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Paraneoplastic Motor Neuron Disease in a Patient With Sigmoid Colon Adenocarcinoma: A Case Report.

Cureus

August 2024

Internal Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

Article Synopsis
  • - Paraneoplastic neurological syndromes (PNS) are rare disorders caused by immune reactions to cancers, posing diagnostic challenges, particularly with conditions like motor neuron disease tied to gastrointestinal cancers.
  • - A 62-year-old man with type 2 diabetes presented with severe limb weakness and diarrhea, initially misdiagnosed as diabetic neuropathy; tests revealed motor sensory axonal neuropathy linked to sigmoid colon adenocarcinoma.
  • - The patient underwent surgery and treatment, stabilizing his neurological symptoms, emphasizing the need to consider PNS in patients with unexplained neurological issues and the importance of early recognition and a team-based treatment approach.
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The main advantage of the laparo-assisted transanal endorectal pull-through technique (LA - TERPT) for Hirschsprung Disease (HD) is the respect to the rectal-anal anatomy. Postoperative complications have been observed recently. The present study aims to determine how often these postoperative complications occur in these patients.

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Chilaiditi sign is defined as the interposition of the colon or small intestine between the liver and the right diaphragm in the absence of symptoms. Chilaiditi syndrome refers to the condition where the Chilaiditi sign is associated with symptoms including abdominal pain. In this series, we present the cases of two pre-pubescent patients with these rare conditions.

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Postnatal outcome of children with antenatal colonic hyperechogenicity.

Prenat Diagn

January 2024

Institute for Neurosciences of Montpellier, University Montpellier, INSERM, Montpellier, France.

Objective: To evaluate the postnatal outcome of children with antenatal colonic hyperechogenicity, currently considered as a sign of lysinuria-cystinuria, but which may also be a sign of other disorders with a more severe prognosis.

Method: We carried out a French multi-centric retrospective study via 15 Multidisciplinary Center for Prenatal Diagnosis from January 2011 to January 2021. We included pregnancies for which fetal colonic hyperechogenicity had been demonstrated.

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Malignancies in Prader-Willi Syndrome: Results From a Large International Cohort and Literature Review.

J Clin Endocrinol Metab

November 2023

Department of Internal Medicine, Division of Endocrinology, Erasmus Medical Center, University Medical Centre Rotterdam, 3015 GD Rotterdam, The Netherlands.

Context: Prader-Willi syndrome (PWS) is a complex disorder combining hypothalamic dysfunction, neurodevelopmental delay, hypotonia, and hyperphagia with risk of obesity and its complications. PWS is caused by the loss of expression of the PWS critical region, a cluster of paternally expressed genes on chromosome 15q11.2-q13.

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