Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) in a 15-Year-old male presenting with orofacial Swelling.

Background: Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a rare form of non-Hodgkin lymphoma that primarily affects subcutaneous tissues. Its occurrence in the orofacial region is exceptionally uncommon, presenting diagnostic challenges due to symptom overlap with more prevalent orofacial condition.

Case Presentation: This report details the case of a 15-year-old male who presented with persistent left-sided facial swelling, initially misdiagnosed as facial cellulitis.

Impact of inflammation and oxidative stress on carotid intima-media thickness in obstructive sleep apnea patients without metabolic syndrome.

Obstructive sleep apnea (OSA) increases the risk of cardiovascular diseases, and carotid intima-media thickness (IMT) is a good indicator of the severity of atherosclerotic disease. This study tested the hypothesis that inflammation and oxidative stress determined carotid IMT in patients with OSA. The carotid IMT, mean systolic and diastolic pressure (night and morning) were significantly higher and the level of thiols and high-density lipoprotein were significantly lower in our 121 OSA patients than in 27 controls (P < 0.

Effect of lipid-lowering therapy on the progression of intracranial arterial stenosis.

Objectives: Intracranial arterial stenosis (IAS) is a severe disease with a high recurrent stroke rate even under the best medical treatment. Statins have been demonstrated to prevent stroke and to slow or halt atherosclerosis progression. This study was performed to observe the effect of atorvastatin on the progression of IAS, explore the factors associated with atherosclerosis regression and the recurrent rate of stroke.

Detection of microembolic signals using power M-mode Doppler sonography in acute stroke patients with intracranial artery stenosis.

Purpose: Microembolic signals (MES) can be detected in a variety of clinical situations using conventional transcranial Doppler (TCD) sonography. We studied the prevalence of positive MESs in acute stroke patients with intracranial artery stenosis using power M-mode Doppler (PMD) sonography and also tested the feasibility of this new technique.

Method: Thirty-three consecutive acute ischemic stroke or transient ischemic attack patients with intracranial large artery occlusive disease were enrolled.

Pulsatile tinnitus in a case of traumatic temporal extradural arteriovenous fistula: carotid duplex sonography findings before and after embolization.

Carotid duplex sonography (CDS) is regarded as a screening tool for lateral dural arteriovenous fistulae (AVF). However, data on evaluating long-term effects of endovascular treatment are limited. We report the CDS findings in the feeding arteries of a traumatic temporal extradural AVF before and after transarterial embolization.

Lipid management in ischemic stroke patients.

Objectives: In-hospital initiation and maintaining of lipid-lowering therapy (LLT) after discharge is recommended for dyslipidemic stroke patients. However, little is known about actual adherence to treatment in Taiwan. This study aims to describe the current practice of lipid testing and LLT and to identify predictors for patient to receive LLT.

Hemodynamic effects of subclavian steal phenomenon on contralateral vertebral artery.

Purpose: Increased blood flow velocity in the contralateral vertebral artery (VA) is a common finding in subclavian steal syndrome, but its clinical relevance is not known. The aim of this study was to investigate whether the degree of velocity increase in the contralateral VA correlated with the severity of the steal.

Methods: In a retrospective study of 62 patients with subclavian steal phenomenon and 62 sex- and age-matched controls, we analyzed the peak systolic velocity (PSV), end diastolic velocity (EDV), mean velocity (MV), resistance index (RI), and pulsatility index (PI) of the Doppler spectrum of the VA contralateral to the subclavian steal phenomenon.