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  1. Narasimman S, Govindasamy H, Seevalingam KK, Paramasvaran G, Ramasamy U
    Med J Malaysia, 2019 02;74(1):99-101.
    PMID: 30846675
    Acute massive haemothorax is a life-threatening situation, which is often associated with a preceding trauma. However, spontaneous haemothorax is a rare occurrence, especially in pregnancy. Spontaneous haemothorax in the immediate post-partum period secondary to a ruptured intercostal AVM is extremely rare more so in the background of an undiagnosed neurofibromatosis. This is a report of a young lady presenting with pleuritis and breathlessness after the delivery of her 1st child. Her management is discussed.
    Matched MeSH terms: Neurofibromatosis 1/diagnosis
  2. Ong EKS, Wong TS, Chung WH, Chiu CK, Saw A, Hasan MS, et al.
    J Orthop Surg (Hong Kong), 2019 10 17;27(3):2309499019879213.
    PMID: 31615339 DOI: 10.1177/2309499019879213
    Aberrant left brachiocephalic vein is a rare condition. Its occurrence in patients requiring anterior cervicothoracic approach for severe kyphoscoliosis has not been described. A 16-year-old male with neurofibromatosis and severe upper thoracic kyphoscoliosis presented to us with curve progression. Halo gravity traction was attempted but failed to achieve significant correction. Subsequently, he underwent halo-pelvic traction and later Posterior Spinal Fusion (PSF) from C2 to T10. Second-stage anterior cervicothoracic approach with anterior fibula strut grafting was planned; however, preoperative computed tomography angiography revealed an aberrant left brachiocephalic vein with an anomalous retrotracheal and retroesophageal course, directly anterior to the T5/T6 vertebrae (planned anchor site for fibula strut graft) before draining into superior vena cava. Therefore, surgery was abandoned due to the risks associated with this anomaly. Aberrant left brachiocephalic vein is rare, the presence of which could be a contraindication for anterior cervicothoracic approach. Assessment of the anterior neurovascular structures is crucial in preoperative planning.
    Matched MeSH terms: Neurofibromatosis 1/diagnosis
  3. Muhammad Abdul Jamil MK, Abdul Rashid AH, Ibrahim S
    J Pediatr Orthop B, 2013 May;22(3):207-12.
    PMID: 22182834 DOI: 10.1097/BPB.0b013e32834ecc01
    This preliminary report is on two patients with congenital pseudoarthrosis of the tibia who had a persistent nonunion following intramedullary rodding and bone grafting. We do not advocate repeated surgery to achieve union. When limb length discrepancy becomes greater than 5 cm, we proceeded with an Ilizarov procedure with the primary aim of equalizing limb length rather than achieving union. Healing of the pseudoarthrosis occurred in both patients after lengthening over the intramedullary rod without compression of the nonunion site. We believe that union occurs because of hyperaemia during the lengthening. This approach minimizes the repeated surgeries that are usually needed and thus ensures a more normal childhood without frequent hospitalizations.
    Matched MeSH terms: Neurofibromatosis 1/diagnosis
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