Rocuronium for control of refractory muscle spasms in a tetanus patient with substance abuse disorder: A case report

2017 ◽  
Vol 381 ◽  
pp. 69 ◽  
Author(s):  
C.A. Enriquez ◽  
J.E. Abejero ◽  
P. Ramiro ◽  
C.P. Dioquino-Maligaso
Keyword(s):  
Substance Abuse ◽  
Case Report ◽  
Substance Abuse Disorder ◽  
Muscle Spasms

scholarly journals An Interesting Case of a Butcher Who Attempted to Cut His Neck

2018 ◽  
Vol 26 (3) ◽  
pp. 222-226
Author(s):  
N R Ankale ◽  
R S Mudhol ◽  
Rajesh Radhakrishna Havaldar ◽  
Anju Singh
Keyword(s):  
Risk Factors ◽  
Substance Abuse ◽  
Case Report ◽  
Multidisciplinary Approach ◽  
Interesting Case ◽  
Effective Management ◽  
Early Assessment ◽  
Severe Injuries ◽  
Alcohol Abstinence ◽  
Supraglottic Larynx

Introduction Cut throat injuries are well recognized in homicide but less recognized in suicides. The incidence of suicide is increasing worldwide owing to the more stressful strenuous lifestyle and other risk factors like substance abuse. Suicide by incising one’s own throat is associated with hesitation marks whereas homicidal wounds are not. Case Report We present an interesting case of a suicidal cut throat of the victim being a butcher who was on alcohol abstinence since 3 days with severe injuries of supraglottic larynx and cricopharynx, surprisingly without any evidence of hesitation marks. He underwent immediate neck exploration and suturing of the injured structures without the need of a tracheostomy. Discussion A multidisciplinary approach by Otolaryngologists, Psychiatrists, Intensivists, and Anaesthetists is required in the effective management of these victims. A thorough proper early assessment can totally avoid the need of tracheostomy which is recommended in practice, hence preventing complications arising out of this unnecessary but advocated procedure.

Clinical Exercise Considerations for Opioid Addiction Recovery

2021 ◽  
Vol 10 (3) ◽  
pp. 117-125
Author(s):  
Emma Torres ◽  
Angela R. Hillman
Keyword(s):  
Substance Abuse ◽  
Pain Management ◽  
American Psychiatric Association ◽  
Opioid Addiction ◽  
Review Article ◽  
Substance Abuse Disorder ◽  
Addiction Recovery ◽  
Know How

ABSTRACT According to the American Psychiatric Association, in 2018, approximately 2 million Americans were suffering from a substance abuse disorder, defined as substance abuse and dependence (1), related to opioids that were prescribed for pain management (2), while worldwide, it is estimated this approaches 16 million (3). Consequently, exercise clinicians will be increasingly exposed to individuals who have been affected by opioids and should therefore know how these drugs affect physiological functioning and how exercise can play a role in opioid addiction recovery. This review article is intended to provide some of this information.

scholarly journals Utility of Botulinum Injections in Stiff-Person Syndrome

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
L. M. Conners ◽  
A. Betcher ◽  
A. Shahinian ◽  
P. Janda
Keyword(s):  
Case Report ◽  
Adverse Reactions ◽  
Intravenous Immunoglobulins ◽  
Initial Therapy ◽  
High Dose ◽  
B Cell Depletion ◽  
Stiff Person Syndrome ◽  
Review Of The Literature ◽  
Systemic Treatments ◽  
Muscle Spasms

Stiff-person syndrome (SPS) is an uncommon neurological disorder characterized by significant rigidity and muscle spasms primarily affecting the truncal and proximal musculature. Furthermore, a wide-based gait with functional impairment is generally seen. High-dose benzodiazepines or baclofen are widely considered the optimal initial therapy; however, major adverse effects often preclude adequate dosing. Refractory cases may be treated with intravenous immunoglobulins (IVIG), plasma exchange, or B-cell depletion with rituximab, although these are also associated with major, sometimes fatal, adverse reactions. Several reports have validated the safety and utility of botulinum injections in this setting, yet botulinum remains markedly underutilized in this cohort. Below, a case report and review of the literature show botulinum can decrease pain and stiffness, improve gait and balance, and decrease dependence on powerful systemic treatments in this group.

Biochemical Analysis and Association of Butyrylcholinesterase SNPs rs3495 and rs1803274 with Substance Abuse Disorder

2019 ◽  
Vol 67 (3) ◽  
pp. 445-455 ◽  
Author(s):  
Sadaf Munir ◽  
Rabia Habib ◽  
Sliha Awan ◽  
Nazia Bibi ◽  
Arooj Tanveer ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Biochemical Analysis ◽  
Substance Abuse Disorder
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