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Late onset hyperornithinemia-hyperammonemia-homocitrullinuria syndrome - how web searching by the family solved unexplained unconsciousness: a case report.

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BACKGROUND Hyperornithinemia-hyperammonemia-homocitrullinuria syndrome, a rare inherited urea cycle disorder, can remain undiagnosed for decades and suddenly turn into an acute life-threatening state. Adult presentation of hyperornithinemia-hyperammonemia-homocitrullinuria syndrome has rarely been

[Cerebral microhaemorrhage as imaging correlate of high-altitude cerebral edema in a patient under long-term ventilation].

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Within the scope of a cerebral magnetic resonance imaging to diagnose a dysphagia in a patient on long-term artificial respiration, the morphological criteria for a HACE (high-altitude cerebral edema) have been met. We found microangiopathic white matter lesions in the area of the corpus callosum

[Severe laryngeal edema immediately after extubation in a 93 year old female].

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A 93-year-old female, who had post-operative respiratory insufficiency, was treated with artificial ventilation for 8 days. Immediately after extubation, dyspnea, cyanosis and unconsciousness occurred. Severe laryngeal edema was found by bronchofiberscopy and reintubation seemed impossible. She

[Bilateral craniectomy in the treatment of severe traumatic brain edema].

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The extensive bilateral craniectomy with opening of the dura offers the possibility of rapid reduction of intracranial pressure. The reactive brain edema with imminent or beginning decompensation indicates the need for operation. Technically, it is easy to carry out bilateral cranial decompression.

[A case of ruptured true posterior communicating artery aneurysm with neurogenic pulmonary edema treated early by GDC embolization].

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A case of ruptured true posterior communicating artery aneurysm with neurogenic pulmonary edema is presented. A 31-year-old male suffered the sudden onset of unconsciousness with respiratory dysfunction and pinkish foamy sputum. Computed tomography demonstrated diffuse subarachnoid hemorrhage and

Hypoglycemia-induced neurogenic-type pulmonary edema: an underrecognized association.

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OBJECTIVE To report a case of hypoglycemia-induced pulmonary edema and to analyze the underlying pathophysiologic processes. METHODS A case report with clinical and laboratory data is presented, and related studies from the medical literature are discussed. RESULTS A 23-year-old man with type 1

Negative-pressure pulmonary edema after transsphenoidal hypophysectomy. Case report.

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OBJECTIVE Negative-pressure pulmonary edema (NPPE) is a rare complication that evolves rapidly after acute or chronic obstruction of the airways. The objective of this report was to present a case of NPPE after upper airways obstruction in a patient with acromegaly who underwent transsphenoidal

Diffuse cerebral swelling following head injuries in children: the syndrome of "malignant brain edema".

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The commonest initial computerized tomography (CT) finding in head-injured children is bilateral diffuse cerebral swelling. Cerebral blood flow and CT density studies suggest that this swelling is due to cerebral hyperemia and increased blood volume, not to edema. The clinical history, course, and

Prolonged awakening and pulmonary edema after general anesthesia and naphazoline application in an infant.

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CONCLUSIONS Naphazoline intoxication by intrabronchial overdose caused prolonged unconsciousness of an 18-mo-old child after general anesthesia for tracheal rigid bronchoscopy. The leading symptoms were side effects involving the cardiovascular, pulmonary, and central nervous systems. Intensive care

[Advances in the conservative treatment of acute traumatic cerebral edema. Controlled clinical trial with follow-up examination (author's transl)].

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Studies in 142 accident victims with severe craniocerebral trauma showed that the intravenous application of sodium escinate over several days considerably reduced the dangerous rise in intracranial pressure and also the total mortality in comparison with corticosteroid therapy alone. Both groups,

A case of intracerebral air embolism following acupuncture.

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Recently, the reported causes of cerebral air embolism are more from invasive medical procedures than decompressive sickness. We report a patient with homolateral cerebral air embolism probably due to acupuncture to the anterior neck. A 64-year-old man was admitted with early seizure followed by

[Calcified chronic subdural hematoma complicated with subcortical hemorrhage: case report].

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The patient was a 46-year-old male, who suffered from mild head trauma in January 2002, and general convulsions with unconsciousness on February 28. Slight right hemiparesis and aphasia were presented after the epilepsy attack. CT scan revealed a large lesion of mixed density occupying the left

Death due to positional asphyxia under severe alcoholisation: pathophysiologic and forensic considerations.

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In contrary to "physical restraint", describing a fixed body position due to external devices, "positional restraint" is defined as an abnormal body position, resulting from accidental fixation under unfortunate circumstances. We report on a remarkable case of positional asphyxia of an alcoholised

Pneumatization of the intraorbital optic nerve after severe head trauma.

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Radiological evidence of pneumatization of the intraorbital optic nerve sheath following severe head trauma in an adult is reported. A young man was admitted to the emergency department following a high-speed motorcycle accident with unconsciousness, forehead laceration, and multiple fractures of

[Mild head injury: diagnostic pitfalls and complications].

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With regard to diagnosis and treatment, there is no general agreement about the management of mild head injury. The value of clinical discoveries and the indications for x-ray investigations are controversially discussed, as well as the risks of radiation exposure. Important criteria in the judgment

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