Pseudobulbar Palsy, Personality Change, and Ataxia in a 34-year-old Man: A Case Report

PM&R ◽  
2013 ◽  
Vol 5 ◽  
pp. S273-S273
Author(s):  
Stephanie Y. Kim ◽  
Merrie Viscarra
Keyword(s):  
Case Report ◽  
Personality Change ◽  
Pseudobulbar Palsy

Protracted delirium with Sheehan's syndrome

2012 ◽  
Vol 24 (3) ◽  
pp. 183-185 ◽  
Author(s):  
Maximilian Gahr ◽  
Sigrun Hügl ◽  
Roland Freudenmann
Keyword(s):  
Case Report ◽  
Psychotic Disorder ◽  
Clinical Picture ◽  
Psychiatric Symptoms ◽  
Personality Change ◽  
Sheehan’S Syndrome ◽  
Long Run ◽  
Somatic Illness ◽  
Sheehan's Syndrome

Objective: Delirium is a common problem, but often misdiagnosed and unidentified. Apart from the manifold clinical picture variable durations can also be an obstacle for its diagnosis.Methods: We present a case of protracted delirium that has developed after severe somatic illness in association with previously undiagnosed Sheehan's syndrome.Results: The variety of psychiatric symptoms with initial psychotic disorder and the long run of the disease delayed the diagnosis of delirium and meantime gave reason to assume personality change.Conclusion: This case report calls attention to the possibility of protracted delirium in patients with neuropsychiatric deficit symptoms that persist subsequent to somatic illness.

scholarly journals Acute Pseudobulbar Palsy After Bilateral Paramedian Thalamic Infarction: A Case Report

2016 ◽  
Vol 40 (4) ◽  
pp. 751 ◽  
Author(s):  
Hye Yeon Lee ◽  
Min Jeong Kim ◽  
Bo-Ram Kim ◽  
Seong-Eun Koh ◽  
In-Sik Lee ◽  
...  
Keyword(s):  
Case Report ◽  
Pseudobulbar Palsy ◽  
Thalamic Infarction

scholarly journals Isolated acute pseudobulbar palsy with infarction of artery of percheron: case report and literature review

2021 ◽  
Vol 21 (1) ◽  
pp. 166-71
Author(s):  
Jamir Pitton Rissardo ◽  
Ana Fornari Caprara
Keyword(s):  
Case Report ◽  
Brain Magnetic Resonance Imaging ◽  
Pseudobulbar Palsy ◽  
Clinical Syndromes ◽  
Artery Of Percheron ◽  
Apparent Diffusion ◽  
Tongue Movements ◽  
Swallowing Difficulty ◽  
Gag Reflex ◽  
Hypernasal Voice

Introduction: Pseudobulbar palsy (PBP) is characterized by supranuclear lesions in the corticobulbar pathway. Neoplasia, inflammatory, demyelinating, and stroke are possible etiologies of this disorder. Case report: We report an elderly female who presented with dysarthria. She was dysarthric with a hypernasal voice, no apraxia or aphasia was observed. Tongue movements were slow with limited amplitude. Her soft palate dropped bilaterally; gag reflex was present. Also, she reported swallowing difficulty and choking with her saliva. Bilateral vertical and horizontal gaze were intact to either voluntary or oculocephalic movements. A cranial CT scan was suggestive of artery of Percheron (AOP) infarction. Brain magnetic resonance imaging showed hypersignal on diffusion-weighted and T2-weighted images and hyposignal on apparent diffusion coefficient in both thalami. CT angiography scan revealed an AOP originating from the left posterior cerebral artery. The swallowing study with a videofluoroscopic demonstrated oral and pharyngeal phases with severe dysfunction. Conclusion: To the authors’ knowledge, there are two cases of individuals with artery of Percheron infarction who devel- oped PBP associated with other clinical syndromes. Still, isolated PBP following infarction of Percheron’s artery was not reported. We hypothesized that the PBP may have occurred because of the existence of vascular territory variations in the perforating arteries that arise from the AOP. Keywords: Pseudobulbar palsy; thalamus; infarction.

Disseminated Intravascular Coagulation During Resection of a Meningioma: Case Report

Neurosurgery ◽  
2011 ◽  
Vol 68 (4) ◽  
pp. E1165-E1169 ◽  
Author(s):  
Ana M. Velez ◽  
William A. Friedman
Keyword(s):  
Brain Tumor ◽  
Case Report ◽  
Disseminated Intravascular Coagulation ◽  
Personality Change ◽  
Successful Outcome ◽  
Tumor Surgery ◽  
Brain Tumor Surgery ◽  
Focal Neurological Deficit ◽  
Intravascular Coagulation ◽  
One Year

Abstract BACKGROUND AND IMPORTANCE: Disseminated intravascular coagulation is a relatively common complication in patients with trauma, sepsis, obstetric calamities, and certain malignancies. We report a rare case of DIC after embolization and surgery for a large meningioma. We also review the literature on coagulopathy during brain tumor surgery as well as the diagnosis and treatment of this complication. CLINICAL PRESENTATION: A 62-year-old woman presented with a 3-week history of aphasia, difficulty with handwriting, personality change, and right-sided weakness. Magnetic resonance imaging demonstrated a 6.3 × 5.4-cm multilobe and avidly enhancing mass within the left frontal region. The patient underwent preoperative transcatheter Onyx embolization of the tumor, followed immediately by craniotomy for resection of the tumor. Surgery was complicated by coagulopathy leading to substantial blood loss. The diagnosis of disseminated intravascular coagulation was established by intraoperative thromboelastography, after which the patient was treated with replacement therapy, Amicar, and modest hypotension. One year after surgery, the patient had fully recovered and had no focal neurological deficit. CONCLUSION: This case report adds to the few reported cases of disseminated intravascular coagulation as a complication of brain tumor surgery. This patient's successful outcome may be attributed to timely recognition of the condition and effective, prompt treatment.

scholarly journals A Case Report of Isolated Bilateral Cerebral Peduncular Infarction

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Chenguang Zhou ◽  
Yuanhong He ◽  
Xiaorui Tian ◽  
Zhiwen Chao ◽  
Yinghui Zhu ◽  
...  
Keyword(s):  
Case Report ◽  
Eye Movements ◽  
Clinical Manifestation ◽  
Central Portion ◽  
Pseudobulbar Palsy ◽  
Cerebral Peduncle ◽  
Acute Infarction ◽  
Disturbance Of Consciousness ◽  
Consciousness Disturbance ◽  
The Relationship

Isolated bilateral cerebral peduncular infarctions (BCPI) presenting as acute pseudobulbar palsy are rarely reported and, to the best of our knowledge, most of the previous reports of BCPI were related to locked-in syndrome and disturbance of consciousness. Herein, we described a case of a 55-year-old man who presented with acute pseudobulbar palsy and mild tetraparesis, but preserved eye movements, with no consciousness disturbance. DWI revealed an acute infarction involving the central portion of the cerebral peduncle with a characteristic “traditional Chinese eight character” sign. The relationship between the infarcted range in the cerebral peduncle and the clinical manifestation was discussed in our report.

Misophonia: An Evidence-Based Case Report

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Case History ◽  
Pure Tone ◽  
Physiological Responses ◽  
Evidence Based ◽  
Management Option ◽  
Pure Tone Audiogram

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.

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