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Clinical Medical

Reviews and Case ReportsISSN: 2378-3656

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 Open Access DOI:10.23937/2378-3656/1410248

Progressive Cervical Myelopathy Caused by Bilateral Spontaneous High-Flow Vertebro-Vertebral Arteriovenous Fistulas Associated with Fibromuscular Dysplasia Successfully Treated by Endovascular V2 Segments Sacrifice Using Fibered Coils: A Case Report

Prasert Iampreechakul, Anusak Liengudom, Korrapakc Wangtanaphat, Punjama Lertbutsayanukul, Yodkhwan Wattanasen and Somkiet Siriwimonmas

Article Type: Case Report | First Published: December 19, 2018

The authors reported an extremely rare case of bilateral spontaneous vertebro-vertebral arteriovenous fistulas (VVAVFs) associated with fibromuscular dysplasia (FMD). A 53-year-old hypertensive woman has been placed on antiplatelet drug following diagnosis of supratentorial ischemic stroke for 2 years. Few months before hospitalization, she developed bilateral audible bruits and progressive spastic quadriparesis. Magnetic resonance imaging (MRI) of the cervical spine showed bilateral dilated epi...

 Open Access DOI:10.23937/2378-3656/1410247

Asymptomatic Benign Pleural Plaque Due to Asbestos Exposure in Former TB Patient: A Case Report

Agus Dwi Susanto and Steven Jonathan

Article Type: Case Report | First Published: December 14, 2018

Asbestos fibres, inhaled and displaced by various means to lung tissue, may cause a spectrum of diseases from benign diseases to malignancies. Pleural plaques (PPs) are usually asymptomatic and cause slight impairment of lung function only when they are extended in size. The cause of pleural plaques is exposure to asbestos fibres, most commonly in an occupational setting. Relationships between the dose-response and prevalence of asbestos-related diseases are complex. We present a case of asympto...

 Open Access DOI:10.23937/2378-3656/1410246

Visual Snow Syndrome: A Case Report and New Treatment Option

Shauna Wentzell and Mary Ryan

Article Type: Case Report | First Published: December 10, 2018

We present the case of a 47-year-old male who was diagnosed with Visual Snow Syndrome following extensive specialist consults and medical testing. With an unknown pathogenesis, Visual Snow Syndrome is very difficult to treat and there is no one treatment suited for all patients. The patient in this case report was successfully treated with Amitriptyline based on the hypothesis that Visual Snow Syndrome is a form of peripheral neuropathy and pituitary fatigue. With nearly 200 documented cases of ...

 Open Access DOI:10.23937/2378-3656/1410245

Iatrogenic Bilateral Lower Extremity Subcutaneous Emphysema after Robotic-Assisted Laparoscopic Hysterectomy with Bilateral Salpingo-Oophorectomy and Sacrocolpopexy

Bilal Farhan, Ahmed Aziz, Dina Saba and Gamal Ghoniem

Article Type: Case Report | First Published: December 03, 2018

As minimally invasive surgery becomes more prevalent, it is important to keep in mind the unique complications that can be associated with the use of carbon dioxide insufflation. Postoperative patients presenting with lower extremity pain and swelling should have the diagnosis of iatrogenic subcutaneous emphysema on the differential, alongside deep venous thrombosis and necrotizing fasciitis. A careful history and physical examination can help guide the appropriate management and avoid unnecessa...

Volume 5
Issue 12