C., aged 35 years, Hindu male, was admitted into the hospital on the 10th August, 1938, with the following complaints:? 1. Inability to walk. 2. Difficulty in swallowing food and drink. 3. Difficulty in speaking clearly. 4. Dizziness. 5. Vomiting. Family history:?Nothing important. Personal history:?Addicted to alcohol and heavy smoking. Past illness:?Contracted syphilis about 15 years back. Tw...

Endocrine emergencies are commonly encountered in the ICU. This article focuses on several important endocrine emergencies, including diabetic hyperglycemic states, adrenal insufficiency, myxedema coma, thyroid storm, and pituitary apoplexy. Other endocrine issues that are related to intensive care, such as intensive insulin therapy, relative adrenal insufficiency, and thyroid function test abn...

Objective: To report a case of pituitary apoplexy presenting with unilateral ptosis and third nerve palsy in diabetic hypertensive patient. Clinical Presentation Intervention: A 50 years old man developed palsy. macro adenoma hemorrhagic necrotic changes on MRI scan was resected by endoscopic transsphenoidal procedure. Third improved promptly completely few hours postoperatively. Conclusion: Th...

Chondrosarcoma is a very uncommon malignant primary bone tumor, especially, it occurs extremely rare in the spine. A 52-year-old man was admitted to the emergency room with sudden paraplegia. Twelve hours prior to a paraplegic event, he visited an outpatient clinic with discomfort and tenderness around the medial border of the right scapular, and his neurologic status was absolutely intact. Mag...

Pituitary apoplexy occurs after infarction of a non-neoplastic pituitary or sudden expansion of an adenoma following haemorrhage or infarction. It usually occurs spontaneously but can follow a number of causes including pituitary stimulation tests. Since this complication is potentially life-threatening, the benefits of subjecting patients who might have pituitary tumours to such tests should b...

In spite of recent advances in supportive management and prevention of stroke, it is not uncommon to hear nonneurologists as well as neurologists express the opinion that "nothing can be done for a patient with a stroke." These individuals are expressing an attitude of therapeutic nihilism. The word nihilism is derived from the Latin nihil, meaning "nothing." A therapeutic nihilist is one who s...