We present a case report and a literature review of the awake craniotomy procedure for mass resection, with emphasis on the historical aspects, anatomical and surgical considerations, and, uniquely, a patient's experience undergoing this procedure. This procedure is a safe and effective method for lesion resection when working in and around eloquent brain. We have described our process of guiding a patient through an awake craniotomy procedure and detailed the patient's experience in this study. We also conducted a systematic literature review of studies involving awake craniotomy over three years, 2018-2021. Lastly, we compared the methodology used by our institution and the current mostly used methods within the neurosurgical community. Several studies were identified using PubMed and Google Scholar. Awake craniotomy is a safe and effective method of achieving a high rate of resection of lesions located in and around the eloquent cortex with a low degree of postoperative neurological deficit.
This case report highlights an incidence of small intestinal DLBCL of
the duodenum in an 87-year-old woman presenting with a 2-month history
of melena and dysphagia to solid foods and laboratory findings of
normocytic anemia. The patient had EGD and biopsies revealed DLBCL.
Angioedema is a known potential side effect of gabapentin; however, not many reports of presentation exist in literature. This report is of a 31-year-old woman who presented with signs of sciatica and was started on gabapentin. When the gabapentin dosage was increased, she developed angioedema of the right side of her face, particularly pronounced in the periorbital region. Because an acute allergic reaction was suspected at first, the patient was treated with epinephrine and Benadryl. However, when the patient did not improve, angioedema was suspected. The patient was subsequently treated with steroids and gabapentin was discontinued
We present a unique case of a 56-year-old female with complex cloacogenic carcinoma history who experienced intraoperative episodes of ventricular tachycardia and pulselessness of unclear etiology. The etiology was later found to be related to a nephroureteral stent that had perforated the right ureter, entered the right ovarian vein, traversed up the inferior vena cava, and nestled in the right atrium.
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