Open Access DOI:10.23937/2572-3235.1510114
Salivary Gland Tumor in Parapharynx Space, Radiologic Evaluation by the Way of Two Cases and Literature Reviewed
F. Medrano, Y.T. Palma, R. Matus, C. Quezada, R. Padilla and G. Carmona
Article Type: Case Report | First Published: 2023/08/26
The neoplasms of the Parpharyngeal Space (PPS) are rare 0.5%-1% of all head and neck tumors [1]. The PPS is an inverted cone-shaped region that extends from the skull base to the hyoid bone. A complex structure called the tensor-vascular-styloid fascia, divides the PPS into the prestyloid and poststyloid compartments. The PPS can be involved by four different types of neoplastic lesions: Primary tumors (benign or malignant), metastatic lymph nodes, lymph node involvement by lymphoproliferative d...
Open Access DOI:10.23937/2469-5858/1510150
LGI1 Autoimmune Encephalitis: A Cause of Delirium that is Easily Missed
Harriet Crosby and Tarun Solanki
Article Type: Case Report | First Published: 2023/08/26
A 78-year-old woman presented with acute confusion, short term memory loss and intermittent jerking movements in her right arm. She had a past medical history of pulmonary embolism, anxiety and 3-month history of cognitive decline. Investigations revealed a new hyponatraemia (122 mmol/L (136-145)) with osmolalities consistent with syndrome of inappropriate secretion of antidiuretic hormone (SIADH). She had a normal CT and MRI brain....
Open Access DOI:10.23937/2643-4563/1710053
Liver Metastasis: Current Concepts in Management and Future Perspectives
Aditya Sharma, Ram Niwas Meena, Rahul Khanna and Seema Khanna
Article Type: Review Article | First Published: 2023/08/20
Liver metastasis can be defined as the seeding of a malignant tumour from other organs affected by cancer. About half of the patients with colorectal cancer develop liver metastases during the progressive course of the disease. Surgery is the only curative treatment for patients with metastatic liver disease, and the five-year survival rate after resection of all detectable liver metastases can be as high as 40%. Unfortunately, only 25% of patients with liver metastases are candidates for liver ...
Open Access DOI:10.23937/2572-3235.1510113
CT Guided Gasserion Ganglion Block - Precise Saviour
Sandeep Botcha, Devara Anil Kashi Vishnuvardhan, K. Ramamurthy and P. Vijayalakshmi
Article Type: Case Report | First Published: 2023/08/20
The present case report discussed the management of a 62-year-old female patient with medically refractory trigeminal neuralgia with percutaneous CT-guided gasserion ganglion block (CT-GGB). Using Hartel anterior approach, we successfully performed CT-GGB with precise positioning of 22G LP needle tip in the medial aspect of foramen ovale at the base of the skull as was witnessed clinically by the patient as sharp pain along the affected areas of the face, confirmed by serial CT screening until i...
Open Access DOI:10.23937/2469-5858/1510149
Nephrotic Syndrome and Acute Kidney Injury Presenting in an Older Adult with Uncontrolled Diabetes Mellitus Following Recent COVID-19 Infection Case Report
Jack Jnani, MD
Article Type: Case Report | First Published: 2023/08/13
A patient in his 70s with history of chronic myelogenous leukemia, hypertension, type 2 Diabetes Mellitus, hyperlipidemia, and recent Coronavirus-19 (COVID-19), presents for 1 week of difficulty urinating. In addition, he has been having significant testicular swelling, bilateral lower extremity swelling, and mild shortness of breath. On exam, patient had bibasilar crackles and decreased breath sounds, and 3+ bilateral edema to the mid-thighs. Patient was noted to be euvolemic on his exam two we...
Open Access DOI:10.23937/2572-3286.1510087
Methamphetamine Overdose with Acute Kidney Injury and Rhabdomyolysis
Nurul Huda Abdullah, NurIzat Muhammad, Abdul Hanan Abdullah, Mohamad Najmi Ahmad, Wan Hasnul Halimi Wan Hassan
Article Type: Case Report | First Published: 2023/08/13
Methamphetamine is an easily available drug worldwide with an estimated 24.7 million active users in 2015 survey while in Malaysia is around 66.4% which are 85,707 people out of total 129,092 drug abuser [1] in 2022. It is sold illegally and common presentation is related to central nervous system like psychosis. There is a case in which the patient presented with chest pain after ingesting a high amount of amphetamine tablets with normal conscious level and electrocardiogram (ECG) finding but h...
Open Access DOI:10.23937/2643-461X/1710074
Case Report: Bee Sting-Associated Meningitis due to S. aureus
Jessica Maria Oliveira Bordinhon, Renata Pinheiro cavallaro de Oliveira, Larissa Vaneska Izidorio Vidal, Samanta Bernardes Cauti, Juliana Pasquini Ferraz Monfardini, Bruno Macedo de Sousa, Thais Marques Sanches Gentil, Marcus VinÃcius Landim Stori Milani and Antonio Camargo Martins, MD, PhD
Article Type: Case Report | First Published: 2023/08/11
S. aureus meningitis usually occurs in the postoperative neurosurgical. There are few cases from the community. We report the case of an 83-year-old woman undergoing alternative therapy for rheumatoid arthritis with bee stings on her knee. She was hospitalized with an allergic reaction after the fourth session. She remained in the hospital for 4 days and was discharged in good general condition. Ten days after discharge, the patient returned to the unit with complaints of headache and fever for ...
Open Access DOI:10.23937/2378-3397/1410155
Symptomatic GERD after Sleeve Gastrectomy
Azzam S Al-Kadi
Article Type: Research Article | First Published: 2023/08/10
Laparoscopic sleeve gastrectomy (LSG) remains an effective standalone bariatric surgery. Some patients might experience gastroesophageal reflux (GERD) symptoms post LSG despite its beneficial outcome on weight loss and improving obesity morbidities. This study aims to determine the prevalence of post-LSG GERD symptoms and associated risk factors....
Open Access DOI:10.23937/2572-3235.1510112
Accuracy of Chest Computed Tomography (CT) for Detection of COVID-19 in Suspicious Patients
Kholoud Hamdy El-Shourbagy, Mona Nasef, Lina Hablas and Lamees Ghith
Article Type: True Research | First Published: 2023/08/12
There were neither specific therapeutic drugs for treatment COVID-2019 nor effective permanent vaccines. Therefore, it is essential to detect early the disease and immediately isolate the infected person from the healthy population. In severe cases with high fever and cough, chest computed tomography (CT) can lead to rapid diagnosis, and to early control of potential transmission. This is usually needed in patients with suspected disease, for the hospitals or communities lacking nucleic acid tes...