Volume 5 - Issue 1
Authors : Salim AROUS*, Amine Mamoune BOUTALEB, Abdenasseur DRIGHIL,Rachida HABBAL
The use of an alternative non-surgical strategy for closing patent ductus arteriosus (PDA) has been well-established through various studies [1-5]. This
approach involves the placement of an intra-ductal plug or occlusion device,
which has shown reasonable success in achieving long-term outcomes. However, the major drawbacks of this approach include longer procedure times,
the introduction of intravascular foreign bodies, and potential misplacement and embolization.
Authors : Inès Kouki, Elisabeth Palazzo, Germain Jelin, Marine Forien, Pierre-An-toine Juge, Sébastien Ottaviani, Philippe Dieudé, Esther Ebstein
A 21-year-old man was referred to our rheumatology department for spontaneous progressive pain of the right foot and leg with lameness. At birth,
he experienced neonatal hypoxemia with right hemiparesis sequelae. He recently complained of severe asthenia, anorexia and loss of 4 kg. On clinical
examination, his leg and foot were swollen and tough on palpation. He had gingival hypertrophy with discrete bleeding. The rest of the physical examination
was normal.
Authors : Comhaire F*, Decleer W , Deslypere JP
New books are still appearing full of advise to “life young” if you wish to live long.
In fact, the biggest mistake one can make when getting older is to think one is (still) young. In fact, the preparation for a healthy "old age" already begins in
the fourth decade of life.
Authors : F M. Shaikh*, G. Eskandar, H. Jararah, A. Raudonaitis, O. Rees2, L. Papp
Endoleaks remains most common complication following
endovascular repair of aortic aneurysm. Endoleak is classified according to the source of persistent flow to the aneurysm sac. Type III b endoleak originates
from a defect in the graft fabric. Here we report a case of late type III b endoleak from a tear in the main body of an Endurant (Medtronic) endograft,
approximately 36 months, post endovascular repair of infra renal abdominal aortic aneurysm.
Authors : Yuzhong Hu, Jiayi Deng, Liang Yu*
Herpes Zoster (HZ) is precipitated by the reactivation of the dormant Varicella-Zoster Virus (VZV) in the dorsal root ganglia, while PHN, a severe
complication of HZ, triggered by the reactivation of the latent VZV situated in the dorsal root ganglia. PHN is defined as the persisting pain, characterized
by hyperalgesia and allodynia, that extends a month or more after the healing of the Herpes Zoster rash. This form of chronic neuropathic pain has
a protracted, difficult-to-treat course, often accompanied by emotional and
sleep disturbances, leading to a significant decline in the patient's quality of
life.
Authors : Vikram Damaraju*
A 48-year-old gentleman presented to the emergency department with one episode of generalized tonic-clonic seizure and altered sensorium since then.
On initial assessment, he was unresponsive (Glasgow coma score of E2V2M4), with focal motor seizure of the right abdominal wall and had hypertension. A
bolus dose of intravenous midazolam led to rapid abatement of the seizures of the abdominal wall with improvement in the sensorium. Further investigations
revealed T-wave inversions in leads 1 and avL in the electrocardiogram, elevated troponin, bilateral cerebral infarcts in the magnetic resonance imaging
of brain (Figure 1). Echocardiography showed a left ventricular thrombus with
no vascular occlusion in the head and neck angiogram.
Authors : Jevaughn Davis MD*, Caitlyn Stewart, Haianha Desamour MD, Eric Heinz MD PhD, Anita Vincent MD
A goiter describes an enlarged thyroid gland which can cause tracheal deviation or stenosis when sufficiently large [1], presenting significant difficulty
in airway management. Careful consideration and planning must be given to the patient with a large goiter and should include thorough history and
physical exam [2], multidisciplinary preoperative evaluation, and imaging, if time allows. Awake fiberoptic intubation (AFOI) is considered the gold standard
for the anticipated difficult airway, though video laryngoscopy, amongst other techniques, can be used in combination with or instead of AFOI, with
similar success rates [3-5].
Authors : Benchaaboune kenza
A partial uterine fundial septum, class U2a according to the ESHRE/ESGE classification, in a 35 year old patient with a history of miscarriage, who
presented with a threat of premature delivery, associating uterine contractions with a cervix at 22 mm on endovaginal ultrasound, at the age of 28 SA. It should
also be noted that the fetal MRI showed a diaphragmatic hernia.
Authors : Islam KMT, Amin MR, Rahman MA, Alam S, Haque M
Tuberculosis (TB) is caused by acid-fast bacilli Mycobacterium tuberculosis and rarely by M. bovis, which is very common in developing countries like
Bangladesh. Vertebral bodies are common site of extra-pulmonary involvement by TB. Although spinal TB is not very common in young children, pott’s disease
affecting children and requiring surgical intervention have been reported. But in children, this surgery is often challenging due to greater technical difficulty
with instrumentation. A 9-year-old girl presented with paraplegia due to compressive dorsal myelopathy due to pott’s disease at D4- D5 level.
