http://localhost:8080/xmlui/handle/123456789/6765 139 - 299 Tue, 14 Apr 2026 07:51:42 GMT 2026-04-14T07:51:42Z http://localhost:8080/xmlui/handle/123456789/6815 Title: Infiltrating spinal angiolipoma with paraplegia and hydrocephalus: A rare case report Authors: Velayudhan, Dewaraj; Bhat, Shyamasunder N.; Mohanty, Simanchal P. Abstract: Angiolipoma is a rare subtype of lipoma that contains both mature adipocytes and a rich vascular component. Infiltrating spinal angiolipomas causes surgical challenges with potential on-table injuries to adjacent structures. We present a rare case of infiltrating spinal angiolipoma in a 76-year-old woman who presented with paraplegia and hydrocephalus. At the time of presentation, the patient was bedridden for 3 months due to a complete loss of motor power. Imaging examination revealed a lesion involving the T6 vertebra with compressive myelopathy. The patient underwent spinal decompression and resection of the lesion, which turned out to be an infiltrating angiolipoma by histological examination. This is a unique case because spinal angiolipoma is extremely uncommon and such lesions generally manifest without infiltration. This case report highlights the existence and importance of spinal angiolipoma as a differential diagnosis of chronic backache resulting in neurological deficits and hydrocephalus. Fri, 01 Jan 2021 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/6815 2021-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/6813 Title: Postpartum prophylaxis of venous thromboembolism with anticoagulation: A case report Authors: Mohzari, Yahya A.; Asdaq, Syed M.B.; Bamogaddam, Reem F.; Alattas, Khlood; Asalmi, Sami; Alshuraim, Renad A. Abstract: Although there is a remarkably high risk of venous thromboembolism (VTE) during pregnancy and postpartum, a cautious approach is needed while initiating therapeutic and prophylactic anticoagulant therapy. The merits of heparin for thromboprophylaxis in postpartum patients are exaggerated, and its risk is generally overlooked. This study aimed to report the inappropriate use of anticoagulants in postpartum patients. The patient in this report was a 31-year-old healthy woman who had had a normal spontaneous vaginal delivery and visited the hospital a 3-day history of small itchy blisters at the enoxaparin injection sites. An examination revealed class II obesity. The Naranjo Scale assessment showed the possibility of an enoxaparin-induced hypersensitivity reaction. The clinical care team decided to discontinue the heparin. A follow-up examination did not show any signs of VTE. Although many pregnant and postnatal women might need VTE prophylaxis, routine anticoagulation for such a population is not essential. Clinicians should weigh the risks versus benefits to avoid any adverse drug reactions that may occur with this class of medication. Fri, 01 Jan 2021 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/6813 2021-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/6812 Title: Unilateral neglect or alien hand syndrome? A diagnostic challenge Authors: Yusoff, Wan R. Wan; Hanafi, Muhammad H.; Ibrahim, Al Hafiz; Kassim, Nur K.; Suhaimi, Anwar Abstract: Alien hand syndrome (AHS) is a rare post-stroke complication. Although the occurrence of AHS after stroke is rare, it can have a disabling impact on the lifestyle and career of the patients post stroke. It is difficult to distinguish AHS from the non-dominant hemispheric infarction with symptoms of hemianopia and left hemineglect, as patients with AHS can also have neglect as well as behaviour symptoms if the frontal lobe is involved. We report the case of a 62-year-old gentleman who was admitted to the rehabilitation ward and was treated for neglect and apraxia following right middle cerebral artery stroke. After further re-evaluation, the patient was diagnosed with AHS. Functionally, he improved and the symptoms disappeared four months after the stroke. In this case report, we highlight the features of AHS and provide a unique management approach. Fri, 01 Jan 2021 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/6812 2021-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/6811 Title: A seven-year surveillance of Candida bloodstream infection at a university hospital in KSA Authors: Al-Musawi, Tariq S.; Alkhalifa, Wala A.; Alasaker, Norah A.; Rahman, Jawad U.; Alnimr, Amani M. Abstract: Objectives: Candidemia incidence has increased in the past few years, with high mortality. Previous studies have reported a variable distribution of Candida spp. among different regions. This study aimed to identify the species found in Candida bloodstream infections, routine antifungal susceptibility testing, and mortality outcomes in an academic medical centre. Methods: Between January 2012 and December 2018, the positive blood cultures for candidemia infection were retrieved and statistically analysed for species prevalence, susceptibility pattern, and crude mortality at 14, 30, 60 and 90 days. Results: Of 156 candidemia cases, a majority (69.2%) was caused by non-albicans Candida spp. After Candida albicans (30.8%), Candida tropicalis and Candida parapsilosis were the second and third most frequeunt isolates spp, each counting for 23.7%. Acquired resistance was detected in 14.8% of candidemia strains. No other antifungal resistance was detected. The overall crude mortality rates of all species were 29.3%, 47.9%, 56.4%, and 58.0% at 14, 30, 60, and 90 days, respectively. A higher mortality rate was noted in cases of Candida krusei infection (crude mortality 71.4e100%, p ¼ 0.002). Conclusion: In this study, a considerable shift to nonalbicans Candida causing most bloodstream infections was observed. As such infections pose a serious threat to hospitalised patients, microbiology laboratories are urged to adopt rapid diagnostic and minimal inhibitory concentration-based testing for the detection of susceptible dose-dependent phenotypes. Prospective studies are essential to consider the prognosis of bloodstream infections by various Candida species in a multivariate model. Fri, 01 Jan 2021 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/6811 2021-01-01T00:00:00Z