Fahr's disease is a rare neurodegenerative disorder that is characterized by the bilateral symmetrical deposition of calcium in the basal ganglia, thalamus, dentate nuclei and centrum semiovale in the absence of hypoparathyroidism. It is often familial. Hereby, we are reporting a rare case of Fahr's disease who presented with repeated episodes of seizures and was diagnosed as Fahr's disease after performing computed tomographic (CT) scan.
Background: Eclampsia is characterized by the sudden onset of generalized tonic clonic seizures. Eclampsia is usually preceded by a history of the pre-eclampsia but rarely arises in a woman with minimally increased blood pressure and no proteinuria. Eclampsia most commonly occurs in the third trimester, though rarely eclampsia may occur before 20 wks in molar or multiple pregnancy. The aim of the study was to compare maternal and fetal outcome in antepartum eclampsia when terminated by vaginal delivery and caesarean section.Methods: 50 women with eclampsia attending emergency department OBG department of Katihar Medical College, Katihar were collected from Feb 2015 to Sep 2016. Depending upon the mode of delivery, they were divided into two groups, CD group where caesarean section was performed and VD group where vaginal delivery was performed.Results: Of the 50 cases, caesarean section was done in 40% of the cases, while vaginal delivery was carried was carried in 60%.Maternal complications in CD group was 35% and 80% in VD group (p<0.001).The incidence of live births, still birth and neonatal death was 85%, 15%, 0% in CD group and 60%, 40%, 10% in VD group. The corrected perinatal mortality was 50%.Conclusions: Timely caesarean section reduces maternal and perinatal mortality and improves their outcome in antepartum eclampsia.
Introduction: Cysticercosis is commonly encountered in this part of the world. It can manifest in many different form. Objective: To report a case of cysticercosis which presented with a lump in axilla. Case: A 36 year old man from Dharan presented with the chief complaint of lump in the right axilla for 9 months and two lumps in left axilla for 3 months. The onset of lump was insidious and gradually progressive in nature. The examination revealed a single mass in the medial surface of right upper arm, approximately 3x3cm in size, not fixed with the skin, slightly movable and mildly tender and another two masses around 1x2 cm in left axilla with similar characteristics as the right one. The ultrasonography showed heterogenous lesion measuring 27mm x 18 mm in medial aspect of right upper arm and two similar lesions measuring 14.5 x11mm and 11 x 10 mm in left axilla suggesting "Cysticercosis". The lumps were surgically removed successfully. Conclusion: Cysticercosis is one of the causes of lump in axillay region. It can be diagnosed ultrasonographically and treated by surgical removal.
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