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By Mohammad Arif Malik, Muhammad Usman Malik, Hina Sadiq, Ariba Ahmed
Page #: 317-319
ABSTRACT A 39-year gentleman presented to various neurosurgery clinics for the treatment of a deep parietal contrast-enhancing tumour in August 2023. His stereotactic biopsy was performed elsewhere, which did not reveal any specific pathology. The authors performed a transsylvian biopsy, which showe...
By Shan Jiang
Page #: 320-323
ABSTRACT This study presents a case of a 32-year male who developed acute subdural abscess after experiencing influenza A and sinusitis. Initial attempts at culturing pathogens yielded negative results. However, the application of metagenomic next-generation sequencing (mNGS) technology successfully...
By Laiba Abdaal Bela, Talha Alvi
Page #: 324-326
ABSTRACT An arachnoid cyst is a collection of cerebrospinal fluid (CSF) that develops in the membrane enveloping arachnoid matter in the brain or spinal cord. It is a common intracranial expansive condition, often discovered incidentally. With a prevalence of 0.5 to 2.7%, it occurs more commonly in ...
By Ahsan Mehmood Shah, Hidayatullah Khan, Sundus Shabir, Syed Raiq Shah
Page #: 327-329
ABSTRACT Cleft lip and/or palate are the most common craniofacial anomalies in children. Nasoalveolar moulding is crucial because it can successfully close the gap. This ensures a better surgical outcome. The presented case report is of a five-day female infant with a unilateral cleft lip and palate...
By Ruiqi Yang, Yanhai Yin, Chaoqun Wang
Page #: 330-332
ABSTRACT Acute lower limb ischaemia (ALLI) is a surgical emergency, commonly caused by arterial thrombosis or embolism (AE). Rapid diagnosis and treatment improve outcomes. Whole-body bone scintigraphy, a static imaging technique, in which the radiotracer Technetium 99m-labelled methylene diphosphon...
By Kishwar Ali, Humera Latif, Bisma Mukhtar, Mahnoor Babar, Zain Bashir
Page #: 333-335
ABSTRACT Upper gastrointestinal (GI) bleed is a difficult clinical situation to assess and manage. One rare cause of upper GI bleed is haemobilia, bleeding into the biliary tract due to any reason, such as trauma, previous hepatobiliary interventions, and aneurysms of the hepatic vasculature. The di...
By Nazli Gul, Shafiq Tanveer, Maryum Khilji, Hira Motasim, Farhan Mazhar
Page #: 336-338
ABSTRACT A two‐month male infant presented to the ophthalmology outpatient department with left eyelid swelling and redness for the past 11 days. The patient had a previous history of febrile illness, raising clinical suspicion of orbital cellulitis. Examination under anaesthesia was performed, wh...
By Talha Mahmud
Page #: 339-341
ABSTRACT Contarini's condition refers to the presence of bilateral pleural effusions with distinctly different biochemical characteristics, indicating their separate aetiologies. A 44-year male with hepatitis C-related chronic liver disease (CLD) presented with a one-month history of dyspnoea, a...
By Razan Sultan Alharbi, Emad Uddin Siddiqui, Ahmad Othman, Khaled Gabr, Omar Ali Almohammadi
Page #: 342-344
ABSTRACT Hair tourniquet syndrome (HTS) is an under-reported clinical state of a strand of hair or similar structure, such as a thread, which constricts an appendage, leading to pain, swelling, and potential ischaemia. The authors found a case of a 2-month child who presented with swelling and disco...
By Bushra Shaikh, Imamuddin Baloch, Farman Ali Bijarani, Javeria Memon, Prerna Dhomeja
Page #: 345-347
ABSTRACT Hydatid cyst disease is a common condition and can affect any organ in the body, but its presentation as a neck mass is rare; therefore, even in endemic areas, the condition remains undiagnosed until surgical exploration is performed. The authors present a case of 48-year male who presented...
By Sajid Hussain, Muhammad Numair Younis
Page #: 348-350
ABSTRACT Thyroid enlargement, a common disorder, which is more prevalent in hilly regions of Pakistan and can be found in 10-20% of the population living in iodine-deficient areas. Goitres tend to grow slowly and may reach the anterior mediastinum over many years. In most cases, retrosternal goitre ...
By Maryam Bibi, Muhammad Hussain, Muhammad Aftab Hassan, Hina Mushtaq, Mustajab Alam
Page #: 351-353
ABSTRACT The anti-neutrophil cytoplasmic antibodies (ANCAs) target different proteins of neutrophilic granules, mainly myeloperoxidase (MPO) and proteinase (PR3), and others. Dual-positive ANCA with both MPO and PR3 is an uncommon finding described in infections, autoimmune diseases, drugs, ANC...
By Umair Javed, Ateeb Mahmood Khan, Fateh Ali Tipoo Sultan
Page #: 357-359
ABSTRACT Isolated papillary muscle involvement in infective endocarditis (IE) is a rare occurrence. The authors report an unusual case of a 42-year man with human immunodeficiency virus (HIV) and B-cell lymphoma who had multiple vegetations on the mitral valve papillary muscles. The patient presente...
Page #: 360-362
ABSTRACT Cutis marmorata telangiectatica congenita (CMTC) is a congenital capillary malformation having a characteristic appearance. Although benign, CMTC tends to be associated with many local and systemic anomalies. Body asymmetry and vascular anomalies are the commonest associations. To the autho...
By Rohan Habib, Ulas Khan, Ayesha Ayub
Page #: 363-364
ABSTRACT Ectopic breast tissue (EBT) is an uncommon congenital condition that occurs due to the incomplete regression of the mammary ridge during embryogenesis. Accessory breast tissue is most frequently found in the axilla and is usually in the region of the mammary ridge line from the axilla towar...
By Qurat Ul Ain Abbasi, Taqdees Khaliq, Sarah Azam Shah, Saira Shafqat
Page #: 365-367
ABSTRACT Systemic lupus erythematosus (SLE) can have a legion of multi-organ manifestations, whereas neuropsychiatric SLE refers to the neurological and psychiatric features in the context of active SLE. Neurological features constitute diverse central and peripheral symptoms. Patients who experienc...
By Faiqa Hassan, Muhammad Umair, Roshna Rameez
Page #: 368-370
ABSTRACT Deficiency of Factor II, also known as prothrombin, is an exceedingly rare bleeding disorder. It has an estimated prevalence of 1 in 2 million individuals. While severe deficiency cases are well-documented, moderate deficiencies can present diagnostic challenges. A case of a one-year male p...
By Fizzah Ghafoor, Mahwesh Arooj Naz
Page #: 371-374
ABSTRACT Endometrial cancer is a malignancy of the endometrial lining of the uterus. This case presents a detailed account of a 38-year female patient diagnosed with uterine cancer. The complaints reported by the patient were anxiousness, muscle tension, sleep disturbances, difficulty in breath...
By Moniba Mobin, Fatema Ali Lanewala, Akhtar Jamal Khan, Sidra German
Page #: 375-376
ABSTRACT A 40-year male, who had received a kidney transplant four months before, experienced a sudden decrease in vision in his right eye. Upon examination, he was found to have severe acute anterior uveitis. One month later, he developed a similar episode in his left eye. He received symptomatic t...
By Waleed Shahzad Ali, Muhammad Zaid Ali, Nohela Rehman, Hafsah Alim Ur Rahman, Muneer Amanullah
Page #: 377-379
ABSTRACT A four-year girl with a ventricular septal defect (VSD) and pulmonary valve atresia (PVA) underwent a total correction surgery. Preoperative findings revealed a severe right-sided dilation, a right ventricular hypertrophy (RVH), a large conoventricular VSD, a slightly hypoplastic main pulmo...
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