Abstract:
:Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disease of the central nervous system that usually affects children and young adults. It most commonly has a monophasic course, although relapses are reported. Clinical presentation of the disease includes encephalopathy and multifocal neurological deficits. There are no established reliable criteria for diagnosis of ADEM and sometimes it is difficult to distinguish it from first attack of multiple sclerosis, especially in adults. The diagnosis of ADEM is based on clinical, radiological and laboratory findings. In the treatment of ADEM, high doses of corticosteroids, plasmapheresis and immunoglobulins are used. We report a case of a young adult female patient with ADEM who fully recovered after prompt administration of high dose methylprednisolone and immunoglobulins.
journal_name
Acta Clin Croatjournal_title
Acta clinica Croaticaauthors
Repić-Buličić A,Filipović-Grčić P,Jadrijević E,Jurinović P,Titlić Mdoi
10.20471/acc.2019.58.01.22subject
Has Abstractpub_date
2019-03-01 00:00:00pages
173-179issue
1eissn
0353-9466issn
1333-9451pii
acc-58-173journal_volume
58pub_type
abstract::A 57-year-old multiparous housewife was hospitalized at University Clinical Center with painless, ulcerated, huge tumor of the vulva, which had progressively increased in size during the last five years. It was a firm, ulcerated mass involving the left vulva and measuring 35 cm in diameter. The vaginal orifice was dev...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2015-06-01 00:00:00
abstract::The aim of this in vitro study was to evaluate cytotoxicity and genotoxicity of six different dental nanocomposite materials, three conventional ones and three flowable composite resin materials, in human lymphocytes. The following materials were tested: Tetric EvoCeram, Tetric EvoFlow, Filtek Ultimate, Filtek Ultimat...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2018.57.02.07
更新日期:2018-06-01 00:00:00
abstract::Thrombolysis with intravenous recombinant tissue plasminogen activator (rtPA) is the first evidence based treatment for acute ischemic stroke, which aims to reduce the cerebrovascular lesion. At University Department of Neurology, Sestre milosrdnice University Hospital, Zagreb, thrombolytic therapy with intravenous rt...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,多中心研究
doi:
更新日期:2009-09-01 00:00:00
abstract::The aim of this study was to investigate the correlation of immunohistochemical expression of nm23 gene in colorectal cancer cells with tumor stage according to Dukes, tumor differentiation, occurrence of distant metastases and patient survival. This retrospective study included 100 colorectal cancer patients who unde...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2012-03-01 00:00:00
abstract::The rate of periprosthetic femoral fractures following total hip replacement has been growing steadily in the last 20 years and ranges from 0.1% to 2.1%. These fractures are mostly related to older patients with the presence of chronic diseases and frequently poor bone quality. The treatment is surgically very complex...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.03.21
更新日期:2017-09-01 00:00:00
abstract::The aim was to assess whether standard automated perimetry (SAP) and frequency doubling technology (FDT) perimetry are able to detect the effect of diabetes mellitus (DM) on retinal function in DM patients in the early stage of disease and to analyze which method is more specific and sensitive. A randomized cross-sect...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2020.59.01.02
更新日期:2020-03-01 00:00:00
abstract::- This study aimed to investigate the impact of posture and anesthesia techniques on blood pressure changes, heart rate and regional cerebral oxygen saturation during shoulder arthroscopy in the beach chair position (BCP). Sixty patients were included in this prospective cohort study: 30 patients mechanically ventilat...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2018.57.03.10
更新日期:2018-09-01 00:00:00
abstract::The aim of the study was to assess the use of echocardiographic measurements in newborns of diabetic mothers. Maternal diabetes is associated with an increased risk of morbidity and mortality in pregnancy and in perinatal period. Thirty-five newborns of diabetic mothers (pre- gestational or gestational diabetes; case ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2015-12-01 00:00:00
abstract::The aim of the study was to assess the influence of gap shape on biomechanical results in extra-articular distal humeral fracture: with contact on the posterior part (by anterior gap) and contact on ulnar column (by radial gap). The goal was to examine if and to what extent did displacements decrease in comparison wit...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2016.55.03.05
更新日期:2016-09-01 00:00:00
abstract::We hypothesized that the integration of forensic psychiatrists and the forensic system into the general stream of mental health should lead to better reintegration of forensic patients into the society. The aims of the study were to explore the link between violence, murder, psychiatric disorders and other variables, ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract::Multiply injured patients with severe chest trauma have different combinations of associated extra thoracic injuries making their treatment complex. Severe pain is a prominent symptom in a vast majority of severe chest injuries and causes deterioration of respiratory function. Epidural analgesia provides efficient pai...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:10.20471/acc.2019.58.s1.18
更新日期:2019-06-01 00:00:00
abstract::Head injuries are very common in children and are the most frequent cause of disability and death among children. This retrospective study included 350 children hospitalized for injury of neurocranium over a 5-year period at Dr Josip Bencević General Hospital in Slavonski Brod. Boys were more commonly injured (63.4%) ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2012-12-01 00:00:00
abstract::The aim of the study was to assess the situation with implantation of cardiac pacemakers and to critically evaluate the possibility of this method of treatment. The study was conducted from 2001 to 2007. Data on a total of 211 operations were included in the study. There were 121 (57.3%) male patients, mean age 69.7 y...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2008-12-01 00:00:00
abstract::Anticoagulant therapy may cause the onset of a spontaneous intramural hematoma of the small bowel, in the jejunum, ileum or duodenum. A 53-year-old woman on therapy with heparin for previous pulmonary embolism was admitted for abdominal pain and vomit. Computed tomography scan visualized an intramural hematoma of the ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:
更新日期:2012-09-01 00:00:00
abstract::The principal iron storage protein is ferritin, which is primarily present in cytoplasm. The most common cause of hyperferritinemia is iron overload, which is either primary or secondary. Hyperferritinemia is commonly found in patients with chronic kidney disease regardless of their hemoglobin level and is often consi...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2011-06-01 00:00:00
abstract::The aim of this prospective study was to evaluate therapeutic effects in a cohort of 32 patients with relapsing-remitting multiple sclerosis (RRMS) that were continuously treated with interferon beta-1b during a three-year period and to compare the results obtained with literature data available. Additionally, dropout...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2009-06-01 00:00:00
abstract::Angiogenesis is essential for the development, growth and progression of tumors. Although vascular endothelial growth factor (VEGF) is a well-known proangiogenic factor, its impact on lymphoma has not yet been fully clarified. The aim of this study was to evaluate VEGF-A -expression and microvessel density (MVD) in ag...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.04.02
更新日期:2017-12-01 00:00:00
abstract::A case is presented of bilateral lacrimal gland hypertrophy with secondary glaucoma due to the increased episcleralvenous pressure. Diagnostic work-up included clinical methods associated with ultrasound (A- and B-scan, Doppler ultrasound) and magnetic resonance imaging techniques. Clinical data revealed proptosis, ep...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2012-12-01 00:00:00
abstract::The aim of the study was to identify differences in baseline characteristics and outcomes of men and women with acute ischemic stroke. Ischemic stroke was confirmed by CT scan or autopsy in patients admitted to the 2nd Department of Neurology, Institute of Psychiatry and Neurology in Warsaw, Poland from 1995 to 2007. ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2011-03-01 00:00:00
abstract::Reverse shoulder prosthesis has become one of the most often used prosthetic implants in shoulder replacement surgery. It has a wide spectrum of indications, starting from comminuted humeral fractures and posttraumatic arthritis to arthritis caused by the rotator cuff loss. Its application at our hospital began in 200...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2014-09-01 00:00:00
abstract::Fetal alcohol syndrome is defined by a triad of symptoms such as facial dysmorphology, prenatal and postnatal growth deficiency, and central nervous system dysfunction. It is the result of teratogenic effects of alcohol consumption in pregnancy. The prevalence of fetal alcohol syndrome is 1 to 3 per 1000 live births. ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2014-03-01 00:00:00
abstract::The first beginnings of ophthalmic echography in Croatia started at the turn of the 1960s and 1970s. When the two largest medical institutions in Croatia, Sestre milosrdnice University Hospital (former Dr. Mladen Stojanović General Hospital) and Zagreb University Hospital Center, both in Zagreb, were supplied with ult...
journal_title:Acta clinica Croatica
pub_type: 历史文章,杂志文章
doi:
更新日期:2012-12-01 00:00:00
abstract::Cavernous malformations are classified as a group of vascular malformations of the central nervous system. Conservative treatment of brainstem cavernomas is accompanied with poor outcome. Surgery ofbrainstem cavernomas still poses a challenge due to the high risk of neurological damage and respectable morbidity. We re...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2014-12-01 00:00:00
abstract::Person-oriented medicine is characterized by a holistic approach in patient ma- nagement that embraces physical, psychological, social and spiritual aspects of health and dise- ase. It responds to the needs of patients and health care workers to form an effective therapeutic relationship based on trust, empathy, compa...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:
更新日期:2014-12-01 00:00:00
abstract::The aim of this study was to evaluate the implementation of the 9th edition of the American College of Chest Physicians (ACCP9) guidelines for prevention of venous thromboembolism in nonsurgical patients in clinical practice in one university and one general Croatian hospital. A retrospective study was conducted at Za...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.04.12
更新日期:2017-12-01 00:00:00
abstract::Improving organization and patient care quality in intensive care units is increasingly important as intensive care unit diagnostic and therapeutic procedures account for a growing proportion of hospital services. We identified the lack of comprehensive national and international registries available in the contempora...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2020.59.02.06
更新日期:2020-06-01 00:00:00
abstract::Two cases of osteoid osteoma tumor (OO) are presented and our early experience with intraoperative gamma probing to localize OO during surgery is reported. The concept of radioguided surgery was developed 60 years ago and the gamma detection probe technology for radioguided biopsy and/or resection of bone lesions has ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2013-06-01 00:00:00
abstract::- Mycological analysis is considered the gold standard in the diagnosis of very common fungal diseases of nails. The purpose of the article is to present the prevalence of onychomycosis obtained by using direct microscopic examination (DME) and cultivation on Sabouraud media without cycloheximide. The quantitative ret...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2018.57.04.15
更新日期:2018-12-01 00:00:00
abstract::Although the incidence of ventilator-associated pneumonia (VAP) is very high, there are still many uncertainties about clinical course of VAP among tracheotomized patients. The goal of the present study was to determine the impact of tracheotomy on VAP incidence and etiology, as well as outcome of VAP patients with tr...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.01.15
更新日期:2017-03-01 00:00:00
abstract::- According to present findings, the impact of particular arterial pressure components on the occurrence of left ventricular hypertrophy (LVH) differs. We sought to determine which individual component of arterial pressure has the greatest impact on the LVH geometric pattern/degree. The study included 192 patients (87...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2018.57.04.05
更新日期:2018-12-01 00:00:00