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Thunderclap headache as a first manifestation of acute disseminated encephalomyelitis: case report and literature review.
BMC Neurol
September 2024
Department of Neurology, Delta General Hospital, Roeselare, Belgium.
Background: Acute Disseminated Encephalomyelitis (ADEM) is an acute demyelinating disorder of the central nervous system, characterize by multiple white matter hyperintensities on T2 MRI. Patients usually present with subacute progressive encephalopathy and polyfocal neurological deficits. Possible treatments are corticosteroids, immunoglobulins and plasma exchange.
View Article and Find Full Text PDFDialysis disequilibrium syndrome in neurosurgery: literature review and illustrative case example.
Geroscience
December 2024
Department of Neurosurgery, University of Oklahoma, 1000 N Lincoln Blvd, #4000, Oklahoma City, OK, 73104, USA.
Introduction: The dialysis disequilibrium syndrome (DDS) is a complication in those undergoing dialysis for chronic kidney disease (CKD) or acute kidney injury (AKI), characterized by nonspecific symptoms that may progress to coma and death secondary to cerebral edema. This syndrome is associated with rapid change in electrolytes during dialysis with changes in intracranial pressure (ICP) and may have a higher incidence in the elderly neurosurgical patient population.
Methods: Literature review and illustrative case example.
Acute pituitary crisis after lumbar surgery: A case report.
Medicine (Baltimore)
December 2023
Department of Anesthesiology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, China.
Rationale: Patients with hypopituitarism often have no specific symptoms; that frequently results in missed diagnosis. An acute hypopituitarism crisis can be induced under stressful conditions. Here, we report a rare case of an acute pituitary crisis after lumbar surgery.
View Article and Find Full Text PDFEndoscopic-assisted removal of bilateral traumatic intracerebral hemorrhage: A case report.
Surg Neurol Int
August 2023
Department of Neurosurgery, Shiroishi Kyoritsu Hospital, Shiroishi, Japan.
Background: Decompressive craniectomy or craniotomy is an effective method for reducing intracranial pressure in patients with traumatic brain injury. However, contralateral intracranial hematoma is a rare but serious complication. Recently, the endoscopic technique has been described as a minimally invasive, safe, and effective treatment for intracranial hematoma evacuation.
View Article and Find Full Text PDFToxic Shock Syndrome After Orthopaedic Surgery.
Cureus
July 2023
Cardiothoracic and Intensive Care, St George's University Hospitals NHS Foundation Trust, London, GBR.
Toxic shock syndrome (TSS) is a rare, life-threatening, acute multisystem disorder caused by exotoxin-producing streptococcal or staphylococcal bacteria. It is often characterised by pyrexia, diffuse erythroderma, malaise, confusion, and hypotension which may progress to multiorgan dysfunction and coma. A high index of suspicion along with immediate diagnosis and multidisciplinary management is required to improve the outcome of the disease.
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