Double trouble in a patient with myotonia

Double reflux: double trouble

Double vision: double trouble.

To cite: Kesav P, Muthu V, Khurana D. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014207347 DESCRIPTION A 43-year-old smoker presented with painless binocular diplopia and numbness in the left frontotemporal region of 4 weeks duration. Physical examination revealed non-tender bony swelling in the left zygomaticotemporal region with posterior cervical lymphade...

The trouble with seeing double

[1] The recently discovered phase transition for (Mg,Fe)SiO3 from perovskite to post-perovskite structure for pressure-temperature conditions in the lowermost mantle provides a plausible mechanism to explain a several percent shear velocity increase detected at the top of the D00 region in many regions. The phase transition has a large positive Clapeyron slope, and given the likely presence of ...

Double Trouble in a Patient with Coronary Ectasia, Bradycardia with Angina: Epiphenomenal or Mechanistic Association

Coronary artery ectasia is a rare angiographical finding, and it accounts for less than 5% of all coronary angiograms. We report a case of a 55-year-old male patient who presented with fatigue and exertional chest pain. Paraclinical tests revealed cardiac ischemia and sinus node dysfunction, as well as coronary artery ectasia without significant coronary stenosis. Factors involved in cardiac is...

Bentall Surgery in a Patient with Cold Agglutinin and Antiphospholipid Antibody: Double Trouble.

Cold agglutinin disease is an uncommon disease with potential to cause hemolysis and thrombosis during hypothermic cardiac surgery. Antiphospholipid syndrome is also rare disease with hypercoagulation tendacy. Perioperative management of both these diseases is challenging. We present successful perioperative management of high risk Bentall surgery in patient with both these dreadful diseases.