According to scientific literature, this type of scenario is recorded at 0.001% for every 1,000 residents in the United States, according to the case report.
Belinda Z. Burgos, Marcela Moreno W.
Agencia Latina de Noticias Medicina y Salud Pública
The symptoms of this can be seen in their clinical reality. With no significant clinical history, no two embarrassments, this patient may have been mysterious when only the scientific literature could be found.
And it’s been 55 years since he arrived at the emergency room of the Manatí Medical Center (MMC) with recurrent symptoms lasting approximately 6 hours, which includes cabbage, mareo, cerebral palsy and posterior malignancy.
It has no relationship with other symptoms such as loss of consciousness, asymmetry, facial paralysis and does not report that the signs are presented in front of the patient.
Vertel die rapport, haxía tres meses atrás había dejado de fumar, pero for 20 años fumaba media caja de cigarrillos diaria (10 cigarrillos), aunque no consumía alcohol /
In interview with the magazine Medicina y Salud Pública (MSP), la Dra. Maribel Rodríguez González, part of the Residential Medicine Program of the Hospital Hospital, added that the patient also presented with an episode of debilitating disability in the upper and lower extremities of the body, in addition to the patient and loss.
Diagnostic
Between the halls followed by laboratories. it identifies a hypoxemia of 93% (oxygen levels or saturation are low, whereas the normal level is above 94%, evidence of alteration at pulsation levels. Additionally, high altitude labs reflect a high hemoglobin of %) and the hematocrit (amount of red cells in the blood) which must be between 37% and 47%, the patient has ten% in 58%, a very high.
To obtain these results, the patient on a principle was diagnosed with “policitemia”, a condition that is used on the basis of the medium produced by the Red Globes. This excess of cells spills the blood and reduces the fluid, which can cause serious problems.
Posteriorly, it is a test of arterial values, traversing the wounds, is to confirm the level of arterial oxygen, corroborating a hypoxemic state, maintaining 53mm Hg, which is very good for normal healing in a patient of 55 years debiera ser de 80mm, Hg. The arterial saturation rate is 87%, with normal flow fluctuating up to 94%.
A radiology study revealed that the medical team was hopeless.
As additional studies, a bad luck patch is practiced that the superior team has a nodular opacity. ‘When observed here and with the laboratories antionmionados the realization of a CT of contrast contrast and here was saloon with diagnosis of a large pulmonary venous malformation, the same, was of complex character in the superior bulb with varying degrees of 3.0 x 3.9 x 4.0 cm without evidence of pulmonary embolism
“, Bevestigó la Dra. Rodríguez.
Treatment
A phlebotomy and embolization performed by an Intervening Radiologist showed a significant reduction in arterial venous flow of malformation, with a significant increase in oxygen saturation from 84 to 98% without oxygen support
Other cases of clinical literature
This is a rare case, with an annual incidence of <0.001% in EE.UU.
90% of arteriovenous malformations are associated with hereditary hemorrhagic telangiectasia. “Without embarrassment, the patient does not meet the criteria for being diagnosed with hemorrhagic hemorrhagic telangiectasia, making this case not only rare, but also very atypical,” the specialist indicated.
It is important to include this diagnostic in different layers to exclude all the causes of ischemic attack (TIA, by its signs in English) to avoid other complications such as cerebral abscesses, cyanosis, hemothorax, abscesses.
‘If the arteriovenous malformation is associated with hereditary hemorrhagic telangiectasia, such as family medicine, debilitating genetic assessment, performing a good medical examination, and identifying any sign of hemorrhage or hemorrhage in the nose”, Indicó.
And he added, “Although the case is quite rare and important it is one that we have these cases in diary, come with this one and it is common to think that it is the famous ischemic transition that many people are allowed to look for the cause of which they eso, entonces al elle tener lateration arteriovenosa, lo hace bien unik ”.
As well as literature, the patient is treated with embolization and has a major event in his syndromes, in addition to receiving support from various sub-specialists including the patient’s majority.