📄 medicine

Left anterior inferior cerebellar artery supplied by an anomalous branch arising from the right vertebral artery: a case diagnosed by magnetic resonance angiography

This case report describes the first documented instance of a left anterior inferior cerebellar artery (AICA) supplied by an anomalous branch from the contralateral right vertebral artery in an 88-year-old woman, a rare vascular variation successfully diagnosed using magnetic resonance angiography and cisternography.

Akira Uchino, Yuki Mukai2026-10-18
📄 medicine

Measuring hesitancy toward childhood vaccines before birth: validation of the Vaccine Hesitancy Scale in pregnant women and its association with health locus of control

This study validates a modified Vaccine Hesitancy Scale for pregnant women in Turkey, confirming its ability to measure pre-birth hesitancy toward childhood vaccines and demonstrating that higher hesitancy is associated with lower internal and professional health locus of control.

Fatma Yağmur Evcil, Esra Çiçek, Hasan Küçükkendirci, Orçun Furkan Bayram2026-10-18
📄 medicine

Using p63 Immunohistochemistry during Mohs micrographic surgery for cutaneous squamous cell carcinoma

This case series demonstrates that intraoperative p63 immunohistochemistry, when used alongside AE1/AE3 staining during Mohs micrographic surgery for cutaneous squamous cell carcinoma, offers a promising advantage by providing strong tumor cell visualization while minimizing the distracting background staining of adnexal structures seen with AE1/AE3 alone.

Ella Engels, Kathleen Mannava, Tonya Woodard, Franki Lambert Smith2026-10-18
📄 medicine

Clinical and Biochemical Outcomes of Ketogenic Diet Therapy over a Decade: Experience from a Single Center

This ten-year retrospective study of 18 pediatric patients demonstrates that the ketogenic diet is a safe and sustainable treatment for drug-resistant epilepsy, effectively reducing seizure frequency in most cases while managing metabolic side effects through careful monitoring.

Hatice Güneş, Aliye Gülbahçe, Funda İpekten, Mehmet Canpolat, Hüseyin Per, Hakan Gümüş, Demet Öztekin, Fatih Kardaş2026-10-18
📄 medicine

Risk factors associated with the development of suspected moderate to severe language disorders in preterm infants: development of an early screening model

This study developed and validated a predictive screening model using neonatal, socioeconomic, and 24-month communication assessment data to identify preterm children at high risk for moderate to severe language disorders at age four, highlighting the combined influence of biological and environmental factors.

Laura Buzzegoli, Ghislain Leduc, Valérie Rouger, Marion Flamant, Jean-Christophe Rozé, Cyril Flamant2026-10-18
📄 medicine

Follicular Dendritic Cell Sarcoma Arising in the Aortopulmonary Window: A Case Report of Complete Resection Using Proximal Pulmonary Artery Control

This case report describes the successful complete resection of a rare follicular dendritic cell sarcoma in the aortopulmonary window using a surgical strategy that prioritized proximal pulmonary artery control via the transverse pericardial sinus to safely navigate the anatomically complex region and avoid combined organ resection.

Nanako Yokota, Akie Horikiri, Yukina Niwa, Takafumi Taki, Yoshiaki Takase, Yoshihiko Kanai, Kihara Atsushi, Toshiro Niki (…)2026-10-18
📄 medicine

A rare case of avulsion fracture of the iliac crest apophysis in a young male patient: a case report

This case report describes the successful surgical treatment of a rare, significantly displaced avulsion fracture of the iliac crest apophysis in a 16-year-old male skier, highlighting operative fixation as a viable option for achieving anatomical reduction and rapid return to activity while underscoring the need for further research to establish clear surgical indications.

Ahmed Ellafi, Thomas Gorreri, Michael Müller, Peter Biberthaler2026-10-18
📄 medicine

Spatial Alignment of Parkinson’s Disease-Related Quantitative MRI Alterations with Dopaminergic Topography

This study demonstrates that Parkinson's disease-related microstructural alterations measured by multiparametric MRI exhibit distinct spatial correlations with dopaminergic markers, revealing structure-specific patterns where subcortical changes align with coupled synthesis and receptor density loss, while cortical changes are driven by DAT and FDOPA, potentially indicating neuroinflammation beyond the primary nigrostriatal network.

Norbert Brüggemann, Marta Pokotylo, Norman Griebner, Luzian Weske, Martin Göttlich, Jan Uter, Julia Henkel, Jannik Prasu (…)2026-10-18
📄 medicine

How Bougie is BUGI? Bedside Upper Gastrointestinal (BUGI) in the Neonatal Intensive Care Unit

This study demonstrates that implementing a bedside upper gastrointestinal (BUGI) protocol within the NICU for 21 neonates with bilious emesis successfully identified duodenojejunal junction positioning, minimized radiation exposure and transport risks, and facilitated the creation of a new diagnostic algorithm for evaluating bilious emesis.

Pauravi Vasavada, Sarah Abdalian, Kelly Roush, Sheila Berlin, Eiichi Miyasaka, Mark Ricciardi, Afshan Ara, Rita Ryan2026-10-18
📄 medicine

Coronary Coronary CT Angiography phase acquisition strategies in sinus arrhythmia: prospective evaluation of image quality and diagnostic accuracy

This prospective study demonstrates that in patients with sinus arrhythmia undergoing ECG-triggered axial coronary CTA, an absolute-phase acquisition strategy significantly outperforms a relative-phase approach by reducing motion artifacts and improving image interpretability and diagnostic accuracy.

Naqin Wang, Ling Ge, Jing Liu, Jiajie Zhu, Yuxuan Zhu, Wei Cai, Yanhong Fang, hongbing Ma2026-10-18