Cardiac myxoma is the most common primary tumor of the heart, located mainly in the left atrium. Cerebral embolization or intracranial aneurysm formation as a consequence of left atrial myxomas has been well documented, whereas myxoma embolization causing the combination of cerebral infarction and intracranial myxomatous aneurysm is rare. We report herein, a 67-year-old female with a cardiac myxoma who experienced a left hemispheric embolic ischemic stroke and in addition was found to have right internal carotid artery aneurysm. The patient underwent emergency surgical excision of left atrial myxoma 2 hours after the stroke onset and endovascular coiling of the aneurysm a week later. Although the timing of cardiac surgery is controversial in patients who have had recent ischemic stroke, we recommend immediate resection of cardiac myxoma, if feasible, and early endovascular treatment of associated intracranial myxomatous aneurysms.
Introduction. Intracranial aneurysms associated with Behçet's disease (BD) are a rare occurrence. They are fragile, thin-walled pseudoaneurysms, which have high tendency to rupture and present a therapeutic challenge. Case Presentation. We report a 26-year-old male with BD presented with subarachnoid hemorrhage due to ruptured middle cerebral artery aneurysm. Additionally, two unruptured aneurysms were identified. He underwent endovascular embolization using Onyx with successful obliteration of the ruptured aneurysm. Medical therapy resulted in regression of one and resolution of the other aneurysms. Conclusion. We describe the first report of the application of Onyx for obliteration of ruptured cerebral aneurysm in BD as a feasible and safe therapeutic option for patients who are not candidates for other techniques.
Cerebral venous sinus thrombosis (CVST) is a severe clinical condition that manifests with diverse symptoms that can be mild, taking the form of a headache, or can be life-threatening, with raised intracranial pressure and herniation. Despite systemic anticoagulation treatment, CVST still carries a mortality risk of approximately 10% because of the failure of venous recanalization by anticoagulants alone. This paper describes two cases with extensive CVST who presented with progressive neurological deterioration despite adequate systemic anticoagulation treatment. Both patients were successfully treated with endovascular clot removal using suction thrombectomy techniques with immediate recanalization of the sinuses and rapid radiographic improvement. The described therapy appears effective and safe; however, further studies are needed to validate the effectiveness of this treatment.
Résumé: Le Torulopsis glabrata a été recherché dans le tube digestif des mammifères morts en captivité au Parc zoologique de Paris. L'investigation s'étend sur 17 années (1963–1979); les sièges testés comprennent: la cavité buccale, I'intestin grêle, le gros intestin, le rectum et, uniquement chez les mort‐nés et les sujets âgés au plus de 10 jours, l'estomac
Parmi les 1212 animaux examinés, appartenant à 150 espèces, 30 porteurs, et 20 espèces, ont été déce1és. L'investigation a porté successivement: sur l'incidence de l'âge et du régime alimentaire; sur la répartition des porteurs dans l'année et sur leur fréquence en fonction de la famille et de l'espèce zoologiques; sur la distribution de T. glabrata le long du tube digestif; enfin sur l'environnement fongique de T. glabrata au niveau des flores digestives étagées et sur les modèles d'association constatés avec d'autres micromycètes.
Summary: An investigation on Torulopsis glabrata, in the digestive tract (oral cavity, small and large intestines, rectum and, only in still‐born and young subjects not older 10 days, the stomach) was conducted in mammals who died in captivity in the Paris Zoological Park, during a 17‐year period from 1963 to 1979.
From 1212 mammals examined, belonging to 150 species, 30 carriers, belonging to 20 species, were detected. In this ecological report, the following points are studied: incidence of age and diet; yearly distribution of carriers; carriage influence according to the zoological family and species; distribution of T. glabrata along the digestive tract; fungal environment of T. glabrata in relation to the digestive flora in different sections of the digestive tract, models of association with other micromycetes.
for the total samples and a mean age of 10.71 + 1.99 for students with a diagnosis of primary headache disorder. Gender was nearly equally distributed among the total sample (male 47.5% versus female 52.5%) and among students of primary headache disorder (male 51% versus female 49%, P b .20). One-year prevalence of headache was 31.2% with no significant difference among females compared to males (15.3% versus 16%; P b .14). Prevalence of migraine was significantly higher (19.6%) followed by TTH (8.6%), chronic headache (1.3%) and medication-use headache (0.7%) (b0.001).
ConclusionsPrimary headache prevalence is high among primary and middle school students. Migraine was the most prevalent headache. No significant difference was noted among those age group.
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