Результаты поиска

British Lymphology Society's position paper for management of people with lymphoedema in presence of deep vein thrombosis: a summary.

There is some confusion surrounding the management of people with lymphoedema in the presence of deep vein thrombosis (DVT). This may be in relation to the suitability of commencing compression therapy or regarding the continuation of compression therapy in those who develop DVT. The purpose of this British Lymphology Society position paper is to support evidence-based practice and debunk the myths surrounding the management of DVT and lymphoedema.

Severe bradycardia caused by diabetic ketoacidosis.

Atrial standstill is an uncommon but serious clinical entity that is often unrecognised in the clinical setting. Its diagnosis and treatment should be swift as malignant arrhythmias and thromboembolic complications can arise. We present a 79-year-old man brought to our emergency department with acute confusion, heart failure and severe bradycardia in the context of diabetic ketoacidosis, and discuss the diagnosis and management of this arrhythmic condition.

Recognizing and Managing Postpartum Psychosis: A Clinical Guide for Obstetric Providers.

Postpartum psychosis is a psychiatric emergency that affects 1 to 2 per 1000 women. Key clinical features include mood fluctuation, abnormal thoughts or behaviors, and confusion. Women with a history of bipolar disorder are at heightened risk, as are first-time mothers; current research on the causes focuses on biological triggers, such as immune dysregulation. Women with postpartum psychosis require inpatient hospitalization and should be treated with lithium, antipsychotics, and benzodiazepines.

Erb's palsy complicating a case of annular pancreas.

We report an unusual presentation of annular pancreas with pneumoperitoneum in a newborn with an associated left sided Erb's palsy. The neurological deficit caused considerable confusion in the diagnosis and unexpected complications after surgery. We highlight the importance of clinical examination and the complications that an Erb's palsy can cause. This unusual triad of Erb's palsy, eventration of diaphragm and annular pancreas has hitherto not been described in literature.

Hashimoto's encephalopathy in a patient with septal panniculitis: a case report.

Hashimoto's encephalopathy (HE) is an autoimmune form of encephalopathy, associated with autoimmune thyroiditis. Its prevalence is estimated to be 2:100,000. HE is characterized by behavioral changes, mental confusion, dysarthria, ataxia, psychosis, paranoia, convulsions, hallucinations, headache and hyperthermia. Elevated thyroid antibodies are necessary for diagnosis and the disease responds dramatically to glucocorticoid therapy. We describe a patient with HE and panniculitis, an association reported twice in the literature.

Wernicke's Encephalopathy Accompanying Acute Axonal Polyneuropathy: A Case Report.

Wernicke encephalopathy (WE) is a neuropsychiatric syndrome caused by thiamine deficiency. In addition to the classical symptoms (oculomotor disorder, confusion, and ataxia), acute polyneuropathy is reported to accompany the clinical condition occasionally. In this case report, we intended to present and attract attention to this rare and significant clinical table which starts with application for WE clinical condition, and is accompanied by acute axonal polyneuropathy in the follow-up stage.

Colloid cyst and multiple meningiomata in Gorlin syndrome.

A middle-aged man presented with syncope and confusion. Neuroimaging revealed a third ventricular mass with obstructive hydrocephalus and bilateral convexity meningiomata. The masses were excised and pathology showed a colloid cyst and WHO grade 1 meningiomata respectively. Multisystem workup confirmed Gorlin syndrome. To our knowledge, this is the fourth reported case of Gorlin syndrome associated with colloid cyst, and the first case where multiple meningiomata are also present.

Unilateral Pulmonary Hypoplasia in a Child.

Pulmonary hypoplasia is an uncommon congenital anomaly. A case reported in a six year old male child from Bangladesh who presented with chronic dry cough, episodic fever and occasional haemoptysis causing confusion with tuberculosis. X-ray suggested lung collapse. Final diagnosis reached by combined bronchoscopy, computed tomogram scan of chest and pulmonary angiogram. In a child with complete radiological lung collapse possibility of pulmonary hypoplasia should be kept in mind.

Neuro-cysticercosis presenting with single delusion: A rare psychiatric manifestation.

We report a case of multiple parenchymal neurocysticercosis in an elderly lady without raised intracranial tension which caused diagnostic confusion. The initial manifestation was only psychological as delusional disorder without any neurological symptoms or focal neurological deficit. Plain computed tomography scan showed mild bilateral periventricular and subcortical hypodensities. The development of hemiplegia during the course of psychiatric treatment prompted us to go for magnetic resonance imaging brain which clinched the diagnosis.

[Recent progress on genetics of optic neuritis].

Optic neuritis (ON) is a common disorder of the neuro-ophthalmology, which harms patients vision seriously. However, there are a lot of controversy and confusion about its etiology. While ON has familial characteristic and the tendency of heredity to some extent. Recently, association studies have made considerable progress with the rapid development of molecular biology techniques and statistical methods. In this article, the latest progresses in genetics of ON are reviewed.

Is the resorption external or internal?

UNLABELLED: Resorption of teeth is reviewed from a diagnostic perspective to clarify the confusion as to whether it is external or internal. The key features of the various types (external surface, transient apical breakdown, external inflammatory, external replacement, external cervical and internal) are described and illustrated by cases. Management and appropriate treatment is dependent on the correct diagnosis. CLINICAL RELEVANCE: Diagnosis of resorption is essential to the appropriate management.

Wernicke-Korsakoff encephalopathy.

Wernicke described the clinical features of three patients, including two alcoholics, suffering from confusion, ataxia and ophthalmoplegia in whom pathologically he found 'polioencephalitis haemorrhagica superioris'. Korsakoff's doctoral thesis related similar findings but expanded the confabulation and amnesic elements, relating them to alcoholism. This paper, which summarises the salient aspects of the syndrome, discusses their work and shows important earlier descriptions by James Jackson, (1822) Samuel Wilks (1868) and Charles Gayet (1875).

Hypernatraemia and rhabdomyolysis.

A 44-year-old man with a history of childhood brain injury presented with dysarthria, confusion, reduced oral intake and reduced mobility after a week of heatwave conditions. He had severe hypernatraemia and raised serum creatine kinase levels, consistent with rhabdomyolysis. In most previous case reports linking hypernatraemia and rhabdomyolysis, other factors have potentially contributed. From the available evidence, severe hypernatraemia alone appears sufficient to induce muscle injury.

Pick complex--historical introduction.

This historical summary follows the major conceptual developments of the cohesive rather than the fractionated view of the disease, named after Pick. Clinical and biologic evidence in favor the entity is discussed. The changing and proliferating knowledge and terminology requires the integration of several levels of descriptions, while keeping the work in the past in sight. A historical perspective helps to prevent the chaos of terminological confusion and reinventing the wheel.

Leptomeningeal metastases from recurrent squamous cell cancer of the skin.

We report two patients with leptomeningeal metastases from squamous cell cancer of the skin. In one patient cauda equina metastases appeared 6 years after initial presentation; the tumor from radical neck dissection demonstrated perineural invasion suggesting a possible route for subarachnoid dissemination. The other patient presented 2 years after initial diagnosis with confusion and cranial nerve seven and twelve palsies. Both patients died from complications of leptomeningeal metastases.

[Mystery of mydriatic pupils].

The authors describe the case of a 27-year-old man who was examined on account of vertigo and blurred vision. In the objective case-history there was mild confusion, in the physical examination broad symmetrical mydriasis dominated. Later other similar patients were found. Atropine intoxication was proved. The source of the alkaloid was poppy seed contaminated with seeds of henbane (Hyoscyamus niger), in bakery goods served in the works canteen.

"Кортико-бассальный дегенерационный синдром" как первый признак прогрессивной многофукальной лейкоэнцефалопатии.

Мы сообщаем необычный случай вероятной прогрессивной многофукальной лейкоэнцефалопатии (ПМЛ), которая изначально испытывала расстройство правого движения, включая дистонию верхних конечностей, дремор и диспраксию, напоминающую кортикобасальную дегенерацию. В дальнейшем у пациента развилась дезориентация, путаница и брадифрения. Появляющиеся повреждения МРТ белой материи, а также положительный результат теста ПЦР на JC-virus в цереброспинной жидкости, наконец-то привели к правильному диагнозу.

Совпадение в аннотации оригинала
We report an unusual case of probable progressive multifocal leukoencephalopathy (PML), who initially presented with a right-sided movement disorder, including upper limb dystonia, tremor, and dyspraxia, reminiscent of corticobasal degeneration. In the further course, the patient developed disorientation, confusion, and bradyphrenia. The appearance of white …

The future of predictors, prevention, and therapy in postherpetic neuralgia.

Pain is the most common complication of herpes zoster, but much confusion and dissent exist regarding terminology. Established (chronic) herpetic pain is remarkably resistant to treatment, but its prevention is partly achievable. Prodromal and acute herpetic pain are predictors for chronic pain. If research programs and clinical management are to progress optimally, researchers and clinicians must agree on appropriate use of such terms as "zoster-associated pain" and "postherpetic neuralgia."

[Psychic effects of drugs prescribed for hypertensive patients. An experiment of the Regional Drug Monitoring Center in Marseilles].

The authors present typical observations of behavioural adverse effects induced by anti-hypertensive drugs and reported to the Marseilles Regional Center of Pharmacovigilance. These effects include: sleep disorders, confusion, psychotic reactions and depression. Surprisingly, these effects seem to be very rarely reported; this is perhaps due to a tricky assessment of the causal relationship: many factors (hypertension, other diseases, other drugs) can have an influence on these troubles.

Fetal gastrointestinal abnormalities.

A wide range of abnormalities of the fetal gastrointestinal tract is currently detectable by antenatal sonography, but the sonographic appearance of normal fetal bowel is variable, with considerable overlap between normal and abnormal patterns. In examining the major gastrointestinal disorders that may be recognized by in utero sonography, this article emphasizes potential pitfalls due to confusion with normal anatomic variants and pathologic processes arising elsewhere in the fetus.