scholarly journals Importance of Close Follow-Up in the Fetus with Premature Atrial Contractions Accompanied by Atrial Septal Aneurysm: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Yilmaz Yozgat ◽  
Ayhan Kilic ◽  
Cem Karadeniz ◽  
Rahmi Ozdemir ◽  
Onder Doksoz ◽  
...  
Keyword(s):  
Case Report ◽  
Sinus Node ◽  
Good Prognosis ◽  
Atrial Septal Aneurysm ◽  
Fetal Bradycardia ◽  
Hemodynamic Impairment ◽  
Fetal Tachycardia

Rhythms that derive from parts of atria other than the sinus node are called premature atrial contractions (PACs). Vast majority of fetal PACs are idiopathic. Fetal PACs usually have a good prognosis and disappear spontaneously during pregnancy or after delivery. Development of fetal tachycardia or fetal bradycardia is rarely reported during follow-up of fetuses diagnosed with PACs. To the best of our knowledge, coexistence of tachycardia and bradycardia leading to hemodynamic impairment has not yet been reported. We present a fetus diagnosed with PACs and atrial septal aneurysm (ASA) on the 23rd week of gestation proceeding to fetal bradycardia and fetal tachycardia and consequently hemodynamic impairment. We suggest closer follow-up of fetuses with PACs accompanied by ASA.

scholarly journals Case Report: A Case of Perifoveal Exudative Vascular Anomalous Complex With a Good Prognosis

2021 ◽  
Vol 8 ◽  
Author(s):  
Min Fu ◽  
Pan Hu ◽  
Gang Zhang ◽  
Ludonghan Huang ◽  
Huan Xu ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Case Report ◽  
Optical Coherence Tomography Angiography ◽  
Case Reports ◽  
Good Prognosis ◽  
Optical Coherence ◽  
Irreversible Damage ◽  
Micropulse Laser ◽  
History Of

Significance: Perifoveal exudative vascular anomalous complex (PEVAC) is a unique clinical lesion. It manifests as isolated lesions and is easily misdiagnosed. Thus far, few PEVAC case reports have been published. PEVAC is typically inconsistent with other reported macular lesions.Purpose: To report our 24-month follow-up experience on the treatment of PEVAC with a micropulse laser (MPL).Case Report: A 56-year-old Chinese woman with no history of other diseases complained of decreased vision in her left eye that had persisted for more than 1 year. Comprehensive ophthalmic examinations were performed, including a vision test, slit lamp fundus exam, optical coherence tomography (OCT), optical coherence tomography angiography (OCT-A), fluorescein fundus angiography (FFA) and indocyanine green angiography (ICGA). Intravitreal injection of ranibizumab was ineffective, and bleeding, exudation and visual acuity were not improved. After two rounds of micropulse laser (MPL) treatment, the patient was followed up, and the prognosis was good.Conclusion: PEVAC is very rare, and early diagnosis is important, as the lesions readily cause irreversible damage. Our results indicate that an MPL can be used as an alternative treatment for PEVAC patients.

Mature Cystic Teratoma of Ovary– a Case Report & Review of Literature

2020 ◽  
Author(s):  
Sunita Nayak ◽  
Suren Prasad Dash
Keyword(s):  
Case Report ◽  
Germ Cell ◽  
Ovarian Neoplasms ◽  
Germ Cell Tumour ◽  
Cystic Teratoma ◽  
Good Prognosis ◽  
Mature Cystic Teratoma ◽  
Review Of Literature ◽  
The Right

Abstract Mature cystic teratoma or dermoid cyst is the most common germ cell tumour of the ovary. The incidence ranges from 5 to 25% of all ovarian neoplasms out of which 13.7% are bilateral. Teratomas usually occur in the ovaries but they may be seen in other sites known as extragonadal teratomas the incidence of which is only 0.4%. Teratomas are usually benign but they may turn out to be highly malignant. Torsion is known to be the most frequent complication of ovarian teratomas followed by autoamputation. Teratomas are classified as “Mature” and “Immature” by WHO. Teratomas show good prognosis specially the mature ones. Surgery and follow up remains the standard approach. We report a case of mature cystic teratoma in the right ovary of a 28 years old nulliparous woman.

Treatment of orthostatic headache without intracranial hypotension: A case report

Cephalalgia ◽  
2013 ◽  
Vol 33 (11) ◽  
pp. 948-950 ◽  
Author(s):  
Raquel Gil-Gouveia
Keyword(s):  
Case Report ◽  
Vitamin A ◽  
Intracranial Hypotension ◽  
Brain Mri ◽  
Symptomatic Treatment ◽  
Good Prognosis ◽  
Orthostatic Headache ◽  
Pathophysiological Mechanism ◽  
Vitamin A Supplementation

Introduction: Orthostatic headache is very suggestive of intracranial hypotension. It has a good prognosis as it usually responds to conservative treatment or epidural blood patches. Case report: A 36-year-old female presented with severe and prolonged orthostatic headache starting after a seizure. No stigma of intracranial hypotension was detected on brain MRI, and intracranial pressure was within normal range. No imaging evidence of a fistula was found. She was refractory to symptomatic treatment including five epidural blood patches. Progressive improvement occurred simultaneously to the introduction of vitamin A supplementation. Discussion: A series of six similar patients is discussed, in which five patients remained severely symptomatic and workdisabled at an average follow-up of four years. It is proposed that the pathophysiological mechanism producing orthostatic headache might not be dependent on intracranial hypotension and could respond to vitamin A.

scholarly journals Treatment of Vasovagal Syncope Associated with Asystole: Literature Review and Case Report of Long-term Follow-up

2021 ◽  
Vol 17 (2) ◽  
pp. 315-322
Author(s):  
A. V. Pevzner ◽  
E. A. Kuchinskaya ◽  
V. G. Kiktev ◽  
G. I. Kheimets
Keyword(s):  
Case Report ◽  
Clinical Symptoms ◽  
Vasovagal Syncope ◽  
Sinus Node ◽  
Pacemaker Implantation ◽  
Cerebral Hypoperfusion ◽  
Double Blind ◽  
Conduction Disturbances ◽  
Long Term Follow Up

Vasovagal syncope (VVS) can occur in every third of human population. Clinical symptoms of VVS areas a result of arterial hypotension with critical global cerebral hypoperfusion due to vasodilatation and bradicardia. Bradicardia is manifested as sinus node dysfunction and atrioventricular conduction disturbances due to activation of nervus vagus. Asystole can take place in some cases. Lack of efficacy of permanent pacemaker founds in patients to prevent of VVS. The results of double blind placebo controlled studies, European and American expert's opinions, probable causes of lack of efficacy of pacemakers in such category of patients and way of solution of this problem are discussed in the review. Syncope recurrences in spite of pacemaker implantation, risk of surgery complications and good life prognosis are arguments for therapeutic approach, now suitable for the most of patients with VVS. Case report (VVS with asystole but without of pacemaker implantation) with successful follow-up is analyzed in the article.

scholarly journals Intramedullary Mature Teratoma of Cervical Spine in an Infant: A Rare Case Report

2014 ◽  
Vol 21 (3) ◽  
pp. 357-361
Author(s):  
Rakesh Kumar ◽  
Amit Chanduka ◽  
Devendra Purohit ◽  
Radhe Shyam Mittal ◽  
Ronyl Kaushal
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Rare Case ◽  
Pediatric Patients ◽  
Mature Teratoma ◽  
Case Series ◽  
Good Prognosis ◽  
Rare Tumor ◽  
Rare Case Report

Abstract Spinal Teratomas are rare tumor and cervical intramedullary location in infancy still rarer. Only eleven cases of cervical intramedullary teratoma in pediatric patients is reported in available literature (1, ll). We are reporting a case of an infant presenting with cervical mature teratoma with associated dysraphism, adding the next in this rare case series. Arising as a result of dysembryogenesis, these lesions by virtue of their content are difficult to diagnose preoperatively. Heterogeneous intensities on MRI produced by intralesional lipomatous and osseous elements are helpful but rarely enough to diagnose the tumor. Histology is confirmatory. Mature teratomas generally have good prognosis and a timely intervention can prevent further neurological deterioration. However a strict clinical and radiological follow up is recommended.

Canalicular adenoma: palatal presentation of an uncommon lesion

2021 ◽  
Vol 14 (9) ◽  
pp. e243319
Author(s):  
Priya K Nair ◽  
Beena R Varma ◽  
Ravi Veeraraghavan ◽  
Mahija Janardhanan
Keyword(s):  
Differential Diagnosis ◽  
Salivary Gland ◽  
Case Report ◽  
Elderly Women ◽  
Good Prognosis ◽  
Salivary Gland Neoplasm ◽  
Review Of Literature ◽  
Upper Lip ◽  
Histological Features

Canalicular adenoma is a unique, rare, benign salivary gland neoplasm whose reported prevalence varies in different studies. According to literature, this neoplasm has a marked predilection to occur in the upper lip of elderly women. Histological features are usually distinctive and diagnostic. This neoplasm has good prognosis after conservative surgical management but the propensity of multifocal nature and recurrence of this lesion mandates regular follow-up. This case report illustrates the case of a canalicular adenoma in the palate in a 71-year-old male patient. Here, we discuss the differential diagnosis with a brief review of literature.

scholarly journals Giant multinodular infantile fibrosarcoma: a case report

2018 ◽  
Vol 6 (2) ◽  
pp. 701
Author(s):  
Aliyi M. Usman ◽  
Okuofo C. Ehiosa ◽  
Okwonna O. Charles ◽  
Abdullahi Adamu
Keyword(s):  
Case Report ◽  
Adjuvant Chemotherapy ◽  
Soft Tissue ◽  
Neoadjuvant Chemotherapy ◽  
Rare Case ◽  
Surgical Excision ◽  
Good Prognosis ◽  
Rare Type ◽  
Infantile Fibrosarcoma

Infantile fibrosarcoma is a rare type of soft tissue sarcoma seen in children usually less than 2years of age. Few cases of giant infantile fibrosarcoma have been reported in literature. We report a rare case of a giant multi-nodular infantile fibrosarcoma in the left anterolateral chest wall in a 7-year-old boy. The tumour was said to have been recurrent twice for about 6 years. At presentation patient was evaluated and was commenced on 6 cycles of neoadjuvant chemotherapy with vincristine, adriamycin and cyclophosphamide (VAC) regimen to alternate with Ifosfamide/Etoposide (IE) regimen with very good response. Thereafter, had a wide local excision of the tumour and then had 4 more cycles of adjuvant chemotherapy. His 6months follow up showed no evidence of tumour recurrence. Infantile fibrosarcoma is said to be chemo-sensitive tumour with very good response, though surgical excision is the main treatment of choice and overall it is said to have a good prognosis.

scholarly journals Ocular Findings in Susac Syndrome

2017 ◽  
Vol 1 (2) ◽  
Keyword(s):  
Case Report ◽  
Inner Ear ◽  
Early Treatment ◽  
Good Prognosis ◽  
Sao Paulo ◽  
São Paulo ◽  
Susac Syndrome ◽  
Ocular Findings

Purpose: To describe retinal changes in Susac Syndrome (SS), report its evolution and the importance of follow-up in these patients. Setting: The patient was being followed in the Ophthalmology Department of Irmandade Santa Casa de Misericórdia de São Paulo (ISCMSP) - São Paulo, Brazil. Methods: Case report of a patient with SS and evaluation of alterations observed in ophthalmological, neurological and otological examinations. Discussion: SS lesions can affect the vessels of the retina, brain and inner ear with artery occlusions. The patient in this case had mild changes in the structures that make up the triad of SS. Conclusion: In order to avoid possible relapses of the disease and to maintain a good prognosis, it is necessary to observe regular follow-up and initiation of early treatment to prevent damages that compromise such structures and may cause irreversible deficits to the patient.

scholarly journals Breast mucinous cystadenocarcinoma – case report

Mastology ◽  
2020 ◽  
Vol 30 (Suppl 1) ◽  
Author(s):  
Iris Rabinovich ◽  
Ana Paula Martins Sebastiao ◽  
Cristiane Grein Bassi Spadoni ◽  
Cícero de Andrade Urban ◽  
Natalia de Souza Costa
Keyword(s):  
Case Report ◽  
Lymph Nodes ◽  
Left Breast ◽  
Good Prognosis ◽  
Mucinous Cystadenocarcinoma ◽  
Primary Breast Tumor ◽  
Pancreatic Metastasis ◽  
Compensation Technique ◽  
Palpable Nodule

Introduction: Mucinous cystadenocarcinoma (MCC) is a rare primary breast tumor, first described in 1998. It was removed from the WHO classification in 2012, due to lack of consensus about its definition. To our knowledge, only 25 cases have been published in the literature. Objective: Case report and discussion of a case of breast MCC diagnosed in Centro de Doenças da Mama in Curitiba. Case report: Premenopausal 51 year-old patient, complaining of pain and nodule in the left breast. Physical examination showed a palpable nodule of approximately 2 cm, in the UOQ of the left breast. The ultrasound showed a 2.3 cm nodule, BI-RADS 5, submitted to core-needle biopsy with diagnosis of carcinoma with mucinous differentiation, positive for estrogen receptor (ER). The PET-Scan did not show extramammary site capture. Conserving surgery and sentinel lymph node were performed, with breast reconstruction using the geometric compensation technique. Macroscopy showed a cystic and solid mass, of mucinous content, measuring 4.0x3.5 cm. The histological status was suggestive of MCC, with 2 negative sentinel lymph nodes. The IQ showed mammaglobin expression, CK7 and ER, negative expression of c-erbB-2, CK20 and CK5/6. The patient was submitted to radiotherapy and hormone therapy. Discussion: The primary breast MCC needs to be distinguished from ovarian and pancreatic metastasis. The IQ for CK7 and CK20 can be useful, considering that the pancreatic and ovarian MCC have concomitant expression of CK7 and CK20; the breast MCC expresses only CK7. In the 26 cases described in the literature, including this study, mean age was 62 years (41‒96), and the tumor size was variable (0.8–19 cm). Only 4 cases presented positive lymph nodes. Most described cases did not express ER. The reported cases were associated with good prognosis. Conclusion: A consensus on the histological nomenclature and longer follow-up time are necessary to better understand this variant.

Intensive Stuttering Therapy With Telepractice Follow-up: A Case Study

2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel
Keyword(s):  
Case Report ◽  
Therapeutic Intervention ◽  
Intensive Therapy ◽  
Positive Outcome ◽  
Eclectic Approach

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.

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