The Laugier-Hunziker syndrome.
We describe a 46-year-old Hispanic woman who was incidentally found to have hyperpigmentation of the oral mucosa and nails during a routine full body skin examination. The patient reported having these changes for years with no symptoms. A diagnosis of the Laugier-Hunziker syndrome (LHS) was made. LHS is an acquired, benign condition characterized by pigmentary skin changes involving the oral mucosa and is often associated with longitudinal melanonychia. PMID: 25552795 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Mahmood T, Menter A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Intracranial germinoma.
We describe the diagnostic evaluation and treatment of a patient presenting with neurological deficits who was found to have a germinoma of the pineal gland. PMID: 25552796 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Reddy MP, Saad AF, Doughty KE, Armstrong D, Melguizo-Gavilanes I, Cheek BS, Opatowsky MJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Metastatic pancreatic neuroendocrine tumor with ectopic adrenocorticotropic hormone production.
We describe a 71-year-old man who presented with abdominal pain, lower-extremity edema, recent unintentional weight loss, hypertension, hyperglycemia, hypokalemia, and metabolic alkalosis. Serum cortisol levels remained elevated after overnight high-dose dexamethasone suppression. Magnetic resonance imaging revealed a small mass in the head of the pancreas with scattered liver metastases. Both endoscopic ultrasound-guided pancreatic biopsy and liver biopsy revealed a well-differentiated neuroendocrine tumor. These lesions did not show significant uptake on octreotide scan. Medical management and hepatic artery chemoemboliz...
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Vaduganathan M, Nagarur A, Kerr DA, Lauter KB, Padmanabhan A, Raghavan S, Pallais JC, Fenves AZ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Lobular carcinoma of the breast with gastrointestinal metastasis.
We present the case of a 74-year-old woman with metastatic lobular carcinoma with an occult breast primary presenting as a suspected ampullary tumor due to its ampullary metastasis. The patient's clinical presentation is of interest in two aspects. First, lobular carcinoma of the breast metastatic to the ampulla is extremely rare. Second, in the absence of a detectable primary lesion, prior history of malignancy, or distinguishing clinical, radiological, and endoscopic features, histopathological assessments are pivotal for arriving at the appropriate diagnosis and for optimizing treatment. PMID: 25552798 [PubMed] (So...
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Jones C, Tong AW, Mir M, Coyle Y Tags: Proc (Bayl Univ Med Cent) Source Type: research

Hepatic angiosarcoma associated with disseminated intravascular coagulation.
We present a case of hepatic angiosarcoma that presented with disseminated intravascular coagulopathy to highlight the difficulty in diagnosing this disease due its aggressive clinical course, the overlapping features of various coagulopathies, and the nonspecific appearance of angiosarcomas on imaging. PMID: 25552799 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Mazharuddin S, Podduturi V, Guileyardo JM, Cooper B Tags: Proc (Bayl Univ Med Cent) Source Type: research

Eosinophilic variant of chromophobe renal cell carcinoma.
We report two cases of the eosinophilic variant of chromophobe renal cell carcinoma diagnosed at our institution between January 2008 and December 2012. PMID: 25552800 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Podduturi V, Yourshaw CJ, Zhang H Tags: Proc (Bayl Univ Med Cent) Source Type: research

Pulmonary involvement of peripheral T-cell lymphoma manifesting as crazy paving pattern.
Abstract Crazy paving pattern is a finding on computed tomography of the chest that is characterized by interlobular septal thickening and ground-glass opacities. Though classically associated with pulmonary alveolar proteinosis, the differential diagnosis for this pattern is broad, and initial workup includes bronchoscopy with bronchoalveolar lavage to evaluate for malignancy, diffuse alveolar hemorrhage, pulmonary alveolar proteinosis, infection, and eosinophilic pneumonia. Herein we present an unusual case of peripheral T-cell lymphoma not otherwise specified (PTCL NOS) with pulmonary involvement that demonstra...
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Fraser T, Nagarur A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Sweet syndrome and its association with hematopoietic neoplasms.
We present three cases of Sweet syndrome associated with hematopoietic neoplasms. PMID: 25552802 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Soto R, Levy Y, Krause JR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Hairy cell leukemia presenting with a lytic bone lesion.
We report a patient with a history of breast cancer who presented with a left femoral lytic bone lesion that was subsequently diagnosed as HCL by morphology, immunohistochemistry, flow cytometry, and molecular genetic techniques. It was important to biopsy the lesion to establish the correct diagnosis, as HCL is a highly treatment-responsive malignancy. PMID: 25552803 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Pemmaraju N, Gill J, Krause JR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Benign neoplasms in the right ventricular outflow tract.
We describe benign neoplasms in the right ventricular outflow tract in two patients: one, a 2-month-old male with a rhabdomyoma, and the other, a 48-year-old woman with a myxoma. Each of these tumors is rare in that location. PMID: 25552804 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Jayaprakash K, Madhavan S, Kumary VS, Anish PG, George R Tags: Proc (Bayl Univ Med Cent) Source Type: research

Acute pulmonary embolism masquerading as acute myocardial infarction.
In this report, we describe a patient who presented to the emergency department with electrocardiographic findings consistent with an anteroseptal myocardial infarction and his subsequent clinical course. PMID: 25552805 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Ghatak A, Alsulaimi A, Acosta YM, Ferreira A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Invited Commentary: The masquerading pulmonary embolism: why a high index of suspicion remains even today.
PMID: 25552806 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Mora A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Finger necrosis due to cryoglobulinemic vasculitis in association with membranous nephropathy.
Abstract Cryoglobulinemic vasculitis is a small vessel vasculitis that has been associated with chronic infections and autoimmune, lymphoproliferative, and neoplastic disorders. When no significant etiological factors are identified, it is called essential mixed cryoglobulinemia. A detailed and thorough laboratory investigation is required to exclude all possible causes of cryoglobulin formation. Although cryoglobulin testing is simple, careful temperature regulation is needed to avoid false-negative results. Consensus diagnosis should be developed and implemented for appropriate cryoglobulin detection and accurat...
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Porres-Aguilar M, Rodriguez-Castro CE, Osvaldo P, Saifuddin F, Siddiqui T, Fan J, Mukherjee D, Pema K, Abbas A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Virtual coaching for the high-intensity training of a powerlifter following coronary artery bypass grafting.
Abstract A 55-year-old powerlifter in Tennessee learned about the sport-specific, high-intensity cardiac rehabilitation training available in Dallas, Texas, and contacted the staff by phone. He was recovering from quadruple coronary artery bypass grafting (CABG) and had completed several weeks of traditional cardiac rehabilitation in his hometown, but the exercise program no longer met his needs. He wanted help in returning both to his normal training regimen and to powerlifting competition but was unable to attend the Dallas program in person. An exercise physiologist with the program devised a virtual coaching m...
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Adams R, Adams J, Qin H, Bilbrey T, Schussler JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Reverse takotsubo cardiomyopathy with use of male enhancers.
We present a case of a 54-year-old man with an overdose of Extenze (a male enhancer pill containing yohimbine) who was hospitalized with heart failure due to reverse takotsubo cardiomyopathy. PMID: 25552809 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Rodriguez-Castro CE, Saifuddin F, Porres-Aguilar M, Said S, Gough D, Siddiqui T, Mukherjee D, Abbas A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Consequence of patient substitution of nattokinase for warfarin after aortic valve replacement with a mechanical prosthesis.
This report describes a patient's self-substitution of nattokinase for the vitamin K antagonist warfarin after aortic valve replacement with a mechanical prosthesis. Nattokinase is an enzyme derived from a popular fermented soybean preparation in Japan (natto), which has fibrinolytic properties and is gaining popularity in nontraditional health journals and nonmedical health websites as an over-the-counter thrombolytic. After nearly a year of use of nattokinase without warfarin, the patient developed thrombus on the mechanical valve and underwent successful repeat valve replacement. We believe this is the first documented ...
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Elahi MM, Choi CH, Konda S, Shake JG Tags: Proc (Bayl Univ Med Cent) Source Type: research

Slow regular rhythm in a disoriented patient.
PMID: 25552811 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Glancy DL, Lathia VN, Singh M, Alonso A, Foster MB, Ali MJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Anterior spinal cord syndrome of unknown etiology.
We present the cases of two 13-year-old boys with anterior spinal cord syndrome, along with a review of the anatomy and vasculature of the spinal cord and an explanation of how a lesion in the cord corresponds to anterior spinal cord syndrome. PMID: 25552812 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Klakeel M, Thompson J, Srinivasan R, McDonald F Tags: Proc (Bayl Univ Med Cent) Source Type: research

Vertebral artery dissection after a chiropractor neck manipulation.
This report illustrates the potential hazards associated with neck trauma, including chiropractic manipulation. The vertebral arteries are at risk for aneurysm formation and/or dissection, which can cause acute stroke. PMID: 25552813 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Jones J, Jones C, Nugent K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Use of an ultrasonic bone curette (Sonopet) in orbital and oculoplastic surgery.
We present three illustrative cases highlighting the unique advantages of the Sonopet: 1) the ability to spare critical soft tissues; 2) the facility to sculpt and restore the complex contour of the orbit; 3) the capability to biopsy infiltrative lesions that may not be as amenable to manipulation with conventional drills; and 4) a small footprint ideal for small operative fields such as the orbit. PMID: 25552814 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Vrcek I, Starks V, Mancini R, Gilliland G Tags: Proc (Bayl Univ Med Cent) Source Type: research

Paul Roscoe Ellis III, MD: a conversation with the editor.
PMID: 25552815 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Ellis PR, Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Steven Marshall Frost, MD: a conversation with the editor.
PMID: 25552816 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Frost SM, Roberts WC Tags: Proc (Bayl Univ Med Cent) Source Type: research

Teaching with questions.
PMID: 25552817 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Gentry L Tags: Proc (Bayl Univ Med Cent) Source Type: research

To see for oneself: Sir William Osler on autopsies, medical education, and economics.
PMID: 25552818 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Guileyardo JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Coffee: grounds for concern?
PMID: 25552819 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Authors: Weisse AB Tags: Proc (Bayl Univ Med Cent) Source Type: research

Facts and ideas from anywhere.
Authors: PMID: 25552820 [PubMed] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - January 1, 2015 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Clinical research studies enrolling patients through Baylor Research Institute.
Authors: PMID: 25484492 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Acute myelogenous leukemia at Baylor Charles A. Sammons Cancer Center, 2010 to 2012: retrospective analysis of molecular genetic evaluation.
Abstract Over the last several decades, advancements in the understanding of genetic and molecular origins of acute myeloid leukemia (AML) have brought about significant changes in how the disease is classified, diagnosed, and treated. The change from the traditional French-American-British classification system to that of the World Health Organization redefined how the disease is diagnosed not only morphologically but genetically. With genetic information proving to have prognostic value, the newer classification system, which incorporates results of cytogenetic and molecular analyses, allows better definition of...
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Jones C, LeDay TV, Miller AM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Evaluation of epidural analgesia for open major liver resection surgery from a US inpatient sample.
In conclusion, the use of EA for MLR is low, and EA does not seem to influence the incidence of postoperative complications. EA, however, was associated with an increased use of blood transfusions and a longer hospital stay. PMID: 25484494 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Rosero EB, Cheng GS, Khatri KP, Joshi GP Tags: Proc (Bayl Univ Med Cent) Source Type: research

Acknowledgment of contributors.
Authors: PMID: 25484495 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Case reports published by residents of Texas Tech University Health Sciences Center, Lubbock, 2008-2013.
In conclusion, publishing case reports by residents has important benefits for the individual resident and the residency program and provides another resource for medical care. PMID: 25484496 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Buscemi D, Argueta E, Nugent K Tags: Proc (Bayl Univ Med Cent) Source Type: research

Abstracts from the First Annual Baylor Scott and White Surgery Research Day.
This article highlights the top 16 abstracts selected from the submissions for presentation from the podium. PMID: 25484497 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

Diagnosing and managing low serum testosterone.
This article, targeted to primary care physicians, reviews the concept of late-onset hypogonadism, describes how to determine the patients who might benefit from therapy, and offers recommendations regarding the workup and initiation of treatment. PMID: 25484498 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Rivas AM, Mulkey Z, Lado-Abeal J, Yarbrough S Tags: Proc (Bayl Univ Med Cent) Source Type: research

Syncope secondary to second-degree atrioventricular block with donepezil use.
We report a case of a woman with early onset Alzheimer's disease and no history of cardiac disease who developed second-degree heart block after a few weeks of therapy with donepezil. Withdrawal of donepezil led to resolution of the atrioventricular block. PMID: 25484499 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Hundae A, Afzal A, Assar MD, Schussler JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Lupus myopericarditis as a preceding stressor for takotsubo cardiomyopathy.
We describe herein a 61-year-old African American woman who presented with takotsubo cardiomyopathy preceded by lupus myopericarditis. The case highlights the importance of the association between pericarditis and takotsubo cardiomyopathy. This new stressor adds to the existing evidence that these two entities may coexist and do not have to be mutually exclusive. PMID: 25484500 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Chhabra L, Khalid N, Kluger J, Spodick DH Tags: Proc (Bayl Univ Med Cent) Source Type: research

Nontraumatic intracerebral hemorrhage unassociated with arterial aneurysmal rupture as a cause of sudden unexpected death.
This report calls attention to intracerebral hemorrhage as a cause of sudden death. PMID: 25484501 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Roberts CC, Snipes GJ, Ko JM, Roberts WC, Guileyardo JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Postoperative electrocardiogram in a man with the Marfan syndrome.
PMID: 25484502 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Glancy DL, Lathia VN, Heck HA, Singh M, Ali MJ Tags: Proc (Bayl Univ Med Cent) Source Type: research

Angiolymphoid hyperplasia with eosinophilia.
Abstract A patient with multiple erythematous nodules on her posterior scalp presented to our dermatology clinic. Biopsy confirmed the diagnosis of angiolymphoid hyperplasia with eosinophilia. The etiology of this disorder is unclear. Several cases have been treated in the past with complete surgical excision, although the recurrence rate remains relatively high. PMID: 25484503 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Chitrapu P, Patel M, Readinger A, Menter A Tags: Proc (Bayl Univ Med Cent) Source Type: research

Clear cell carcinoma of the ovary associated with increased risk of venous thrombosis.
We present a fatal case of a 59-year-old woman with a clinical course complicated by venous thrombosis and pulmonary thromboembolism that was attributed to CCCO discovered initially at autopsy. PMID: 25484504 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Podduturi V, Guileyardo JM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Avocations: Photograph by Dr. Solis.
Authors: PMID: 25484505 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research

An intravascular lymphoma with extravascular tendencies.
This report discusses the unique features of IVL with concurrent extravascular components. PMID: 25484506 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Thomas CA, Guileyardo JM, Krause JR Tags: Proc (Bayl Univ Med Cent) Source Type: research

Primary splenic sarcoidosis.
Abstract Here we report a case of primary splenic sarcoidosis presenting with isolated splenomegaly with multiple splenic nodules. The sarcoidosis was diagnosed and treated by splenectomy. PMID: 25484507 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Sreelesh KP, Kumar ML, Anoop TM Tags: Proc (Bayl Univ Med Cent) Source Type: research

Posttransplant lymphoproliferative disorder presenting as a small bowel obstruction in a patient with pancreas transplantation alone.
Abstract Posttransplant lymphoproliferative disorder (PTLD) is a well-known complication associated with the transplant recipient. We chronicle a case of PTLD in a failed graft presenting as a small bowel obstruction in a pancreas-only transplant patient. While typical symptoms may be elusive in the complex immunosuppressed patient, graft pain along with persistent graft pancreatitis and a positive Epstein-Barr viremia should raise suspicion for an underlying PTLD. PMID: 25484508 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Kruel CR, Ruiz RM, Shiller SM, Anthony TL, Goldstein RM, Kim PT, Levy MF, McKenna GJ, Onaca N, Testa G, Klintmalm GB Tags: Proc (Bayl Univ Med Cent) Source Type: research

Painful periostitis in the setting of chronic voriconazole therapy.
Abstract A 72-year-old woman on chronic voriconazole therapy for recurrent histoplasmosis developed a painful forearm mass. Laboratory and imaging findings were consistent with a diffuse periostitis. Her symptoms resolved after discontinuation of voriconazole. To our knowledge, this is the first case of voriconazole-induced periostitis to be reported in a patient with chronic histoplasmosis. PMID: 25484509 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Skaug M, Spak C, Oza U Tags: Proc (Bayl Univ Med Cent) Source Type: research

Functional electrical stimulation for incomplete spinal cord injury.
Abstract This case report describes the early use of functional electrical stimulation on an individual with an incomplete spinal cord injury to assist with motor recovery and a return to ambulation. A 32-year-old woman sustained a C7 burst fracture after a fall, requiring anterior cervical fixation from C6 to T1 prior to transfer to acute rehabilitation. She presented as a C8 AIS B spinal cord injury, meaning she had some sensory function spared below the level of injury but not motor function. At discharge from acute inpatient rehabilitation, she was able to ambulate household distances with supervision using a ...
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Fazio C Tags: Proc (Bayl Univ Med Cent) Source Type: research

Complete binasal hemianopia.
We examined two asymptomatic female patients, aged 17 and 83, with complete binasal hemianopia. Both patients had unremarkable eye exams except for the visual field deficits and minimally reduced visual acuity and color vision. Both patients had normal neuroimaging. These are the first reported cases of complete binasal visual field defects without an identifiable ocular or neurologic cause. PMID: 25484511 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Bryan BT, Pomeranz HD, Smith KH Tags: Proc (Bayl Univ Med Cent) Source Type: research

Orbital liposarcoma masquerading as a hemangioma.
Abstract Liposarcomas are the most common soft tissue sarcomas in adulthood, comprising approximately 20% of all sarcomas; most present in the extremities and retroperitoneum (1). Despite the large amount of adipose tissue in the orbit, orbital liposarcomas are rare. Diagnosis can be challenging due to the rarity of the entity and the pathological similarity to benign adipose tumors (2, 3). Fortunately, the advent of immunohistochemical staining has aided in diagnosis. Management of orbital liposarcoma also can be challenging, as illustrated by the case described herein (4). PMID: 25484512 [PubMed - as suppli...
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Vrcek I, Hogan RN, Gilliland G Tags: Proc (Bayl Univ Med Cent) Source Type: research

Reversal of liver function without exchange transfusion in sickle cell intrahepatic cholestasis.
Abstract Sickle cell intrahepatic cholestasis (SCIC) is a rare but fatal complication of sickle cell disease. It is found mainly in homozygous sickle cell disease. To date, there are no standard diagnostic criteria or well-established therapeutic approaches to this condition. Herein, we report this case of a 48-year-old man with sickle cell anemia and a total bilirubin of 78.5 mg/dL without evidence of extrahepatic biliary obstruction or viral hepatitis. The patient had a hemoglobin S level of 87.9%, acute renal failure, and mild coagulopathy. Despite the disease severity, he refused exchange transfusion (ET) with...
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Hosiriluck N, Rassameehiran S, Argueta E, Tijani L Tags: Proc (Bayl Univ Med Cent) Source Type: research

Mach band sign: an optical illusion.
Abstract The chest radiograph of a 63-year-old woman who was found unresponsive was concerning for pneumopericardium, but lacked the other corroborative features suggestive of pneumopericardium. None of the follow-up chest radiographs showed evidence of air around the heart. The radiolucent shadow that mimicked pneumopericardium in this case was due to an artifact known as Mach band sign, an illusion created by lateral inhibition in the light receptors in the retina. PMID: 25484514 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Authors: Panikkath R, Panikkath D Tags: Proc (Bayl Univ Med Cent) Source Type: research

Baylor news.
Authors: PMID: 25484515 [PubMed - as supplied by publisher] (Source: Baylor University Medical Center Proceedings)
Source: Baylor University Medical Center Proceedings - October 1, 2014 Category: Universities & Medical Training Tags: Proc (Bayl Univ Med Cent) Source Type: research