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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2625383PMC
http://dx.doi.org/10.1258/jrsm.2008.080337DOI Listing

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Article Synopsis
  • The case report details a young man who experienced sudden vision loss in his left eye, which was later determined to be caused by traumatic internal carotid artery dissection (ICAD) following a motorcycle accident six months prior.
  • The ophthalmic examination revealed severe issues such as no perception of light, extraocular movement restrictions, and signs indicative of central retinal artery occlusion (CRAO), as well as other retinal abnormalities.
  • The findings highlight the importance of recognizing delayed ophthalmic complications from head trauma, urging both patients and physicians to remain vigilant about potential symptoms that may arise months after the initial injury.*
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A 51-year-old male underwent vitrectomy with retrobulbar anesthesia for retinal detachment. Post surgery, he experienced systemic hypotension which normalized after 3 h. The day after, he complained of a central scotoma in the operated eye.

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Can Intracardiac Echocardiography Reduce Steam Pops During Half-Normal Saline Irrigated Radiofrequency Ablation?

Circ Arrhythm Electrophysiol

June 2024

Cardiovascular Division, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN (K.H., Z.T.Y., J.R.M.-P., E.M.P., G.E.D., T.Y.H., K.T., M.K., T.D.R., J.A.M., S.S., J.C.E., P.J.S., A.E., M.L.W., H.T., G.F.M., A.N.K., W.G.S.).

Background: Irrigated radiofrequency ablation with half-normal saline can potentially increase lesion size but may increase the risk of steam pops with the risk of emboli or perforation. We hypothesized that pops would be preceded by intracardiac echocardiography (ICE) findings as well as a large impedance fall.

Methods: In 100 consecutive patients undergoing endocardial ventricular arrhythmia radiofrequency ablation with half-normal saline, we attempted to observe the ablation site with ICE.

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A 39-year-old male presented with the complaint of sudden onset and progressive whitening of the scalp hair. The patient documented the situation by regularly taking selfies starting from the moment he noticed that his hair was starting to turn white. A diagnosis of alopecia areata involving pigmented hair was made with clinical, dermoscopic, histopathological, and immunofluorescence findings.

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Retinal necrosis is a severe condition that threatens visual function. It is caused by viruses that are known to cause acute retinal necrosis (ARN) and progressive outer retinal necrosis (PORN), which are called necrotizing herpetic retinopathies (NHR). ARN causes severe intraocular inflammation, including anterior chamber intravitreal cells, keratic precipitate, vitreous opacity, and retinal vasculitis, whereas intraocular inflammation in PORN is considered mild or virtually absent.

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