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Total 28 results found since Jan 2013.
Lessons in IR: Superior Vena Cava Rupture and Pericardial Tamponade
A 50-year-old woman with protein C deficiency presented with chronic headache, dizziness that became worse on bending over, unexplained syncope, visual changes, tinnitus, upper-body truncal edema, atypical chest pain, and shortness of breath on lying recumbent. Magnetic resonance imaging showed occlusion of the superior vena cava (SVC). SVC recanalization and stent placement were performed via access from both the right jugular and right common femoral veins. Jugular venography confirmed occlusion of the right brachiocephalic vein (BCV), with numerous collaterals (Fig 1a).
Source: Journal of Vascular and Interventional Radiology : JVIR - January 23, 2023 Category: Radiology Authors: Brian Funaki Tags: Morbidity & Mortality Source Type: research
Superior Vena Cava Rupture and Pericardial Tamponade
A 50-year-old woman with protein C deficiency presented with chronic headache, dizziness that became worse on bending over, unexplained syncope, visual changes, tinnitus, upper-body truncal edema, atypical chest pain, and shortness of breath on lying recumbent. Magnetic resonance imaging showed occlusion of the superior vena cava (SVC). SVC recanalization and stent placement were performed via access from both the right jugular and right common femoral veins. Jugular venography confirmed occlusion of the right brachiocephalic vein (BCV), with numerous collaterals (Fig 1a).
Source: Journal of Vascular and Interventional Radiology : JVIR - January 23, 2023 Category: Radiology Authors: Brian Funaki Tags: Lessons in IR: M & Source Type: research
The Role of Otorhinolaryngological Manifestations of Mild Covid-19 Disease in Hilly Terrain: Lessons Learnt at a Secondary Care Hospital
AbstractWe conducted the study to find the prevalence of ENT symptoms amongst mild Covid-19 patients from the hilly region of North India and attempted to propose a solution to curb the spread of Covid-19 through early identification, isolation, and treatment. A retrospective, cross-sectional study at a secondary healthcare center in a hilly region of North India covered 423 mildly symptomatic Covid-19 patients from April 2020 to March 2022. These patients were telephonically contacted or called in person at the outpatient department to answer a preset questionnaire with various parameters such as age, gender, ENT symptoms...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 15, 2022 Category: ENT & OMF Source Type: research
Acquired dural arteriovenous fistula after cerebellopontine angle meningioma: A case report
Rationale:
Intracranial brain surgeries, including ventriculostomy, burr hole, craniotomy, and craniectomy, are the most common causes of acquired dural arteriovenous fistula (dAVF). Here we report a case of acquired dAVF after a cerebellopontine angle meningioma surgery.
Patient concerns:
A 51-year-old woman was diagnosed with a 40-mm cerebellopontine angle meningioma. The patient underwent surgery via a retrosigmoid suboccipital approach. A small craniotomy and an additional craniectomy were performed. At 7 months after the surgery, she presented with pulsating tinnitus and headache.
Diagnosis:
Magnetic...
Source: Medicine - July 15, 2022 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Venous stenting for idiopathic intracranial hypertension: lessons learned from a high-volume practice
Introduction In recent years, venous sinus stenting (VSS) has emerged as an effective surgical treatment for idiopathic intracranial hypertension (IIH) with concomitant venous sinus stenosis. Meta-analyses of small series of VSS have demonstrated an excellent safety profile with improvement in headaches, pulsatile tinnitus, papilledema, and visual symptoms in the majority of patients.1 This has led to a rapid growth of VSS being performed with few practitioners having substantial experience. This fact is concerning for several reasons. First, little is known about the pathophysiology of the stenosis or why it might recur f...
Source: Journal of NeuroInterventional Surgery - May 13, 2022 Category: Neurosurgery Authors: Fargen, K. M. Tags: Commentary Source Type: research
Endovascular therapy for acute basilar artery occlusion caused by vertebral artery dissection: Case report
We describes a case of basilar artery (BA) occlusion caused by extracranial VAD, in which we used a stent-retriever to achieve thrombectomy in the BA through the contralateral vertebral artery (VA).
Patient concerns:
A 32-year-old male presented with a sudden-onset headache accompanied by articulation disorder, left-sided weakness, and tinnitus in the left ear.
Diagnosis:
Digital subtraction angiography showed the V1 to V2 segment dissection of the left VA and occlusion of the BA.
Interventions:
Thrombectomy was performed through the thinner right VA with three passes of the Solitaire FR device 4 ×...
Source: Medicine - November 24, 2021 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Vestibular paroxysmia caused by contralateral tortuous vertebral artery: A case report
We report a case of paroxysmal recurrent vertigo accompanying clicking tinnitus on the left side in a 61-year-old patient. He had undergone microvascular decompression to treat the left-side hemifacial spasm 6 years prior. The patient first developed vertigo attacks about 3 years after microvascular decompression, and the attacks increased in frequency over the last 4 months. Video-nystagmography revealed a background right-beating nystagmus which was reversed every 55 seconds, to left-beating nystagmus for 17 seconds.
Diagnosis:
Brain magnetic resonance imaging and angiography demonstrated a compression of ...
Source: Medicine - November 12, 2021 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
A case report of refractory otalgia after Ramsay Hunt syndrome successfully treated by applying pulsed radiofrequency to the great auricular nerve: A CARE-compliant article
Rationale:
Ramsay Hunt syndrome is a type of herpes zoster infection involving geniculate ganglion and facial nerve. Unilateral facial palsy, otalgia, and painful vesicular rash on the auricle and external auditory canal are the typical symptoms. Although postherpetic neuralgia (PHN) is a devastating complication of herpes zoster infection, PHN following Ramsay Hunt syndrome has rarely been reported.
Patient concerns:
A 55-year-old immunocompetent female patient visited our pain clinic, for left-sided refractory otalgia (PHN) that persisted for 3 months after she was diagnosed with Ramsay Hunt syndrome. Althou...
Source: Medicine - October 1, 2021 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Auditory experience, for a certain duration, is a prerequisite for tinnitus: lessons from subjects with unilateral tinnitus in the better-hearing ear
Prog Brain Res. 2021;260:223-233. doi: 10.1016/bs.pbr.2020.07.013. Epub 2020 Aug 14.ABSTRACTTinnitus has traditionally been considered an otologic disorder; however, recent advances in auditory neuroscience have shifted investigations toward the brain. The Bayesian brain model explains tinnitus as an auditory phantom percept. According to the model, the brain works to reduce environmental uncertainty, and thus the absence of auditory information due to hearing loss may cause auditory phantom percepts, i.e., tinnitus. As in animal studies, our recent human observational study revealed the absence of ipsilesional tinnitus in...
Source: Brain Research - February 27, 2021 Category: Neurology Authors: Jeon Mi Lee Yoonjoong Kim Jeong-Yeon Ji Ja-Won Koo Jae-Jin Song Source Type: research
COVID-19: The Tipping Point for Rapid Tech Adoption
Every care provider and life sciences business says the same thing: the global pandemic emergency is acting as an unprecedented accelerant that is profoundly changing the way healthcare is delivered and R&D is conducted.
Above all, the experiences of 2020 have expanded our sense of the possibilities for technology to transform our health. We are in a new technological era. “COVID has disrupted our industry,” says Bertrand Bodson, Chief Digital Officer at Novartis. “It has highlighted our strengths and areas we now need to dial up. Healthcare’s digital moment has arrived.”
Widespread telehealth adopt...
Source: EyeForPharma - October 2, 2020 Category: Pharmaceuticals Authors: Andrew Stone Source Type: news
Chondromyxoid fibroma of the temporal bone: A rare case report
Rationale:
Chondromyxoid fibroma (CMF) is a rare form of benign bone tumor and easily misdiagnosed as fibrosarcoma. Hence, to explore the clinical manifestations, diagnostic tests, and therapeutic procedures for temporal bone cartilage myxoid fibroma, it is important to optimize patient treatment and avoid overtreatment. Previous research has discussed cases of CMF, but this paper presents a systematic, complete, and comprehensive introduction of this disease based on this case and related literature.
Patient concerns:
A 52-year-old male patient presented with pain in his right ear for 2 years and hearing loss in his ...
Source: Medicine - March 1, 2020 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Occurrence of acute pulmonary embolism induced by recombinant erythropoietin during treatment of pure red cell aplasia associated with thymoma: A case report
Rationale:
Thymoma is a type of rare tumor in the thymus gland, and among patients with thymoma, less than 10% will develop pure red cell aplasia (PRCA), whereas less than 5% of patients with PRCA have a thymoma. The optimal approach for PRCA in thymoma is immunosuppressive therapy, such as steroids, cyclosporine, and human antithymocyte globulin.
Patient concerns:
A sixty-one-year-old male was diagnosed with thymoma with PRCA after he complained fatigue, tinnitus, and weakness for 1 month, he received therapy with recombinant erythropoietin (rhEPO) for 1 month after the tumor was totally resected and readmitted with ...
Source: Medicine - March 1, 2019 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Enhancing rehabilitative therapies with vagus and trigeminal nerve stimulation to treat neurological disease. Lessons learned from tinnitus research
Tinnitus is the perception of sound in the absence of a corresponding acoustic stimulus. Classical neuromodulation —which consists of applying electrical or magnetic stimuli to the nervous system to directly modulate ongoing brain activity—can temporarily disrupt these phantom sensations but has not been successful as a causal treatment. Recently, however, an exciting novel neuromodulation technique was deve loped in which stimulation of a cranial nerve was paired with simultaneous presentation of tones, demonstrating that it reverses a tinnitus percept in noise-exposed rats.
Source: BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation - January 22, 2019 Category: Neurology Authors: S. Vanneste Source Type: research
Mesalazine treatment causing resolution of intracranial hypertension secondary to ulcerative colitis: A case report
We report the unusual case of a male patient with UC and ICH in whom both conditions resolved with mesalazine therapy.
Patient concerns:
A 48-year-old Caucasian man presented to our department in June 2016 for decreased vision, transient visual obscuration, pulsatile tinnitus and headaches of 7 months duration. Bilateral optic disc swelling was found at fundus examination. Brain MRI excluded any brain tumor and lumbar puncture showed cerebrospinal fluid (CSF) opening pressure of 26 cm of water with normal CSF contents.
Diagnoses:
Idiopathic ICH was suspected.
Interventions:
The patient was managed with oral acet...
Source: Medicine - December 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
