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View article: Relationship of symptoms with sleep-stage abnormalities in obstructive sleep apnea-hypopnea syndrome
Relationship of symptoms with sleep-stage abnormalities in obstructive sleep apnea-hypopnea syndrome Open
Most of the symptoms in OSAHS in adults are related to decreased stage N3 sleep. If confirmed by larger controlled studies, correcting N3 sleep deficiency by pharmacotherapy may become an important adjunct to CPAP/BIPAP therapy to alleviat…
View article: Unrecognized clozapine-related constipation leading to fatal intra-abdominal sepsis – a case report
Unrecognized clozapine-related constipation leading to fatal intra-abdominal sepsis – a case report Open
Clozapine is the preferred antipsychotic used for the treatment of resistant schizophrenia with suicidal ideation. The drug is started at a low dose and gradually increased to a target dose of 300-450 mg/day. It is well known to cause agra…
View article: A case of chylothorax in a patient with sarcoidosis: a rare and potentially fatal complication
A case of chylothorax in a patient with sarcoidosis: a rare and potentially fatal complication Open
Obstruction of the thoracic duct may lead to accumulation of a lymphatic fluid rich in triglycerides named chyle. When chyle accumulates in the pleural cavity, it becomes a chylothorax. Malignancy, particularly lymphoma, is the most common…
View article: Takotsubo cardiomyopathy precipitated by delirium tremens
Takotsubo cardiomyopathy precipitated by delirium tremens Open
A 57-year-old woman presented with alcohol withdrawal symptoms, which later progressed to delirium tremens. During hospitalization, she developed respiratory distress with acute pulmonary edema. Electrocardiogram (ECG) showed diffuse ST el…
View article: Lung Cancer with Skin and Breast Metastasis: A Case Report and Literature Review
Lung Cancer with Skin and Breast Metastasis: A Case Report and Literature Review Open
Lung cancer is one of the most common cancers in America. Frequent sites of metastasis include the Hilar lymph nodes, adrenal glands, liver, brain, and bone. The following case report is of a primary lung cancer with metastases to the brea…
View article: Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma
Right Gaze Palsy and Hoarseness: A Rare Presentation of Mediastinal Tuberculosis with an Isolated Prepontine Cistern Tuberculoma Open
We describe a previously healthy young man who presented with headaches, diplopia with right lateral gaze palsy, dysphagia, and hoarseness over a 2-month period. Magnetic resonance imaging of the brain revealed a small enhancing mass at th…