Singap Med J
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A 25-year-old man was brought to the emergency room after being found unconscious. Electrocardiography (ECG) showed changes classical of tricyclic antidepressant (TCA) poisoning. ⋯ This unique ECG highlights the importance of lead aVR, which often tends to be ignored. Treatment is started based on ECG findings.
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The objective of this study was to study the clinical course and outcome of warfarinised patients who were hospitalised because of head trauma. ⋯ Warfarinised patients who sustain minor head trauma should be hospitalised for close neurological observation and should have a low threshold for performing computed tomography.
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Case Reports
Retropharyngeal haemorrhage from a vertebral artery branch treated with distal flow arrest and particle embolisation.
Retropharyngeal haematoma is a rare cause of rapid neck swelling that may result in fatal upper respiratory airway obstruction. Reported causes include trauma, surgery, retropharyngeal inflammation, carotid aneurysm, aberrant artery at the thoracic inlet and bleeding diathesis. ⋯ The right vertebral artery angiogram confirmed contrast agent extravasation arising from a small branch artery. This was treated with temporary distal flow arrest and particle embolisation.
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Case Reports
Monocular blindness: a complication of intraoperative positioning in posterior cervical spine surgery.
Postoperative visual loss after spine surgery is a rare but devastating complication. Although uncommon, reports of postoperative blindness are documented in spine and cardiopulmonary bypass surgeries with an incidence varying between 0.05 percent and one percent. ⋯ Unfortunately, he developed unilateral blindness in his right eye. The potential aetiological factors and ways to prevent this disastrous complication are discussed.