eLetters

275 e-Letters

  • Wallenberg's lateral medullary syndrome and its rare signs
    Osama SM Amin

    Dear Editor

    Thanks to von Heinemann et al for reporting this brainstem stroke as a reminder of a grave complication of brainstem lesions, and that is cardiac arrest.

    The writer of this case report has mentioned lateral medullary syndrome of Wallenberg after providing us with abbreviated neurological findings, and he has linked his observation with this type of brainstem stroke. The given brain imaging fi...

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  • ADULT OR CHILD-THE PICTURE IS DECEPTIVE
    ABDUL MAJID WANI

    Dear Editor

    We are pleased to go through the interesting articles published by BMJ Case Reports. Having gone through this article ,the lesson is very good, but the fig 1A looks that of an adolscent--just look on the upper arm and elbow. Also thyroid hormone replacement alone leading to regression of such a big mass, does not explain why tumors from other pitutary cell types do not regress without other intevent...

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  • Is rowing atrauamtic?
    davinder p s baghla

    Dear Editor

    I read with interest your case report of bilateral meniscal tears in a 17 year old rower. Admittedly meniscal tears are not as common as Chondromalacia patellae, Iliotibial Band syndrome or Patella tendonitis, however they have been reported in a survey of knee injuries in rowers (Hosea TM et al. Rowing injuries. Postgraduate Advances in Sports Medicine 1989;3:1–16)

    The act of rowing comb...

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  • Unexpected Untoward Effect of Evidence-Based Medicine
    Taopheeq B. Rabiu

    Dear Editor

    The report by Fremault and Rodenstein1 is a significant contribution to our knowledge of the hazards posed by generalization rather than individualization of patient care. While there is no doubt that evidence- based medicine(EBM) has come to stay in health care services and that that the practice has helped to reduce cost of health care services by avoiding a waste of efforts and resources, complete adh...

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  • Loss of heterozygosity in SDHB locus on chromosome 1 in a subject with a metastatic papillary type I
    Dr. Umasuthan Srirangalingam
    A recent case report in this journal presented the case of a subject with an SDHB mutation who developed a metastatic type II papillary renal cell carcinoma which therapeutically responded to the tyrosine kinase inhibitor, sunitinib 1 2. SDHB germline mutations account for the familial paraganglioma syndrome type 4 (PGL-4) which is characterised by predominantly extra-adrenal paragangliomas with high malignant potential 2. SDHB...
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