1
|
Pullins C, Varghese C, Koneru SS, Bracamonte JD. Radiographical bony lesions after discontinuation of immunosuppressant therapy: bone involvement in sarcoidosis. BMJ Case Rep 2024; 17:e255611. [PMID: 38670568 PMCID: PMC11057273 DOI: 10.1136/bcr-2023-255611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/06/2024] [Indexed: 04/28/2024] Open
Abstract
We describe a patient who had failed renal transplant after 13 years, eventually requiring a graft nephrectomy and discontinuation of immunosuppressive therapy, including antithymocyte globulin, tacrolimus and mycophenolate while on steroid avoidance protocol. Within a few months of complete discontinuation of the immunosuppressive medications, she developed lower back pain associated with numbness in her right anterolateral thigh. The radiological imaging demonstrated multiple bony lesions throughout her axial and appendicular skeleton with normal pulmonary findings. A computerised tomography-guided bone biopsy from the left iliac crest revealed fragments of bone with granulomatous inflammation, thus making the diagnosis of extrapulmonary sarcoidosis. Initiating treatment with prednisone resulted in near-complete resolution of symptoms. Long-term immunosuppressive therapy is administered to all renal transplant recipients to help prevent acute rejection and loss of renal allograft. This case highlights that immunosuppressants can conceal the presence of underlying conditions in transplant patients.
Collapse
Affiliation(s)
| | - Cyril Varghese
- Internal Medicine, Mayo Clinic, Scottsdale, Arizona, USA
| | - Sethu Sandeep Koneru
- Internal Medicine, Centinela Freeman Regional Medical Center, Inglewood, California, USA
| | | |
Collapse
|
2
|
Byamukama A, Bibangambah P, Rwebazibwa J, Acan M, Sebikali MJ. Advanced abdominal ectopic pregnancy and the role of antenatal ultrasound scan in its diagnosis and management. Radiol Case Rep 2023; 18:4409-4413. [PMID: 37840888 PMCID: PMC10570543 DOI: 10.1016/j.radcr.2023.09.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 09/12/2023] [Accepted: 09/14/2023] [Indexed: 10/17/2023] Open
Abstract
Abdominal pregnancy is a very rare form of ectopic gestation in which implantation occurs in the peritoneal cavity. It accounts for about 1% of all ectopic pregnancies and is associated with a higher risk of morbidity and mortality due to complications such as preeclampsia, placenta abruption, and oligohydromnios, which necessitate pregnancy termination before term, and the risk of massive hemorrhage associated with abnormal placentation. We present a case of advanced abdominal ectopic pregnancy, diagnosed in the second trimester and complicated by anhydramnios. An abdominal ultrasound scan showed a nongravid uterus and a single live extrauterine fetus within the abdominal cavity, with no surrounding liquor at 23 weeks and 3 days average gestational age. Mother was consented and an emergency laparatomy performed. A premature baby was delivered but died in Neonatal Intensive Care Unit (NICU) after 4 hours due to severe acute respiratory distress syndrome. Mother had good postoperative recovery. Advanced abdominal ectopic pregnancy though very rare, is associated with complications that lead to early termination. Ultrasound scan is a reliable tool for the diagnosis of abdominal pregnancy in settings with limited access to Magnetic Resonance Imaging (MRI). It should be recommended to all mothers at their earliest antenatal care (ANC) visit to help determine the site of pregnancy and guide further intervention.
Collapse
Affiliation(s)
- Anacret Byamukama
- Department of Radiology, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Prossy Bibangambah
- Department of Radiology, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Joseph Rwebazibwa
- Department of Obstetrics & Gynecology, Mbarara University of Science and Technology, Mbarara, Uganda
| | - Moses Acan
- Department of Radiology, Mbarara University of Science and Technology, Mbarara, Uganda
| | | |
Collapse
|
3
|
Lin HJ, Cheng HY. Wound-Healing on Minimally Invasive Systems with Micro-Arc Oxidized (MAO) and Acid-Etched (SLA) Surface Modifications in Finite Element Liver Model. J BIOMATER TISS ENG 2022. [DOI: 10.1166/jbt.2022.3062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The purpose of this research is to study micro-arc oxidation (MAO) and acid etching (SLA) in the liver after minimally invasive treatment. The three-dimensional (3D) liver model is rebuilt by magnetic resonance imaging (MRI) to simulate the clinical process. The processing layer is
an important factor in clinical applications. Several studies have investigated the finite element model of the liver; however, few people have studied the equipment model with treated layers. The results revealed that temperature was significantly decreased when devices using MAO and SLA
thin films. In addition, the SLA treatment group showed a relatively low temperature, which was 12.88% lower. It is an effective means to reduce abnormally thermal injury and lateral thermal area. The present study reveals that the novel nanostructured thin film on electrosurgery devices is
an effective means of improving the performance of reducing over thermal injury and uniformly distributing temperature in livers.
Collapse
Affiliation(s)
- Han-Jo Lin
- Department of Dentistry, Sijhih Cathay General Hospital, New Taipei City, 221, Taiwan
| | - Han-Yi Cheng
- Biomedical Engineering Research & Development Center, China Medical University Hospital, Taichung, 404, Taiwan
| |
Collapse
|
4
|
Chettiankandy TJ, Sachdev SS, Khandekar SP, Dive A, Nagpal D, Tupkari JV. Role of Nidogen-2 in diagnosis and prognosis of head and neck squamous cell carcinoma: A systematic review. J Oral Maxillofac Pathol 2022; 26:382-388. [PMID: 36588846 PMCID: PMC9802514 DOI: 10.4103/jomfp.jomfp_293_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 05/09/2022] [Accepted: 07/06/2022] [Indexed: 01/03/2023] Open
Abstract
Context Nidogen-2 (NID-2) hypermethylation has been implicated in many types of cancers, such as lung, bladder, and gastric carcinomas. However, its role has not yet been studied adequately in head and neck squamous cell carcinomas (HNSCC). HNSCCs constituting a major portion of the global cancer load, it is of importance to diagnose and treat them at earliest. This systematic review was performed to assess the role of NID-2 in HNSCCs and assess its utility as a diagnostic and prognostic marker. Materials and Methods A systematic search was performed across multiple databases to identify studies pertaining to analysis of expression or methylation of NID-2 in HNSCCs. The sample size, type of cancer/premalignant condition studied, type of tissue/fluid analysed, and the various methodologies used and their results were extracted. PROSPERO registration number: CRD42021245326. Results Four studies were identified after a systematic search of literature. The studies analysed NID-2 expression or methylation in conditions such as nasopharyngeal carcinoma, esophageal carcinoma, and oral squamous cell carcinoma (OSCC). NID-2 was found to be a highly specific marker for HNSCCs, and serum NID-2 levels also correlated with poor survival. Conclusion Data from the reviewed studies indicate that hypermethylation of NID-2 is highly specific for HNSCC. The high specificity is maintained in salivary and serum samples, facilitating accurate and non-invasive prognostication of HNSCC. The relatively lower sensitivity of NID-2 methylation may be overcome by analysing it along with a panel of multiple biomarkers such as HOX-A2 and YKL20.
Collapse
Affiliation(s)
- Tabita Joy Chettiankandy
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, Maharashtra, India
| | - Sanpreet S. Sachdev
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, Maharashtra, India
| | - Shubhangi P. Khandekar
- Department of Oral Pathology and Microbiology, VSPM's Dental College and Research Centre, Nagpur, Maharashtra, India
| | - Alka Dive
- Department of Oral Pathology and Microbiology, VSPM's Dental College and Research Centre, Nagpur, Maharashtra, India
| | - Deepak Nagpal
- Department of Oral Pathology and Microbiology, Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital, Nagpur, Maharashtra, India
| | - Jagdish V. Tupkari
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, Maharashtra, India
| |
Collapse
|
5
|
Hosni IU, Karbhari B, Orr R, Opie N. Extensive bony sarcoidosis of the head and neck region: a rare presentation. BMJ Case Rep 2021; 14:14/1/e237105. [PMID: 33462005 PMCID: PMC7813348 DOI: 10.1136/bcr-2020-237105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
We present a rare case of sarcoidosis with extensive bony destruction of the maxillofacial and skull base bones. A 65-year-old woman was referred with an asymptomatic, non-healing dental socket. Examination revealed an oroantral fistula that was biopsied and repaired under general anaesthesia. Investigations included plain and cross-sectional imaging. Serological tests, in particular ACE, were normal. Histology showed benign florid granulomatous inflammation. At 6 months, the patient remained asymptomatic. She was re-referred 3 years later with further bony destruction of her maxilla and mandible. Repeat imaging showed intrathoracic lymphadenopathy and skull base involvement. Repeat biopsy confirmed granulomatous inflammation. Given the pulmonary, histological and radiological findings, a sarcoidosis diagnosis was made. Following multidisciplinary team meetings, the patient was treated with methotrexate and arrangements made for close monitoring. This case highlights the need for a consensus in identifying, treating and developing a follow-up protocol in such patients.
Collapse
Affiliation(s)
- Iman Usama Hosni
- Oral and Maxillofacial Surgery, Chesterfield Royal Hospital, Chesterfield, UK
| | - Bhavesh Karbhari
- Oral and Maxillofacial Surgery, Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, Derbyshire, UK
| | - Robert Orr
- Oral and Maxillofacial Surgery, Chesterfield Royal Hospital, Chesterfield, UK
| | - Neil Opie
- Oral and Maxillofacial Surgery, Chesterfield Royal Hospital NHS Foundation Trust, Chesterfield, Derbyshire, UK
| |
Collapse
|
6
|
Metastatic Adenocarcinoma of Temporal Bone with Collet-Sicard Syndrome. IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY 2018; 30:361-364. [PMID: 30560103 PMCID: PMC6291818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
INTRODUCTION Metastatic tumors of the temporal bone are extremely rare. Collet-Sicard syndrome is an uncommon condition characterized by unilateral palsy of the lower four cranial nerves. The clinical features of temporal bone metastasis are nonspecific and mimic infections such as chronic otitis media and mastoiditis. CASE REPORT This report describes a rare case of metastatic adenocarcinoma of the temporal bone causing Collet-Sicard syndrome, presenting with hearing loss, headache and ipsilateral cranial nerve palsies. The patient was a 68-year old woman initially diagnosed with extensive mastoiditis and later confirmed as having metastatic adenocarcinoma of the temporal bone, based on histopathologic findings. CONCLUSION Clinical presentation of metastatic carcinoma of the temporal bone can be overshadowed by infective or inflammatory conditions. This case report is to emphasize the point that a high index of clinical suspicion is necessary for the early diagnosis of this aggressive disease which carries relatively poor prognosis. This report highlights that it is crucial to suspect malignant neoplasm in patients with hearing loss, headache and cranial nerve palsies.
Collapse
|
7
|
Intrahepatic subcapsular biloma after endoscopic retrograde cholangiopancreatography treated by endoscopic biliary drainage. Clin J Gastroenterol 2017; 11:167-171. [PMID: 29188552 DOI: 10.1007/s12328-017-0806-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Accepted: 11/24/2017] [Indexed: 10/18/2022]
Abstract
Several major complications from endoscopic retrograde cholangiopancreatography (ERCP), including pancreatitis, cholangitis, and hemorrhage have been discussed in detail; however, a few uncommon but severe complications have been reported. We encountered an unusual case of post-ERCP intrahepatic subcapsular biloma. An 89-year-old woman with a 25-mm mass located at the hepatic hilum, suggestive of cholangiocarcinoma, underwent ERCP which demonstrated complete stricture of the common hepatic duct. Subsequently, two plastic stents were placed from the common bile duct to the right and left intrahepatic branches. On day 3, serum inflammatory markers were elevated and computed tomography revealed a large subcapsular fusiform fluid collection in the right liver, consistent with biloma. On day 6, the biloma ruptured and 500 ml of biliary ascites were removed. On day 8, endoscopic nasobiliary drainage via the right intrahepatic branch was performed because of recurrence of biliary ascites. After the procedure, 150 ml of bile was collected through the drain every day and no ascites recurred. We believe that minor injury to the right intrahepatic bile duct due to guidewire manipulation caused the biloma. Biloma may become apparent several days after ERCP, and endoscopic biliary drainage placement adjacent to the bile duct rupture site can stop bile leakage.
Collapse
|
8
|
Chowdhury T, Sandu N, Gelpi R, Schaller B. Trigeminocardiac reflex: beyond a skull base reflex. FUTURE NEUROLOGY 2017. [DOI: 10.2217/fnl-2017-0015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Affiliation(s)
- Tumul Chowdhury
- Department of Anesthesiology & Perioperative Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Nora Sandu
- Department of Research, University of Southampton, Southampton, UK
| | - Ricardo Gelpi
- Department of Pathology, University of Buenos Aires, Argentina
| | | |
Collapse
|
9
|
Reissis D, Tang QO, Cooper NC, Carasco CF, Gamie Z, Mantalaris A, Tsiridis E. Current clinical evidence for the use of mesenchymal stem cells in articular cartilage repair. Expert Opin Biol Ther 2016; 16:535-57. [PMID: 26798997 DOI: 10.1517/14712598.2016.1145651] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
INTRODUCTION Articular cartilage is renowned for its poor intrinsic capacity for repair. Current treatments for osteoarthritis are limited in their ability to reliably restore the native articular cartilage structure and function. Mesenchymal stem cells (MSCs) present an attractive treatment option for articular cartilage repair, with a recent expansion of clinical trials investigating their use in patients. AREAS COVERED This paper provides a current overview of the clinical evidence on the use of MSCs in articular cartilage repair. EXPERT OPINION The article demonstrates robust clinical evidence that MSCs have significant potential for the regeneration of hyaline articular cartilage in patients. The majority of clinical trials to date have yielded significantly positive results with minimal adverse effects. However the clinical research is still in its infancy. The optimum MSC source, cell concentrations, implantation technique, scaffold, growth factors and rehabilitation protocol for clinical use are yet to be identified. A larger number of randomised control trials are required to objectively compare the clinical efficacy and long-term safety of the various techniques. As the clinical research continues to evolve and address these challenges, it is likely that MSCs may become integrated into routine clinical practice in the near future.
Collapse
Affiliation(s)
- Dimitris Reissis
- a Department of Chemical Engineering, Biological Systems Engineering Laboratory (BSEL) , Imperial College London , London , UK
| | - Quen Oak Tang
- a Department of Chemical Engineering, Biological Systems Engineering Laboratory (BSEL) , Imperial College London , London , UK
| | - Nina Catherine Cooper
- a Department of Chemical Engineering, Biological Systems Engineering Laboratory (BSEL) , Imperial College London , London , UK
| | - Clare Francesca Carasco
- a Department of Chemical Engineering, Biological Systems Engineering Laboratory (BSEL) , Imperial College London , London , UK
| | - Zakareya Gamie
- a Department of Chemical Engineering, Biological Systems Engineering Laboratory (BSEL) , Imperial College London , London , UK
| | - Athanasios Mantalaris
- a Department of Chemical Engineering, Biological Systems Engineering Laboratory (BSEL) , Imperial College London , London , UK
| | - Eleftherios Tsiridis
- a Department of Chemical Engineering, Biological Systems Engineering Laboratory (BSEL) , Imperial College London , London , UK.,b Academic Orthopaedic Unit , Aristotle University Medical School , Thessaloniki , Greece
| |
Collapse
|
10
|
Shah P, Sindhu P, Shah F, Shah P, Patel R. Herlyn–Werner–Wunderlich Syndrome: Clinical Presentation and Outcome After Repeat Surgery. J Gynecol Surg 2016. [DOI: 10.1089/gyn.2015.0041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Pragnesh Shah
- Department of Obstetrics and Gynecology, Jyoti Hospital and Minimally Invasive Surgery Centre, Ahmedabad, Gujarat, India
| | - Preeti Sindhu
- Department of Obstetrics and Gynecology, Jyoti Hospital and Minimally Invasive Surgery Centre, Ahmedabad, Gujarat, India
| | - Foram Shah
- Department of Obstetrics and Gynecology, B.J. Medical College, Ahmedabad, Gujarat, India
| | - Parul Shah
- Department of Obstetrics and Gynecology, Jyoti Hospital and Minimally Invasive Surgery Centre, Ahmedabad, Gujarat, India
| | - Ronak Patel
- Department of Radiology, Maulana Azad Medical College, New Delhi, India
| |
Collapse
|
11
|
Shimizu M, Sakai S, Ohta K, Miyamoto M, Yachie A. Uterus didelphys with obstructed hemivagina and contralateral multicystic dysplastic kidney. CEN Case Rep 2015; 4:61-64. [PMID: 28509270 DOI: 10.1007/s13730-014-0139-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2014] [Accepted: 07/23/2014] [Indexed: 11/24/2022] Open
Abstract
Müllerian anomalies are often associated with urinary tract anomalies. Herlyn-Werner-Wunderlich syndrome or obstructed hemivagina and ipsilateral renal anomaly are rare Müllerian anomaly comprising uterine didelphys, obstructed hemivagina, and ipsilateral renal anomaly. We report an unusual case of uterus didelphys with obstructed hemivagina and contralateral (not ipsilateral) multicystic dysplastic kidney. An early diagnosis is critical to prevent complications such as adhesions with subsequent infertility. A careful evaluation of the female reproductive tract may be necessary in children with not only renal aplasia but also lateral renal anomalies such as multicystic dysplastic kidney.
Collapse
Affiliation(s)
- Masaki Shimizu
- Department of Pediatrics, Institute of Medical Pharmaceutical, and Health Sciences, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa, 920-8641, Japan.
| | - Seisho Sakai
- Department of Pediatric Surgery, Institute of Medical Pharmaceutical, and Health Sciences, School of Medicine, Kanazawa University, Kanazawa, Japan
| | - Kazuhide Ohta
- Department of Pediatrics, Kanazawa Medical Center, Kanazawa, Japan
| | - Masatoshi Miyamoto
- Department of Pediatric Surgery, Institute of Medical Pharmaceutical, and Health Sciences, School of Medicine, Kanazawa University, Kanazawa, Japan
| | - Akihiro Yachie
- Department of Pediatrics, Institute of Medical Pharmaceutical, and Health Sciences, School of Medicine, Kanazawa University, 13-1 Takaramachi, Kanazawa, 920-8641, Japan
| |
Collapse
|
12
|
Di Spiezio Sardo A, Campo R, Gordts S, Spinelli M, Cosimato C, Tanos V, Brucker S, Li TC, Gergolet M, De Angelis C, Gianaroli L, Grimbizis G. The comprehensiveness of the ESHRE/ESGE classification of female genital tract congenital anomalies: a systematic review of cases not classified by the AFS system. Hum Reprod 2015; 30:1046-58. [PMID: 25788565 PMCID: PMC4400201 DOI: 10.1093/humrep/dev061] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2014] [Accepted: 02/11/2015] [Indexed: 11/13/2022] Open
Abstract
STUDY QUESTION How comprehensive is the recently published European Society of Human Reproduction and Embryology (ESHRE)/European Society for Gynaecological Endoscopy (ESGE) classification system of female genital anomalies? SUMMARY ANSWER The ESHRE/ESGE classification provides a comprehensive description and categorization of almost all of the currently known anomalies that could not be classified properly with the American Fertility Society (AFS) system. WHAT IS KNOWN ALREADY Until now, the more accepted classification system, namely that of the AFS, is associated with serious limitations in effective categorization of female genital anomalies. Many cases published in the literature could not be properly classified using the AFS system, yet a clear and accurate classification is a prerequisite for treatment. STUDY DESIGN, SIZE AND DURATION The CONUTA (CONgenital UTerine Anomalies) ESHRE/ESGE group conducted a systematic review of the literature to examine if those types of anomalies that could not be properly classified with the AFS system could be effectively classified with the use of the new ESHRE/ESGE system. An electronic literature search through Medline, Embase and Cochrane library was carried out from January 1988 to January 2014. Three participants independently screened, selected articles of potential interest and finally extracted data from all the included studies. Any disagreement was discussed and resolved after consultation with a fourth reviewer and the results were assessed independently and approved by all members of the CONUTA group. PARTICIPANTS/MATERIALS, SETTING, METHODS Among the 143 articles assessed in detail, 120 were finally selected reporting 140 cases that could not properly fit into a specific class of the AFS system. Those 140 cases were clustered in 39 different types of anomalies. MAIN RESULTS AND THE ROLE OF CHANCE The congenital anomaly involved a single organ in 12 (30.8%) out of the 39 types of anomalies, while multiple organs and/or segments of Müllerian ducts (complex anomaly) were involved in 27 (69.2%) types. Uterus was the organ most frequently involved (30/39: 76.9%), followed by cervix (26/39: 66.7%) and vagina (23/39: 59%). In all 39 types, the ESHRE/ESGE classification system provided a comprehensive description of each single or complex anomaly. A precise categorization was reached in 38 out of 39 types studied. Only one case of a bizarre uterine anomaly, with no clear embryological defect, could not be categorized and thus was placed in Class 6 (un-classified) of the ESHRE/ESGE system. LIMITATIONS, REASONS FOR CAUTION The review of the literature was thorough but we cannot rule out the possibility that other defects exist which will also require testing in the new ESHRE/ESGE system. These anomalies, however, must be rare. WIDER IMPLICATIONS OF THE FINDINGS The comprehensiveness of the ESHRE/ESGE classification adds objective scientific validity to its use. This may, therefore, promote its further dissemination and acceptance, which will have a positive outcome in clinical care and research. STUDY FUNDING/COMPETING INTERESTS None.
Collapse
Affiliation(s)
- A Di Spiezio Sardo
- Congenital Uterine Malformations (CONUTA) Common ESHRE/ESGE Working Group, ESGE Central Office, Diestsevest 43/0001, 3000 Leuven, Belgium
| | - R Campo
- Congenital Uterine Malformations (CONUTA) Common ESHRE/ESGE Working Group, ESGE Central Office, Diestsevest 43/0001, 3000 Leuven, Belgium
| | - S Gordts
- Congenital Uterine Malformations (CONUTA) Common ESHRE/ESGE Working Group, ESGE Central Office, Diestsevest 43/0001, 3000 Leuven, Belgium
| | - M Spinelli
- Department of Obstetrics and Gynecology, University of Naples 'Federico II', Naples, Italy
| | - C Cosimato
- Department of Obstetrics and Gynecology, University of Salerno, Fisciano (SA), Italy
| | - V Tanos
- Congenital Uterine Malformations (CONUTA) Common ESHRE/ESGE Working Group, ESGE Central Office, Diestsevest 43/0001, 3000 Leuven, Belgium
| | - S Brucker
- Congenital Uterine Malformations (CONUTA) Common ESHRE/ESGE Working Group, ESGE Central Office, Diestsevest 43/0001, 3000 Leuven, Belgium
| | - T C Li
- Congenital Uterine Malformations (CONUTA) Common ESHRE/ESGE Working Group, ESGE Central Office, Diestsevest 43/0001, 3000 Leuven, Belgium
| | - M Gergolet
- Congenital Uterine Malformations (CONUTA) Common ESHRE/ESGE Working Group, ESGE Central Office, Diestsevest 43/0001, 3000 Leuven, Belgium
| | - C De Angelis
- Congenital Uterine Malformations (CONUTA) Common ESHRE/ESGE Working Group, ESGE Central Office, Diestsevest 43/0001, 3000 Leuven, Belgium
| | - L Gianaroli
- Congenital Uterine Malformations (CONUTA) Common ESHRE/ESGE Working Group, ESGE Central Office, Diestsevest 43/0001, 3000 Leuven, Belgium
| | - G Grimbizis
- Congenital Uterine Malformations (CONUTA) Common ESHRE/ESGE Working Group, ESGE Central Office, Diestsevest 43/0001, 3000 Leuven, Belgium
| |
Collapse
|
13
|
Liu B. A novel technique for the determination of propylthiouracil with sodium nitroprusside as a chromogenic reagent by spectrophotometry. JOURNAL OF ANALYTICAL CHEMISTRY 2015. [DOI: 10.1134/s106193481503003x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
|
14
|
Asil K, Gunduz Y, Yaldiz C, Aksoy YE. Intraorbital Encephalocele Presenting with Exophthalmos and Orbital Dystopia : CT and MRI Findings. J Korean Neurosurg Soc 2015; 57:58-60. [PMID: 25674346 PMCID: PMC4323507 DOI: 10.3340/jkns.2015.57.1.58] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2014] [Revised: 08/21/2014] [Accepted: 09/04/2014] [Indexed: 11/27/2022] Open
Abstract
A 15-year-old female patient with progressive pulsatile exophthalmos caused by intraorbital encephalocele was evaluated with computed tomography (CT) and magnetic resonance imaging (MRI) in our clinic. She had no history of trauma or reconstructive surgery. When she was a little girl, she had undergone surgery for congenital glaucoma on the right eye. On the three-dimensional image of CT, a hypoplasic bone defect was observed in the greater wing of the right sphenoid bone. MRI and CT scan showed herniation through this defect of the arachnoid membrane and protruded cerebral tissue into the right orbita. Intraorbital encephalocele is an important entity that can cause pulsatile exophthalmos and blindness.
Collapse
Affiliation(s)
- Kiyasettin Asil
- Department of Radiology, Sakarya University Medical Faculty, Sakarya, Turkey
| | - Yasemin Gunduz
- Department of Radiology, Sakarya University Medical Faculty, Sakarya, Turkey
| | - Can Yaldiz
- Department of Neurosurgery, Sakarya University Medical Faculty, Sakarya, Turkey
| | - Yakup Ersel Aksoy
- Department of Radiology, Sakarya University Medical Faculty, Sakarya, Turkey
| |
Collapse
|
15
|
Sandu N, Chowdhury T, Sadr-Eshkevari P, Filis A, Arasho B, Spiriev T, Schaller B. Trigeminocardiac reflex during cerebellopontine angle surgery: anatomical location as a new risk factor. FUTURE NEUROLOGY 2015. [DOI: 10.2217/fnl.14.66] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
ABSTRACT Aim: Trigeminocardicac reflex (TCR), a brainstem reflex, can be manifested in almost all types of surgery in the head and neck region. Patients & methods: Retrospective review of 125 patients operated on cerebellopontine angle (CPA) tumors according to strict inclusion/exclusion criteria. Results: A total of 14 out of 125 patients showed TCR during CPA tumor operation. In total, 29% of those patients presented with a meningioma located exclusively premeatal, but not retromeatal in the CPA. There was significant relationship between meningiomas subgroups and TCR (Barnard test; p < 0.05). Conclusion: Anatomical location may represent an important, but not yet described risk factor for the TCR having therefore an important role in the understanding of the TCR.
Collapse
Affiliation(s)
- Nora Sandu
- Department of Neurosurgery, University of Paris, Paris, France
| | - Tumul Chowdhury
- Department of Anesthesia, University of Manitoba, Winnipeg, Canada
| | | | - Andreas Filis
- Department of Neurosurgery, University of Erlangen, Erlangen, Germany
| | - Belachew Arasho
- Department of Neurosurgery, University of Paris, Paris, France
- Department of Neurology, University of Addis Ababa, Addis Ababa, Ethiopia
| | - Toma Spiriev
- Department of Neurosurgery, University of Paris, Paris, France
- Department of Neurosurgery, Tokuda Hospital, Sofia, Bulgaria
| | - Bernhard Schaller
- Department of Neurosurgery, University of Paris, Paris, France
- Department of Neurology, University of Addis Ababa, Addis Ababa, Ethiopia
- Department of Neurosurgery, Tokuda Hospital, Sofia, Bulgaria
- Department of Neuroanatomy, University of Pecs, Pecs, Hungary
| | | |
Collapse
|