Case Report
Successful Kidney Transplantation in an Advanced Elderly at Federal Medical Center Abuja: A Case Presentation
Issue:
Volume 6, Issue 3, September 2025
Pages:
20-26
Received:
18 June 2025
Accepted:
30 June 2025
Published:
23 July 2025
Abstract: Background: Kidney transplantation (KTP) in elderly can be challenging with fears of mortality that is unrelated to surgery. Generally, elderly patients are defined as individuals aged 65 years and older. These group of individuals has been further subdivide unto ‘early elderly’ or ‘late elderly’. KTP is a form of stress which invariably triggers off significant impactful metabolic response in these group of weak and delicate individuals. Objective: End stage renal disease (ESRD) occurs in all age groups and the prevalence increases with aging due to associated comorbid conditions like diabetes mellitus (DM) and hypertension. This co-morbidities are confirmed etiology of ESRD. The aim of this case presentation is to emphasize that age is not an absolute contraindication to KTP. The emphasis should rather dwell on careful patient selection, good surgical techniques as well as adequate post-operative care and follow up. Conclusion: We report a case of an 81 year old male patient with ESRD secondary to long term DM and hypertension who had kidney transplantation in our facility with impressive outcome. We had our fears prior to KTP as per advanced age, drug burden and compliance despite excellent HLA typing and cross matching. However we were able to navigate these challenges by use of branded immunosuppressive drugs, living related donor, good surgical techniques, regular follow up as well as engaging a domiciliary care giver in order to ensure strict drug compliance while envisaging long term graft survival.
Abstract: Background: Kidney transplantation (KTP) in elderly can be challenging with fears of mortality that is unrelated to surgery. Generally, elderly patients are defined as individuals aged 65 years and older. These group of individuals has been further subdivide unto ‘early elderly’ or ‘late elderly’. KTP is a form of stress which invariably triggers o...
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Case Report
A Rare Case of Fibrodysplasia Ossificans Progressiva in a Resource Limited Setup: A Case Report
Birhanu Kassie Reta*,
Kibrom Hadush Seyum,
Million Abraha Zeray,
Tsegay Birhane Bisrat,
Yohannes Gebremedhin Berhe,
Hindeya Hailu Hagos,
Yordanos Birhane Gebrecherkos
Issue:
Volume 6, Issue 3, September 2025
Pages:
27-30
Received:
16 February 2025
Accepted:
5 July 2025
Published:
24 July 2025
DOI:
10.11648/j.wjmcr.20250603.12
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Abstract: Fibrodysplasia Ossificans Progressiva (FOP) is a rare genetic disorder characterized by congenital malformation of the great toe and heterotopic ossification in the connective tissue of muscles, tendons, ligaments, fascia, and aponeuroses. It has an incidence of 1 in 2 million, with less than 700 reported cases worldwide to date. The aim of this case report is to highlight clinical features of FOP so that early diagnosis will be made and the impact of its delayed diagnosis will be minimized. We report a case of a 42-year-old man who presented with multiple soft tissue swellings of 30 years duration with later inability to move. Physical examination findings are firm to hard tender masses over bilateral forearms, left arm, anterior and posterior chest, bilateral hip, and bilateral distal thigh with bilateral subtle hallux valgus. He had been visiting nearby health centers for the last 30 years, but a diagnosis was not made until the current visit. With clinical finding of hallux valgus and radiologic finding of extraskeletal ossifications, diagnosis of FOP was made. He is on analgesics and a short course of corticosteroids during flare-ups. Even though it is rare, primary care physicians should consider FOP as a possibility in patients presenting with soft tissue ossifications to minimize suffering and disability due to delayed diagnosis. Even though the confirmatory diagnostic modality for FOP is genetic test, for low-income countries where the genetic test is not easily accessible, clinical consideration should be made to prevent unnecessary disease progression.
Abstract: Fibrodysplasia Ossificans Progressiva (FOP) is a rare genetic disorder characterized by congenital malformation of the great toe and heterotopic ossification in the connective tissue of muscles, tendons, ligaments, fascia, and aponeuroses. It has an incidence of 1 in 2 million, with less than 700 reported cases worldwide to date. The aim of this ca...
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Research Article
Repeat LINAC Radiosurgery from Previously Treated Gamma Knife Radiosurgery on Medically Refractory Classical Trigeminal Neuralgia
Don Peter Santiago Dator*,
Kenneth Cortez Sy
Issue:
Volume 6, Issue 3, September 2025
Pages:
31-37
Received:
23 June 2025
Accepted:
14 July 2025
Published:
30 July 2025
DOI:
10.11648/j.wjmcr.20250603.13
Downloads:
Views:
Abstract: Trigeminal neuralgia (TN) is a debilitating neurological disorder characterized by sudden, severe facial pain along the distribution of the trigeminal nerve. It may significantly affect a patient’s quality of life. Stereotactic radiosurgery (SRS) is a non-invasive therapeutic option for managing TN, providing targeted precision and minimal side effects. The long-term benefits of SRS are noteworthy, as pain relief often persists for several years after the procedure. The authors aim to present a rare case of a reirradiation of a recurrent trigeminal neuralgia case. This is a case of a 74-year-old female who has had symptoms of TN for more than twenty years before undergoing gamma-knife SRS in 2017 with a dose of 90 Gray (Gy). Post SRS had good pain control for the next five years until in 2022 when she had increasing intensity of the pain no longer tolerable by medications. She was then treated in our institution using a linac-based SRS for a dose of 70 Gy. Post-second SRS, she reported no recurrence of severe pain. Twelve month follow-up noted no recurrence of severe pain with good quality of life and the only complication is unilateral left facial numbness. Repeat radiation with stereotactic radiosurgery with different techniques is feasible in refractory case of trigeminal neuralgia.
Abstract: Trigeminal neuralgia (TN) is a debilitating neurological disorder characterized by sudden, severe facial pain along the distribution of the trigeminal nerve. It may significantly affect a patient’s quality of life. Stereotactic radiosurgery (SRS) is a non-invasive therapeutic option for managing TN, providing targeted precision and minimal side eff...
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,
Agrawal Rajesh Kumar
