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Incidental primary mediastinal choriocarcinoma diagnosed by endobronchial ultrasound ‐guided fine needle aspiration in a patient presenting with transient ischemic attack and stroke
We describe a case of a 41‐year old male patient with no significant prior medical history who presents with symptoms of Transient Ischemic Attack and stroke. Magnetic Resonance Imaging (MRI) of the brain identified areas of ischemia in the left side, and angiography showed occlusion of the left Medial Cerebral Artery (MCA). Cardiac Transthoracic Echocardiogram (TTE) for stroke evaluation incidentally noted a mediastinal abnormality leading to cancer work‐up. Computer Tomography (CT) and 18F‐fluorodeoxyglucose (FDG) PET‐CT scan of the chest incidentally revealed an avid 6 cm paraesophagial/subcarinal mass. Further ...
Source: Diagnostic Cytopathology - April 11, 2017 Category: Pathology Authors: Ivo M. B. Francischetti, Antonio Cajigas, Mark Suhrland, Joaquim M. Farinhas, Samer Khader Tags: BRIEF REPORT Source Type: research

Neurocritical care complications of pregnancy and puerperum
Abstract: Neurocritical care complications of pregnancy and puerperum such as preeclampsia/eclampsia, hemolysis, elevated liver enzymes, low platelets syndrome, thrombotic thrombocytopenic purpura, seizures, ischemic and hemorrhagic stroke, postpartum angiopathy, cerebral sinus thrombosis, amniotic fluid emboli, choriocarcinoma, and acute fatty liver of pregnancy are rare but can be devastating. These conditions can present a challenge to physicians because pregnancy is a unique physiologic state, most therapeutic options available in the intensive care unit were not studied in pregnant patients, and in many situations, ph...
Source: Journal of Critical Care - July 14, 2014 Category: Intensive Care Authors: Jennifer A. Frontera, Wamda Ahmed Tags: Clinical Potpourri Source Type: research