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  1. Article: Spinal Cord Herniation into a Pseudomeningocele-A Delayed Presentation following a Traumatic Cervical Root Avulsion Injury.

    Patel, Jay / Stewart, James / Biswas, Shubhabrata / Zaid, Sarsam

    The Indian journal of radiology & imaging

    2023  Volume 33, Issue 2, Page(s) 264–266

    Abstract: ... ...

    Abstract Background
    Language English
    Publishing date 2023-01-31
    Publishing country Germany
    Document type Case Reports
    ZDB-ID 605869-3
    ISSN 0971-3026 ; 0970-2016
    ISSN 0971-3026 ; 0970-2016
    DOI 10.1055/s-0042-1760283
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    Zs.A 430: Show issues Location:
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  2. Article ; Online: Isolated fallopian tube torsion: A systematic review of case reports.

    Varghese, Shriya / Seldon, Yeshey / Raperport, Claudia / Rinne, Natasha / Patel, Karuna / Zaid, Roshan Zeirideen

    European journal of obstetrics, gynecology, and reproductive biology

    2024  Volume 296, Page(s) 140–147

    Abstract: Objective: To combine all literature describing cases of isolated fallopian tube torsion in adult non pregnant patients in a systematic manner, to optimize knowledge and practice both for diagnosis and management.: Study design: EMBASE and PubMed ... ...

    Abstract Objective: To combine all literature describing cases of isolated fallopian tube torsion in adult non pregnant patients in a systematic manner, to optimize knowledge and practice both for diagnosis and management.
    Study design: EMBASE and PubMed databases were searched for the terms 'tubal' OR 'fallopian tube' AND 'isolated' AND 'torsion' from the inception of these databases to July 5, 2023. All case reports or case series of adult patients (18 years or older) with isolated fallopian tube torsion were included. Exclusion criteria included: all other study types; cases involving children and adolescents (less than 18 years old); pregnant patients of all trimesters; tubo-ovarian torsion; studies not published in English; duplicates and those not available in text. Following the database search, two authors independently screened the studies and search results were subsequently reported in accordance with PRISMA guidelines. Data was extracted independently by two authors and analysed using Excel. All cases were assessed for bias using a modified version of the tool proposed by Murad et al. RESULTS: 92 unique articles enrolling 131 individual cases were included in this systematic review. Isolated fallopian tube torsion most commonly occurs during reproductive ages between 18 and 45 years. It is uncommon in postmenopausal women. The most common presenting symptoms include unilateral lower abdominal or pelvic pain along the affected side with nausea and vomiting. Risk factors can be intrinsic or extrinsic and can include conditions such as hydrosalpinx, sterilization, pelvic inflammatory disease or cysts. Ultrasound is the optimal imaging modality however Computed Tomography and Magnetic Resonance Imaging can also be used. Imaging in general has low sensitivity, however isolated fallopian tube torsion can be identified with appropriate expertise. The gold standard for isolated fallopian tube torsion management is laparoscopy and detorsion however currently, the most common intervention performed is salpingectomy.
    Conclusions: Isolated fallopian tube torsion is a rare but important gynaecological emergency with significant fertility implications. This study summarizes the most common presentations, investigation findings and surgical interventions in patients with isolated fallopian tube torsion. This study also emphasizes the importance of clinicians maintaining a high degree of suspicion and low threshold for early laparoscopic intervention to retain fertility.
    MeSH term(s) Adult ; Adolescent ; Child ; Female ; Humans ; Young Adult ; Middle Aged ; Fallopian Tubes ; Fallopian Tube Diseases/diagnosis ; Ovarian Torsion/pathology ; Torsion Abnormality/diagnosis ; Salpingectomy
    Language English
    Publishing date 2024-02-29
    Publishing country Ireland
    Document type Systematic Review ; Case Reports ; Journal Article ; Review
    ZDB-ID 190605-7
    ISSN 1872-7654 ; 0301-2115 ; 0028-2243
    ISSN (online) 1872-7654
    ISSN 0301-2115 ; 0028-2243
    DOI 10.1016/j.ejogrb.2024.02.050
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    Zs.A 837: Show issues Location:
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  3. Article ; Online: Spinal Cord Herniation into a Pseudomeningocele—A Delayed Presentation following a Traumatic Cervical Root Avulsion Injury

    Jay Patel / James Stewart / Shubhabrata Biswas / Sarsam Zaid

    Indian Journal of Radiology and Imaging, Vol 33, Iss 02, Pp 264-

    2023  Volume 266

    Abstract: Background Spinal cord herniation into a traumatic pseudomeningocele is a rare clinical entity. We present the sixth known case and describe surgical management. Case Presentation A 44-year-old male presented with Brown-Sequard syndrome three decades ... ...

    Abstract Background Spinal cord herniation into a traumatic pseudomeningocele is a rare clinical entity. We present the sixth known case and describe surgical management. Case Presentation A 44-year-old male presented with Brown-Sequard syndrome three decades after a cervical nerve root avulsion injury. Imaging revealed hemicord herniation into a C7/T1 pseudomeningocele in addition to extra-axial cord compression from further pseudomeningoceles. Significant clinical improvement was achieved following surgical repair. The radiological findings and technique for operative repair are described. Conclusion The case highlights this rare pathology and presentation, describes the surgical measures for repair of cord herniation, and provides evidence for the favorable outcome that can be achieved by surgical intervention.
    Keywords pseudomeningocele ; herniation ; spinal cord ; trauma ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 616
    Language English
    Publishing date 2023-04-01T00:00:00Z
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article: Spinal Cord Herniation into a Pseudomeningocele—A Delayed Presentation following a Traumatic Cervical Root Avulsion Injury

    Patel, Jay / Stewart, James / Biswas, Shubhabrata / Zaid, Sarsam

    Indian Journal of Radiology and Imaging

    2023  Volume 33, Issue 02, Page(s) 264–266

    Abstract: Background: Spinal cord herniation into a traumatic pseudomeningocele is a rare clinical entity. We present the sixth known case and describe surgical management.: Case Presentation: A 44-year-old male presented with Brown-Sequard syndrome three ... ...

    Abstract Background: Spinal cord herniation into a traumatic pseudomeningocele is a rare clinical entity. We present the sixth known case and describe surgical management.
    Case Presentation: A 44-year-old male presented with Brown-Sequard syndrome three decades after a cervical nerve root avulsion injury. Imaging revealed hemicord herniation into a C7/T1 pseudomeningocele in addition to extra-axial cord compression from further pseudomeningoceles. Significant clinical improvement was achieved following surgical repair. The radiological findings and technique for operative repair are described.
    Conclusion: The case highlights this rare pathology and presentation, describes the surgical measures for repair of cord herniation, and provides evidence for the favorable outcome that can be achieved by surgical intervention.
    Keywords pseudomeningocele ; herniation ; spinal cord ; trauma
    Language English
    Publishing date 2023-01-31
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 605869-3
    ISSN 1998-3808 ; 0971-3026 ; 0970-2016
    ISSN (online) 1998-3808
    ISSN 0971-3026 ; 0970-2016
    DOI 10.1055/s-0042-1760283
    Database Thieme publisher's database

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  5. Article ; Online: Impact of Frailty on Outcomes in Patients Who Underwent Transcatheter Mitral Valve Replacement.

    Agarwal, Siddharth / Thakkar, Samarthkumar / Zaid, Syed / Bansal, Agam / Patel, Harsh / Akhtar, Khawaja / Khosla, Jagjit / Goel, Sachin S / Baber, Usman

    The American journal of cardiology

    2023  Volume 203, Page(s) 301–303

    MeSH term(s) Humans ; Mitral Valve/surgery ; Frailty/complications ; Frailty/epidemiology ; Heart Valve Prosthesis Implantation/adverse effects ; Transcatheter Aortic Valve Replacement/adverse effects ; Treatment Outcome ; Aortic Valve Stenosis/surgery ; Aortic Valve/surgery ; Mitral Valve Insufficiency/surgery ; Mitral Valve Insufficiency/etiology ; Heart Valve Prosthesis ; Cardiac Catheterization
    Language English
    Publishing date 2023-07-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2023.07.047
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  6. Article: Increased frequency of fibromyalgia among patients with chronic pain presenting to internal medicine clinics of a tertiary care hospital: A cross sectional study.

    Javed, Sana / Zaid, Muhammad / Imran, Sumera / Hai, Ayesha / Patel, Muhammad Junaid

    JPMA. The Journal of the Pakistan Medical Association

    2022  Volume 71, Issue 12, Page(s) 2740–2747

    Abstract: Objective: To estimate fibromyalgia frequency among patients presenting with complaints of chronic fatigue and or generalised body pain for at least six weeks.: Methods: The cross-sectional study was conducted at the Department of Internal Medicine, ... ...

    Abstract Objective: To estimate fibromyalgia frequency among patients presenting with complaints of chronic fatigue and or generalised body pain for at least six weeks.
    Methods: The cross-sectional study was conducted at the Department of Internal Medicine, Indus Hospital, Karachi, between December 2016 and March 2018, and comprised patients of either gender presenting with complaints of chronic fatigue and or generalised body pain for at least six weeks. They were assessed for fibromyalgia according to the 2010 Fibromyalgia Diagnostic criteria questionnaire. The Data was analysed using SPSS 21.
    Results: Of the 267 patients, 197(73.8%) were females and 70(26.2%) were males. Fibromyalgia was detected in 149(55.80%) patients. The mean age of patients with fibromyalgia was 42.3±14.6 years and it was 38.9±13.7 years in patients without fibromyalgia (p<0.05). No significant association was found between gender and fibromyalgia (p>0.05).
    Conclusions: All patients with generalised pain should be evaluated for fibromyalgia and a diagnosis made to reduce the cost of further referrals and investigations, and delay in the management of this debilitating disorder.
    Language English
    Publishing date 2022-02-12
    Publishing country Pakistan
    Document type Journal Article
    ZDB-ID 603873-6
    ISSN 0030-9982
    ISSN 0030-9982
    DOI 10.47391/JPMA.1682
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  7. Article ; Online: Is Head and Neck Free Flap Reconstruction Feasible in Jehovah's Witness Patients?

    Qaisi, Mohammed / Al Azzawi, Thaer / Murphy, James / Lubek, Joshua / Zaid, Waleed / Tursun, Ramzey / Kaleem, Arshad / Patel, Ketan / Markiewicz, Michael R

    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons

    2023  Volume 81, Issue 11, Page(s) 1435–1442

    Abstract: Background: Jehovah's Witnesses (JW) population are members of a religious group that refuses blood transfusion. This presents a dilemma for surgical teams when performing major surgical procedures on these patients.: Purpose: This study aimed to ... ...

    Abstract Background: Jehovah's Witnesses (JW) population are members of a religious group that refuses blood transfusion. This presents a dilemma for surgical teams when performing major surgical procedures on these patients.
    Purpose: This study aimed to assess the safety and feasibility of undergoing microvascular free flaps for maxillofacial reconstruction in JW patients and whether the type of underlying pathology impacts outcomes.
    Study design, setting, and sample: This was a multi-institutional retrospective cohort study. The sample consisted of all JW patients who have undergone microvascular free tissue transfer for maxillofacial pathology between January 2016 and January 2021.
    Predictor variable: The primary predictor variable was the underlying pathology for which patients underwent head and neck free flap reconstruction; this was benign versus malignant disease.
    Main outcome variables: The primary outcome variables were safety, defined as discharge from the hospital with no mortality, and feasibility defined as successful free flap reconstruction.
    Covariates: Other variables included age, race, sex, length of surgery, length of hospital stay, and intraoperative use of vasopressors.
    Analysis: Data analysis was performed utilizing t-tests for means and χ
    Results: A total of 12 participants from 7 participating sites met the inclusion criteria. There were 9 males and 3 females with a mean age of 58.3 ± 8.3 years. There were no deaths in this cohort and all patients were discharged from the hospital. All 12 free flap reconstructions were successful with no incidents of free flap loss; none of the patients received any blood transfusions or any other blood products. Subgroup analysis showed that patients treated for malignant disease versus benign disease had longer operations (11.2 ± 2.9 vs 6.3 ± 0.2 hours, P < .01) and a longer hospital length of stay (11.8 ± 4.9 vs 5.3 ± 0.5 days, P = .04).
    Conclusion and relevance: Our series supports the safety and feasibility of maxillofacial free flap reconstruction in this challenging subset of patients. Microvascular reconstructive surgeries for malignant diseases often result in longer operative times and hospital stays.
    MeSH term(s) Male ; Female ; Humans ; Middle Aged ; Aged ; Retrospective Studies ; Free Tissue Flaps ; Jehovah's Witnesses ; Plastic Surgery Procedures ; Blood Transfusion
    Language English
    Publishing date 2023-08-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392404-x
    ISSN 1531-5053 ; 0278-2391
    ISSN (online) 1531-5053
    ISSN 0278-2391
    DOI 10.1016/j.joms.2023.08.006
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  8. Article ; Online: Acute exacerbation of bronchiectasis secondary to Achromobacter xylosoxidans in a patient with Mycobacterium-Avium Intracellulare infection

    Kashvi Patel / Sree Jambunathan / Faraz Badar / Muzdah Anwar / Zaid Zakaria / Amna Al-Tkrit / Fadi Safi

    Translation, Vol 11, Iss

    2023  Volume 3

    Keywords Pulmonology ; Medicine (General) ; R5-920
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher The University of Toledo
    Document type Article ; Online
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  9. Article ; Online: Recurrent Bilateral Pleural Effusion Secondary to Idiopathic Pleuritis in a Young Female Patient

    Muzdah Anwar / Sree Jambunathan / Kashvi Patel / Zaid Zakaria / Faraz Badar / Amna Al-Tkrit / Fadi Safi / Mohamed Omballi

    Translation, Vol 11, Iss

    2023  Volume 3

    Keywords Pulmonology ; Case Report ; Medicine (General) ; R5-920
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher The University of Toledo
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article: Immunoglobulin G4 Cholangiopathy Masquerading as a Klatskin Tumor: An Interesting Case.

    Varda, Bianca / Aslam, Shehroz / Ansari, Zaid / Patel, Mital

    Cureus

    2021  Volume 13, Issue 8, Page(s) e17624

    Abstract: Immunoglobulin G4 (IgG4) cholangiopathy is used to describe regional biliary involvement in a systemic fibro-inflammatory and infiltrative disease, IgG4-related disease. Occasionally, it tends to present with localized disease leading to an extensive ... ...

    Abstract Immunoglobulin G4 (IgG4) cholangiopathy is used to describe regional biliary involvement in a systemic fibro-inflammatory and infiltrative disease, IgG4-related disease. Occasionally, it tends to present with localized disease leading to an extensive workup to rule out malignancy and infections, especially since IgG4-related disease is an uncommon entity. Herein, we present a case of a 68-year-old male who presented with pruritus and steatorrhea with imaging studies revealing a biliary hilar mass concerning for malignancy. Subsequent extensive testing was inconclusive of malignancy and finally noted to have elevated IgG4 levels as part of a broader workup. The patient was started on prednisone with the resulting improvement in his symptoms and the imaging findings.
    Language English
    Publishing date 2021-08-31
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.17624
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