Giant Cell Arteritis of the Lower Limb Presenting as Peripheral Arterial Disease and Mantle Cell Lymphoma Two Years Later
Sophia Corsava, Savvas Psarelis and Elena Nikiphorou
Article Type: Letter to Editor | First Published: June 09, 2015
A 55-year-old man with a two-year history of peripheral arterial disease (PAD) was urgently referred to rheumatology via the vascular clinic. He was scheduled for a balloon-angioplasty due to bilateral aortoiliac and femoro-popliteal disease and occlusion of the iliac arteries. His past medical history included stent revascularisation of the left external iliac artery, endarterectomy of both right common superficial and deep femoral arteries and a polytetrafluroethylene patch (PTFE) graft....
The Barthel Index: Italian Translation, Adaptation and Validation
Galeoto G, Lauta A, Palumbo A, Castiglia SF, Mollica R, Santilli V and Sacchetti ML
Article Type: Research Article | First Published: June 19, 2015
The Barthel Index (BI) is widely used to measure disability also in Italy, although a validated and culturally adapted Italian version of BI has not been produced yet. This article describes the translation and cultural adaptation into Italian of the original 10-item version of BI, and reports the procedures for testing its validity and reliability. The cultural adaptation and validation process was based on data from a cohort of disabled patients from two different Rehabilitation Centers in Rome, Italy....
The Contribution of Susceptibility-weighted Imaging (SWI) in Occult Cerebral Vascular Malformations in Pediatric Patients
Neslin Sahin, Aynur Solak and Liya Alkılıc
Article Type: Case Report | First Published: May 26, 2015
Occult cerebral vascular malformations (CVM) include cerebral cavernous malformations (CCM), developmental venous anomalies, and cerebral capillary telangiectasias (CCT). Conventional magnetic resonance imaging (MRI) has low sensitivity in visualizing these angiographically invisible low-flow vascular lesions. Susceptibility weighted imaging (SWI), a novel high spatial resolution gradient echo MRI sequence with both phase and magnitude information, is exquisitely sensitive to blood products and small venous structures....
Right Sided Approach for a Pacemaker Insertion in the presence of Persistent Left Sided Superior Vena Cava: A Pacing Challenge
Edupuganti Mohan Mallikarjuna Rao, Hakan Paydak and Jawahar Mehta
Article Type: Case Report | First Published: May 25, 2015
Persistent Left sided superior vena cava is a rare congenital anomaly that can complicate a variety of cardiac procedures. We present a patient where a persistent superior vena cava was encountered unexpectedly during routine pacemaker insertion. The condition was diagnosed on the table and greatly lengthened the operating time. Given the situation and an absence of a pre procedure diagnosis the surgeon had to be innovative and invent approaches to navigate the complex anatomy on the spot....
Symptomatic Cervical Perineural (Tarlov) Cyst: A Case Report
Zibis H. Aristeidis, Fyllos C. Apostolos and Arvanitis L Dimitris
Article Type: Case Report | First Published: May 23, 2015
Introduction: Perineural cysts, also known as Tarlov cysts, are benign cerebrospinal fluid-filled cysts of the spinal cord. They were first described by IM Tarlov in 1938. Case presentation: We describe a Tarlov cyst located in the cervical spine, a location quite rare in literature. The patient is a 44-year-old woman who presented with a 3-week history of radicular symptoms of the right C6 root. A perineural cyst was identified at the C5-6 level after Magnetic Resonance Imaging of the cervical spine....
Supratentorial Anaplastic Ependymoma with Bilateral Papilledema
Meghan Berkenstock, Matthew Keisling, Jinglan Liu, Judy Mae Pascasio, Ayman Samkari, Prithvi Narayan, Melandee Brown, Erica Poletto, Christos D Katsetos and Myron Yanoff
Article Type: Case Report | First Published: June 01, 2015
Ependymomas constitute the third most common histological type of CNS tumor in children. Compared to classic cellular ependymoma (WHO grade II), anaplastic ependymoma is a more aggressive and less common subtype of ependymal neoplasm. We report a case of a supratentorial anaplastic ependymoma in a child presenting with a right sixth nerve palsy with bilateral papilledema. To our knowledge, the ophthalmic findings presented herein have not been previously reported in the context of this tumor type....
Multimodal Imaging of Retinal Angiomatous Proliferation Showing Finger-Like Lesions of the Outer Retina
Shiraaz I Rahman, Mihai Mititelu and Rukhsana G Mirza
Article Type: Case Report | First Published: May 25, 2015
Retinal Angiomatous Proliferation (RAP) is a process that occurs in patients with Age-Related Macular Degeneration (AMD) in which retinal capillaries proliferate and invade posteriorly into the choroid. RAP lesions have a characteristic appearance of finger like projections at the level of the outer retina which can resemble inflammatory neovascularization. This case report describes a patient with RAP who received consecutive intravitreal injections of aflibercept....
Rationing of Healthcare Services: An Economic Critique
Article Type: Orginal Research | First Published: June 06, 2015
The starting point of this contribution is the fact that budgets imposed by health policy makers induce rationing, causing inefficiencies in the market for medical services. In addition, inefficiencies spill over into the market for health insurance. In a second step, rationing itself is explained as the outcome of supply and demand for regulation. It is shown that the mere existence of health insurance creates a demand for rationing that increases over time....
Testosterone Effects on the Prostate Gland: Review of Pathophysiology and considerations in Prostate Cancer
Cory Wilczynski and Lily Agrawal
Article Type: Review Article | First Published: May 21, 2015
Testosterone replacement therapy is currently contraindicated in men with a history of prostate cancer. Despite this, new data is emerging in multiple retrospective studies and case reports of testosterone replacement therapy use after treatment for prostate cancer with results that call into question the contraindication. The goal of this paper is to review the association between androgens and the prostate gland physiology and pathology, and analyze the data available concerning the issue of testosterone replacement therapy in men with a history of prostate cancer....