X (MC7-10), and transfusions. Eleven days after the surgical intervention, he was discharged without any functional loss in the affected upper extremity. Early surgical intervention prevented compartment syndrome of affected upper extreme.
{"title":"Forearm Compartment Syndrome in a Two-year-old Boy with Severe Hemophilia A and High Titer Inhibitor Factor VIII: A Case Report","authors":"Sato Takuya, Sasa Masuo, Arai Takeshi, N. Hisateru","doi":"10.46619/joccr.2018.1-1018","DOIUrl":"https://doi.org/10.46619/joccr.2018.1-1018","url":null,"abstract":"We present a case of a two-year-old boy with hemophilia A and high titer factor inhibitor, who developed forearm compartment syndrome two days after taking blood samples for a regular check-up of serum concentration of Factor VIII. Emergency fasciotomy was performed to prevent Volkmann contracture. The patient needed bypass therapies including recombitant activated factor VII (rFVIIa), activated prothrombin complexes (aPCC), factors VII・X (MC7-10), and transfusions. Eleven days after the surgical intervention, he was discharged without any functional loss in the affected upper extremity. Early surgical intervention prevented compartment syndrome of affected upper extreme.","PeriodicalId":73665,"journal":{"name":"Journal of clinical cases & reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83202788","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}
Pub Date : 2018-07-30DOI: 10.46619/joccr.2018.1-1010
Finsterer Josef, Zarrouk-Mahjoub Sinda
In a recent article, a study of cerebral perfusion in 20 patients with mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) by MRI/MRA was presented. We have the following comments/concerns.
{"title":"Cerebral Hyper-perfusion in Stroke-like Lesions may be Secondary and not Pathogenic","authors":"Finsterer Josef, Zarrouk-Mahjoub Sinda","doi":"10.46619/joccr.2018.1-1010","DOIUrl":"https://doi.org/10.46619/joccr.2018.1-1010","url":null,"abstract":"In a recent article, a study of cerebral perfusion in 20 patients with mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) by MRI/MRA was presented. We have the following comments/concerns.","PeriodicalId":73665,"journal":{"name":"Journal of clinical cases & reports","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85428783","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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