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1.
Intern Med ; 61(12): 1877-1880, 2022 Jun 15.
Article in English | MEDLINE | ID: mdl-34776493

ABSTRACT

We herein report two cases of cerebrospinal fluid (CSF) rhinorrhea associated with lung infiltrates. One patient presented with symptomatic non-resolving pneumonia, while the other was asymptomatic. In both cases, the lung infiltrates completely resolved when CSF leakage had subsided. Pulmonary involvement in CSF rhinorrhea is under-recognized, and despite being the definitive treatment, surgery for CSF rhinorrhea is typically postponed due to the presence of lung infiltrates. However, meningitis is a serious complication due to a delay in surgical management. Physicians should be made aware that CSF rhinorrhea is a potential cause of intractable lung infiltrates.


Subject(s)
Cerebrospinal Fluid Rhinorrhea , Meningitis , Pneumonia , Cerebrospinal Fluid Leak/complications , Cerebrospinal Fluid Rhinorrhea/diagnostic imaging , Cerebrospinal Fluid Rhinorrhea/etiology , Cerebrospinal Fluid Rhinorrhea/surgery , Humans , Meningitis/complications , Meningitis/diagnosis , Pneumonia/complications
2.
CEN Case Rep ; 10(4): 582-587, 2021 11.
Article in English | MEDLINE | ID: mdl-34037940

ABSTRACT

Sudden unexpected death in epilepsy (SUDEP) has been defined as a sudden/unexpected, witnessed/unwitnessed, nontraumatic, and nondrowning death in epileptic patients with/without seizure evidence and documented status epilepticus. Identified as the leading cause of epilepsy-related deaths, SUDEP cases are highly unrecognized and underreported due to diagnostic difficulty. We report a case of a successfully revived hemodialysis patient who developed cardiopulmonary arrest after a witnessed convulsive seizure. Electroencephalogram revealed epileptic abnormalities. Therefore, this case could be seizure-induced cardiopulmonary arrest and near-SUDEP. Hence, the possibility of SUDEP should be considered even in hemodialysis patients having conventional coronary risk factors for sudden cardiac death.


Subject(s)
Diabetic Nephropathies/complications , Heart Arrest/etiology , Kidney Failure, Chronic/complications , Sudden Unexpected Death in Epilepsy/etiology , Adult , Cardiopulmonary Resuscitation , Diabetes Mellitus, Type 1/complications , Diabetic Nephropathies/therapy , Humans , Kidney Failure, Chronic/therapy , Male , Renal Dialysis , Sudden Unexpected Death in Epilepsy/prevention & control
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