Niger J Clin Pract
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Despite its extensive bone resorption and high recurrence rate, marsupialization is the preferred option in the treatment of odontogenic keratocysts (OKCs). ⋯ Our study suggests that increased Slug expression may enable the second surgery by increasing fibrosis in the cyst wall.
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Dyke-Davidoff-Masson Syndrome (DDMS) is a rare clinical condition in which atrophy or hypoplasia of one cerebral hemisphere occurs secondary to brain insult during fetal or early childhood, which results in variable clinical manifestations like hemiparesis, seizures, expressive aphasia, and mental retardation. This rare entity mainly presents in childhood and is unusual in adults. DDMS is a rare cause of epilepsy and should be considered and excluded in cases of refractory seizures. ⋯ Magnetic resonance imaging (MRI) of the brain showed hyper-intensity in the right cerebral hemisphere, extensive atrophy of the right cerebral hemisphere involving the ipsilateral fronto-temporoparietal lobes, cerebral peduncle, and a contralateral megalencephaly, ipsilateral lateral ventricular dilatation, hypertrophic calvarium, hyperpneumatization of sphenoidal sinuses and midline shift due to loss of volume on the right. A diagnosis of Dyke-Davidoff-Masson syndrome was made; the patient did well on carbamazepine and physiotherapy. Caregivers were counseled, and the patient was discharged home and is currently on a follow-up visit.
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Detection of malaria in pregnancy poses a huge challenge in Sub-Saharan Africa. Accurate diagnosis enables timely and appropriate clinical management. ⋯ The diagnostic performances of both tests were comparable; however, RDT-HRP2 had a higher sensitivity and accuracy than PVBSM for the diagnosis of malaria in pregnancy.
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Caffeine consumption during pregnancy has effect on newborn anthropometry therefore the amount of maternal caffeine consumption is important. ⋯ Caffeine consumption of pregnant women is higher than the recommended levels. Therefore, pregnant women should be informed about caffeine sources and consumption amounts.
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Case Reports
Non operative treatment of obturator dislocation with indentation fracture of the femoral head: A case report.
Traumatic anterior hip dislocation is quite rare and accounts for 7% to 15% of all hip dislocations. Approximately 70% of anterior hip dislocations are the obturator type and represent less than 7% of all hip dislocations. Indentation fracture of the femoral head complicates 35-55% of obturator dislocations. ⋯ Our index patient is a 19-year-old female who had conservative treatment for right obturator dislocation with indentation fracture of the femoral head. She recovered fully and had no features of osteonecrosis or secondary arthritis at 2 years postinjury. The aim of this report is to highlight the role of conservative treatment in the management of obturator dislocation with indentation fracture of femoral head.