Poster 289: Rehabilitation and Neuroscience Implications of Somatoparaphrenia for the Upper Limb and Neglect for the Lower Limb Following a Thalamic Stroke Presenting as Flaccid Hemiparesis: A Case Report

PM&R ◽  
2018 ◽  
Vol 10 ◽  
pp. S96-S96
Author(s):  
Eric L. Altschuler ◽  
Sonika Randev ◽  
Orlando Quiroga ◽  
Mohammed Islam
Keyword(s):  
Case Report ◽  
Upper Limb ◽  
Lower Limb ◽  
Thalamic Stroke

scholarly journals Benign monomelic amyotrophy with proximal upper limb involvement: case report

2007 ◽  
Vol 65 (2b) ◽  
pp. 524-527 ◽  
Author(s):  
Marco Antonio Orsini Neves ◽  
Marcos R.G. de Freitas ◽  
Mariana Pimentel de Mello ◽  
Carlos Henrique Dumard ◽  
Gabriel R. de Freitas ◽  
...  
Keyword(s):  
Case Report ◽  
Upper Limb ◽  
Lower Limb ◽  
Clinical Manifestations ◽  
Rare Condition ◽  
Insidious Onset ◽  
Rare Location ◽  
Muscle Groups ◽  
Clinical Stabilization ◽  
The Right

Monomelic amyotrophy (MA) is a rare condition in which neurogenic amyotrophy is restricted to an upper or lower limb. Usually sporadic, it usually has an insidious onset with a mean evolution of 2 to 4 years following first clinical manifestations, which is, in turned, followed by stabilization. We report a case of 20-years-old man who presented slowly progressive amyotrophy associated with proximal paresis of the right upper limb, which was followed by clinical stabilization 4 years later. Eletroneuromyography revealed denervation along with myofasciculations in various muscle groups of the right upper limb. We call atention to this rare location of MA, as well as describe some theories concerning its pathophysiology .

scholarly journals Rare Presentation of Unilateral Weakness, Involuntary Movements and Ataxia with Subcortical T2 Hypointensity in a Diabetic Patient: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Venkatraman Indiran ◽  
Prabakaran Maduraimuthu
Keyword(s):  
Case Report ◽  
Diabetic Patient ◽  
Upper Limb ◽  
Lower Limb ◽  
Early Identification ◽  
Common Finding ◽  
Rare Presentation ◽  
Involuntary Movements ◽  
Left Lower Limb ◽  
Unilateral Weakness

Subcortical T2 hypointensity on MRI is not a common finding. We present a case of subcortical T2 hypointensity in a diabetic patient, who was referred with weakness of left lower limb and involuntary movements and ataxia of the left upper limb. Lab reports confirmed the diagnosis of nonketotic hyperglycemia. It is rather important to identify subcortical T2 hypointensity which has only been recently found to be associated with nonketotic hyperglycemia. Early identification and prompt correction of blood sugar would help in alleviating the neurological symptoms.

scholarly journals Focal dystonia, tremor and myokymic discharges secondary to electrical injury

2009 ◽  
Vol 1 (1) ◽  
pp. 2
Author(s):  
Konstantina G. Yiannopoulou ◽  
Theodoros Avramidis ◽  
Roxani Divari ◽  
Alexandros Papadimitriou
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Upper Limb ◽  
Lower Limb ◽  
Rare Complication ◽  
Focal Dystonia ◽  
Electrical Injury ◽  
First Case ◽  
Limb Muscles ◽  
Secondary Complication

We describe the case of a male patient who developed electromyographically confirmed myokymia, dystonia and tremor and clinically confirmed focal dystonia and tremor, secondary to electrical injury. Dystonia is a rare complication of electrical injury. Myokymic discharges secondary to electrical injury are previously unreported. Dystonia and tremor EMG findings were present not only at the clinically affected muscles of the lower limb but also at the clinically unaffected upper limb muscles. This is the first case report to link myokymia as a secondary complication of an electrical injury.

scholarly journals A case report of spinal intramedullary lipoma

Pulse ◽  
2015 ◽  
Vol 7 (1) ◽  
pp. 50-52
Author(s):  
FA Ruby ◽  
S Ahsan ◽  
Q Hassan ◽  
M Chandy ◽  
A Parvin
Keyword(s):  
Case Report ◽  
Upper Limb ◽  
Lower Limb ◽  
Spinal Canal ◽  
Signal Intensity ◽  
Brain Mri ◽  
Cervical Cord ◽  
Diffusion Restriction ◽  
Mri Features ◽  
Weighted Sequences

3 months old boy presented with inablility to move upper limb and cries on touching the upper limb from 1 week of age. On examination reflexes were absent in upper limb but hyper reflexia was found in lower limb. Cervical and brain MRI revealed expansion of the cervical spinal canal with smoothly marginated mass within the cervical cord which is hyperintense in T1WI, T2WI and completely loses its signal intensity in FS and gradient weighted sequences. There was no diffusion restriction and appears mostly intramedullary. MRI features were consistent with intramedullary lipoma in cervical spinal cord.Pulse Vol.7 January-December 2014 p.50-52

scholarly journals A familial case of cleidocranial dysostosis presenting upper limb ischemia

2005 ◽  
Vol 123 (6) ◽  
pp. 292-294 ◽  
Author(s):  
Walter Campos Júnior ◽  
Roberta Murasaki Cardoso ◽  
Ronald Fidelis ◽  
Erasmo Simão da Silva ◽  
Rodrigo Ramos
Keyword(s):  
Case Report ◽  
Upper Limb ◽  
Lower Limb ◽  
Limb Ischemia ◽  
Familial Case ◽  
Vascular Compression ◽  
Lower Limb Ischemia ◽  
Cleidocranial Dysostosis ◽  
Severe Impairment ◽  
Uncommon Condition

CONTEXT: Upper limb ischemia is not as common as lower limb ischemia but may cause severe impairment or disability if it is misdiagnosed. CASE REPORT: A case of a woman with cleidocranial dysostosis resulting in upper right limb ischemia is presented. This uncommon condition is an exceedingly rare cause of vascular compression that gives rise to thrombosis of the axillary-subclavian arteries. Only two cases have previously been reported.

scholarly journals Skin Tuberculosis: A Case Report

1970 ◽  
Vol 27 (2) ◽  
pp. 107-111
Author(s):  
Sami Ahmad ◽  
Imtiaz Faruk ◽  
Md Margub Hussain ◽  
MA Faiz
Keyword(s):  
Case Report ◽  
Skin Lesion ◽  
Upper Limb ◽  
Reconstructive Surgery ◽  
Lower Limb ◽  
Drug Regimen ◽  
Treatment Modalities ◽  
Skin Tuberculosis ◽  
The Right

A 17 year old boy presented with multiple non healing ulcers over the right lower limb and left upper limb for 13 years which were non responsive to varieties of treatment modalities used in his locality. There were also contracture deformities of the affected limbs. Clinically the diagnosis was quite confusing. but histopathology of specimen from skin lesion confirmed it as a case of skin tuberculosis. The patient was put on anti TB drugs and the ulcers responded well and started to heal rapidly. Some reconstructive surgery will be done for his contractures after completion of the anti TB drug regimen and proper healing of ulcers. DOI: 10.3329/jbcps.v27i2.4255 J Bangladesh Coll Phys Surg 2009; 27: 107-111

Cardiac troponin I in patients with acute upper and lower limb ischemia

VASA ◽  
2008 ◽  
Vol 37 (4) ◽  
pp. 327-332 ◽  
Author(s):  
Koutouzis ◽  
Sfyroeras ◽  
Moulakakis ◽  
Kontaras ◽  
Nikolaou ◽  
...  
Keyword(s):  
Upper Limb ◽  
Lower Limb ◽  
Cardiac Troponin ◽  
Cardiac Involvement ◽  
Troponin I ◽  
Limb Ischemia ◽  
Elevated Troponin ◽  
Troponin Elevation ◽  
Lower Limb Ischemia ◽  
Ischemia Group

Background: The aim of this study was to investigate the presence, etiology and clinical significance of elevated troponin I in patients with acute upper or lower limb ischemia. The high sensitivity and specificity of cardiac troponin for the diagnosis of myocardial cell damage suggested a significant role for troponin in the patients investigated for this condition. The initial enthusiasm for the diagnostic potential of troponin was limited by the discovery that elevated cardiac troponin levels are also observed in conditions other than acute myocardial infarction, even conditions without obvious cardiac involvement. Patients and Methods: 71 consecutive patients participated in this study. 31 (44%) of them were men and mean age was 75.4 ± 10.3 years (range 44–92 years). 60 (85%) patients had acute lower limb ischemia and the remaining (11; 15%) had acute upper limb ischemia. Serial creatine kinase (CK), isoenzyme MB (CK-MB) and troponin I measurements were performed in all patients. Results: 33 (46%) patients had elevated peak troponin I (> 0.2 ng/ml) levels, all from the lower limb ischemia group (33/60 vs. 0/11 from the acute upper limb ischemia group; p = 0.04). Patients with lower limb ischemia had higher peak troponin I values than patients with upper limb ischemia (0.97 ± 2.3 [range 0.01–12.1] ng/ml vs. 0.04 ± 0.04 [0.01–0.14] ng/ml respectively; p = 0.003), higher peak CK values (2504 ± 7409 [range 42–45 940] U/ml vs. 340 ± 775 [range 34–2403] U/ml, p = 0.002, respectively, in the two groups) and peak CK-MB values (59.4 ± 84.5 [range 12–480] U/ml vs. 21.2 ± 9.1 [range 12–39] U/ml, respectively, in the two groups; p = 0.04). Peak cardiac troponin I levels were correlated with peak CK and CK-MB values. Conclusions: Patients with lower limb ischemia often have elevated troponin I without a primary cardiac source; this was not observed in patients presenting with acute upper limb ischemia. It is very important for these critically ill patients to focus on the main problem of acute limb ischemia and to attempt to treat the patient rather than the troponin elevation per se. Cardiac troponin elevation should not prevent physicians from providing immediate treatment for limb ischaemia to these patients, espescially when signs, symptoms and electrocardiographic findings preclude acute cardiac involvement.

Acute limb ischemia in a patient with pre-fibrotic myelofibrosis complicated by heparin-induced thrombocytopenia and thrombosis – case report and systematic review of dabigatran use

VASA ◽  
2020 ◽  
pp. 1-6 ◽  
Author(s):  
Marina Di Pilla ◽  
Stefano Barco ◽  
Clara Sacco ◽  
Giovanni Barosi ◽  
Corrado Lodigiani
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Lower Limb ◽  
Limb Ischemia ◽  
Acute Limb Ischemia ◽  
Review Of The Literature ◽  
Heparin Induced Thrombocytopenia ◽  
Lower Limb Ischemia ◽  
Vein Thrombosis ◽  
Left Lower Limb

Summary: A 49-year-old man was diagnosed with pre-fibrotic myelofibrosis after acute left lower-limb ischemia requiring amputation and portal vein thrombosis. After surgery he developed heparin-induced thrombocytopenia (HIT) with venous thromboembolism, successfully treated with argatroban followed by dabigatran. Our systematic review of the literature supports the use of dabigatran for suspected HIT.

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