Clinics and Practice  

Pradeep Venkatesh, Harish Pathak, Satpal Garg

The authors report the unusual observation discrete plaque like excrescencies along the retinal arterial wall in a young patient with acquired immunodeficiency syndrome. Though bilateral, in the right eye there was severe arteriolar narrowing and so these... see more

Sebnem Eren Cevik, Onur Yesil, Tuba Cimilli Ozturk, Ozlem Guneysel

Potassium permanganate is a highly corrosive, water-soluble oxidizing antiseptic. A 68- year-old female patient was admitted to our Emergency Department after ingestion of 3 tablets of 250 mg potassium permanganate as a suicide attempt. The physical exam ... see more

Wenbin Sun, Xiaoyan Sun, Dianbo Cao

Liposarcoma is one of the most common soft-tissue sarcomas and classified as five groups. Dedifferentiated liposarcoma includes multiple elements such as solid tissue, adipose tissue and calcified tissue, which is different from common liposarcoma in tiss... see more

Suvy Manuel, Deepti Simon, Eldhose K. George, Raghava B. Naik

Aneurysms of the superficial temporal artery are relatively rare vascular complications following trauma. Two cases of pseudoaneurysm of the anterior branch of the superficial temporal artery, subjected to blunt maxillofacial trauma are presented here. Th... see more

Santosh G. John, Unnikrishnan Pillai, Alexander Lacasse

Capillary hemangiomas, hamartomatous proliferation of vascular endothelial cells, are rare in the central nervous system (CNS). Intracranial capillary hemangiomas presenting with reversible behavioral abnormalities and focal neurological deficits have rar... see more

Melanie Cegielski, Bernard Vaudaux, Katia Jaton, David Bervini, Marie-Helene Perez

Tuberculosis incidence is low in Switzer land. We report here on a Swiss-born toddler. Tuberculosis manifested with a fever of unknown origin, mimicking an inflammatory or autoimmune disorder triggering a high dose of corticosteroid treatment. The disease... see more

David Pettersson, Kelli R. Schmitz, Jeffrey M. Pollock, Katharine L. Hopkins

We report on a 5-year-old boy with seeding of the peritoneum and a ventriculoperitoneal shunt tract by anaplastic medulloblastoma. The role of ventriculoperitoneal shunting in the spread of primary central nervous system tumors has been controversial. In ... see more

Suvy Manuel, Surej L.K. Kumar, Bindu J. Nair

Oral surgeons ought to be aware of variety of lesions that can present as focal exophytic gingival overgrowths. Most gingival lesions arise due to local irritating factors. The case presented share dramatic clinical pictures and findings of a long-standin... see more

Svetlana Katsnelson, Jessica Cella, Heesuk Suh, Marina M. Charitou

Hypercalcemia is a rare condition in patients with autoimmune polyglandular syndrome (APS-1), usually characterized by hypoparathyroidism and hypocalcemia, and it can develop due to simultaneous adrenal insufficiency. We present a case of severe hypercalc... see more

Hirohisa Okuma, Reiko Nagano, Shigeharu Takagi

A 32-year-old man experienced double vision around January, 2010, followed by weakness of his left upper and lower extremities. Articulation disorders and loss of hearing in his left ear developed, and he was admitted to our hospital on February 14, 2010.... see more

Marwan Ma'ayeh, Richard Power, Deirdre Mary Fanning

A 40-year-old Caucasian male presented to the Emergency Department complaining of intermittent painless frank haematuria. Past medical history was significant for Hereditary Non-Polyposis Colon Cancer (HNPCC) and a prophylactic total colectomy. Computed t... see more

Martha A. Kaeser, Norman W. Kettner, Usama Albastaki, Hossam Ahmed Kotb, Ibrahim M.A. Eldesouky, Claude Pierre-Jerome

This case report describes a 32-year-old male who presented to an emergency department with severe chest pain and a history of cough, fever, night sweats, loss of appetite and weight. Chest radiography revealed a left upper lobe consolidation and multiple... see more

Deepak Gupta, Andrew Rubens, Milos Marjanovic

Post-partum Anaphylaxis in mothers is extremely rare and has been reported secondary to initiation of the breast-feeding. However, we hereby report the occurrence of post-partum anaphylaxis in a post-partum patient in the absence of the initiated breast-f... see more

Girish D. Bakhshi, Arshad S. Khan, Aftab S. Shaikh, Mohammad Ashraf A. Khan, Mohammad Adil A. Khan, Nilofar M. Jamadar

Primary Renal Sarcoma is rare tumor comprising only 1% of all renal tumours. Synovial sarcomas are generally deep-seated tumors arising in the proximity of large joints of adolescents and young adults and account for 5-10% of all soft tissue tumours. Prim... see more

Satoru Kira, Norifumi Sawada, Shouji Kudou, Hidenori Zakoji, Shigeaki Kaga, Masahiko Matsumoto, Masayuki Takeda

The association between abdominal aortic aneurysm (AAA) and renal tumor is becoming more frequent, and the increasing incidence of this synchronous diseases raised questions about the procedures of treatment. In most of the previous cases, open nephrectom... see more

Vandana Rathva

Enamel pearls are one of a number of different enamel structures that can be found on the roots of deciduous and permanent teeth. They have a distinct predilection for the furcation areas of molar, particularly the maxillary third and second molars. Howev... see more

Louise J. Smith, Ehab A. Husain

Although malignant melanoma (MM) and both basal cell carcinoma (BCC) and actinic keratosis (AK) are sun-induced lesions, the coexistence of these entities at the same anatomical site (collision tumour) is exceedingly rare. We report the case of a 54-year-... see more

Smit Doshi, Arti Vadi, Amit Mahajan, Tapan Nagpal

We present a case of primary hyperparathyroidism with an uncommon presentation as multiple brown tumours, which may easily be mistaken for a primary bone neoplasm. A brief literature review and its clinical and surgical management are also discussed here.

Chihiro Kawakami, Akiko Inoue, Kimitaka Takitani, Motomu Tsuji, Kimiko Wakai, Hiroshi Tamai

We herein report a female child with choroid plexus carcinoma treated with standard dose of imatinib at disease recurrence. This patient failed initial twice-surgical resections, central nervous system (CNS) irradiation, and adjuvant chemotherapies and hi... see more

Uma Hariharan Hariharan, Rakesh Garg, Alka Gupta, Seema Wasnik, Mridula Pawar

Neurosurgical procedures in infants poses various challenges such as difficulty in venous cannulation, securing invasive vascular lines, difficult airway, controlling intra-cranial tension, managing large fluid shifts to positioning- related issues and te... see more

Krystal A.T. Gayle, Marshall K. Tulloch-Reid, Rainford J. Wilks, Trevor S. Ferguson

This study evaluated the ability of the slipping slipper sign (defined as unknowingly losing a slipper while walking) to identify diabetic neuropathy in Jamaican patients. A single question was used to ascertain the presence of the slipping slipper sign (... see more

Takeshi Kusunoki, Shin Ito, Takashi Iizuka, Noritsugu Ono, Katsuhisa Ikeda

We report a case of retropharyngeal abscess with spondylitis causing tetraplegia. At a previous hospital, administration of antibiotics improved the inflammation findings. However, magnetic resonace imaging showed a remaining retropharyngeal abscess. This... see more

Kafil Akhtar, Rana Sherwani, Afzaal Anees

This report describes the case of a 50-yearold female patient who presented with bilateral adnexal lump and dysfunctional uterine bleeding with altered bowel habits. Computed tomography of the abdomen and pelvis revealed a bilateral adnexal lump situated ... see more

Umi Kalthum Md Noh, Aida Zairani A. Zahidin, Then Kong Yong

A 26-year-old woman with a recent flare-up of systemic lupus erythematosus presented with peripheral retinal hemorrhages at a routine check-up. She is on a tapering dose of immunosuppressive agents. Her visual acuity was good. Fluorescein angiogram reveal... see more

Vipul D. Yagnik, Bhargav D. Yagnik

A 35-year-old woman was admitted to the surgical ward complaining of right-sided lower abdominal pain. She had undergone colonoscopy a week previously. She was diagnosed with acute appendicitis following colonoscopy and laparoscopic appendectomy was perfo... see more