Ugeskrift for laeger
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Ugeskrift for laeger · Jun 2015
Case Reports[Cerebral infarction can be a consequence of anaesthesia in beach chair position].
Performing orthopaedic surgery in beach chair position (BCP) is a common procedure in Denmark. In this case report we present a patient, who underwent standard procedure with no variations according to the general anaesthesia. ⋯ A. cerebri media infarction was identified, and severe brain damage was the consequence. We question the rationale for using BCP as well as the use of phenylephrine for the cerebral hypoperfusion.
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Ugeskrift for laeger · Jun 2015
Case Reports[Benign paroxysmal positional vertigo in children after head trauma].
We present an eight-year-old boy with benign paroxysmal positional vertigo (BPPV) after a head trauma, successfully treated with Epley's manoeuvre. BPPV is a common cause of vestibular vertigo in adults, but it is rarely seen in children. ⋯ The diagnosis should be suspected in children with a relevant medical history and verified by positional testing. BPPV of childhood is treated with otolith repositioning manoeuvres, and the prognosis is good.
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Optic disc oedema describes the nonspecific, localized swelling of the optic nerve head regardless of aetiology. Therefore, differentiating among the various aetiologies depends on a thorough history and knowledge of the clinical characteristics of the underlying conditions. ⋯ It is usually a bilateral condition and visual function is preserved until late. Optic disc oedema caused by an anterior optic neuropathy is usually unilateral and accompanied by the loss of visual function.
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Ugeskrift for laeger · Jun 2015
Case Reports[Fatal intracerebral haemorrhage possibly caused by interaction between paracetamol and warfarin].
This is a case report of an 83-year-old man in warfarin treatment with stable international normalised ratio (INR) after aortic valve replacement and atrial fibrillation. Due to back pain he took paracetamol (acetaminophen) 4 g/day, morphine 30 mg/day and diclofenac as rescue medication for two weeks. ⋯ The patient died eight days after admission. Mechanisms of the possible interaction between paracetamol and warfarin are discussed.