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Tumor-induced rotational vertebral artery occlusion in the upper cervical spine: illustrative case.
J Neurosurg Case Lessons
December 2024
Department of Neurosurgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Background: Rotational vertebral artery occlusion, or bow hunter's syndrome (BHS), is a rare but clinically important cause of vertebrobasilar insufficiency. Extrinsic compression of the artery is usually caused by osteophytes, fibrous bands, or lateral disc herniation and typically occurs in the setting of anatomical variations, leading to dynamic compromise of the posterior circulation. Neoplastic causes of BHS are rare.
View Article and Find Full Text PDFChronic Lymphocytic Leukemia Infiltrating in the Brain.
Cureus
November 2024
Neurology, Mayo Clinic, Rochester, USA.
While earlier post-mortem studies show involvement of the central nervous system in 71% of patients with chronic lymphocytic leukemia (CLL), involvement intravitam is rare. A 72-year-old man with untreated, minimally symptomatic CLL developed subacute-onset encephalopathy and presented with severe hyponatremia and stress-induced cardiomyopathy. His initial head computed tomography scan was unremarkable.
View Article and Find Full Text PDFUnexpectedly detected air bubbles in left ventricle during off-pump coronary artery bypass grafting: a case report.
J Cardiothorac Surg
December 2024
Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, Daejeon, Republic of Korea.
Background: Unlike on-pump beating coronary artery bypass grafting, off-pump coronary artery bypass grafting (OPCAB) rarely causes intracardiac air embolisms. However, there have been several reports of air embolisms that occurred during OPCAB using a CO blower, which is commonly used to facilitate visualization of the anastomotic site. Herein, we describe a rare case of air bubbles detected only in the left ventricle during OPCAB.
View Article and Find Full Text PDFA simplified approach to managing a complex infected left ventricular pseudoaneurysm.
J Cardiothorac Surg
December 2024
Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Background: Left ventricular pseudoaneurysm (LVP) is a rare but life-threatening condition resulting from acute myocardial infarction, trauma, bacterial infection, or previous cardiac operations. Diagnosis can be challenging as LVPs remain asymptomatic or present with nonspecific clinical symptoms. Early diagnosis is crucial to prevent rupture and recurrent septicemia.
View Article and Find Full Text PDFProgressive anosmia revealing olfactory cleft actinomycosis: A CARE case report.
Eur Ann Otorhinolaryngol Head Neck Dis
December 2024
Service d'oto-rhino-laryngologie et chirurgie cervico-faciale, hôpital de la fondation Rothschild, 29, rue Manin, Paris, France.
Introduction: Progressive anosmia, unlike sudden-onset viral or traumatic anosmia, requires endoscopic screening for nasal polyps. In the absence of polyposis, radiological work-up should diagnose and treat any curable pathology. Here, we report the case of a patient treated for olfactory cleft actinomycosis.
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