Subject(s)
ABO Blood-Group System , Blood Group Incompatibility , Communicable Diseases/epidemiology , Kidney Transplantation/immunology , Postoperative Complications/epidemiology , Adolescent , Adult , Antibiotic Prophylaxis , Bacterial Infections/prevention & control , Child , Communicable Diseases/immunology , Communicable Diseases/mortality , Cytomegalovirus Infections/epidemiology , Cytomegalovirus Infections/physiopathology , Female , Fever , Graft Survival , Humans , Kidney Transplantation/mortality , Male , Middle Aged , Postoperative Complications/immunology , Postoperative Complications/mortality , Retrospective Studies , Survival Rate , Trimethoprim, Sulfamethoxazole Drug Combination/therapeutic useSubject(s)
Graft Survival , HTLV-I Infections/complications , Kidney Failure, Chronic/complications , Kidney Failure, Chronic/surgery , Kidney Transplantation/physiology , Adult , Cause of Death , Drug Therapy, Combination , Female , Follow-Up Studies , HTLV-I Infections/mortality , Humans , Immunosuppressive Agents/therapeutic use , Kidney Transplantation/mortality , Male , Middle Aged , Survival Rate , Time FactorsSubject(s)
Graft Survival , Immunosuppressive Agents/therapeutic use , Kidney Transplantation/immunology , Tacrolimus/therapeutic use , ABO Blood-Group System , Adolescent , Adult , Azathioprine/therapeutic use , Blood Group Incompatibility , Child , Child, Preschool , Cyclosporine/therapeutic use , Drug Therapy, Combination , Female , Graft Rejection/drug therapy , Graft Rejection/epidemiology , Histocompatibility Testing , Humans , Immunosuppressive Agents/adverse effects , Infant , Kidney Transplantation/mortality , Kidney Transplantation/physiology , Male , Methylprednisolone/therapeutic use , Middle Aged , Retrospective Studies , Survival Rate , Tacrolimus/adverse effects , Time FactorsABSTRACT
A 19-year-old girl was admitted with a history of difficulty in moving her neck for several years and a sudden onset of neck pain three months before. Plain radiographs of the cervical spine revealed destruction of the left half of the 6th cervical body with an expansive soap-bubble appearance. Neurological examination on admission was within normal limits. The angiography and bone scintigraphy revealed no abnormality. MRI of T1-weighted image showed a cystic lesion with various signal intensities. T2-weighted image demonstrated a hyperintense balloon-like lesion in the vertebral body and left lamina. At surgery, a cystic tumor was fully extirpated by the posterior approach and the bony defect was packed with apatite granules. She was discharged without any neurological deficits. This disease should be considered as one of the etiologies when a patient with difficulty in neck movement is encountered in young generation.
Subject(s)
Bone Cysts, Aneurysmal/surgery , Cervical Vertebrae , Spinal Diseases/surgery , Adult , Bone Cysts, Aneurysmal/diagnosis , Bone Cysts, Aneurysmal/pathology , Female , Humans , Magnetic Resonance Imaging , Spinal Diseases/diagnosis , Spinal Diseases/pathology , Tomography, X-Ray ComputedABSTRACT
Two cases of spontaneous dissecting aneurysm extending from the supraclinoid portion of the internal carotid artery to the middle cerebral artery are reported in two teenaged patients. Both patients collapsed with a headache on the right side, left hemiparesis, and altered consciousness due to cerebral ischemia. One patient became alert in 2 days; however, his condition rapidly deteriorated 4 days later and he died on the 8th day from massive cerebral infarction. The other patient received a right superficial temporal artery (STA)-middle cerebral artery (MCA) anastomosis 50 hours after his initial symptoms. He improved gradually and is able to walk without help. Cerebral angiograms 3 months after the operation disclosed progressive attenuation of the MCA and dilatation of the anastomosed STA. Artificial collateral flow demonstrated in the postoperative angiogram may have been useful in preventing massive cerebral infarction.
