scholarly journals Jefferson Fracture and the Classification System for Atlas Fractures, A Case Report

Author(s):  
Miguel Martinez-Romo ◽  
Christopher Eric McCoy
2007 ◽  
Vol 43 (6) ◽  
pp. 526-530 ◽  
Author(s):  
Marcus C. Korinth ◽  
Alexandra Kapser ◽  
Martin R. Weinzierl

2018 ◽  
Vol 160 (3) ◽  
pp. 471-477 ◽  
Author(s):  
Seung Hwan Baek ◽  
Seung Ho Yoo ◽  
Kyoung Rai Cho ◽  
Jun Jae Shin

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Pramudith M. Maldeniya ◽  
Akshya Vasudev

Delirious mania has been well recognized in the published literature and in the clinic. Over the years there has been refinement of understanding of its clinical features, course, and treatment. The literature suggests that delirious mania should be considered in individuals who present with a constellation of sudden onset delirium, mania, and psychosis. However, delirious mania is not recognized under a formal classification system nor are there any formal guidelines for its treatment. We, as such, question if the concept of delirious mania in the elderly is valid. We present a case of an elderly man with marked features of delirium with minimal manic or psychotic features who had a previous diagnosis of bipolar I disorder. On thorough clinical assessments no identifiable cause of his delirium was found. We therefore considered his presentation to be more likely due to delirious mania. Electroconvulsive therapy was considered and offered to which he responded very well. We invite the reader to consider whether delirious mania is a valid concept in the elderly, where features of delirium may be more prominent than manic or psychotic features.


1991 ◽  
Vol 75 (2) ◽  
pp. 213-220 ◽  
Author(s):  
Lee Kesterson ◽  
Edward Benzel ◽  
William Orrison ◽  
James Coleman

✓ Although several large series of atlas fractures have been reported recently, none has concentrated on the evaluation and treatment of atlas burst fractures (Jefferson fractures). The treatment of this fracture is challenging. Its diagnosis may easily be missed due to concerns about associated trauma and absence of neurological signs. In addition, the open-mouth anteroposterior x-ray study, which is usually pathognomonic for the diagnosis, is often inadequate or not obtained. In order to clarify the diagnosis and treatment of this disorder, 17 cases of Jefferson fracture treated between 1982 and 1989 at the Louisiana State University Affiliated Hospitals are presented. The diagnosis was delayed in three patients because of a low index of suspicion and inadequate x-ray films. Four patients were noted to have unstable Jefferson fractures; all of these had an associated Type II odontoid fracture and were treated with occiput-C-2 wiring and fusion. The remainder of the patients had stable Jefferson fractures and were managed with Minerva jackets or rigid collar stabilization. No significant complications related to the treatment of the Jefferson fracture occurred in this series. One patient died from associated injuries: however, the remaining patients enjoyed an excellent long-term result with the acquisition of spinal stability and the resolution of subjective complaints.


2002 ◽  
Vol 38 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Kevin S. Stiffler ◽  
M. A. McCrackin Stevenson ◽  
Mary B. Mahaffey ◽  
Elizabeth W. Howerth ◽  
Jeanne A. Barsanti

A unilateral intravesical ureterocele was diagnosed by ultrasonography in a 5-year-old female Pekingese that was referred for evaluation of increased hepatic enzymes. Ureteroceles are cystic dilatations of the submucosal portion of the distal ureter. They are frequently reported in humans but are uncommonly reported in dogs. This report describes surgical resection of the ureterocele and reduction of ipsilateral hydroureter in a dog that also had bilateral renal dysfunction and suffered progressive mild azotemia postoperatively. This report demonstrates that canine ureteroceles can occur concurrently with bilateral renal dysfunction and offers a classification system designed to encourage thorough urinary tract evaluation for determining prognosis.


PM&R ◽  
2016 ◽  
Vol 8 (9) ◽  
pp. S305
Author(s):  
Rafael E. Arias-Berrios ◽  
Shirley A. Grigg Ortiz ◽  
Natalia M. Betances Ramírez ◽  
Ana M. Ortiz Santiago ◽  
José A. Báez

2020 ◽  
Vol 14 (1) ◽  
pp. 116-123
Author(s):  
Sindhura Kolli ◽  
Simcha Weissman ◽  
Emmanuel Ofori ◽  
Khoi Paul Dang-Ho ◽  
Praneeth Bandaru ◽  
...  

Choledochal cysts are an anatomical conundrum as they present with nonspecific symptoms generally delaying diagnosis and treatment. Its lag time remains critical, as cholangiocarcinoma, a fatal sequelae, contributes to its morbidity and mortality. Herein, we present a case of a type 1A choledochal cyst. We hope that its review on presentation, classification system, diagnosis, and management prevent complications and cataclysmic results.


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