Posterior Reversible Encephalopathy Syndrome Triggered by Vertebral Artery Angiogram

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Source: Journal of Neurosurgical Anesthesiology - Category: Anesthesiology Tags: Departments: Correspondence Source Type: research

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A 15-year-old boy with X-linked myotubular myopathy associated with severe hypotonia and pectus excavatum presented for posterior spinal fusion of T2-sacrum because of rest pain and severe progressive neuromuscular scoliosis. Previously, he experienced 2 separate instances of cardiac arrest after prone positioning under general anesthesia. A preoperative computed topography angiogram in the supine and prone positions revealed inferior vena cava and right ventricular outflow tract obstruction on prone positioning. Successful positioning and posterior spinal fusion occurred by staging the procedure, correction of volume stat...
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research
We presented one case of medial sphenoid ridge meningioma associated with severe stenosis of the internal carotid artery of intracranial segments. The patient suffered hyperthyroidism, mirror-image dextrocardia and congenital heart disease atrial septal defect simultaneously. Diagnoses: Before the neurosurgical treatment , the colleagues of department of cardiac surgery, anesthesiology and respiratory medicine agreed on our plan of resecting the tumor following the comprehensive evaluation of basal clinical conditions in the patient. For reducing the bleeding intraoperatively, the interventional branch performed digital...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
The objective was to determine the ablation size of a single 15-min freeze and compare it with the conventional 10-min freeze –8-min thaw–10-min freeze protocol. Secondary objectives were to determine the ablation margin and to ascertain whether islands of viable tissue remain within the ablation zone.Materials and MethodsFive adult swine under general anesthesia were used. After surgical abdominal exposure, two ablations were performed in liver and two in kidney. One ablation utilized the 15-min and the second the 10 –8–10-min protocol. At maximum ice-ball, tissue ink was infused via an angiographi...
Source: CardioVascular and Interventional Radiology - Category: Radiology Source Type: research
We describe a patient with traumatic carotid-cavernous fistula (CCF), subsequently developing contralateral extensive hemorrhagic venous infarction from retrograde venous reflux into the opposite basal vein of Rosenthal. A 54-year-old woman was involved in a motor vehicle accident and sustained severe traumatic brain injury. Two months later, she developed bilateral proptosis and audible bruit. Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) of the brain demonstrated the right direct CCF. Fluid-attenuated inversion recovery (FLAIR) images showed a small hyperintense area at the left basal ganglia....
Source: Interventional Neuroradiology - Category: Radiology Tags: Interv Neuroradiol Source Type: research
Conclusions The dominant mechanism of perioperative acute coronary syndrome in our cohort was demand ischemia. A subset of patients had no evidence of obstructive coronary artery disease, but findings were consistent with stress-induced cardiomyopathy.
Source: Anesthesiology - Category: Anesthesiology Source Type: research
 It was 1912 , Titanic had just sank off the Atlantic . When the world attention was elsewhere ,  An unassuming young Dr.Herrick J.B  silently working in his Michigan lab  inquisitively proposed thrombus occluding the coronary artery is the chief culprit in acute myocardial Infarction.It took seven  more decades when Davis et all from Glasgow .UK. proved it by doing dramatic angiographic studies  soon after STEMI in year 1979. Now, even after 100 years , we, the confused cardiologists debate endlessly in glamorous global conclaves in exotic locales whether to aspirate these humble lookin...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Cardiology -Criteria Cardiology -Therapeutic dilemma cardiology wisdom Coronary angiogram cost effectiveness in cardiology STEMI STEMI -Managment STEMI-Primary PCI Thrombolysis Thrombolysis -Tips herrick davis coronary thrombolysis v Source Type: blogs
CONCLUSION: the fact that types 5 and 6 are inherited deformities and not related to trauma against the nose suggests the possible genetic predisposition for the onset of ACS with positive coronary angiography. PMID: 29727128 [PubMed - in process]
Source: B-ENT - Category: ENT & OMF Tags: B-ENT Source Type: research
Rationale: Wooden transorbital penetrating injury is an uncommon and serious trauma that may cause multiply complications. Patient concerns: Here we describe a 62-year-old Chinese woman with a transorbital penetrating injury caused by a long bamboo branch. Diagnosis: Computed tomography scan and magnetic resonance imaging showed the presence of a wooden foreign body. Interventions: Cerebrovascular digital subtraction angiography and temporary balloon occlusion were performed with general anesthesia. Anti-inflammatory therapy was subsequently administered. Outcomes: Retention of wooden foreign body, orbital ce...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Incontinentia pigmenti (IP) is a rare X-linked dominant disorder caused by mutation in the IKBKG gene, also called NEMO, and is often associated with classic dermatologic and dental findings.1 –3 Approximately one-third of affected patients demonstrate ocular involvement.2 Exam under anesthesia (EUA) with fluorescein angiography (FA) has been the mainstay of diagnostic evaluation to identify the disease at the earliest onset before vision-threatening complications such as retinal detach ment.Optical coherence tomography angiography (OCTA) is a noninvasive imaging method that visualizes the
Source: Ophthalmic Surgery, Lasers and Imaging : the Official Journal of the International Society for Imaging in the Eye - Category: Opthalmology Authors: Source Type: research
Background and Objectives Accidental breach of the vertebral artery (VA) during the performance of cervical pain blocks can result in significant morbidity. Whereas anatomical variations have been described for the foraminal (V2) segment of the VA, those involving its V3 portion (between the C2 transverse process and dura) have not been investigated and may be of importance for procedures targeting the third occipital nerve or the lateral atlantoaxial joint. Methods Five hundred computed tomography angiograms of the neck performed in patients older than 50 years for the management of cerebrovascular accident or cervic...
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Original Articles Source Type: research
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