Publications by authors named "P Brian Savino"
Background: Idiopathic intracranial hypertension is caused by an elevation of intracranial pressure and can present with slowly progressive visual deterioration from bilateral papilledema. Unilateral papilledema is an exceedingly rare phenomenon, and the mechanisms underlying asymmetric optic nerve involvement remain unknown.
Observations: A 42-year-old woman presented with acute left-eye blurred vision and extraocular pain.
Objective: Parenteral nutrition represents a therapeutic option for patients with type 3 intestinal failure. If used exclusively, parenteral nutrition has to be complete to provide all essential nutrients. The aim was to assess the availability of parenteral nutrition in all parts of the world, to better comprehend the global situation, and to prepare an action plan to increase access to parenteral nutrition.
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- A 60-year-old man experienced progressive vision loss in his right eye for a month, leading to findings of optic disc edema and subsequent imaging showing enhancements in the right optic nerve and left occipital lobe.
- After consultations with neurology and neurosurgery, and failing to find multiple sclerosis or lymphoma through lumbar puncture, he underwent an optic nerve biopsy.
- The biopsy revealed non-caseating granulomatous inflammation indicative of neurosarcoidosis, and the patient was treated with high-dose steroids, which improved disc edema but did not restore his vision.
In many parts of the world, emergency medical services (EMS) clinical care is traditionally delivered by different levels or types of EMS clinicians, such as emergency medical technicians and paramedics. In some areas, physicians are also included among the cadre of professionals administering EMS-based care. This is especially true in the interfacility transport (IFT) setting.
View Article and Find Full Text PDFSignificant restoration of visual function can occur following pituitary tumor resection, although the time course of visual recovery remains poorly understood. This single-centre, two-year, prospective cohort study investigated the temporal patterns of visual recovery in consecutive patients undergoing pituitary tumor resection, between 2009 and 2018. Eyes were stratified based on pre-operative optical coherence tomography (OCT) retinal nerve fibre layer (RNFL) thickness measurements, with thin RNFL being defined as those within the fifth-percentile of age-matched normative values, and normal RNFL as those above the fifth-percentile.
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