Objective: To determine the prevalence of symptoms and risk of obstructive sleep apnea (OSA) among patients with ruptured cerebral aneurysms.
Methods: In this case-control study, a validated Arabic version of the Berlin Questionnaire (BQ) was administered to patients admitted to King Fahd Medical City, Riyadh, Saudi Arabia with cerebral aneurysms between January 2006 and July 2011 (n=53). The same questionnaire was administered to a control group comprised of patients attending primary health care clinics who were matched for age, body mass index (BMI), and gender (n=212).
Results: The mean age of patients with ruptured cerebral aneurysms was 50.7 +/- 15.2 years, and the mean BMI was 27.9 +/- 4.8 kg/m2. In this group, 75.5% complained of snoring compared with 46.7% of the controls (p=0.000). Hypertension was present in 67.9% of cases compared with 30.2% of the controls (p=0.000). Based on the BQ scores, 60.4% of the cases were considered to be at high risk for OSA compared with 31.6% of the controls (p=0.000).
Conclusion: The prevalence of OSA symptoms among patients with ruptured cerebral aneurysms is very high. Almost 60% of patients with ruptured cerebral aneurysms are at risk for OSA.
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Cureus
December 2024
Orthopedics and Traumatology, Unidade Local de Saúde do Nordeste, Macedo de Cavaleiros, PRT.
The plantaris tendon may be absent in some individuals, indicating its unclear function. Anatomically, the plantaris tendon originates from the lateral femoral condyle and has a variable course and insertion point at the calcaneal tuberosity. The plantaris tendon may influence conditions such as Achilles tendinopathy, particularly in its midportion, whether by its close relation to the calcaneal tendon or adhesions between both tendons.
View Article and Find Full Text PDFAnn Thorac Surg Short Rep
March 2023
Department of Cardiothoracic Surgery, Loyola University Medical Center, Maywood, Illinois.
Sinus of Valsalva aneurysm (SVA) is a rare, abnormal dilation of the aortic root. Although often asymptomatic, SVAs can be manifested with a variety of symptoms, including rupture, which is a highly lethal condition. Most SVAs are small, and most patients present with aneurysm in a single coronary sinus.
View Article and Find Full Text PDFAnn Thorac Surg Short Rep
March 2023
Department of Cardiothoracic Surgery, Stanford School of Medicine, Stanford, California.
A 50-year-old man with an acute type B aortic dissection underwent thoracic endovascular aortic repair in 2019. The patient presented again with chest pain and left arm numbness. Computed tomography scan revealed aneurysm expansion and extensive thrombus within a floating stent graft.
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September 2024
Department of Thoracic Surgery, Jesse Brown Veterans Affair Medical Center, Chicago, Illinois.
Azygos lobe is an uncommon anatomic variant that is widely recognized, but rarely associated with pneumothorax. We present a successful surgical management of a spontaneous pneumothorax resulting from rupture of a bulla in an incidentally discovered azygos lobe. The patient is a 73-year-old man who presented with the first-time occurrence of a spontaneous right pneumothorax.
View Article and Find Full Text PDFAnn Thorac Surg Short Rep
June 2023
Department of Cardiovascular Surgery, Daping Hospital, Army Medical University, Chongqing, China.
Aortic dissection and esophageal rupture are life-threatening conditions in trauma patients. The combination complicates treatment. Here, we report a case of traumatic aortic dissection with occult esophageal rupture that was treated successfully with a staged operative strategy: primary esophageal repair followed by delayed aortic arch and aortic valve repair.
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