Publications by authors named "Nicholas Mulchan"

Article Synopsis
  • Cobb syndrome is a rare condition that involves spinal vascular issues and skin lesions linked to specific areas of the body.
  • A case study of a 12-year-old boy revealed his complications, including a history of spinal arteriovenous malformation (AVM) and recent symptoms like back pain and numbness.
  • The report discusses treatment options, the risk of recurrence, and overall understanding of Cobb syndrome to help with early diagnosis and better patient outcomes.
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This case report describes a novel endovascular method for treating chronically occluded internal carotid artery (COICA). The patient is a 55-year-old male with vascular risk factors who presented to an outside institution with right-sided weakness and dysarthria, was diagnosed as having a stroke, and discharged with medical management. The patient's symptoms failed to improve throughout the week prompting him to visit another outside institution, where computed tomography (CT) angiography showed bilateral occlusion of the ICAs at their origins extending intracranially.

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Merkel cell carcinoma (MCC) is an aggressive cutaneous malignancy of neuroendocrine origin presenting as a painless, rapidly growing nodule. MCC often presents in elderly, fair-skinned individuals in sun-exposed areas. Diagnosis is often overlooked at time of presentation due to its rarity, but MCC is twice as deadly as malignant melanoma.

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