scholarly journals Excellent outcome of medical treatment for Kasabach-Merritt syndrome: a single-center experience

2016 ◽  
Vol 51 (4) ◽  
pp. 256 ◽  
Author(s):  
Jin Ah Kim ◽  
Young Bae Choi ◽  
Eun Sang Yi ◽  
Ji Won Lee ◽  
Ki Woong Sung ◽  
...  
2010 ◽  
Vol 113 (6) ◽  
pp. 1326-1330 ◽  
Author(s):  
Ahmed K. Toma ◽  
Andrew Tarnaris ◽  
Neil D. Kitchen ◽  
Laurence D. Watkins

Object Managing symptomatic ventriculoperitoneal shunts with no clear evidence of shunt malfunction either clinically or radiologically can be a difficult task. The aim of this study was to assess intracranial pressure (ICP) monitoring as a method of investigating shunt function. Methods The authors performed a retrospective analysis of 38 continuous ICP monitoring procedures done in patients with ventriculoperitoneal shunts and suspected shunt malfunction. Results Thirty-eight procedures were performed in 31 patients between January 2005 and October 2008. Sixteen recordings were normal, 6 revealed overdrainage or low pressure, 11 indicated underdrainage or high pressure, and 5 showed variable shunt function. Based on the findings after 20 procedures (53%), patients were treated conservatively: 4 by readjusting the valve setting and 16 by referral to the headache neurologist for medical treatment. Forty-five percent of the conservatively treated patients improved. Surgical exploration was undertaken following 18 procedures (47%); 72% of the surgically treated patients improved. Conclusions Continuous ICP monitoring using an intraparenchymal probe is a safe and effective method of investigating adult hydrocephalus.


Diagnostics ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 652
Author(s):  
Guglielmo Stabile ◽  
Giulia Zinicola ◽  
Federico Romano ◽  
Francesca Buonomo ◽  
Francesco Paolo Mangino ◽  
...  

Non-tubal ectopic pregnancies (NT-EPs) are rare but potentially life-threatening conditions. The incidence ranges are between 5–8.3% of all ectopic pregnancies. For this retrospective observational study, 16 patients with NT-EP and treated from January 2014 to May 2020 were recruited. Demographic details, symptoms, Beta human chorionic gonadotrophin (β-hCG) levels, ultrasound findings, management and treatment outcomes were presented. In hemodynamically stable patients, diagnosis was made using ultrasounds and β-hCG levels. Laparoscopy was essential to identify and remove the ectopic pregnancy in clinical unstable patients. A radical laparoscopic approach was chosen in one case of cervical pregnancy diagnosed late in the first trimester. Medical treatment and minimally invasive procedure, alone or combined, resulted in effective strategies in asymptomatic women with an early diagnosis of NT-EP. We report cases of cervical pregnancies successfully treated by hysteroscopy alone or combined with medical treatment, the first case of scar pregnancy treated by mini-reseptoscope and curettage and the fifth case of interstitial pregnancy treated with Methotrexate and Mifepristone. In this manuscript we report a single center experience in the management of NT-EPs with the aim of outlining the importance of the early diagnosis for a minimally invasive treatment in order to reduce maternal morbidity and mortality and preserve future fertility.


2016 ◽  
Vol 127 (12) ◽  
pp. e325
Author(s):  
C. Lettieri ◽  
G. Devigili ◽  
G. Pauletto ◽  
S. Rinaldo ◽  
D. Coccolo ◽  
...  

2015 ◽  
Vol 28 (2) ◽  
pp. 245-249 ◽  
Author(s):  
Maria Messina ◽  
Claudia Ariaudo ◽  
Alberto Mella ◽  
Vincenzo Cantaluppi ◽  
Giuseppe P. Segoloni ◽  
...  

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