Przeglądanie według Temat "case report"

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Care and nurture patient with Multiple Sclerosis, mechanically ventilated at home – a case report
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Krupa, Sabina
Mechanical ventilation at home is one of the methods of treatment of respiratory failure, but it is not yet widespread in Poland. Domestic ventilation can increase quality of life of patients who can remain at home under the care of a therapeutic team. Multiple sclerosis is one of the diseases that require mechanical ventilation. This disease, leds in many cases to respiratory failure. Here, we describe a case of the patient who has suffered from multiple sclerosis for 23 years and is now mechanically ventilated at home. The paper presents the current state of the patient, problems that affected her and her family, and what changes have occured since the time of her diagnosis with MS.
Cryptogenic stroke in a young patient after COVID-19 infection – a case report
(Publishing Office of the University of Rzeszow, 2024-12) Liyanage, L.R. Sathisha Deshan; Purvishbhai, Soni Karsh; Antipina, Ekaterina Olegovna
Introduction and aim. Cryptogenic stroke (CS) is a type of cerebral ischemia in which the cause is unknown or unclear. It can be difficult to determine the cause of CS because of various factors, such as incomplete investigations or the transient or reversible nature of the event. Infections can increase the risk of stroke by causing localized inflammation of the meninges and cerebral parenchyma, systemic inflammation, coagulation, and endothelial dysfunction. COVID-19-related cerebrovascular events can happen due to a hypercoagulable state from systemic inflammation and cytokine storm, post-infectious immune-mediated responses, and direct viral-induced endothelitis, which can lead to angiopathic thrombosis. Description of the case. A 25-year-old male was diagnosed with mild semantic aphasia. The patient had a history of moderate COVID-19 infection. An angiography revealed that the M2 segment of the middle cerebral artery in the left hemisphere was not contrasted, indicating an occlusion. MRI and CT scans showed evidence of ischemic changes in the left hemisphere of the brain. The patient was treated with several drugs, including antiplatelet and neuroprotective drugs. Conclusion. Our case demonstrates that autoimmune antibody formation, specifically antinuclear antibodies, can cause vasculopathy, leading to thrombus formation and stroke. It suggests a potential link between autoimmune antibody formation and stroke in COVID-19 patients.
Total resection of foramen magnum meningioma via a far-lateral approach – a case report
(Publishing Office of the University of Rzeszow, 2024-03) Szymoniuk, Michał; Sakw, Leon; Domagalski, Łukasz; Gałązka, Jakub Krzysztof; Hoffman, Zofia; Dryla, Aleksandra; Czyżewski, Wojciech; Szczepanek, Dariusz; Torres, Kamil; Rola, Radosław
Introduction and aim. The foramen magnum is a rare location of meningioma development, accounting for 1.8 to 3.2% of all reported tumors of this type. Microsurgical resection, representing a gold standard in foramen magnum meningioma treat ment, may result in various neurological deficits or incomplete resection due to challenging anatomical conditions. Currently, even surgical resections of foramen magnum meningioma conducted by experienced neurosurgeons are burdened by a relatively high complication rate of 17.2% Description of the case. We report the case of a 25-year-old male who presented increasing headaches and decreasing activity for 5 months. In his medical history, the patient had been diagnosed with cerebral palsy, autism spectrum disorder, and suffered partial seizures. Magnetic resonance imaging revealed anterolateral foramen magnum meningioma. The tumor was resected via a far-lateral approach. After the surgery, the patient maintained a preoperative neurological state without additional neurological deficits. The post-operative magnetic resonance imaging demonstrated complete tumor removal. Histopatholog ical examination revealed transitional meningioma (WHO grade I). Conclusion. Our case demonstrates that the far-lateral approach can be efficient for the resection of anterolateral foramen magnum meningioma. In such cases, Simpson grade 1 can be achieved without complications, providing immediate relief of symptoms and minimizing the risk of recurrence.