#13Months

[abegoto]

13month.

夏らしい恋人の姿とともに。

最近は少しの会話をする時間すらなくなってしまったけれど、君らしく健康に生きていていただければそれでいいです。この先も君が君らしく、居られますように。そしてこの先もその居場所でいられますように。

[derangedanomaly]

I was able to eat normal food for the first month and the last 2:D so only 13months of that disgusting shit

That doesn't change the fact it's fucking disgusting.

[jcsmicasereports]

Spontaneous Disappearance of an Arachnoid Cyst after appearance of chronic subdural hematoma by M.Hammoud in Journal of Clinical Case Reports Medical Images and Health Sciences

Abstract

Background: Arachnoid cysts are benign extra axial lesions, most commonly located in the fronto temporal region and account for 1% of all intracranial masses. They may remain stable or they may grow in size over time. Reports of spontaneous disappearance of arachnoid cysts are rare.

Case Report: We report the case of a 1-year-old boy with a middle fossa arachnoid cyst revealed by convulsive seizures, managed with anti epileptic drugs, 13 months later, the patient had one seizure episode, the cranial computed tomography Scan showed nearly total disappearance of the arachnoid cyst and the appearance of subdural hematoma. No surgical intervention was performed. Follow-up CT scans 1 month after admission, showed total disappearance of both the arachnoid cyst and the subdural hematoma.

Keywords

Arachnoid Cyst, Subdural hematoma, Spontaneous Resolution

Introduction

Arachnoid cysts are rare benign congenital extra axial lesions, which consist of collection of cerebrospinal fluid (CSF) surrounded by normal arachnoid membrane.

They account for approximately 1% of all intracranial space-occupying lesions, with a higher prevalence in the first 2 decades of life [1].

Most arachnoid cysts are quiescent and remain asymptomatic throughout life. 
They are incidentally detected on CT or magnetic resonance images [2]. 
The cyst may progress, stabilize, or spontaneously regress [3,4].

Spontaneous regression of an AC has been rarely reported in the literature [5,6].

In our knowledge, this is the second reported case of spontaneous disappearance of cerebral arachnoid cyst in less than 2 year [7].

Case report

A 1-year-old boy was admitted to pediatric emergency department for two episodes of non-febrile generalized seizure. On clinical exam, there was no focal neurological abnormality, cranial nerve deficit or papilledema. His head circumference was normal.

Brain magnetic resonance MR imaging showed a well defined, no enhancing, extra-axial cystic lesion in the right frontotemporal region, between the tabula interna and the insula. The lesion is isointense to CSF on T1 and T2 weighted images (Figure 1). This fluid collection suppresses completely with FLAIR and shows no restriction on DWI. The diagnosis of a right frontotemporal arachnoid cyst was made.

We decided not to operate the patient; he was putted under antiepileptic drug,

At 2-months follow-up, the patient was doing well and was seizure-free.

13months later, the patient was presented with another seizure episode; there was no cranial trauma. The neurological examination was unremarkable.

Unexpectedly, the brain CT scan showed a subtotal resolution of the arachnoid cyst with a subdural hematoma on the same side.

We decided to observe the patient without surgical intervention.

At 1-month follow-up, the CT scan control showed total disappearance of both the arachnoid cyst and the subdural hematoma.

Discussion

First described by Bright in 1831 [8]. ACs are benign cystic lesions, which consist of CSF collections between the two layers of arachnoid membrane, by definition three criteria are required for a lesion to be considered an AC: 1/ it must be enveloped by an arachnoid membrane, 2/ it must contain arachnoid mater cells, and 3/ it must contain CSF [9].

They can be congenital or acquired after surgical trauma, infection, or hemorrhage [10].

In most cases, ACs are asymptomatic, the diagnosis is an incidental finding. When they are symptomatic, they are resulting of the direct compression of surrounding structures, ACs are relatively rare. The reported incidence accounts for only 1% of intracranial space- occupying lesions [11].

On CT, ACs manifest as extra-axial cysts with the density of CSF, it does not enhance after injection. MRI signals are similar to CSF in T1- and T2-weighted imaging with no enhancement on gadolinium.

Diffusion-weighted MRI has proved to be very useful for differential diagnosis that includes other cystic lesions [12].

Arachnoid cysts may remain stable or they may grow in size over time, in rare cases ACs may resolve spontaneously [7]. AC disappearance is a rare phenomenon that can occur spontaneously or after an inciting event.

The mechanism of spontaneous disappearance of ACs has not been described in the literature. Probably Communication between an AC and the subarachnoid space may be direct transport through the cyst wall or it may be a valve-like mechanism [13].

Although, the cyst wall rupture and CSF flow perturbation theories seem to be the most applicable pathophysiological mechanisms in triggered AC resolution(18).

Rupture of arachnoid cyst associated to subdural or intracystic effusion or bleeding is a rare complication. It occurs mostly after a head injury [14].

In this case, there was no history of head trauma, the cyst resolved spontaneously with the appearance of a subdural hematoma SDH. In the literature, there are only 11 cases reported in the literature of spontaneous SDH complicating an arachnoid cyst [15,16].

The management modality of asymptomatic ACs is not clear. However, surgical treatment is suitable for large or symptomatic ACs [17].

SDH associated with ACs spontaneously or due to traumas should be treated in an individual-based manner that is specific to each case, either conservatively or surgically [17,18].

In our case report, based on the clinical assessment no intervention was required.

Conclusion

The present case and the few reported cases of spontaneous disappearance of ACs suggest a more conservative approach in patients without asymptomatic ACs. Thus, we report highlight the interest of regular follow up of patients with known ACs.

[lastingocean]

Manta rays are a symbol of respect and tenacity.

This is because they easily adapt to different pressures and depths in the oceans.

Oceanic manta rays have few natural predators as they are very large and fast .The main ones are large sharks and dolphins.

Manta rays have a late sexual maturity. Males become sexual mature when their discs are 4m and females when the discs are about 5m wide .

The have a long gestation period and (12-13months ) and normally have one pup. With threats such as overfishing, this makes it difficult for their populations to bounce back easily.

Their gills are highly valued in the Chinese medicine market and are used to make a tonic that boosts one’s immunity.

They are officially listed as endangered by the IUCN.

Other threats they face include:

Pollution ( manta rays are filter feeder and they may be consuming micro plastics which are known to carry persistent organic chemicals such as DDT’s)

Boat collisions

Bycatch(they get caught in fishing gear especially in shallow waters)

TikTok and instagram : @lastingoceans

[multi-fandom-fanfiction]

Hey can you do a Fanfiction where the reader is Archie's half older sister and she has a friends with benefits thing going on and one night Alice walks in on them and a month later the reader finds out she is pregnant and Reggie is a jerk but Jason Blossom is the only one that offers support. The reader has a son that she Names Fredrick Jason Andrews and then Jason disappears when Freddie is 13months and the reader holds herself I her room. Reggie and the reader co parent

Hey Hun I just need to ask some questions so I can write this for you

Would you like for me to write Reggie and the reader in a friends-with-benefits relationship?

Do you want Reggie and The reader to end up together?

Were the reader and Jason in a relationship before his disappearance?

Does everyone know the child is Reggie's or is that a secret?

You did say the reader was Archie's older half sister and that Alice's catches her and Reggie so is the reader Alice and Fred's daughter than?

[deltabusinessadvisors]

Weeks From Engagement To Close

The average time to sell a Main Street business varies from 7 to 9 months. Businesses in the LowerMiddle Market, however, saw an uptick in time to sell. Businesses in the $5M-$50M sector took 13months to sell, on average. That matches the peak average reported during the pandemic. Read the full article

[kooooojiiiii]

13month！！1年1ヶ月！

早くない？まじで毎月言うてんねんけど早い。

なんか1年迎えてからラブラブ度が増してるねんけどさ、こんなもん？俺たちだけ？

まいっにちしょっぴーがデレデレで、甘々で、キュンキュンしてて可愛いも増してる。ずるくない？

普通にずるいよな、わかる。

この間なんて爆弾置いて先に寝てさ。俺もそろそろ慣れろよって話やねんけど全然慣れへんねん！！！

可愛いもデレデレも甘々もぜーんぶ俺だけが知ってたいこれからも！！！こんな欲張りな俺も好きやんな？知ってる知ってる。

あかん、恥ずかしいなにこれ。

でもこの1ヶ月はほんまに2人ともデレデレして、キュンキュンしての繰り返し。

幸せな日々をしょっぴーのおかげで送れています。これからも俺がしょっぴーのことを幸せにし続けるので！！！！

だいすき、しょっぴー！！

2022.6/15-2023.7/15

[ingridhodel]

this lil Lion turns 3 years old today 🎂⁣ ⁣ It has been amazing to continue to watch you grow, even if it's just been virtually for the last year and a half. I can't wait to see what you do next! From playing a masterpiece on the piano to counting to 30958345485, I know you will do it all! And Auntie Ingie will always be here for you!⁣

[dreyblr]

Today I’m cooking Cinnamon rolls!! — at least trying to

[brandonimhotep]

That means do what I say and not what I do!! 💛♥️💙 “I’m convince that she’s ready to talk! 😂😂 What do you think she’s was trying to say? 👑📸 @ps_shanda swimsuit @cs_collection_ Hair @frobabies @frobabieshair Subscribe to Hermespenelope YouTube !! #hermèsPenelope • • • • #13months #cutenessoverload #babies #babiesofinstagram #babyfever #babygirl #babiesbabiesbabies #motherhood #cutebabies #happybabies #blackmomblog #familydigest #blackplatinumkids #beautifulmixedkidds #blacklivesmatter #naturallyperfectkids #newborn #frobabies #bourgiemoms #bourgiebabies #myperfectkids #viral_qt. https://www.instagram.com/p/CDttz3eg9gq/?igshid=jt0jd7dholu7

[dogslostinspace]

We lost our nail clippers so forgive his claws but look how nice my boy looks! I'm getting better at this grooming thing haha.

[overcomingwhoithoughtiwas]

13 months. A year and a month that I’ve been without antidepressants for my depression and anxiety. There are days where my mind is at war; where I can be sitting with friends and still feel alone. I have struggled with not harming myself, failing three times in the 13 months. Al I can do is keep focusing on living with it and managing it to make my life the best that I can and deserve. ————————————— “Whenever you feel like letting go / And you’ve got your back against the wall / Hold on, just hold on, cause you’re gonna take a few low blows”-Skepta #selfcare #depression #anxiety #lifeisbeautiful #keeppushing #selflove #youdeservebetter #selfcaresunday #13months https://www.instagram.com/p/Bv9pI0wgu06/?utm_source=ig_tumblr_share&igshid=19ohkomlrbdg1

[mydoggigi]

I have been clean and sober for 13 months today! #recovery #13months https://www.instagram.com/p/Bm022SzBnlfcugV3HpNrdyUSynokd7ul8flWbY0/?utm_source=ig_tumblr_share&igshid=18g0mx6r5yhnt

[thirteenmonthsofsunshine-co]

Magnolia Artificial Flowers

Item Type: Artificial Flowers

Material: Plastic, Polyester

Full Size: 116 cm / 45.67 inch

Package Includes:

1 x Branch

Buy Now!

.

.

.

#THIRTEENMONTHSOFSUNSHINE #flowers #nature #love #flower #photography #flowerstagram #naturephotography #art #garden #beautiful #photooftheday #spring #flowersofinstagram #instagood #plants #summer #instagram #flowerphotography #like #macro #photo #flores #naturelovers #beauty #wedding #green #roses #picoftheday #flowerpower

[pixiecorpsesblog-blog]

13 months of relationship with this awesome unpredictable man!!! He made me feel alive for the first time of 30 years that I'm living. 🖤I LOVE YOU AND ALWAYS WILL🖤 Photo by @kristinaduksova #love #togetherforever #meandmyhusband #foreveryoung #foreverpunk #13months #anniversary #family #foreveryours #themanilove #truelove #smolenskpunk #stockholmsyndrome #мой #люблюего #13месяцев #вместенавсегда #тымояжизнь #этолюбовь (at Smolensk)

[chochechio]

Mi Oli y sus rrrugidos de León!!...🦁🦁🦁♥️💪🏾 --------------- #MiOliverio #mybaby #mybabyboy #13months #roar #roarlionroar #leon 🦁🎶✨ (at San Francisco, California) https://www.instagram.com/p/CIEyrOUhjCK/?igshid=kyt0rxrrb1fk