Despite being an extremely common disease worldwide, especially in the temperate areas, hydatid disease continues to startle by varying presentations. The current study presented a case of primary hydatid in the subcutaneous region of face of a young patient accurately diagnosed preoperatively by the characteristic of imaging findings on ultrasonography (USG) and comouted tomography (CT) and confirmed on surgery. Although it was a rare site of presentation, the radiological features were essentially the same as elsewhere in the body and could help to make correct decision to manage the patient.
Intravenous thrombolysis is the preferred treatment for massive pulmonary embolism with hemodynamic instability, when there are no contraindications to the therapy. However, when absolute contraindications to thrombolysis are present, clinicians are at a crux, especially when mechanical thrombectomy is also not possible. We present a case of a 40-year-old man with polytrauma with head injury who developed massive pulmonary embolism requiring intravenous thrombolysis on day 15 after decompressive craniotomy-possibly a first in the literature. The patient, however, successfully recovered from this near-fatal episode. With this report, we wish to highlight that at a near-dying situation, no contraindication is absolute, and all possible efforts must be made by the clinician to save the patient.
AbstractKeywords ► massive pulmonary embolism ► alteplase ► traumatic head injury ► thrombolysis
In addition to the conventional prognostic factors we need more definate ways to accurately predict survival in patients harbouring a glioma. Probably, assessing molecular characteristics of the individual tumors, such as presence of isocitrate dehydrogenase (IDH) mutation versus wild-type IDH, would help us in predicting survival more accurately.
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