scholarly journals Hohe Myopie und Innenschielen: ein Update zum Heavy-Eye-Syndrom

2020 ◽  
Vol 6 (4) ◽  
pp. 178-179
Author(s):  
Santa Heede ◽  
Stephan Johannes Linke
Keyword(s):  
Differential Diagnosis ◽  
Current Literature ◽  
Surgical Techniques ◽  
Rectus Muscle ◽  
Pulley System ◽  
Important Type ◽  
Hohe Myopie ◽  
Salient Features

Heavy eye syndrome is an important type of myopia-induced strabismus. We provide an overview of heavy eye syndrome, from its history to its most salient features. The theory of the orbital and rectus muscle pulley system as it relates to heavy eye syndrome and the prevailing theories on the pathophysiology of heavy eye syndrome in the current literature are discussed. We also highlight the presentation of heavy eye syndrome, its typical features on imaging, and differential diagnosis. Finally, we provide an overview on the management of heavy eye syndrome, including a description of several current surgical techniques.

Dialysis Encephalopathy: A Review

1984 ◽  
Vol 13 (4) ◽  
pp. 309-326 ◽  
Author(s):  
Robert Jack ◽  
Pauline L. Rabin ◽  
T. Dwight McKinney
Keyword(s):  
Differential Diagnosis ◽  
Early Diagnosis ◽  
Case Studies ◽  
Health Personnel ◽  
Diagnosis And Treatment ◽  
Dialysis Encephalopathy ◽  
The Family ◽  
Prevention And Treatment ◽  
Salient Features

Dialysis encephalopathy (DE) is a distinct neuropsychiatric syndrome typically occurring in patients undergoing longterm hemodialysis. It is characterized by electroencephalographic abnormalities in association with disturbances of speech, cognition, movement, affect, or behavior. Previously thought to be relentlessly progressive, recent evidence linking the illness to aluminum overload has led to advances in prevention and treatment. Early diagnosis aids in the reversal or amelioration of the syndrome and can be of immense value to the patient, the family and involved health personnel. The general features of the syndrome, etiologic considerations, differential diagnosis and treatment are discussed. Three case studies are included to illustrate salient features of the syndrome.

Indications for a single-stage exchange arthroplasty for chronic prosthetic joint infection

2019 ◽  
Vol 101-B (1_Supple_A) ◽  
pp. 19-24 ◽  
Author(s):  
R. R. Thakrar ◽  
S. Horriat ◽  
B. Kayani ◽  
F. S. Haddad
Keyword(s):  
Soft Tissue ◽  
Current Literature ◽  
Surgical Techniques ◽  
Revision Arthroplasty ◽  
Single Stage ◽  
Cochrane Library ◽  
Exchange Arthroplasty ◽  
Prosthetic Joint ◽  
Prosthetic Joint Infections

Aims Prosthetic joint infections (PJIs) of the hip and knee are associated with significant morbidity and socioeconomic burden. We undertook a systematic review of the current literature with the aim of proposing criteria for the selection of patients for a single-stage exchange arthroplasty in the management of a PJI. Material and Methods A comprehensive review of the current literature was performed using the OVID-MEDLINE, EMBASE, and Cochrane Library databases and the search terms: infection and knee arthroplasty OR knee revision OR hip arthroplasty OR hip revision, and one stage OR single stage OR direct exchange. All studies involving fewer than ten patients and follow-up of less than two years in the study group were excluded as also were systematic reviews, surgical techniques, and expert opinions. Results The initial search revealed 875 potential articles of which 22 fulfilled the inclusion and exclusion criteria. There were 16 case series and six comparative studies; five were prospective and 14 were retrospective. The studies included 962 patients who underwent single stage revision arthroplasty of an infected hip or knee joint. The rate of recurrent infection ranged from 0% to 18%, at a minimum of two years’ follow-up. The rate was lower in patients who were selected on the basis of factors relating to the patient and the local soft-tissue and bony conditions. Conclusion We conclude that single-stage revision is an acceptable form of surgical treatment for the management of a PJI in selected patients. The indications for this approach include the absence of severe immunocompromise and significant soft-tissue or bony compromise and concurrent acute sepsis. We suggest that a two-stage approach should be used in patients with multidrug resistant or atypical organisms such as fungus.

Sublingual dermoid cysts: case report and review of the literature

2015 ◽  
Vol 129 (10) ◽  
pp. 1036-1039 ◽  
Author(s):  
E Kyriakidou ◽  
T Howe ◽  
B Veale ◽  
S Atkins
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Techniques ◽  
Surgical Excision ◽  
Cystic Lesions ◽  
Review Of The Literature ◽  
Mylohyoid Muscle ◽  
Floor Of The Mouth ◽  
Intraoral Approach ◽  
History Of

AbstractBackground:Dermoid cysts in the floor of the mouth are relatively uncommon developmental lesions. They are thought to arise in the midline and along the lines of embryonic fusion of the facial processes containing ectodermal tissue.Case report:A 17-year-old female presented with a 3-month history of a growing, progressive swelling in the mouth floor. Clinical examination revealed a rather large symmetrical, soft swelling in the mouth floor, displacing the tongue superiorly. The fast growing nature and size of the lesion raised suspicion of potential compromise to the airway. Surgical excision was therefore performed.Conclusion:Differential diagnosis of cystic lesions in the floor of the mouth is of paramount importance, as the recommended surgical techniques vary depending on the anatomical position of the lesions. The intraoral approach is preferred for those lesions that do not extend beyond the mylohyoid muscle boundaries; this leads to a satisfactory cosmetic and functional outcome.

scholarly journals Duodenojejunostomy, an Old Technique but Novel Solution for Giant Duodenal Perforations - A Report of Four Cases and Review of Literature

2020 ◽  
pp. 1-5
Author(s):  
Jesse Hu Shulin ◽  
Daniel Tan Ee Lee ◽  
Jesse Hu Shulin ◽  
Lee Chin Li ◽  
Tiffany Rui Xuan Gan
Keyword(s):  
Elderly Patients ◽  
Current Literature ◽  
High Risk Patient ◽  
Surgical Techniques ◽  
Partial Gastrectomy ◽  
Advanced Age ◽  
Patch Repair ◽  
General Surgeon ◽  
Omental Patch ◽  
Operative Recovery

Background: Despite advances in the medical management of peptic ulcer disease, duodenal ulcer (DU) perforation remains a common surgical emergency. Most DU perforations are small and can be managed with omental patch repair. However, occasionally the surgeon may encounter a giant perforation not amenable to this. Giant DU perforations are defined as > 2cm. They are associated with high leak rates and mortality. Prognosis in elderly patients are particularly poor because of advanced age and comorbidities. Furthermore, there are no specific recommendations for their management despite a variety of repair techniques being described. Here, we aim to describe a novel technique used to treat such patients, especially those of advanced age, in our institution and to review the current literature. Case presentation: Four patients with giant DU perforation underwent emergency laparotomy and repair with our duodenojejunostomy technique at our hospital. Post-operatively, patients were monitored clinically and radiologically and discharged when well and tolerating diet. The mean age of the patients was 67 years with an equal gender distribution. The average Charlson Comorbidity Index (CCI) score was 3 (moderately severe). All presented with peritonitis and two had concomitant bleeding. There were two anterior and two posterior ulcers. One was a revision repair after a leak post laparoscopic omental patch repair for the initial perforation. In all cases, the duodenojejunostomy repair technique was used. Post-operative recovery was uneventful for all except one who developed pneumonia. In particular; there were no anastomotic leaks, intra-abdominal collections, gastric outlet obstructions or mortalities. Conclusion: Giant DU perforation remains a challenge to the general surgeon, particularly so in elderly patients with multiple comorbids. A review of the current literature suggests a myriad of surgical techniques but no perfect solution. Some suggested techniques include omental patch with pyloric exclusion, controlled tube duodenostomy, jejunal pedicled graft or serosal patch, gastric disconnection and partial gastrectomy. Here, we propose that isolated duodenojejunostomy can be a quick, safe and novel solution that ensures definitive repair of giant ulcer perforation in a single setting in the high-risk patient.

Vitreoretinal Surgical Approaches in Intraocular Tumors

2021 ◽  
pp. 46-50
Keyword(s):  
Differential Diagnosis ◽  
Clinical Experience ◽  
Current Literature ◽  
Adjuvant Treatment ◽  
Primary Treatment ◽  
Surgical Approaches ◽  
Treatment Methods ◽  
Prognostic Evaluation ◽  
Intraocular Tumors

Although primary vitreoretinal techniques are rarely used in the primary treatment of intraocular tumors, they are mostly used for differential diagnosis and as an adjuvant treatment for the actual radiotherapy of these tumors. Especially biopsies are taken for masquerading syndromes, biopsies for prognostic evaluation and alternative/adjuvant treatment methods of intraocular tumors have been emphasized in this paper. The principles of vitreoretinal approaches in these cases are evaluated in light of our clinical experience and current literature data.

scholarly journals Hepatopulmonary Fistula in a Colorectal Cancer Patient

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Maria João Silva ◽  
Nuno Almeida Costa ◽  
Susana Dias ◽  
Maria José Sousa ◽  
Maria Fragoso
Keyword(s):  
Colorectal Cancer ◽  
Differential Diagnosis ◽  
Liver Metastasis ◽  
Cancer Patient ◽  
Liver Neoplasms ◽  
Colorectal Cancer Patient ◽  
Surgical Techniques ◽  
Specific Treatment ◽  
Dismal Prognosis ◽  
Hepatopulmonary Fistula

Cancer patients with liver metastasis may be candidates for liver surgery and local interventional techniques as part of their treatment. Although rare in this setting, hepatopulmonary fistula has been described as a possible complication. The clinical picture may be atypical, and, without specific treatment, it usually has a dismal prognosis. As locoregional treatments (whether interventional or surgical techniques) in liver neoplasms are being more frequently used we need to include this entity as a possible differential diagnosis of local liver treatment complications.

scholarly journals CT imaging review of uncommon peritoneal-based neoplasms: beyond carcinomatosis

2021 ◽  
pp. 20201288
Author(s):  
Perry J Pickhardt ◽  
Alberto A Perez ◽  
Mohab M Elmohr ◽  
Khaled M Elsayes
Keyword(s):  
Differential Diagnosis ◽  
Peritoneal Carcinomatosis ◽  
Ct Imaging ◽  
Malignant Neoplasms ◽  
Peritoneal Disease ◽  
Specific Diagnosis ◽  
Epithelial Cancers ◽  
Ct Evaluation ◽  
Salient Features

Pathologic involvement of the peritoneum can result from a wide variety of conditions, including both neoplastic and non-neoplastic entities. Neoplastic involvement of the peritoneal ligaments, mesenteries, and spaces from malignant spread of epithelial cancers, termed peritoneal carcinomatosis, is frequently encountered at CT evaluation. However, a host of other more unusual benign and malignant neoplasms can manifest with peritoneal disease, including both primary and secondary peritoneal processes, many of which can closely mimic peritoneal carcinomatosis at CT. In this review, we discuss a wide array of unusual peritoneal-based neoplasms that can resemble the more common peritoneal carcinomatosis. Beyond reviewing the salient features for each of these entities, particular emphasis is placed on any specific clinical and CT imaging clues that may allow the interpreting radiologist to appropriately narrow the differential diagnosis and, in some cases, make an imaging-specific diagnosis.

scholarly journals Internal bracing in the treatment of elbow instabilities

2021 ◽  
Author(s):  
Alexander Ellwein ◽  
Helmut Lill ◽  
Tomas Smith ◽  
Rony-Orijit DeyHazra ◽  
Mara Warnhoff ◽  
...  
Keyword(s):  
Current Literature ◽  
Surgical Techniques ◽  
Primary Stability ◽  
Absorbable Suture ◽  
Ligament Repair ◽  
Novel Treatment ◽  
Lateral Elbow ◽  
Internal Bracing ◽  
Suture Tape

AbstractInternal bracing is an augmentation of ligament repair or reconstruction using a non-absorbable suture tape. The suture reinforcement of the ligament is intended to absorb the forces applied to the joint while the ligament repair or reconstruction underneath is healing. The rigidity of the construct is expected to improve primary stability, which should facilitate and accelerate postoperative mobilization and rehabilitation. Nevertheless, internal bracing is a novel treatment and data is limited. Therefore, this review describes the surgical techniques and provides an overview of the current literature regarding acute and chronic instabilities of the medial and lateral elbow treated with internal bracing.

scholarly journals Rotator Cuff

2021 ◽  
pp. 11-21
Author(s):  
Eva Llopis ◽  
Alexeys Perez ◽  
Luis Cerezal
Keyword(s):  
Decision Making ◽  
Differential Diagnosis ◽  
Rotator Cuff ◽  
Shoulder Pain ◽  
Surgical Techniques ◽  
Rotator Cuff Tears ◽  
Musculoskeletal Complaints ◽  
Clinical Correlation ◽  
Imaging Studies ◽  
Entire Spectrum

AbstractShoulder pain accounts for 16% of the musculoskeletal complaints and represents an important cause of absenteeism of work. Abnormalities of the rotator cuff, including tears, are frequently seen on imaging studies. Unfortunately, asymptomatic tears are frequent, up to 60% in patients older than 60 years old; therefore clinical correlation is essential.New anatomical concepts and new surgical techniques have evolved within the entire spectrum of lesions. It is essential to be aware of the information that is important for the decision-making as this information should stand out in our reports.In this course we will therefore review the different rotator cuff tears and its differential diagnosis.

scholarly journals TO THE QUESTION OF DIFFERENTIAL DIAGNOSIS OF T CELL SKIN LYMPHOMAS

2019 ◽  
Vol 22 (3-4) ◽  
pp. 68-72
Author(s):  
Olga Yu. Olisova ◽  
D. R Amshinskaya ◽  
E. M Anpilogova
Keyword(s):  
Differential Diagnosis ◽  
T Cell ◽  
Mycosis Fungoides ◽  
Current Literature ◽  
Lymphoid Tissue ◽  
Malignant Tumors ◽  
Early Stage ◽  
T Cell Lymphomas ◽  
Cutaneous Lymphomas ◽  
The World

Cutaneous T cell lymphomas (CTCL) are a clinically and morphologically heterogeneous group of cutaneous malignant tumors, caused by monoclonal proliferation of lymphoid tissue cells in the skin. They are responsible for about 80% of all primary cutaneous lymphomas, while cutaneous lymphomas are responsible for 2% of all dermatological diseases. The incidence of CTCL is now increasing all over the world. For this reason, CTCL has to be diagnosed on the early stage to improve course of the disease. Mycosis fungoides, the most frequent CTCL variant, is usually diagnosed basing on clinical, histological, immunohistochemical and molecular findings. However, it can imitate other chronic dermatoses, which makes it difficult to diagnose. The article presents a review of the current literature data on new diagnostic markers of cutaneous T-cell lymphomas.

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