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643 articles
November 202624
Radial Artery Pseudoaneurysm With Individualized Non-Operative Management: A 4-Case Series.
Four patients developed iatrogenic radial artery pseudoaneurysms after arterial access for blood pressure monitoring or coronary angiography. Management was tailored to hand circulation and pseudoaneurysm anatomy.
Postpartum-acquired hemophilia A presenting as a recurrent rectus sheath hematoma following cesarean section: a case report.
A 30-year-old woman presented 17 days after an uncomplicated second cesarean section with severe abdominal pain and a rectus sheath hematoma.
Pediatric spontaneous vertebro-venous fistula coil occlusion with vertebral artery preservation and distal vertebral artery flow restoration.
A 9-year-old boy had progressive cervical and upper thoracic pain for 8 months, without neurological deficit. MRI showed a left suboccipital vascular lesion, enlarged bilateral vertebral arteries, and a diminished…
Progression-Associated Loss of SMARCB1/INI1 Expression in Mismatch Repair-Deficient Glioblastoma.
A patient with mismatch repair-deficient glioblastoma had a recurrent tumor in which testing identified a second SMARCB1 mutation and complete loss of SMARCB1/INI1 protein expression.
Esketamine-Based Versus Sevoflurane-Based Anesthesia with Dexmedetomidine for Emergence Agitation in Pediatric Corneal Suture Removal: A Randomised Controlled Trial.
Corneal suture removal, particularly microsurgery requiring complete immobility, demands adequate anesthetic depth while ensuring rapid recovery.
Identification of AKAP6 as a candidate gene for charcot-marie-tooth disease: expanding the clinical and molecular spectrum.
A family was evaluated for axonal sensorimotor polyneuropathy. Whole-exome sequencing, with copy-number variant detection and runs-of-homozygosity analysis, identified a homozygous nonsense variant in AKAP6, c.4774 C >…
An encephalitis-like syndrome in an adult with methylmalonic acidemia and hyperhomocysteinemia: A case report.
A 56-year-old man developed fever and slowed responses, followed by disorganized speech, visual hallucinations, impaired consciousness, and pyramidal signs.
Intestinal tuberculosis with multiple intestinal perforations in a 5-month-old infant: The role of metagenomic next-generation sequencing: a case report and literature review.
A 5-month-old boy presented with fever and abdominal distension that progressed to intestinal obstruction and multiple perforations involving the distal ileum and appendiceal region.
Delayed pancytopenia following ingestion of wild mushrooms consistent with Hypholoma fasciculare: A case report.
A 57-year-old man presented with fever and generalized weakness about 10 days after eating self-collected wild mushrooms consistent with Hypholoma fasciculare. Testing showed delayed-onset pancytopenia.
Successful rechallenge with almonertinib and corticosteroids after gefitinib-induced interstitial lung disease: A case report and literature review.
A 53-year-old never-smoking woman with stage IV, EGFR L858R-mutant lung adenocarcinoma developed progressive dyspnea and hypoxemia after two months of gefitinib, despite an initial tumor response.
Neuromyelitis optica spectrum disorder presenting as rapidly progressive dementia: A case report.
A 64-year-old woman developed rapidly progressive cognitive slowing and memory loss over 10 days, with disorientation, apathy, and inability to recognize family; her MMSE score was 3/30.
Clinical and genetic characterization of three Iranian patients carrying the CLCN1 p.Pro452Leu variant.
Three Iranian families were evaluated for clinical and electrical myotonia, characterized by delayed skeletal muscle relaxation after contraction.
Delayed Diagnosis of Bilateral Congenital Choanal Obstruction in a 4-Year-Old Girl: Transnasal Repair with Temporary Stenting and Short-Term Outcome: A Case Report.
A 4-year-old girl had lifelong bilateral nasal obstruction, mouth breathing, snoring, poor sleep, easy tiredness, intermittent rhinorrhoea, and recurrent respiratory infections, with breastfeeding difficulty in infancy.
Left Ventricular Free-Wall Injury During Emergency Pericardial Drainage After Percutaneous Coronary Intervention-Related Coronary Perforation.
A 63-year-old woman developed shock and an enlarging pericardial effusion after PCI for a severely calcified right coronary artery lesion complicated by perforation, which was sealed with a covered stent.
Assay-aware flow-cytometric interpretation of relapsed B-cell precursor acute lymphoblastic leukemia after sequential CD19- and CD22-directed therapy: A case report.
A 73-year-old woman with B-cell precursor acute lymphoblastic leukemia developed marrow relapse after blinatumomab exposure.
Pulmonary sarcomatoid carcinoma with METex14 mutation and high PD-L1: A case report.
A previously healthy 54-year-old man presented with persistent cough and diminished breath sounds over the right upper lung.
When a glabellar dermoid cyst is not the whole story: the significance of MRI in excluding intracranial segments.
A 14-month-old boy underwent removal of a glabellar dermoid cyst considered extracranial. He remained asymptomatic, but surveillance MRI 10 months later showed a right frontal parasagittal intracranial lesion…
Spontaneous recanalization of pediatric internal carotid artery dissection during aspirin monotherapy: a retrospective case series.
This retrospective series described five children with acute arterial ischemic stroke due to intracranial internal carotid artery dissection.
Magnetic resonance neurography-supported L3-L4 radiculitis presenting as refractory peripatellar neuropathic pain in a patient with diabetes: A case report.
A 75-year-old man with longstanding type 2 diabetes developed severe burning, stabbing pain around the left kneecap, with numbness and touch-evoked allodynia but no back pain, typical radicular symptoms, weakness, or…
IgD-λ POEMS syndrome presenting with edema, pulmonary hypertension, and renal impairment: A case report.
A 38-year-old woman presented with years of intermittent leg edema, elevated creatinine, and acute worsening, followed by precapillary pulmonary hypertension, polyserous effusions, splenomegaly, lymphadenopathy, anemia…
Primary splenic angiosarcoma initially diagnosed as littoral cell angioma: A case report of a diagnostic pitfall.
A 71-year-old woman presented with left upper abdominal pain, severe anemia, thrombocytopenia, and a splenic lesion. After splenectomy, the lesion was initially diagnosed as littoral cell angioma; a separate hepatic…
Concurrent prenatal diagnosis of hereditary neuropathy with liability to pressure palsies and congenital pulmonary airway malformation: A case report.
At 24 weeks’ gestation, ultrasound in a 38-year-old woman showed a right fetal thoracic lesion with blood supply from the right pulmonary artery, consistent with congenital pulmonary airway malformation (CPAM).
Glucocorticoid therapy for acute interstitial nephritis in a patient with diabetic nephropathy: A case report.
A 41-year-old man with diabetes and hypertension developed acute kidney dysfunction after previously normal renal function; he had used an unidentified herbal decoction during the preceding month.
Using double-bundle Achilles tendon-bone allograft for reconstruction of compound loss of lateral malleolus and lateral ankle ligaments: A rare case report.
A 26-year-old woman developed progressive right ankle pain, recurrent giving-way, and peroneal tendon subluxation years after a high-energy crush injury requiring flap coverage.
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