A 57-year-old female with intrahepatic cholangiocarcinoma underwent hepatic trisegmentectomy and chemoradiation. Her course was complicated by recurrent episodes of radiation-induced gastric outlet obstruction requiring balloon dilations. She presented with right lower quadrant pain after routine upper endoscopy with pyloric dilation. A computed tomography (CT) showed isolated right-sided ische...

minutes count? Consultation lengths in general practice. J Health Serv Res Policy 1998; 3: 207–13. 17. Rothwell PM, Giles MF, Chandratheva A et al. Effect of urgent treatment of transient ischaemic attack and minor stroke on early recurrent stroke (EXPRESS study): a prospective population-based sequential comparison. Lancet. 2007; 370: 1432–42. 18. Wasserman J, Perry J, Dowlatshahi D et al. Str...

• Patients with mild stroke/transient ischaemic attack (TIA) are at high risk of recurrent events. • The Assessment of Real-world Evidence in Stroke/TIA (ARES) programme aims to characterize the management and outcomes of patients with mild stroke/TIA in real-world clinical practice in multiple countries around the world. • Development of the ARES programme requires identification of suitable d...

A case of transient ischaemic attack lasting 6 h occurred after spinal anaesthesia with bupivacaine. The level of sensory block was satisfactory and there was no significant hypotension. We discuss the possible cause of this previously undescribed complication.

background: the implications of cardiac risk stratification before orthotopic liver transplantation (olt) are not well established. we studied the usefulness of myocardial perfusion imaging (mpi) in this scenario. methods: mpi data of 24 patients (9 females), candidates of olt, were collected. they underwent mpi as part of their preoperative risk assessment. mpis were interpreted by 2 nuclear p...

The sequelae of acute ischemic injury to a solitary kidney were assessed in rats subjected to right nephrectomy and transient occlusion of the left renal artery; control rats underwent right nephrectomy alone. Incomplete recovery from ischemic injury at 2 wk (serum creatinine levels of 1.1 +/- 0.2 versus 0.5 +/- 0.1 mg/dl, P < 0.05 for ischemia versus control) was followed by deterioration of r...