Saratov JOURNAL of Medical and Scientific Research

Case report

Modern complex rehabilitation of a patient after removal of tumor of iridociliary zone (clinical case)

Year: 2020, volume 16 Issue: №2 Pages: 671-673
Heading: Ophtalmology Article type: Case report
Authors: Khodzhaev N.S., Sobolev N.P., Shkandina Yu.V., Soboleva M.A.
Organization: S. Fyodorov Eye Microsurgery Federal State Institution
Summary:

A clinical case of optical reconstructive treatment of a patient after removal of an iridociliary zone tumor (ICZ) is presented. 1 year after blockexcision of the right eye, patient A., 63 years old, treated to the S. Fyodorov Eye Microsurgery Federal State Institute with the aim of correcting visual functions, where him was scheduled for optical reconstructive surgery (ORS): phacoemulsification of cataract with implantation of an intraocular lens, capsular ring and iris-lens diaphragm. 1 year after the ORS, there was no recurrence of the tumor process, and the obtained clinical and functional results remained stable, a patient did not complain. The proposed deadlines and technical features of ORS in a patient with a history of ICZ tumor removing create the necessary conditions for improving of functional results and the quality of life after organ-preserving operations.

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Implantation of «reverse» intraocular lens in a patient with high-grade myopia after phacoemulsification cataract (clinical case)

Year: 2020, volume 16 Issue: №2 Pages: 656-658
Heading: Ophtalmology Article type: Case report
Authors: Sorokoletov G.V., Soboleva М.А.
Organization: S. Fyodorov Eye Microsurgery Federal State Institution
Summary:

This clinical case demonstrates the result of successful phacoemulsification cataract with implantation of a "reverse" intraocular lens that has a high correcting ability and allows to achieve high acuity and quality of vision in eyes with high myopia.

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Method for intraocular lens reposition with suture fixation in the ciliary sulcus (clinical case)

Year: 2020, volume 16 Issue: №2 Pages: 599-602
Heading: Ophtalmology Article type: Case report
Authors: Kislitsyna N.M., Sultanova D.M., Dibirova S.M., Kurakina E.S.
Organization: S. Fyodorov Eye Microsurgery Federal State Institution
Summary:

The purpose of the study is to provide a method for repositioning intraocular lens (IOL) with suture fixation to the sclera in the projection of the ciliary furrow based on the example of a clinical case. The article presents the method for suture fixation of IOL dislocation (T-26 model). It describes a method of IOL reposition with suture fixation into the ciliary sulcus. Procedure stages: this method of IOL suture fixation is performed using two needles connected by a thread of polypropylene 10-0 (MANI sutures polypropylene 10-0). Using a guide needle 30G through the paracentesis, the needles are inserted above and below the IOL haptic element at the 6 o'clock position. The formed thread loop fixes the IOL in the projection of the ciliary sulcus to the sclera. Visual acuity on the first day after surgery was established at 0.7; IOP 19.0 mm Hg. At the control check-up after 7 days, visual acuity is 0.9 without additional correction; IOP 18 mm Hg. The proposed method of IOL reposition with suture fixation in the ciliary sulcus is associated with atraumatic, simple implementation and allows to achieve good functional and anatomical results in the treatment of patients.

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Treating a patient with bilateral peripheral uveitis (vitreitis)

Year: 2020, volume 16 Issue: №2 Pages: 563-565
Heading: Ophtalmology Article type: Case report
Authors: AprelevА.Е., Laskova I.V., Kovalchuk Р.Р., Nurusheva J.A.
Organization: Orenburg Regional Clinical Hospital
Summary:

The article presents a clinical case of a patient with intermediate uveitis (vitreitis) of viral etiology, which shows that simultaneous vitrectomy with phacoemulsification and implantation of an intraocular lens gives a positive result and saves visual functions after prolonged inflammation and poor conservative therapy.

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Surgical management of thoracolumbar fracture-dislocation (clinical case)

Year: 2020, volume 16 Issue: №2 Pages: 488-494
Heading: Traumatology and Orthopedics Article type: Case report
Authors: Likhachev S.V., Zaretskov V.V., Ivanov D.V., Shulga A.E., Arsenievich V.B., Stepukhovich S.V., Mizyurov S.A.
Organization: Saratov National Research University n.a. N. G. Chernyshevsky, Saratov State Medical University
Summary:

The article presents a clinical case history of successful two-stage surgical reconstruction of a rare injury — a simple thoracolumbar fracture-dislocation (Type С AOSpine classification). The optimal arrangement of the stabilizing system at the stage of surgical intervention planning was designed using computer biomechanical simulation. The functional outcome was optimal ensuring complete reconstruction of the lost anatomy with no complication in post-operative period observed.

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A case study of total joint replacement for intra-articular comminuted metacarpophalangeal fracture (clinical case)

Year: 2020, volume 16 Issue: №2 Pages: 485-487
Heading: Traumatology and Orthopedics Article type: Case report
Authors: Goryakin M.V., Ulyanov V.Yu.
Organization: Saratov State Medical University
Summary:

An actual case of total metacarpophalangeal joint replacement with prosthetic ceramic-on-ceramic implant for un-united articular fracture of the base of the second finger proximal phalanx is presented.

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Seizures as a manifestation of syndrome of inappropriate antidiuretic hormone secretion

Summary:

Differential diagnostics of epileptic paroxysms is often complicated and requires a multidisciplinary approach. Clinical presentation of epileptic and non-epileptic paroxysms is polymorphic and correct diagnosis requires clear understanding of semiotics and etiology of these conditions. The article presents a clinical case of a complicated course of the intermediate period of TBI with SIADH and seizures which mimic posttraumatic epileptic seizures.

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Comorbidity in the practice of a pulmonolo-gist: gastroesophageal reflux disease, Zenker's diverticulum and bronchopulmonary pathology (a clinical case)

Year: 2020, volume 16 Issue: №2 Pages: 438-442
Heading: Internal Diseases Article type: Case report
Authors: Kozlova I.V., Shashina M.M., Shapovalova T.G., Ryabova A.Yu., Belonozhko A.N.
Organization: Saratov State Medical University
Summary:

A clinical observation of a comorbid state in a 72-year-old patient with chronic bronchopulmonary pathology is presented in the work. Gastroesophageal reflux disease and large Zenker's diverticulum have been revealed. Diseases manifested simultaneously, progressed in parallel, but were not regarded as comorbid, which did not allow optimizing their therapy and prognosis.

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Sequential application of recombinant factors of blood coagulation system in intensive therapy of massive bleeding due to amniotic fluid embolism

Year: 2020, volume 16 Issue: №2 Pages: 433-437
Heading: Obstetrics and Gynecology Article type: Case report
Authors: Kuligin A.V., Lushnikov A.V., Zeulina Е.Е.
Organization: Saratov State Medical University
Summary:

Amniotic fluid embolism (AFE) is one of the most severe complications of pregnancy, childbirth and early postnatal period, being associated with high risk of maternal mortality. AFE manifests as significant coagulopathy with hypocoag-ulation and activation of fibrinolytic system. In recent years, coagulopathy caused by amniotic fluid entry into maternal circulation is successfully treated with recombinant coagulation factors, including prothrombin complex concentrate, and activated blood coagulation factor Vila (Eptacog alfa activated). Authors present a case of successful sequential use of the above-mentioned blood coagulation factors for combined treatment of coagulopathic syndrome in patient with AFE, which clinically manifested during early postoperative period after delivery with caesarean section. The aim of this article is to demonstrate that above-mentioned drugs are not identical and to prove that all of them should be used only when clinical indications are present, confirmed by results of laboratory studies.

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A rare neurological disease leading to cerebrovascular accident

Year: 2020, volume 16 Issue: №1 Pages: 360-363
Heading: Neurology Article type: Case report
Authors: Kutashov V.A., Ulyanova O.V.
Organization: Voronezh State Medical University n.a. N.N. Burdenko
Summary:

Purpose: to develop an algorithm for the clinical diagnosis and treatment of a little-known Moya-Moya disease. This disease is manifested by a transient ischemic attack in childhood and subarachnoid hemorrhage in the young. The analysis of the patient's own clinical observation of N., aged 14, with Moya-Moya disease, is presented. The disease debuted at the age of 9, the clinical manifestation was a transient ischemic attack. On the basis of MRI data, lacunar infarctions in "silent zones" were detected. Conclusion. With the introduction of modern methods of neuroimaging in medical institutions, it became possible to reliably diagnose such a rare neurological pathology as Moya-Moya disease and conduct adequate optimal therapeutic measures.

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