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A 63-year-old woman presented to the emergency department with an acute history of fever, prostration and dyspnea. She was diagnosed with severe COVID-19 acute respiratory distress syndrome and, despite optimized critical care support, met the indications for veno-venous extracorporeal membrane oxygenation. On day 34, after 7 days of wean sedation with a positive evolution of neurologic status, she presented a limited generalized tonic-clonic seizure not related to hydroelectrolytic or metabolic imbalance, which led to a diagnostic investigation; her brain imaging tests showed a posterior reversible encephalopathy syndrome. This case emphasizes the issue of neurological complications in patients with severe COVID-19 infection and the importance of early diagnosis and support.
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http://dx.doi.org/10.5935/0103-507X.20210067 | DOI Listing |
J Shoulder Elbow Surg
September 2025
ARTORG Center for Biomedical Engineering, University of Bern, Bern, Switzerland.
Introduction: Rotator cuff muscle pathology affects outcomes following total shoulder arthroplasty, yet current assessment methods lack reliability in quantifying muscle atrophy and fat infiltration. We developed a deep learning-based model for automated segmentation of rotator cuff muscles on computed tomography (CT) and propose a T-score classification of volumetric muscle atrophy. We further characterized distinct atrophy phenotypes, 3D fat infiltration percentage (3DFI%), and anterior-posterior (AP) balance, which were compared between healthy controls, anatomic total shoulder arthroplasty (aTSA), and reverse total shoulder arthroplasty (rTSA) patients.
View Article and Find Full Text PDFJ Shoulder Elbow Surg
September 2025
Institute for Orthopaedic Research and Training (IORT), Department of Development and Regeneration, Faculty of Medicine, KU Leuven, Leuven, Belgium; Division of Orthopaedics, University Hospitals Leuven, Leuven, Belgium.
Background: The use of reverse total shoulder arthroplasty (rTSA) has increased in recent years, thanks to its application versatility. Despite this increase, there exists a significant variability in postoperative functional internal rotation (fIR), affecting patients' daily life independence. Previous literature investigated patient-related, kinematical, and surgical parameters to understand the variability in fIR outcome.
View Article and Find Full Text PDFAnn Med Surg (Lond)
September 2025
Department of Neurology, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Background: Posterior reversible encephalopathy syndrome (PRES) is a clinical-radiographic phenomenon characterized by vasogenic edema, predominantly affecting the posterior regions of the brain. The hemorrhagic variant of PRES has been increasingly recognized, complicating the clinical picture and prognosis.
Methods: This meta-analysis was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
Zh Nevrol Psikhiatr Im S S Korsakova
September 2025
Osh State University, Osh, Kyrgyz Republic.
Epileptic seizures are defined as transient, abnormal, excessive synchronous activity of neurons in the brain, which can be provoked or unprovoked. While unprovoked seizures are common in many idiopathic epilepsies, provoked seizures are usually caused by acute or chronic CNS conditions. These often include cerebrovascular diseases such as ischemic stroke, intracerebral and subdural hemorrhages, posterior reversible encephalopathy syndrome, and cerebral venous sinus thrombosis.
View Article and Find Full Text PDFNMC Case Rep J
August 2025
Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Japan.
Posterior reversible encephalopathy syndrome is a well-known condition that causes reversible vasogenic edema, mainly in the occipital lobe. However, no guideline for its diagnosis or treatment has been established to date. While many atypical cases have been reported in recent years, posterior reversible encephalopathy syndrome associated with cranioplasty has not yet been reported.
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