External compression headaches are relatively rare. However, the consultation rate is low and the disease is not well recognized. This report describes a patient who developed intolerable headaches after wearing a helmet at a construction site and required approximately seven months of leave from work. The patient continued to wear the helmet even after the onset of an external compression headache, which worsened. In particular, acute drug treatment is ineffective, resulting in the need for long-term absence. Based on the discrepancy between prevalence and consultation rates, educating occupational workers and workplaces requiring helmet use for external compression headaches is essential.
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http://dx.doi.org/10.7759/cureus.40018 | DOI Listing |
Cureus
November 2024
Anesthesiology and Pain Medicine, Harborview Medical Center, Seattle, USA.
Prompt emergence from general anesthesia is crucial after neurosurgical procedures, such as craniotomies, to facilitate timely neurological evaluation for identification of intraoperative complications. Delayed emergence can be caused by residual anesthetics, metabolic imbalances, and intracranial pathology, for which an eye examination can provide early diagnostic clues. The sunset sign (or setting sun sign), characterized by a downward deviation of the eyes, can be an early indicator of raised intracranial pressure (ICP) or midbrain compression, as is commonly observed in states of hydrocephalus or periaqueductal or tectal plate dysfunction.
View Article and Find Full Text PDFBMC Musculoskelet Disord
December 2024
Department of Trauma and Microreconstructive Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, 830054, China.
Background: The purpose of this study was to report the clinical and psychological outcomes of using a locking compression plate (LCP) as a sequential external fixator following the distraction phase in the treatment of tibial bone defects caused by fracture-related infection (FRI).
Methods: We retrospectively analyzed the clinical records and consecutive X-ray images of patients with tibial bone defects who were treated with an LCP as a sequential external fixator following the distraction phase, between June 2017 and December 2022. The ASAMI criteria were applied to assess the bone and functional outcomes, and postoperative complications were evaluated by using the Paley classification.
World J Cardiol
December 2024
Department of Heart Lung Transplantation and Mechanical Circulatory Support, Apollo Hospitals, Chennai 600086, Tamil Nadu, India.
Comments were made on some thought-provoking articles, which included articles that dealt with cardiac arrest (CA). Two articles on CA elaborate on the role of automated compression devices to provide chest compressions during cardiopulmonary resuscitation (CPR) in "hostile" environments and on a predictive model in cases of out-of-hospital CA (OHCA). CPR after CA has been practiced for centuries, and the evolution until current modern-day practices are discussed.
View Article and Find Full Text PDFDiseases
December 2024
Department of Diagnostic Radiology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawwarah 41477, Saudi Arabia.
Background: Obstructive jaundice is a common health challenge in daily clinical practice caused by a heterogeneous group of benign and malignant conditions in or around extrahepatic bile ducts. This study aimed to investigate the causes of obstructive jaundice, analyze the age and sex distribution, and report the locations of obstruction.
Methods: This was a retrospective study of electronic records of patients diagnosed with obstructive jaundice in the Hadhramout region in Yemen.
JMIR Cardio
December 2024
New South Wales Ambulance, New South Wales Health, Sydney Olympic Park, Australia.
Background: Emergency medical services attend out-of-hospital cardiac arrests all across Australia. Resuscitation by emergency medical services is attempted in nearly half of all cases. However, resuscitation skills can degrade over time without adequate exposure, which negatively impacts patient survival.
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