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Restrictive cardiomyopathy in a patient presented with fever, vomiting, and consciousness disorder.

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Restrictive cardiomyopathy (RCM) is an uncommon form of myocardial disorder characterized by diastolic dysfunction and increased myocardial stiffness. Endomyocardial fibrosis is one type of RCM hallmarked by formation of fibrous tissue on the endocardium. This report describes a case of RCM

[Loss of appetite, emesis and a consciousness disorder; (leiomyosarcoma)].

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[Video-EEG monitoring and simultaneous ECG for the differential diagnosis of transient consciousness disorders. A case report].

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We present the case of a 36 year-old woman, with history of transient consciousness disorders with vegetative state, interpreted as epileptic crises and treated with valproate for two years. After nine asymptomatic years, they reappeared associated with migraine, vomiting and some generalized

Pituitary Apoplexy Presenting as Ophthalmoplegia and Altered Level of Consciousness without Headache.

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Background. Pituitary apoplexy (PA) is a clinical syndrome caused by acute ischemic infarction or hemorrhage of the pituitary gland. The typical clinical presentation of PA includes acute onset of severe headache, visual disturbance, cranial nerve palsy, and altered level of consciousness. Case

Desmopressin toxicity due to prolonged half-life in 18 patients with nocturnal enuresis.

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OBJECTIVE Desmopressin has been used extensively for primary nocturnal enuresis and it is associated with a low incidence of adverse effects. The only reported serious side effect is seizure or altered levels of consciousness resulting from water intoxication, which has been reported for the nasal

Embolization of Ruptured Aneurysm Arising From Basilar Artery Fenestration Using Hydrocoils.

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Aneurysms arising from the basilar artery fenestration are considered among the rare cerebrovascular diseases. Here, we report on a 44-year-old gentleman who presented with the sudden onset of severe headache complicated by several episodes of vomiting and an altered level of consciousness. A

A validation study using the case-control method of the nursing diagnosis high risk for aspiration.

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OBJECTIVE To develop further the nursing diagnosis risk for aspiration by determining risk factors present in patients who aspirated. METHODS The case-control design was used to compare cases (n = 131) and controls (n = 206) on past and present exposures thought to be risk factors for aspiration.

Migraine Variants in Children.

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Migraine in children can manifest in ways that are markedly different from adult migraines. In children, migraine variants are often unaccompanied by headache and include conditions such as cyclic vomiting and abdominal migraine. Children who experience these conditions are often thought to have a

Emergency bedside evacuation of a subset of large postoperative epidural hematomas after neurosurgical procedures.

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Postoperative epidural hematoma (POEDH) is a known complication after neurosurgical procedures. Large POEDHs are life-threatening and require emergency evacuation, and open surgery is the mainstay of treatment. Most of POEDHs are hyperdense on computed tomography (CT). We herein report a subset of

Euglycemic ketoacidosis induced by therapeutic fasting in a non-diabetic patient.

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Ketoacidosis is a severe metabolic complication mainly reported in diabetic patients. Therapeutic fasting is a millennial worldwide practice, believed to improve a large panel of health conditions, but its efficiency and safety profile have not yet been established. We report here a

Oculogyric crisis masquerading as ventriculoperitoneal shunt dysfunction.

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Oculogyric crisis (OGC) is an underrecognized oculodystonic reaction associated with several medications including carbamazepine. The authors present a patient who had presented to the emergency department on multiple occasions with a questionable ventriculoperitoneal (VP) shunt dysfunction.

[Severe course of tick-borne encephalitis (Encephalomeningomyelitis): a case report].

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A 19-year-old male student was admitted to the Department of Infectious Diseases and Neuroinfections with suspected encephalomeningitis. Three weeks before admission the patient was bitten by a tick. The first symptoms were manifested by mild consciousness disorders, headache, vomiting, and fever

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The patient with a decreased level of consciousness in the absence of trauma presents difficult assessment and intervention problems. This is compounded when the history is vague or nonspecific. In this case, the patient's history of embolic CVA alerted providers to the possibility of another

Multiple cardiac arrhythmias in a previously healthy child: a case of accidental digitalis intoxication?

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We present a case of multiple arrhythmias in a 3-year-old child who was presented to the emergency department with emesis. Initial vital signs were significant for a heart rate from 40 to 60 beats per minute with stable blood pressure. An electrocardiogram showed complete atrioventricular block with

BET 2: Missed diagnosis of ischaemic stroke in the emergency department.

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A short cut review was carried out to establish the rate and clinical characteristics of missed diagnosis of acute ischaemic stroke in the emergency department (ED). Two papers presented the best evidence to answer the clinical question. The author, date and country of publication, patient group

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