Open Access DOI:10.23937/2378-3656/1410343
Acute Pericarditis in Chronic Dialysis Patients in Military Hospital of Morocco: About 8 Cases
Dina Ibrahim Montasser, Younes Skri, Kawtar El Hassani, Abdelali Bahadi, Taoufiq Aatif and Driss El Kabbaj
Article Type: Case Report | First Published: March 31, 2021
Uremic pericarditis was described by R. Bright in 1836, several factors were incriminated in the occurrence of this complication in this population in particular an inadequate kidney substitution treatment. It is a retrospective study of the clinico-biological and ultrasound characteristics as well as predictive factors for surgical drainage of the pericardium, performed on 8 chronic hemodialysis patients followed in our nephrology-dialysis unit. Optimization of quality of dialysis and Drainage ...
Open Access DOI:10.23937/2474-3682/1510177
Association Pyoderma Gangrenosum and Systemic Lupus Erythematosus
A Rkiouak, PhD, I El Kassimi, MD, N Sahel, MD, M Zaizae, MD and Y Sekkach, PhD
Article Type: Image Article | First Published: April 26, 2021
19-year-old patient, follow-up for 8 years for SLE treated with hydroxychloroquine 400 mg/day and who had been in remission for a year. SLE diagnosis was based on the association of a malar rash, photosensitivity, lymphopenia, autoimmune hemolytic anemia, antinuclear antibodies positivity, anti-DNA antibodies identified and lupus nephritis. On December 2019, patient noticed a well-defined irregular popular lesion on left leg (Figure 1) associated with ulcerations appeared 1 month later. Treatmen...
Open Access DOI:10.23937/2377-9004/1410200
Endometrial Stromal Nodule: A Case Report
Şerife Özlem Genç, MD, Aliye Nigar Serin, MD and Burcu Yılmaz, MD
Article Type: Case Report | First Published: April 24, 2021
The endometrial stromal nodule (ESN) is the rarest subtype of endometrial stromal tumors (ESTs) that’s why experience with ESN is limited. ESN could mimic highly cellular leiomyomas, usually seen in the premenopausal age. Patients present with non-specific symptoms such as abnormal bleeding, lower abdominal pain, or maybe asymptomatic. Our patient was 46 years old women suffering from abnormal uterine bleeding and lower abdominal pain and had no desire to protect fertility. The preoperative di...
Open Access DOI:10.23937/2377-9004/1410199
Placental Site Nodule (PSN): An Uncommon Diagnosis with a Common Presentation
Sneha GS and Ramesh Kumar R
Article Type: Case Report | First Published: April 24, 2021
Placental site nodule is an uncommon, benign, generally asymptomatic lesion of trophoblastic origin, which may often be detected several months to years after the tenancy from which it resulted. PSN usually presents as menorrhagia, intermenstrual bleeding or an abnormal pap smear. PSN is benign, but it is important to distinguish it from the other benign and malignant lesions like decidua, placental polyp, exaggerated placental site and placental site trophoblastic tumor and squamous cell carcin...
Open Access DOI:10.23937/2643-4474/1710066
Radiologically Documented Enlargement of Retro-Cerebellar Arachnoid Cyst Causing Obstructive Hydrocephalus in Late Adulthood. A Case Report
Florence Constance Maria Reith, MD, PhD, Markus Schmidt, MBBS(Hons), FANZCA and Gabriel Yin Foo Lee, MBBS(Hons), MS, FRACS
Article Type: Case Report | First Published: April 23, 2021
Intracranial arachnoid cysts (AC) rarely enlarge and become symptomatic, especially in adults and when located retrocerebellar. This report describes an adult in which an expanding retrocerebellar arachnoid cyst prompted surgical resection and it provides an overview of the literature and recommendations for optimal management. A 65-year-old women was diagnosed with an incidental retrocerebellar AC. She presented 10 years later with headaches, aural fullness and poor balance. Consecutive MRI sho...
Open Access DOI:10.23937/2643-4474/1710065
Intra-Axial Neurenteric Cyst of Medulla. Case Report and Literature Review
Andrey Vladimirovich Gavrjushin, MD, PhD and Danil Mihajlovich Chelushkin, MD
Article Type: Case Report | First Published: April 23, 2021
NECs are rare congenital lesions that are thought to be a result of persistence of the neurenteric canal to arise from a persistent neurenteric canal connecting primitive gut and neural tube. Despite the congenital nature NECs can be diagnosed at any age and at a similar frequency in women and men. To our knowledge, 140 intracranial NC, confirmed by histology, including the patient presented in this review, have been reported since 1952. Parenchymal NCs are extremely rare and there are no any pu...
Open Access DOI:10.23937/2643-4474/1710064
Neurologic Deficits after Epidural Catheter Removal Lead to Meningioma Diagnosis
Morgan A Clond, MD, PhD, Evin A Koleini, MD, Timothy E Richardson, DO, PhD, Stephanie A Zyck, MD, Vandana Sharma, MD, Mashaal Dhir, MD, Fenghua Li, MD, Satish Krishnamurthy, MD, Xiuli Zhang, MD and P Sebastian Thomas, MD
Article Type: Case Report | First Published: April 21, 2021
We present an unusual case of a 60-year-old female who developed subtle, new-onset left upper and lower extremity weakness on day five after perioperative thoracic epidural placement. The onset of a focal neurological deficit in any patient undergoing epidural anesthesia usually raises suspicion for the presence of an epidural hematoma, abscess, or traumatic cord lesion. However, in this patient, brain imaging revealed a large, occult intracranial mass. Classically, the risk of mass related intr...
Open Access DOI:10.23937/2572-4053.1510033
Understanding Preferences in Chronic Diseases - Importance of Treatment Attributes Differs among Patients with Obstructive Sleep Apnea
Marcel Braun, MBA, Sarah Dietz-Terjung, BSc, MSc, Christian Taube, MD, PhD and Christoph Schoebel, MD
Article Type: Original Article | First Published: April 21, 2021
Understanding of patient preferences is increasingly seen as an important factor to improve the effectiveness of care, especially in chronic conditions such as obstructive sleep apnea (OSA). Evidence of preferences of patients with OSA is still limited, though the disease is highly prevalent. Aim of the study was to improve understanding of the relevance of treatment attributes among OSA patients. Based on a structured questionnaire, the relevance of attributes of OSA treatments as well as willi...
Open Access DOI:10.23937/2572-4193.1510101
Endoscopic Transnasal Resection of Sinonasal Hemangiopericytoma: A Report of Two Cases
Tessei Kuruma, Mariko Arimoto, Mayuko Kishimoto, Kinga You, Yuka Kawade, Yasue Uchida, Ogawa Tetsuya and Yasushi Fujimoto
Article Type: Case Report | First Published: April 21, 2021
Hemangiopericytoma is an uncommon vascular tumor derived from the pericytes of Zimmermann, representing only a small proportion of head and neck tumors, and mostly occurring in the sinonasal tract. We report two cases of hemangiopericytoma of the sinonasal tract in a 78-year-old woman and a 77-yearold man, both presenting with symptoms of frequent epistaxis. In Case 1, a purple tumor was identified originating from the posterior olfactory fissure in the left nasal cavity. To reduce bleeding from...