Aftab Younus
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View article: 330 Myelodysplastic Neoplasm with Multi-hit TP53 Mutation in a Young Adult: A Case Report
330 Myelodysplastic Neoplasm with Multi-hit TP53 Mutation in a Young Adult: A Case Report Open
Introduction/Objective Updates in hematologic malignancy classifications have introduced distinct categories for TP53-mutated myeloid neoplasms, reflecting their aggressive behavior and poor prognosis. In myelodysplastic neoplasms (MDS), b…
View article: 209 Sterile Hyphae from an Immunocompromised Patient with Chronic Pulmonary Aspergillosis
209 Sterile Hyphae from an Immunocompromised Patient with Chronic Pulmonary Aspergillosis Open
Introduction/Objective Chronic Pulmonary Aspergillosis (CPA) is a destructive, low prevalence, pulmonary disease caused by Aspergillus spp. It is often misdiagnosed in patients with comorbid conditions. Our case underscores the challenges …
View article: Fatal Cerebral Malaria in a Returning Traveler: Challenges in Recognition, Treatment, and Resource Accessibility in the United States
Fatal Cerebral Malaria in a Returning Traveler: Challenges in Recognition, Treatment, and Resource Accessibility in the United States Open
Malaria is a common febrile illness that can sometimes present as an acute potentially fatal disease if left undiagnosed or untreated. It is caused by an intra-erythrocytic infection from the Plasmodium parasite and transmitted by the fema…
View article: Segmental atrophy of the liver: Review of a rare pseudotumor
Segmental atrophy of the liver: Review of a rare pseudotumor Open
Segmental atrophy (SA) of the liver is a rare, often underrecognized, benign condition that presents as a mass lesion, mimicking a neoplasm, which poses a significant diagnostic challenge. Given its rarity, only a limited number of case re…
View article: Association of Myofascial Trigger Points in Upper Trapezius With Postural Stress Among Lactating Mothers
Association of Myofascial Trigger Points in Upper Trapezius With Postural Stress Among Lactating Mothers Open
Background: Lactating mothers frequently experience musculoskeletal discomfort, particularly in the upper trapezius region, due to repetitive feeding postures and insufficient ergonomic support. Despite known associations between posture a…
View article: Clinical profile, management strategy, and outcomes of patients with prosthetic valve thrombosis
Clinical profile, management strategy, and outcomes of patients with prosthetic valve thrombosis Open
Background: Prosthetic valve thrombosis (PVT) is a severe complication following prosthetic heart valve replacement, particularly in inadequately anticoagulated patients. Primary treatment options include intensive anticoagulation therapy,…
View article: A huge giant cell tumour of the extensor tendon sheath of the foot: a case report and literature review
A huge giant cell tumour of the extensor tendon sheath of the foot: a case report and literature review Open
Giant cell tumours have a predilection for the hand, where after ganglion cysts, they are the most frequent tumour type. Only 3-5% of giant cell tumours occur in the foot, and even here they tend to occur in the forefoot, with hindfoot gia…
View article: Cervical laminoplasty in the neutral spine – A case report and literature review
Cervical laminoplasty in the neutral spine – A case report and literature review Open
Cervical spondylotic myelopathy is a common presentation to spinal surgeons. While laminectomy is routinely employed in multilevel disease the recognized complications include iatrogenic spinal cord injury, post-laminectomy kyphosis, and s…
View article: Minimally invasive spinal surgery in spinal tuberculosis – A case report series
Minimally invasive spinal surgery in spinal tuberculosis – A case report series Open
Spinal tuberculosis is increasing in prevalence in sub Saharan Africa as we find ourselves at the epicentre of immunosuppression secondary to a human immunodeficiency pandemic. Besides the medical management of this condition spinal surgeo…
View article: Minimally invasive extreme lateral lumbar interbody fusion (XLIF) to manage adjacent level disease – A case series and literature review
Minimally invasive extreme lateral lumbar interbody fusion (XLIF) to manage adjacent level disease – A case series and literature review Open
The incidence of adjacent level disease, in patients who have undergone a previous open posterior pedicle screw and rod instrumented fusion, is reported to be as high as 30% at 5-year follow-up. Due to the traditional revision open posteri…
View article: African Nile Crocodile bite of the forearm: A case report
African Nile Crocodile bite of the forearm: A case report Open
African Nile crocodiles are the only species of crocodile consistently found across central and sub-Saharan Africa. A large and specifically aggressive species of the African Nile crocodile is solely responsible for almost all unprovoked a…
View article: Orthopaedic management of pelvic fractures: A literature review
Orthopaedic management of pelvic fractures: A literature review Open
Background: The incidence of pelvic fractures is increasing in many countries secondary to motor vehicle accidents and falls. It is important that the attending orthopaedic surgeon have a working system by which to classify these injuries …
View article: Reviewing our institutional experience of percutaneous versus open plating of proximal humeral fractures
Reviewing our institutional experience of percutaneous versus open plating of proximal humeral fractures Open
Background: Fractures of the proximal humeral are a common referral to orthopaedic centres. While undisplaced fractures can be managed conservatively with a plaster U-slab, the Neer criteria define the requirements for operative intervent…
View article: Is a coccydectomy an efficacious surgical treatment for debilitating coccygeal pain?
Is a coccydectomy an efficacious surgical treatment for debilitating coccygeal pain? Open
Introduction: To determine the demographic, pre-operative, operative, post-operative, and outcome in seven patients who presented to our unit over a 5-year period and underwent a coccydectomy for coccydynia unresponsive to conservative mea…
View article: Hip spine syndrome – A case series and literature review
Hip spine syndrome – A case series and literature review Open
Hip spine syndrome refers to the overlap in symptomatology between osteoarthritis of the hip and degenerative lumbar stenosis. In patient presenting with pathology in both areas, definitively establishing one as the source of a patient’s p…
View article: Converting from Video-assisted Thoracoscopic Surgery to open thoracotomy during multilevel tuberculous corpectomy and cage reconstruction
Converting from Video-assisted Thoracoscopic Surgery to open thoracotomy during multilevel tuberculous corpectomy and cage reconstruction Open
The application of VATS to perform multilevel tuberculous corpectomies and vertebral column reconstruction is an exciting frontier in the field of minimally invasive spine surgery. The approach avoids the morbidity of an open thoracotomy a…
View article: Technical considerations in transforaminal percutaneous endoscopic lumbar discectomy: Detailed description of 2 cases and literature review
Technical considerations in transforaminal percutaneous endoscopic lumbar discectomy: Detailed description of 2 cases and literature review Open
While lumbar disc herniation is perhaps the most common spinal problem treated by neurosurgeons, foraminal stenosis has always been a particularly difficult challenge to manage. The older open techniques described the need to completely re…
View article: Reduction and stabilization of displaced type II odontoid fractures in young adults – A case series of four patients utilizing different operative techniques
Reduction and stabilization of displaced type II odontoid fractures in young adults – A case series of four patients utilizing different operative techniques Open
Type II odontoid fractures account for over 2/3ds of odontoid fractures, which overall account for approximately 20% of cervical spine fractures. Their specific site at the odontoid base is confounded firstly by instability, and secondly b…
View article: Exploring the link between Post-partum backache and Osteitis Condensans Ilii – A case report and literature review
Exploring the link between Post-partum backache and Osteitis Condensans Ilii – A case report and literature review Open
Although relatively common, afflicting up to 2.5% of the general population, a paucity of recent publications elaborate on the disease known as Osteitis Condensans Ilii (OCI). The noted clustering of cases in females, in their 3rd trimeste…
View article: Posterolateral full-endoscopic uniportal foraminotomy and discectomy for central hard thoracic disc herniation – A case report and literature review
Posterolateral full-endoscopic uniportal foraminotomy and discectomy for central hard thoracic disc herniation – A case report and literature review Open
Endoscopic spine surgery was popularized in the degenerate lumbar spine where it rapidly established its role as a minimally invasive way to effectively address symptomatic disc herniations in selected patients. As familiarity with the tec…
View article: Management of Bengal tiger attacks – A case report and literature review
Management of Bengal tiger attacks – A case report and literature review Open
While the number of tigers in the wild continues to decline, so do the number of tigers in captivity continue to rise. This phenomenon has reached such proportions that today more tigers exist in captivity in the United States alone, than …
View article: Spinal tuberculosis – A short series of complex multi-level anterior cage reconstructions
Spinal tuberculosis – A short series of complex multi-level anterior cage reconstructions Open
From a global perspective the epicenter of tuberculosis is in sub Saharan Africa. While largely a pulmonary disease up to 10% of tuberculosis is skeletal. In this skeletal cohort the spinal column is the more frequently involved bony struc…