A & A case reports
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Spontaneous intracranial hypotension is a rare syndrome characterized by orthostatic headache not associated with trauma or dural puncture. In most cases, it is caused by a spontaneous spinal cerebrospinal fluid leakage as demonstrated by neuroradiological studies. ⋯ When such conservative therapy fails, an epidural blood patch is recommended. In this report, we describe the treatment of 2 patients with spontaneous intracranial hypotension who failed conservative treatment and went on to have complete and sustained resolution of their symptoms after the administration of oral fludrocortisone.
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Case Reports
Successful pregnancy and delivery in a patient with Carney complex: implications for anesthesiologists.
Carney complex is an autosomal dominant condition with widespread manifestations, including cardiac myxomas, nerve sheath tumors, and endocrinopathies. Although often associated with infertility, there are several reports of successful pregnancies in patients with Carney complex. However, none of the previous reports describe anesthetic considerations. Herein, we present a patient with Carney complex who successfully delivered vaginally with labor epidural analgesia.
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Supraorbital neuralgia, although an uncommon disorder, is the most frequent extracranial neuralgia of the trigeminal nerve. There are several small case studies reporting treatment outcomes offered by various types of medical management and even surgical treatment. ⋯ She underwent 2 treatments with pulsed radiofrequency ablation that resulted in significant relief, allowing her to return to work and normal daily activities. Pulsed radiofrequency ablation offers a nonsurgical option for patients with this painful disorder.