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Case reports in medicine 307건

  1. [해외논문]   Cardiac Sarcoidosis Culminating in Severe Biventricular Failure  

    Ozaki, Takefumi (Division of Cardiovascular Disease, Chitose City Hospital, Chitose City, 066-8550, Japan ) , Ohnuma, Noritomo (Division of Internal Medicine, Chitose City Hospital, Chitose City, 066-8550, Japan ) , Shimizu, Norihiro (Division of Cardiovascular Disease, Chitose City Hospital, Chitose City, 066-8550, Japan ) , Hasegawa, Atsushi (Division of Internal Medicine, Chitose City Hospital, Chitose City, 066-8550, Japan ) , Horimoto, Masashi (Division of Cardiovascular Disease, Chitose City Hospital, Chitose City, 066-8550, Japan)
    Case reports in medicine v.2009 ,pp. 1 - 3 , 2009 , 1687-9627 ,

    초록

    A 59-year-old woman with a history of lung sarcoidosis developed general edema and exertional dyspnea. An electrocardiogram showed first-degree atrioventricular block with complete right bundle branch block. Chest X-ray showed cardiomegaly. Echocardiography showed diffuse and severe hypokinesis of the left ventricle (LV) and biventricular enlargement with severe tricuspid regurgitation. Myocardial scintigraphy disclosed a perfusion defect at the ventricular septum and hypoperfusion at the posterior wall and the apex. On cardiac catheterization, pulmonary capillary wedge pressure, right ventricular, and right atrial pressures were elevated. Coronary angiograms were normal. Myocardial biopsy of the right ventricle histologically revealed epithelioid cell granuloma with infiltration of fibrous cells. The patient's symptom and LV function were improved with conventional medical therapy for heart failure. This is a rare case of cardiac sarcoidosis resulting in biventricular failure.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Tourette Syndrome and Klippel-Feil Anomaly in a Child with Chromosome 22q11 Duplication  

    Clarke, Raymond A. (St George Clinical School, Faculty of Medicine, St George Hospital, University of NSW, Kogarah, NSW 2217, Australia ) , Fang, Zhi Ming (St George Clinical School, Faculty of Medicine, St George Hospital, University of NSW, Kogarah, NSW 2217, Australia ) , Diwan, Ashish D. (St George Clinical School, Faculty of Medicine, St George Hospital, University of NSW, Kogarah, NSW 2217, Australia ) , Gilbert, Donald L. (Movement Disorders Clinics, Division of Pediatric Neurology, Cincinnati Children's Hospital Medical Center, ML # 11006 - Neurology, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA)
    Case reports in medicine v.2009 ,pp. 1 - 5 , 2009 , 1687-9627 ,

    초록

    This is the first case description of the association of Klippel-Feil Syndrome (KFS), Tourette Syndrome (TS), Motor Stereotypies, and Obsessive Compulsive Behavior, with chromosome 22q11.2 Duplication Syndrome (22q11DupS). Neuropsychiatric symptoms in persons with 22q11.2 deletion, including obsessive compulsiveness, anxiety, hyperactivity, and one prior case report of TS, have been attributed to low copy number effects on Catechol-O-Methyltransferase (COMT). However, the present unique case of 22q11DupS and TS suggests a more complex relationship involving another gene(s) at or near this locus.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  3. [해외논문]   Ovarian Teratoma Masquerading as a CSF Pseudocyst in a Female with a Ventriculoperitoneal Shunt  

    Mislow, John M. K. (Department of Neurosurgery, Children's Hospital of Boston and Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA ) , Slotkin, Jonathan R. (Department of Neurosurgery, Children's Hospital of Boston and Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA ) , Proctor, Mark R. (Department of Neurosurgery, Children's Hospital of Boston and Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA)
    Case reports in medicine v.2009 ,pp. 1 - 3 , 2009 , 1687-9627 ,

    초록

    Background . In today's fast-paced and high-acuity emergency departments, clinicians are often compelled to triage cases so rapidly that a differential diagnosis consistent with the history and physical examination is not comprehensive. Case Report . This case report describes the unexpected finding of a cystic ovarian neoplasm in a young female with an abdominal mass and a ventriculoperitoneal shunt, initially diagnosed as a cerebrospinal fluid pseudocyst. We use this case to illustrate that the astute clinician must always synthesize a diagnosis from all data sources and not to rely on initial radiographic evaluations. Conclusions . This remarkable case demonstrates that all differential diagnoses must be entertained in order to rapidly and accurately diagnose a patient with a cystic abdominal mass.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  4. [해외논문]   Acute Hydrocephalus due to Secondary Leptomeningeal Dissemination of an Anaplastic Oligodendroglioma  

    Stark, Andreas M. (Department of Neurosurgery, Schleswig-Holstein University Medical Center, Campus Kiel, Arnold-Heller-Str. 3, 24105 Kiel, Germany ) , Hugo, Heinz-Herrmann (Department of Neurosurgery, Schleswig-Holstein University Medical Center, Campus Kiel, Arnold-Heller-Str. 3, 24105 Kiel, Germany ) , Mehdorn, H. Maximilian (Department of Neurosurgery, Schleswig-Holstein University Medical Center, Campus Kiel, Arnold-Heller-Str. 3, 24105 Kiel, Germany ) , Knerlich-Lukoschus, Friederike (Department of Neurosurgery, Schleswig-Holstein University Medical Center, Campus Kiel, Arnold-Heller-Str. 3, 24105 Kiel, Germany)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    Secondary leptomeningeal dissemination of oligodendroglioma is very rare. We report the case of a 38-year-old Caucasian male who presented with acute hydrocephalus. 8 months before, the patient had undergone craniotomy for right frontal anaplastic oligodendroglioma, WHO grade III. By that time, there was no evidence of tumor dissemination. MRI now ruled out local tumor progression but revealed meningeal contrast enhancement along the medulla, the myelon, and the cauda equina. Repeated lumbar puncture revealed increased cerebro-spinal fluid (CSF) pressure and protein content. Malignant cells were not detectable. Surgical treatment consisted in (1) placement of an ommaya reservoir for daily CSF puncture, (2) Spinal dural biopsy confirming leptomeningeal oligodendroglioma metastasis, and (3) ventriculo-peritoneal shunt placement after CSF protein has decreased to 1500–2000 mg/l.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Bilateral Pneumothoraces Following Central Venous Cannulation  

    Pazos, F. (Division of Anaesthesiology, University Hospitals of Geneva, CH-1211 Geneva, Switzerland ) , Masterson, K. (Department of Radiology, University Hospitals of Geneva, CH-1211 Geneva, Switzerland ) , Inan, C. (Division of Anaesthesiology, University Hospitals of Geneva, CH-1211 Geneva, Switzerland ) , Robert, J. (Division of Thoracic Surgery, University Hospitals of Geneva, CH-1211 Geneva, Switzerland ) , Walder, B. (Division of Anaesthesiology, University Hospitals of Geneva, CH-1211 Geneva, Switzerland)
    Case reports in medicine v.2009 ,pp. 1 - 4 , 2009 , 1687-9627 ,

    초록

    We report the occurrence of a bilateral pneumothoraces after unilateral central venous catheterization of the right subclavian vein in a 70-year-old patient. The patient had no history of pulmonary or pleural disease and no history of cardiothoracic surgery. Two days earlier, she had a median laparotomy under general and epidural anaesthesia. Prior to the procedure, the patient was hemodynamically stable and her transcutaneous oxygen saturation was 97% in room air. We punctured the right pleural space before cannulation of the right subclavian vein. After the procedure, the patient slowly became hemodynamically instable with respiratory distress. A chest radiograph revealed a complete left-side pneumothorax and a mild right-side pneumothorax. The right-side pneumothorax became under tension after left chest tube insertion. The symptoms finally resolved after insertion of a right chest tube. After a diagnostic work-up, we suspect a congenital “Buffalo chests” explaining bilateral pneumothoraces and a secondary tension pneumothorax.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  6. [해외논문]   Elevated Aminotransaminases As the First Manifestation of Sarcoidosis  

    Nawfal, Georges (Division of Gastroenterolgy, Hepatology and Nutrition, Department of Pediatrics, Hospices Civils de Lyon, University of Lyon 1, F-69003 Lyon, France ) , Budin, Christelle (Division of Gastroenterolgy, Hepatology and Nutrition, Department of Pediatrics, Hospices Civils de Lyon, University of Lyon 1, F-69003 Lyon, France ) , Bouvier, Raymonde (Anatomic Pathology Department, Femme-Mere-Enfant Hospital, Bron, Inserm, U851, FR-128, 69365 Lyon, France ) , Lachaux, Alain (Division of Gastroenterolgy, Hepatology and Nutrition, Department of Pediatrics, Hospices Civils de Lyon, University of Lyon 1, F-69003 Lyon, France)
    Case reports in medicine v.2009 ,pp. 1 - 3 , 2009 , 1687-9627 ,

    초록

    Sarcoidose is a rare disease in children. The aminotransaminase level is often normal to moderately elevated (2 to 3 folds of the normal level). We report the case of a child who presented an aminotransaminase level that was 10 times the normal level, as the first manifestation of sarcoidosis.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  7. [해외논문]   Profound Intraoperative Metabolic Acidosis and Hypotension in a Child Undergoing Multilevel Spinal Fusion  

    Shukry, Mohanad (Department of Anesthesiology, The Children's Hospital, University of Oklahoma Health Sciences Center, 750 North East 13th Street, Suite 200, Oklahoma City, OK 73104, USA ) , D'Angelo, Jonathan A. (Department of Anesthesiology, The Children's Hospital, University of Oklahoma Health Sciences Center, 750 North East 13th Street, Suite 200, Oklahoma City, OK 73104, USA ) , Joshi, Minal (Department of Anesthesiology, The Children's Hospital, University of Oklahoma Health Sciences Center, 750 North East 13th Street, Suite 200, Oklahoma City, OK 73104, USA ) , Cure, Jorge A. (Department of Anesthesiology, The Children's Hospital, University of Oklahoma Health Sciences Center, 750 North East 13th Street, Suite 200, Oklahoma City, OK 73104, USA ) , de Armendi, Alberto J. (Department of Anesthesiology, The Children's Hospital, University of Oklahoma Health Sciences Center, 750 North East 13th Street, Suite 200, Oklahoma City, OK 73104, USA)
    Case reports in medicine v.2009 ,pp. 1 - 3 , 2009 , 1687-9627 ,

    초록

    The prone position may cause cardiovascular system depression. Yet, the mechanisms involved and preemptive measures are not well understood (Edgcombe et al. (2008)). During spinal surgery in the prone position, hypotension may occur. Implicated factors include prolonged abdominal compression impeding venous return resulting in increased blood loss, decreased cardiovascular reserve, and the use of total intravenous anesthesia (TIVA) which has been shown to blunt the sympathetic response more than inhalation anesthesia. We present a case of hypotension during spinal surgery with all its challenges. Hypotension and acidosis persisted despite all supporting measures, and only to improve with supine positioning. Differential diagnosis for such an event are discussed. Although abdominal compression may not be obvious before the start of surgery, compressing the spine during surgery may lead to abdominal compression and hypoperfusion to abdominal organs.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   Delayed Presentation of a Giant Ascending Aortic Aneurysm following Aortic Valve Replacement  

    Gö (Department of Cardiovascular Surgery, Bursa Yüksek Ihtisas Education and Research Hospital, Bursa, Turkey ) , ncü (Department of Cardiovascular Surgery, Bursa Yüksek Ihtisas Education and Research Hospital, Bursa, Turkey ) , , Tugrul (Department of Cardiology, Bursa Yüksek Ihtisas Education and Research Hospital, Bursa, Turkey ) , Sezen, Mustafa (Department of Cardiovascular Surgery, Bursa Yüksek Ihtisas Education and Research Hospital, Bursa, Turkey ) , Ari, Hasan (Department of Cardiovascular Surgery, Bursa Yüksek Ihtisas Education and Research Hospital, Bursa, Turkey ) , Tiryakioglu, Osman (Department of Cardiovascular Surgery, Bursa Yüksek Ihtisas Education and Research Hospital, Bursa, Turkey) , Yumun, Gü , ndü , z , Yavuz, Senol
    Case reports in medicine v.2009 ,pp. 1 - 3 , 2009 , 1687-9627 ,

    초록

    Giant ascending aortic aneurysm formation following aortic valve replacement is rare. A 28-year-old man who underwent aortic valve replacement with a prosthetic valve for aortic regurgitation secondary to congenital bicuspid aortic valve about 10 years ago was diagnosed with a giant ascending aortic aneurysm about 16 cm in diameter in follow-up. The aneurysm was resected leaving the functional old mechanical prosthesis in place and implanted a 34-mm Hemashield woven graft, associated with the left and right coronary artery button implantation. Histological findings of the aortic aneurysm wall showed cystic medial necrosis. The postoperative course was uneventful and postoperative examination demonstrated good surgical results.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  9. [해외논문]   Chronic Recanalization of Dissection of the Distal Anterior Cerebral Artery: Case Report and Review of the Literature  

    Asano, Shuichiro (Department of Neurosurgery, Toyama Hospital, International Medical Center of Japan, Tokyo 162-8655, Japan ) , Hara, Tetsuo (Department of Neurosurgery, Toyama Hospital, International Medical Center of Japan, Tokyo 162-8655, Japan)
    Case reports in medicine v.2009 ,pp. 1 - 5 , 2009 , 1687-9627 ,

    초록

    The natural history of atraumatic idiopathic dissection of the distal anterior cerebral artery is still unclear. We present a 38-year-old man who had dissection of the left A2 segment of this vessel associated with subintimal hematoma and infarction. Because of complete stroke in acute stage, he did not undergo surgery. About three months later, administration of aspirin (100 mg/day) was started. At nine months, magnetic resonance angiography revealed complete recanalization of the A2 dissection. To assess the outcome of dissection, we should observe the patient for at least one year.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  10. [해외논문]   Idiopathic Acquired Leukonychia in a 34-Year-Old Patient  

    Bongiorno, Maria Rita (Department of Dermatology, University of Palermo, Via del Vespro 131, 90127 Palermo, Italy ) , Aricò (Department of Dermatology, University of Palermo, Via del Vespro 131, 90127 Palermo, Italy) , , Mario
    Case reports in medicine v.2009 ,pp. 1 - 3 , 2009 , 1687-9627 ,

    초록

    We present a rare case of a 34-year-old patient with persistent, progressive, acquired leukonychia totalis and partialis. Idiopathic acquired leukonychia is a rare chromatic disorder of the nail not associated with other abnormalities and discernible etiology. Our case report did not link the inheritance of leukonychia with diverse clinical syndromes. To our knowledge, only five cases of idiopathic, acquired, true total leukonychia were found in literature. This case was the sixth patient with asymptomatic idiopathic, white fingernails, and toenails without a hereditary cause.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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