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Query: UMLS:C0019270 (hernia)
 15,856 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

2 cases of serious complications from oral contraception are presented. The first patient, on oral contraception for some time, died of a temporal hernia due to severe intracranial hypertension. Autopsy and angiography revealed thrombosis of the venous sinuses. The second patient, on oral contraception for 20 months, developed sudden aphasia and epilepsy without ever losing consciousness; tests showed intracranial hypertension, but a normal angiography. She recovered rapidly after treatment and after suspension of oral contraception. Oral contraceptives might alter the mechanism of production and reabsorption of cerebrospinal fluid, and also disturb the hypothalamo-hypophyseal function. The article includes a short review of studies on the problem.
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PMID:[Benign intracranial hypertension and thrombosis of the venous sinuses during contraceptive treatment: anatomo-clinical and neuroradiological observations (author's transl)]. 9 25

We described herein a case of the fulminant form of acute disseminated encephalomyelitis (ADEM) that developed after mycoplasma pneumonia. A 28-year-old man who presented with fever, headache, and writing difficulty was admitted to our hospital in August 1997. He developed hernia on the 3rd hospital day. Surgical decompression and intravenous prednisolone failed to halt his progressive deterioration. We introduced systemic hypothermia and he has shown marked recovery; despite having Broca's type aphasia, he could comprehend spoken language and communicate with others by gesture. Head MRI demonstrated diffuse high signals over the white matter on fluid attenuated inversion recovery (FLAIR) images, which suggested extensive demyelination. The clinical course, imaging studies and presence of polymorphonuclear dominant leucocytosis in the blood and CSF in the patient are somewhat similar to findings in acute hemorrhagic leukoencephalitis, however, the result of a brain biopsy was inconclusive. The fulminant form of ADEM is usually fatal. Treatments such as corticosteroids, intravenous immunoglobulin, and surgical decompression have been performed to improve the prognosis. Our case results indicate that hypothermia, which suppresses both brain edema and immune response, may be included in the repertoire of treatment for the fulminant form of ADEM.
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PMID:Fulminant form of acute disseminated encephalomyelitis: successful treatment with hypothermia. 1042 55

This report describes a case of hemorrhagic stroke that presented as an expressive aphasia after routine hernia repair under spinal anesthesia in an otherwise generally healthy middle-aged outpatient. Possible roles of preexisting migrainous headaches and perioperative ephedrine are discussed, but, as in most cases of perioperative stroke, the possibilities are numerous and the cause of the stroke difficult to determine.
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PMID:Hemorrhagic stroke after spinal anesthesia and minor surgery. 1526 23