Extending education to the Pacific region through cohort teaching - science teachers accelerated programme

The left atrial septal pouch (LASP) is formed by incomplete fusion of the septum primum and septum secundum, leaving a cavity open towards the left atrium, but without interatrial shunting. There is no recommendation concerning strategy in the presence of a LASP, especially in the setting of stroke. The aim of this review was to determine whether the LASP could be incriminated as the aetiology of a stroke. We included all pertinent publications on the subject, an

Fatal cerebritis and brain abscesses following a nontraumatic subdural hematoma in a chronic hemodialyzed patient

Staphylococcus aureus is the leading cause of bacteremia in hemodialysis-dependent patients that can lead to metastatic abscesses with poor outcome. We report a case of a 65-year-old chronic hemodialyzed male patient who developed cerebritis and brain abscesses complicating a spontaneous subdural hematoma, following Staphylococcus aureus bacteremia related to infected arteriovenous fistula. In spite of adequate antibiotherapy and several surgical brain drainages, our patient did not survive. Prevention of S. aureus is highly important in hemodialysis patients. © Journal compilation © 2008 International Society for Hemodialysis.SCOPUS: ar.jFLWINinfo:eu-repo/semantics/publishe

Accident vasculaire cérébral :De la prise en charge précoce à la rééducation

Stroke is a major health problem. The incidence of stroke in Belgium is estimated at 18,875 cases per year. Primary care needs to be fast in order to reduce mortality and disability. The European recommendations for the management of stroke are the following :1) stroke patients should be treated in specialized stroke units. Therefore, suspected stroke victims should be transported without delay to the nearest medical centre with an available stroke unit, or to a hospital providing organized acute stroke care if a stroke unit is not available ;2) stroke should be considered as a medical emergency requiring fast management. Once stroke symptoms are suspected, patients or their proxies should call emergency transportation or a similar system ;3) Stroke Unit should provide co-ordinated multidisciplinary care by medical, nursing and therapy staff who specialize in stroke care. Treating patient in a specialized stroke unit allows reducing the mortality by 20 % and improving the functional outcome of patients, regardless of age and/or stroke severity. Once the diagnosis of stroke is confirmed, causes and mechanisms should be clarified in order to prevent the recurrence of stroke. In case of ischemic stroke, less than 3 hours after the first symptoms, thrombolysis (which is the only curative treatment at present) may be proposed to the patient. The aims of neurological rehabilitation after stroke are :A) to enable the patient to recover a satisfactory quality of life considering the patient's status and environmental factors ;b) to coordinate all means to prevent (or minimize) the inevitable functional, physical, psychological, social consequences and economic impairment caused by disability (activity limitation). These objectives are pursued by stimulating maximally the residual abilities of the patient.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Auto-immune acquired hemophilia A associated with clopidogrel: A treatable life-threatening condition

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Bilateral optic neuritis and multiple evanescent white dot syndrome associated with mycoplasm pneumopathy

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COVID-19 masquerading as a non-convulsive status epilepticus

Since the outbreak of the coronavirus disease 2019 (COVID-19) pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), more and more atypical presentations of COVID-19 are being reported. Here, we present and discuss non-convulsive status epilepticus (NCSE) as presenting symptom of SARS-CoV-2 infection at the Emergency Department.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Evaluation of the pool of motor units in upper and lower limbs in stroke using the statistical method of motor units estimate

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Cerebral amyloid angiopathy-associated microbleed mimicking transient ischemic attack

SCOPUS: le.jinfo:eu-repo/semantics/publishe

Coumadin ridge mass assessed on three-dimensional transoesophageal echocardiography

Transoesophageal echocardiography is often recommended in the evaluation of cryptogenic stroke, especially in those patients with no or few risk factors. We report the case of 66-year-old male with a history of multiple ischaemic strokes, admitted to our stroke unit following the discovery of multiple and diff use new ischaemic lesions on a cerebral magnetic resonance imaging. Transoesophageal echocardiography led to the discovery of a very small mass attached to the tissue fold between the left superior pulmonary vein and the left atrial appendage (often referred to as "coumadin ridge"). The three-dimensional acquisition allowed detailed characterization of this mass. No other source of emboli was detected. The mass was considered to be most likely a tumour and was probably the cause of the multiple strokes. Due to the already advanced neurological disease and the small dimensions of the mass surgery was considered inappropriate. The patient was initiated on oral anticoagulants. This case highlights the importance of three-dimensional ultrasound in the detection and evaluation of intracardiac masses.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Syphilitic cerebral vasculitis as the initial manifestation of a HIV/syphilis co-infection

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