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Acute Massive Gastric Dialation—A Case Report
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作者 Kiran Kumar Rifah Anwar Assadi +4 位作者 Mohammed Khalid Mohammed Hamdy Ibrahim Himanshi Singh Sonia Lamichhane shaikh altaf basha 《International Journal of Clinical Medicine》 2015年第6期407-410,共4页
Acute gastric dilation leading to ischemia of the stomach is an underdiagnosed condition and can be potentially fatal. It can occur in various medical and surgical conditions such as post operative state, trauma, anor... Acute gastric dilation leading to ischemia of the stomach is an underdiagnosed condition and can be potentially fatal. It can occur in various medical and surgical conditions such as post operative state, trauma, anorexia, spinal abnormalities, diabetes mellitus and electrolyte imbalance. Without proper and timely diagnosis and treatment, gastric perforation and hemorrhage can occur. In this report, we present a case of acute massive gastric dilation in a settling of type II diabetes mellitus and urosepsis. We will also present a review of literature and management options for such condition. Our report highlights the need for high index of suspicion and early intervention to avoid life threatening complications. 展开更多
关键词 ACUTE GASTRIC DILATATION INFECTION Urinary TRACT INFECTION GASTRIC DISTENSION
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Spontaneous Intracranial Hypotension: An Interesting Cause of Intractable Headache
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作者 Kiran Kumar Himanshi Singh +7 位作者 Sameh Saied Mohammed Hamdy Ibrahim Mohammed Khalid Rifah Anwar Assadi Sonia Lamichhane shaikh altaf basha Rajashree Ganesh Neha Arora 《Neuroscience & Medicine》 2015年第3期130-133,共4页
Intracranial hypotension (ICH) is a benign syndrome which is often under-diagnosed. It is characterized by orthostatic headache which is predominantly occipital. ICH is diagnosed in the presence of a typical history a... Intracranial hypotension (ICH) is a benign syndrome which is often under-diagnosed. It is characterized by orthostatic headache which is predominantly occipital. ICH is diagnosed in the presence of a typical history and characteristic imaging findings. Further confirmation by lumbar puncture to document low CSF pressure might be necessary in some cases. Treatment is mainly conservative in the form of bed rest and intravenous saline infusion. However, surgical intervention may be required if conservative measures fail. In this report we presented a case of 42-year-old male patient who presented with symptoms of orthostatic occipital headache of three-month duration and was subsequently diagnosed with intracranial hypotension based on characteristic MRI findings of pachymeningeal enhancement on gadolinium enhanced MRI of the brain with sagging of the mid-brain. 展开更多
关键词 INTRACRANIAL HYPOTENSION HEADACHE CSF LEAK ORTHOSTATIC HEADACHE
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Acute Cerebellar Ataxia—Uncommon Manifestation of Typhoid Fever
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作者 Kiran Kumar Mohammed Khalid +1 位作者 shaikh altaf basha Alyaa Fadhil 《Neuroscience & Medicine》 2015年第2期47-49,共3页
Enteric fever is widely prevalent in the tropics. Central nervous system involvement is not rare and reported incidence varies from 5% to 35% [1]. Various well-known neuropsychiatric manifestations include confusional... Enteric fever is widely prevalent in the tropics. Central nervous system involvement is not rare and reported incidence varies from 5% to 35% [1]. Various well-known neuropsychiatric manifestations include confusional state, encephalopathy, meningism, convulsions and focal neurological deficits. Acute cerebellar ataxia as an isolated neurological complication of enteric fever is very rare and limited to only a few case reports [2]. Here we report a case of enteric fever who presents Acute Cerebellar Ataxia. 展开更多
关键词 ENTERIC Fever ATAXIA NEUROLOGICAL MANIFESTATIONS TYPHOID
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Empty Sella Syndrome: A Case Report and Literature Review
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作者 Kiran Kumar Mohammed Khalid +3 位作者 Alyaa Fadhil Pankaj Lamba shaikh altaf basha Salwa Abd El Zaher Mabrouk Ibrahim 《Neuroscience & Medicine》 2015年第1期42-45,共4页
An empty sella occurs due to herniation of the arachnoid through an incompetent diaphragma sellae. Over time, cerebrospinal fluid (CSF) pulsations may enlarge the sella and compress the gland against the floor of the ... An empty sella occurs due to herniation of the arachnoid through an incompetent diaphragma sellae. Over time, cerebrospinal fluid (CSF) pulsations may enlarge the sella and compress the gland against the floor of the sella. Empty sella syndrome is considered as a less common entity and is usually asymptomatic and an incidental finding. However, it can be a manifestation of increased intracranial pressure and can be occasionally severe. Compression of the pituitary gland may affect function, or traction on the optic chiasm and nerves may cause visual symptoms. An empty sella may be classified as primary when this occurs in persons who have not received pituitary radiation or pituitary surgery, while an empty sella discovered following such procedures is classified as secondary empty sella. In this report, we presented a 41-year-old multiparous patient who presented to us with symptoms of headache and left sided hemi-sensory disturbance. Examination was unrevealing except for the fact that she was obese. On evaluation, she was detected to have impaired blood sugars, dyslipidemia and vitamin insufficiency. MRI brain revealed presence of Empty Sella. Further hormonal analysis was normal. She was treated conservatively and regular follow-up was advised. 展开更多
关键词 EMPTY SELLA SYNDROME EMPTY SELLA PITUITARY DYSFUNCTION
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