The Journal of the Florida Medical Association
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Case Reports
Rupture of symphysis pubis caused by forceful and excessive abduction of the thighs with labor epidural anesthesia.
Only a few cases of rupture of the symphysis pubis have been reported but the condition could become more frequent with epidural anesthesia. Conservative management is emphasized. Rupture is caused by desensitization to the labor process due to epidural anesthesia and excessive abduction of the thighs to increase anterior-posterior diameter during the birth process. Greater use of labor epidural anesthesia could increase the frequency of this event.
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Biography Historical Article
Was Julius Caesar's epilepsy due to a brain tumor?
Two thousand thirty-eight years later, in the setting of a similar care presentation, a physician would take a detailed history and perform a clinical and neurological examination. A preliminary diagnosis would be entertained and followed by electroencephalography and magnetic resonance of the brain with and without paramagnetic contrast for diagnostic confirmation. The proper medical or surgical treatment would then be instituted. ⋯ Meningioma or slow-growing supratentorial glioma may well have been responsible for this man's illness. Who knows how the course of history might have been changed... Probably not at all.