An anaesthetic chin support

Anaesthetic Novice Decision Support Algorithm (ANDSA)

Hereditary chin trembling or hereditary chin myoclonus?

Hereditary chin trembling is a rare autosomal dominant disease often considered as an "essential tremor variant". The clinical and neurophysiological data obtained in a new white family lead to the suggestion that this abnormal involuntary movement is a focal variant of hereditary essential myoclonus.

Lithium: an anaesthetic risk.

A 64-year-old woman had suffered from recurrent depressive illnesses, although two attacks of manic behaviour had followed treatment for depression. She was first admitted to hospital in 1954 because of depression. Subsequently she had been admitted on fifteen occasions. As is common in the affective disorders, her attacks had become progressively more frequent and she had spent most of the pre...

Ulcer over Chin in an Immunocompromised Individual

A 45-year-old human immunodeficiency virus (HIV)-positive male from northeastern India presented with fever and cough as well as a 3-month-old ulcer over the chin. On examination, there was a 5 × 5-cm superficial ulcer with a thick adherent crust over the chin ( Figure 1 ). The individual had three papules with central umbilication over the neck and face. He had anemia (hemoglobin = 7.5 g) and ...

Dilated cardiomyopathy: an anaesthetic challenge.

Idiopathic dilated cardiomyopathy is a primary myocardial disease of unknown etiology characterized by left ventricular or biventricular dilation and impaired contractility. Depending upon diagnostic criteria used, the reported annual incidence varies between 5 and 8 cases per 100,000 populations. Dilated cardiomyopathy is defined by presence of: a) fractional myocardial shortening less than 25...