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Item type:Publication, Intraoperative identification of a left non-recurrent laryngeal nerve by neuromonitoring: a critical anatomical finding—case report(Oxford University Press, 2026) ;Lanzagorta Ortega, Dioselina ;Hernández Martínez, Ana Sofía ;Gómez Woodworth, Juan Ramón ;Peña Garcia, Juan FranciscoMercado Atri, MoisesInjury to the recurrent laryngeal nerve (RLN) and its non-recurrent variant (NRLN) remains one of the most significant complications of thyroid and parathyroid surgery. The NRLN is a rare anatomical variation that arises directly from the cervical vagus nerve without looping into the thoracic cavity, most often associated with an aberrant subclavian artery. Identification of this structure is essential to avoid iatrogenic injury, particularly during thyroidectomy. We report the intraoperative neuromonitoring (IONM) identification of an unexpected non-recurrent left inferior laryngeal nerve; emerging directly from the vagus nerve and coursing horizontally towards the larynx. This case emphasizes the importance of IONM, surgical awareness of anatomical variation to prevent RLN and NRLN injury, and ensuring optimal postoperative laryngeal function. © The authors © Oxford University Press - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Angiosarcoma of the liver as a cause of fulminant liver failure(2012) ;Montell García, Marco ;Romero Cabello, Raúl ;Romero Feregrino, Raul ;Mercado Atri, MoisesTrejo Estrada, RafaelPrimary liver sarcomas make up 2% of all malignant neoplasms of the liver; of these, angiosarcoma is the most common type. Primary liver tumours rarely cause fulminant hepatic failure (FHF), which is most frequently caused by non-neoplasmic pathologies. In the case of neoplasms, the most frequent are lymphoma and metastatic carcinomas. We describe the case of a 76-year-old man who suffered from FHF as a result of a liver angiosarcoma and we present a review of the medical literature in which we found only two cases of liver angiosarcomas linked to FHF.Scopus© Citations 9 4 1
