ORCID Profile
0000-0002-1459-6138
Current Organisations
Hashemite University
,
Prince Hamzah Hospital
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Publisher: SciELO Agencia Nacional de Investigacion y Desarrollo (ANID)
Date: 06-2023
Publisher: Scientific Scholar
Date: 17-03-2021
Abstract: Subacute subdural hematomas (ASDH) are only treated surgically when they cause mass effect significant enough to give symptoms. Rarely, sub-ASDH may cause enough pressure to result in a malignant middle cerebral artery (MCA) territory infarction. Decompressive craniectomy (DC) is the last resort to reduce intracranial pressure following malignant MCA infarction. Herein, we review the literature and describe a case of MCA osterior cerebral artery (PCA) territories infarction following drainage of a sub-ASDH that was treated with DC with good outcome. We report a case of malignant right-sided MCA/PCA infarction in a 62-year-old man who presented with progressive headache following a cycling incident leading to a head injury. Initial CT head demonstrated a small right ASDH. He had no neurological deficit, headache settled on analgesia, and there was no expansion of the SDH on the repeat CT therefore, he was managed conservatively. He was admitted 6-days later with worsening headaches and hyponatremia. Repeat CT revealed an increase in size of the hematoma and mass effect leading to a mini-craniotomy and evacuation of hematoma. He developed left-sided hemiplegia, slurred speech and hyponatremia, and CT head demonstrated a right-sided MCA/PCA infarction with significant mass effect. He underwent emergent DC and subsequent cranioplasty and ultimately recovered to mRS of 2. SDH are frequent neurosurgical entities. Malignant MCA/PCA strokes following mini-craniotomies are rare but need to be considered especially during the consent process.
Publisher: International Scientific Information, Inc.
Date: 22-11-2022
DOI: 10.12659/AJCR.938510
Publisher: Informa UK Limited
Date: 11-2020
DOI: 10.2147/IJGM.S288512
Publisher: Medknow
Date: 2022
Publisher: Informa UK Limited
Date: 28-12-2020
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 20-04-2023
DOI: 10.1097/MS9.0000000000000642
Abstract: Hydatid cyst disease is a parasitic infestation caused by the tapeworm Echinococcus granulosus . The incidence of the disease is 1–200 cases per 100 000. The usual presentation is the formation of fluid-filled cysts in the liver or lungs and, less commonly, in the brain. The breast is a rare site of presentation for this disease. An isolated hydatid cyst in the breast is very rare, even in endemic regions, occurring in only 0.27% of all hydatid cases. Although these cases are very rare, they should be considered severe. A hydatid breast cyst may mimic a fibroadenoma, phyllodes tumor, chronic abscess, or even carcinoma. Therefore, a high incidence of misdiagnosis may occur. Preoperative diagnosis can be made using needle aspiration and imaging facilities such as breast ultrasonography, mammograms, and computerized topographic images. Nevertheless, in most cases, the final diagnosis cannot be made until the pathological report is obtained postsurgery. This paper reports the first case of a bilateral hydatid cyst of the breast that was diagnosed preoperatively by radiological facilities. We present the patient history, physical examination, and investigations, discuss the risk factors, and present our treatment plan.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 08-2022
No related grants have been discovered for Salem Al-Dwairy.