Two-fifths of SCD victims had no recorded health service contact that would indicate increased risk of SCD within their lifetime. A large number of patients suffered previous cardiac events or symptoms suggestive of increased SCD risk but were not referred for further investigations. There is a need for better care pathways for patients post-MI to identify those requiring an ICD. The impact on the ICD rate of undertaking these extra investigations is uncertain.
A 79-year-old man presented to our department with nasal obstruction and postnasal drip. On examination he had unusual bilateral nasal polyps, which were histologically diagnosed as meningioma. Twenty-seven years earlier he had undergone successful removal of a right frontal meningioma. A CT scan performed 7 years after his primary surgery had shown complete excision with no evidence of recurrence. Extracranial meningiomas are rare tumours and are usually extensions from an intracranial mass lesion. We document what we believe to be the first case of an extracranial meningioma, presenting as nasal polyps, 27 years after successful surgical eradication of the primary lesion.
Aims:To determine the quality of stillbirth postmortem reports and their contribution to a final diagnosis following the introduction of explicit consent forms after the Alder Hey inquiry.Methods:Necropsy reports from 100 consecutive stillbirths were reviewed from 2001 onwards. A spreadsheet compiled data items that were considered essential in the Royal College of Pathologists guidelines. The type of consent (with permission for organs/tissue retention) was recorded to assess the impact on establishing a cause of death.Results:Consent for tissue retention was obtained in 95 cases, whereas consent for organ retention was significantly lower (52 cases). In two cases, permission was refused for tissue retention and three requested external examinations only. Of these five, four had an undetermined cause of death, compared with 35 of 95 cases where permission for tissue retention was granted. All data items considered essential were recorded in every report. In 65 cases, the necropsy provided useful information, helped clinical care, and addressed parental concerns.Conclusions:There was no major impact of the type of necropsy consent on establishing a cause of death, apart from the case of limited necropsies without histological examination of tissue samples.
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