Vagal nerve stimulator masquerading as an inhaled foreign body in a child

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Subcutaneous Emphysema in a Healthy Child: An Unusual Clue for the Diagnosis of Foreign Body Aspiration

Background: Spontaneous pneumomediastinum (SPM) and subcutaneous emphysema are rare findings in children. Various etiologies have been reported for SPM, such as foreign body aspiration in infants, especially in those aged less than three years. In addition to the complications associated with foreign body aspiration, SPM may also become a life-threatening condition if left untreated. In the pre...

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fMRI in patients implanted with a vagal nerve stimulator

OBJECTIVE To demonstrate the feasibility and safety of using functional magnetic resonance imaging (fMRI) to determine the blood oxygen level dependent changes (BOLD) in patients undergoing vagal nerve stimulation (VNS) for the treatment of epilepsy. METHODS Four patients with an implanted vagus nerve stimulator had fMRI images acquired during several cycles of intermittent VNS. Blood oxygen ...

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Cardiac Surgery in a Patient with Implanted Vagal Nerve Stimulator

The prevalence of epilepsy worldwide is around 0.5%-2% of the population. Antiepileptic medications are the first line of treatment in most of the cases but approximately 25%-30% epilepsy patients are refractory to the single or combination therapy. The surgical option for temporal lobe epilepsy is temporal lobectomy, which has its inherent risk of neurological deficits after the surgery. Patie...

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Asymptomatic inhaled foreign body

It is very rare to have a big foreign body in the lungs without any complications or symptoms for 2 years. A 14-year-old male with episodes of minor hemoptysis for 4 weeks had a history of inhalation of a bullet 2 years earlier. He had asymptomatic for lung complications for 2 years. The bullet was removed by right thoracotomy and  non-anatomical wedge stapled resection, and he followed an unev...

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‘Runaway’ vagal nerve stimulator: a case of cyclic asystole

A vagal nerve stimulator (VNS) is a device designed to prevent seizures in patients with drug-refractory epilepsy by providing high-frequency (20–30 Hz) electrical stimulation of the left vagus nerve, activating vagal nerve afferent fibers that carry signals to the brain and reduce seizure activity. Similar to a cardiac pacemaker, the device generator is implanted in the left subpectoral area. ...

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ژورنال

عنوان ژورنال: BMJ Case Reports

سال: 2017

ISSN: 1757-790X

DOI: 10.1136/bcr-2017-220157