Dysfunctional Postures of the Hand as Part of a Conversion Reaction

1996 ◽  
Vol 21 (2) ◽  
pp. 271-275 ◽  
Author(s):  
M. L. H. HONING ◽  
M. KON
Keyword(s):  
Multidisciplinary Approach ◽  
Case Reports ◽  
Conversion Reaction ◽  
Intrapsychic Conflict ◽  
Physical Dysfunction

A dysfunctional posture of the hand could be due to an anatomical disorder or a conversion reaction. A conversion reaction implies that an unconscious intrapsychic conflict is expressed in a physical dysfunction. Treatment of dysfunctional postures due to conversion reactions is often difficult, and case reports are used to outline management. The need for a multidisciplinary approach is stressed.

Multidisciplinary Management of a ‘Double Tooth’

Dental Update ◽  
2021 ◽  
Vol 48 (4) ◽  
pp. 266-270
Author(s):  
Niraj Halai ◽  
Shash Bhakta
Keyword(s):  
Clinical Diagnosis ◽  
Clinical Relevance ◽  
Multidisciplinary Approach ◽  
Case Reports ◽  
Multidisciplinary Management ◽  
Neutral Term

The term double tooth has often replaced the clinical diagnosis of gemination or fusion. If teeth have been extracted or exfoliated, the use of the neutral term ‘double tooth’ avoids the need to arbitrarily decide if it was gemination or fusion in origin. This case reports on a 16-year-old male who presented with an UL2 ‘double tooth’ and his combined restorative, surgical and orthodontic intervention to achieve his ideal result. CPD/Clinical Relevance: A multidisciplinary approach should be adopted when treating patients with a double tooth and an appropriate protocol as cited can be used.

scholarly journals Becoming Known: A Relational Model Utilizing Gestalt and Ego State-Assisted EMDR in Treating Eating Disorders

2018 ◽  
Vol 12 (2) ◽  
pp. 71-85
Author(s):  
Andrew Seubert
Keyword(s):  
Eating Disorders ◽  
Goal Setting ◽  
Multidisciplinary Approach ◽  
Case Reports ◽  
Relational Model ◽  
Universal Principles ◽  
Ego States ◽  
Trauma Informed ◽  
Empty Chair ◽  
Adaptive Information Processing

Eating disorders (EDs) require a multidisciplinary approach, rather than a hammer-and-nail perspective. Based upon recent research and more than a decade of clinical experience, this article highlights the need to include a trauma-informed and dissociation-sensitive treatment of EDs. The emphasis is on EDs as a dissociative coping strategy, created in many cases to tolerate the intolerable. Ego state therapy, Gestalt principles, and empty chair technique support the adaptive information processing (AIP) of eye movement desensitization and reprocessing (EMDR) in both metabolizing painful experiences that give rise to EDs and in loosening the stranglehold of anxiety and shame. The acronym RUG-C introduces four universal principles in working with ego states: recognition, understanding, gratitude and goal setting, and collaboration. Relational ruptures between ego states/parts of the client (intrapsychic) and between the client and the world (interpersonal) are created in the client’s efforts to deal with painful experiences both large and small. They are repaired in the therapeutic relationship, in the processing of past trauma, and in the rescue of body image from the power of shame. Three case reports, with transcripts, are provided to illustrate conceptualization and its application.

scholarly journals Massive Secondary Cutaneous Meningioma with Extension to the Face

2020 ◽  
Vol 11 ◽  
pp. 209
Author(s):  
Turki Elarjani ◽  
Meshari Alhuthayl ◽  
Maher Hassounah
Keyword(s):  
Multidisciplinary Approach ◽  
Case Reports ◽  
World Health ◽  
Intracranial Meningioma ◽  
Bone Invasion ◽  
Code Status ◽  
Level Of Consciousness ◽  
The Face ◽  
Grade 3 ◽  
Health Organization

Background: Cutaneous meningioma is a very uncommon pathologic entity that can be divided into primary and secondary types. Secondary cutaneous meningioma arises from an intracranial meningioma through metastasis, seeding during surgery, or direct bone invasion. There are limited published case reports correlating the development of cutaneous meningioma to high-grade convexity meningioma. Case Description: A 63-year-old man underwent total resection of a right frontal convexity meningioma, World Health Organization Grade I in 2001. He presented in 2016 with a small frontal cutaneous mass over the craniotomy site. Computed tomography showed extracranial and intracranial components of the meningioma. The patient declined surgical intervention and lost to follow. One and half years later, he underwent resection of the growing ulcerating cutaneous component in an outside hospital. The pathological diagnosis was Grade 3 meningioma. Six months later, he presented to us with a massive cutaneous meningioma and large intracranial component. Surgical resection and multidisciplinary management were planned. The patient was very hesitant to have surgery but settled for receiving radiation. Seven months after radiation, he presented with a decreased level of consciousness and skin necrosis with maggot infestation. His code status was changed to “do not attempt resuscitation,” and he died 3 days later in December 2019. Conclusion: Large intracranial meningiomas with massive transosseous extension to the scalp pose a significant challenge to the treating team. Proper planning and a multidisciplinary approach are essential. However, prognosis remains generally poor.

Acute bilateral ECT in a depressed patient with a hip-aztreonam-spacer and subsequent maintenance ECT after prosthesis collocation

2014 ◽  
Vol 27 (2) ◽  
pp. 343-346 ◽  
Author(s):  
Verònica Gálvez ◽  
Aida de Arriba Arnau ◽  
Erika Martínez-Amorós ◽  
Carmina Ribes ◽  
Mikel Urretavizcaya ◽  
...  
Keyword(s):  
Major Depressive Disorder ◽  
Hip Fracture ◽  
Multidisciplinary Approach ◽  
Geriatric Patients ◽  
Case Reports ◽  
Geriatric Depression ◽  
Major Depressive ◽  
Maintenance Ect ◽  
Dsm Iv ◽  
Psychotic Features

ABSTRACTElectroconvulsive Therapy (ECT) has been demonstrated to be a safe and effective treatment for geriatric depression, although its application might be challenging when medical comorbidities exist. The present case reports a 78-year-old man diagnosed with recurrent unipolar major depressive disorder (MDD), who presented with a severe depressive episode with psychotic features (DSM IV). He successfully received a course of bitemporal (BT) ECT with a hip-aztreonam-spacer due to a hip fracture that occurred during hospitalization. This was followed by maintenance ECT (M-ECT) with a recent prosthesis collocation. This particular case illustrates the importance of a multidisciplinary approach in geriatric patients with somatic complications receiving ECT.

scholarly journals 991 Managing Recurrent Bleeding from Varicose Veins of The Scrotum: A Case Report

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Gowda ◽  
H Saleem ◽  
T Fonseka ◽  
F Nawaz ◽  
T A Russell ◽  
...  
Keyword(s):  
Heart Failure ◽  
Multidisciplinary Approach ◽  
Varicose Veins ◽  
Case Reports ◽  
Recurrent Bleeding ◽  
Management Options ◽  
Testicular Vein ◽  
Packed Red Blood Cells ◽  
Hepatic Congestion ◽  
Short Period

Abstract Introduction Spontaneous recurrent bleeding scrotal varicosity is a rare clinical presentation. The management is undefined and is usually anecdotal from previous case reports. The anatomy and pathophysiology of these presentations are usually complex hence resulting in atypical and challenging management options. To highlight this, we present a case of a patient with recurrent scrotal bleeding secondary to scrotal varicosities. Care report A 39-year-old gentleman with heart failure, 4 previous episodes of transient ischemic attacks and atrial fibrillation who was anticoagulated, presented with recurrent left sided scrotal bleeding from dilated superficial scrotal veins. In total, he had 11 presentations over 4 years requiring blood transfusion on 4 occasions. On one occasion the patient required 7 units of packed red blood cells transfused. He had a background of heart failure with hepatic congestion and ascites which failed medical management. Compression, adrenaline and tranexamic acid-soaked gauze, as well as over-sewing feeder vessels offered only short-term relief. His heart failure was difficult to optimise and stopping anticoagulation was not possible, even for a short period of time, due to the high risk of stroke in this patient. Venography revealed a prominent left testicular vein that extensively fed the scrotal veins with bilateral varicoceles. After discussion with the Vascular team, percutaneous coil embolization of the left testicular vein was performed with good results. He has had no significant scrotal bleeding since. Conclusions Managing bleeding scrotal varicose veins can be challenging. A multidisciplinary approach may be the most appropriate in managing these patients.

Gigantic intra-abdominal tumors − the experience of one center

2021 ◽  
Vol 100 (1) ◽  
Keyword(s):  
Multidisciplinary Approach ◽  
Case Reports ◽  
Diagnosis And Treatment ◽  
Histological Findings ◽  
Abdominal Tumors ◽  
Retroperitoneal Tumors

A complex review of surgery treatment of unusually giant intra-abdominal and retroperitoneal tumors regardless of their origin and histological findings. The therapy of such neoplasms requires a multidisciplinary approach which is necessary to make a reasonable and responsible decision concerning not only the indication of surgery, but also its extent. The authors describe 5 case reports, highlighting specific aspects and pitfalls of the diagnosis and treatment of these rare cases.

Congenitally Missing Permanent Mandibular Central Incisors and Maxillary Second Molars in Conjunction with a Supernumerary Mandibular Central Incisor

2017 ◽  
Vol 11 (2) ◽  
pp. 44-47
Author(s):  
Vandana Dahiya ◽  
Neetu Gupta ◽  
Abhijeet Kadu ◽  
Sukhvinder Oberoi ◽  
Charu Mohan Marya
Keyword(s):  
Multidisciplinary Approach ◽  
Case Reports ◽  
Rare Condition ◽  
Central Incisor ◽  
Dental Anomalies ◽  
Supernumerary Teeth ◽  
Supernumerary Tooth ◽  
Missing Teeth ◽  
Congenitally Missing Teeth ◽  
Congenitally Missing

ABSTRACT Congenitally missing teeth are one of the most common dental anomalies which may be termed as dental agenesis. Polygenesis, the formation of one or more supernumerary teeth, occurs much less frequently than agenesis. Hypodontia and hyperdontia are regarded as the opposite dental developmental anomalies. However, their simultaneous presence in the same individual is a rare condition. A case of concomitant hypo-hyperdontia (CHH) is presented here, wherein a 20-year-old female has missing mandibular central incisors, maxillary second molars, and all the third molars. In addition, she has a malformed supernumerary tooth in the mandibular left anterior region. Documentation of such rare case reports is necessary as it helps in minimizing the clinicians' challenge in diagnosing such cases and thus helpful in providing a multidisciplinary approach in treating such patients. How to cite this article Gupta N, Kadu A, Marya CM, Nagpal R, Oberoi S, Dahiya V. Congenitally Missing Permanent Mandibular Central Incisors and Maxillary Second Molars in Conjunction with a Supernumerary Mandibular Central Incisor. J Oral Health Comm Dent 2017;11(2):44-47.

scholarly journals Angle Class II, subdivision, with agenesis of mandibular second molars and extrusion of maxillary second molars

2015 ◽  
Vol 20 (2) ◽  
pp. 110-118
Author(s):  
Rubens Rodrigues Tavares
Keyword(s):  
Multidisciplinary Approach ◽  
Case Reports ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Angle Class Ii ◽  
Maxillary Molars ◽  
Angle Class ◽  
Dentofacial Orthopedics ◽  
Partial Fulfillment ◽  
Subsequent Rehabilitation

This clinical case reports the treatment of an Angle Class II malocclusion in a young woman with a balanced face affected by agenesis of second and third mandibular molars and subsequent extrusion of second maxillary molars. The atypical and peculiar occlusal anomaly led to individualized treatment proposed in order to normalize dental malpositions, with subsequent rehabilitation of edentulous areas by means of a multidisciplinary approach. This case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO) in partial fulfillment of the requirements for obtaining the title of certified by the BBO.

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