Stroke Caused by Lung Cancer Invading the Left Atrium Dimitrović, Ana, MD; Breitenfeld, Tomislav, MD, PhD; Supanc, Višnja, MD, PhD ...
Journal of stroke and cerebrovascular diseases,
05/2016, Volume:
25, Issue:
5
Journal Article
Peer reviewed
We describe a 59-year-old stroke patient presented with sudden onset left side weakness and a speech disorder due to a major acute cerebral infarction in the area of the right middle cerebral artery, ...right posterior cerebral artery, and small infarctions in the area of the left middle and left posterior cerebral artery. For the previous month, the patient had been feeling weak and had no appetite. The patient had not been previously seriously ill. A chest x-ray showed a large mass in the upper zone of the right lung. Chest computed tomography scan and echocardiography were performed and revealed advanced lung cancer invading the left atrium. Spontaneous tumor embolism is a rare cause of stroke and should be considered in the differential diagnosis of stroke in a cancer patient. Also, sometimes stroke can be the first manifestation of advanced cancer.
Syphilis is a sexually transmitted, systemic disease caused by the spirochete bacterium Treponema pallidum. The most common mechanism of transmission is sexual intercourse. Although there are several ...hypotheses, the exact origin of the disease remains unknown. Newly published evidence suggests that the hypothesis supporting the theory of the American origin of the disease is the valid one. Among 1500 analyzed pathographies of composers and musicians, data on ten Anglo-American composers and jazz musicians having suffered from neurosyphilis (tertiary stage of the disease) were extracted for this report. In this group of Anglo-American composers and musicians, most of them died from progressive paralysis while still in the creative phase of life. Additionally, diagnoses of eleven other famous neurosyphilitic composers, as well as basic biographic data on ten less known composers that died from neurosyphilis-progressive paralysis are also briefly mentioned. In conclusion, neurosyphilis can cause serious neurological damage, as well as permanent disability or death, preventing further work and skill improvement.
Sifilis je spolno prenosiva, sistemska bolest uzrokovana spirohetnom bakterijom Treponema pallidum. Najčešći način prijenosa bolesti je spolni odnos. Iako ima više hipoteza, točno podrijetlo bolesti ...još je uvijek nepoznato. Nedavno objavljeni podaci pokazuju da je najvjerojatnije točna hipoteza koja podupire teoriju američkog podrijetla bolesti. Među 1500 analiziranih patografi ja skladatelja i glazbenika za ovaj prikaz izdvojeni su podaci o deset angloameričkih skladatelja i jazz glazbenika koji su bolovali od neurosifi lisa (tercijarni stadij bolesti). U analiziranoj skupini angloameričkih skladatelja i glazbenika većina ih je umrla od progresivne paralize dok su još uvijek bili u kreativnoj fazi života. Dodatno, ukratko su prikazane dijagnoze jedanaestorice drugih slavnih skladatelja neurosifi litičara te također osnovni biografski podaci desetorice manje poznatih skladatelja koji su umrli od neurosifi lisa odnosno progresivne paralize. U zaključku, neurosifi lis može uzrokovati značajno neurološko oštećenje, a u težim slučajevima također dovesti do trajnog invaliditeta ili smrti i time spriječiti daljnji rad i profesionalni razvoj.
Felix Mendelssohn, Goethe's favorite, who revealed the genius ofJohann Sebastian Bach after almost a century of oblivion, was of a fragile constitution. Last year of his life he was very depressed ...because of his sister Fanny's sudden death. The last month he had several attacks of severe headaches with agitation, anxiety, confusion and slow pulse. Last three days these episodes became more frequent and his overall health worsened. After stupor and coma, he died from probable subarachnoid (or cerebral) hemorrhage (with hypertension?), like his sister several months before.
Guillain-Barré syndrome (GBS) and neuroborreliosis may clinically manifest with symptoms related to acute polyradiculoneuritis. The aim and purpose of this study was analysis of clinical picture in ...patients with acute polyradiculoneuritis and their differential diagnosis into patients with GBS or meningoradiculoneuritis within the framework of neuroborreliosis. In this retrospective study, medical records of patients with acute polyradiculoneuritis hospitalized at University Department of Neurology, Sestre milosrdnice University Hospital Center during a 4-year period were analyzed. The study included data on 27 patients. Definitive diagnosis ofGBS was made in 23 patients and of neuroborreliosis in four (14.8%) patients. Acute inflammatory demyelinating polyneuropathy was recorded in 69% of GBS patients, Miller Fisher syndrome in four patients, and acute motor axonal neuropathy and/or acute motor and sensory axonal neuropathy in three patients. Clinically, patients with neuroborreliosis manifested flaccid tetraparesis, peripheral facial nerve paresis, bulbar paresis, ocular motility disorders, and sensory symptoms of radicular pain and paresthesias. Considering the relatively high prevalence of neuroborreliosis in north-west Croatia, it is important to exclude meningoradiculoneuritis caused by Borrelia burgdorferi on differential diagnosis of GBS in these patients.
These are evidence based guidelines for the management of medical complications in patients following aneurysmal subarachnoid hemorrhage, developed and endorsed by the Croatian Society of ...Neurovascular Disorders, Croatian Society of Neurology including Section for Neurocritical Care, Croatian Neurosurgical Society, Croatian Society for Difficult Airway Management and Croatian Medical Association. They consist of recommendations for best monitoring, medical treatment and interventions based on the literature, evaluation of the results of large international clinical trials, and collective experience of the authors.
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