scholarly journals The Supracondylar Process: A Rare Case of Ulnar Nerve Entrapment and Literature Review

2018 ◽  
Vol 11 (S 01) ◽  
pp. S06-S10 ◽  
Author(s):  
Peter May-Miller ◽  
Simon Robinson ◽  
Prateek Sharma ◽  
Shantanu Shahane

AbstractA fit and well 33-year-old male mechanic was referred to the clinic complaining of locking of right elbow and paraesthesia and pain affecting the forearm and hand. Radiographs demonstrated a right-sided supracondylar process. The patient had locking of his right elbow, which caused shooting pains both distally and proximally. The ulnar nerve was irritable proximal to the cubital tunnel, and there was some weakness of the ulnar nerve supplied muscles of the hand and forearm. The patient had a subjective feeling of altered sensation over the medial one and a half digits. The magnetic resonance imaging (MRI) suggested that there was anomalous anatomy around the elbow and that compression of the ulnar and or the median nerve by a fibrous band appeared to be the cause of his symptoms. A surgical exploration was arranged. The incision was posterior to the medial epicondyle. A fascial/muscular band was identified from the tip of the supratrochlear spur to the olecranon and was seen to kink the ulnar nerve. This was corrected upon its release. The supratrochlear spur was excised with an osteotome, and bone wax applied to the humerus. On review 6 weeks postoperatively, his function had returned to normal.

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Tomoyuki Ishida ◽  
Jun Kanamori ◽  
Hiroyuki Daiko

Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.


2014 ◽  
Vol 21 (4) ◽  
pp. 497-499
Author(s):  
Manish Jaiswal ◽  
Saurabh Jain ◽  
Ashok Gandhi ◽  
Achal Sharma ◽  
R.S. Mittal

Abstract Although unilateral abducens nerve palsy has been reported to be as high as 1% to 2.7% of traumatic brain injury, bilateral abducens nerve palsy following injury is extremely rare. In this report, we present the case of a patient who developed isolated bilateral abducens nerve palsy following minor head injury. He had a Glasgow Coma Score (GCS) of 15 points. Computed tomography (CT) images & Magnetic Resonance Imaging (MRI) brain demonstrated no intracranial lesion. Herein, we discuss the possible mechanisms of bilateral abducens nerve palsy and its management.


2015 ◽  
Vol 5 (2) ◽  
pp. 67-69
Author(s):  
Arpit Sharma ◽  
Jyoti Dabholkar ◽  
Jaini Lodha ◽  
Nitish Virmani

ABSTRACT Cavernous hemangioma is a rare tumor of the adult larynx. These hemangiomas are confined to the larynx and generally asymptomatic. We present a rare case of a huge cavernous hemangioma in a 22-year-old patient who presented with stridor and a huge swelling in the neck, of acute onset. Detailed evaluation including 70° Hopkins laryngoscopy, contrastenhanced computed tomography (CT) scan and magnetic resonance imaging (MRI) revealed a vascular malformation with both intra- and extralaryngeal components. The typical findings of hemangioma with its management are highlighted in this article. Postoperatively, patient's voice improved and the stridor was relieved. How to cite this article Lodha J, Sharma A, Dabholkar J, Virmani N. Unusual Presentation of Laryngeal Cavernous Hemangioma. Int J Phonosurg Laryngol 2015;5(2):67-69.


2021 ◽  
Vol 57 (3) ◽  
pp. 267
Author(s):  
Muhammad Fawzi Zulfikar ◽  
Wahjoe Djatisoesanto ◽  
Tarmono Tarmono

The multiseptate bladder is a congenital bladder anomaly that is very rare and often accompanied by other congenital abnormalities. This condition could result in intravesical obstruction and kidney failure in more serious conditions. A 3-year-old girl without any complaint was consulted by the Pediatric Surgery Department with postoperative cloacal type malformation anorectal (MAR) postero-sagittal anorecto-vagino-urethroplasty (PSARVUP) + sigmoidectomy. Magnetic Resonance Imaging (MRI) of the pelvis showed the appearance of four interconnected multiple fluid lesions. Cystoscopy was performed and found many septa with varied positions and forms. From the cystography during the operation, it was seen duplication of the right and left bladder. There was no further operative treatment in the field of urology because no urinary tract obstruction and normal renal function were found in this study.


1989 ◽  
Vol 30 (1) ◽  
pp. 7-9 ◽  
Author(s):  
A. J. Drapkin ◽  
W. S. Rose

A rare case of a multicystic acoustic neuroma is reported. At computed tomography (CT) and magnetic resonance imaging (MRI) the tumor was found to cause hydrocephalus, and displacement of the brainstem. The multicystic character was revealed on CT, while MRI only showed the mass lesion and the common signal intensities for an acoustic neuroma. The differential diagnosis of a multicystic lesion in the cerebellopontine angle is discussed.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Miao Wang ◽  
Zhongke Wang ◽  
Peng Ren ◽  
Xiaoqing Zhang ◽  
Shiyong Liu

Abstract Background Meningiomas typically manifest on magnetic resonance imaging (MRI) as iso- to hypointense on T1-weighted imaging and iso- to hyperintense on T2-weighted imaging. After contrast administration, they usually homogeneously enhance and exhibit a visible dural tail. Meningiomas with atypical findings may be misdiagnosed. Case presentation We report a 50-year-old female patient with a pathologically diagnosed fibrous meningioma (World Health Organization grade I) that exhibited ring enhancement on MRI. Conclusions Meningiomas may rarely present with ring enhancement on MRI. The natural history and mechanisms of cystic degeneration and enhancement in the various types of meningioma require further study.


2021 ◽  
Vol 2 (10) ◽  
pp. 1015-1017
Author(s):  
Sudikshya Acharya ◽  
Basant Pant ◽  
Avinash Chandra ◽  
Ayush Chandra

The Foville’s Syndrome is a rare clinical feature of stroke or brain hemorrhage. This is very rare brain stem syndrome and only few cases have been reported worldwide. A case of Foville's syndrome secondary to infarction at the left paramedian pontine region, which was diagnosed and treated at Annapurna Neurological institute and allied Science, Kathmandu, Nepal. A 62 years old gentleman presented with acute headache with sudden onset of vertigo, tinnitus, slurred speech, difficulty while swallowing and numbness and hemiparesis on the right side of the body. The aim of this study was to report a rare case of Foville's syndrome with the infarction at the left paramedian pontine region. The clinical manifestations were well correlated with anatomical involvement. The CT-scan of head, Magnetic Resonance Imaging (MRI), MR-Angiogram (MRA) sequence of cerebral and carotid, etc. helped in the diagnosis of the case along with the other lab investigations.


2021 ◽  
pp. 442-444
Author(s):  
Aarti Mahesh Khare ◽  
Sachin Tukaram Nemane ◽  
Prashant Shridhar Javade ◽  
Yogesh Pralhad Narkhede ◽  
Punita A. Parti

Mucormycosis is an opportunistic fungal infection caused by omnipresent fungi called Mucorales of class Phycomycetes. It mainly occurs in immunocompromised patients, and only early diagnosis with medical and surgical intervention remains the gold standard in managing it. Here, we present the case of a patient contracted with mucormycosis post his COVID-19 infection involving the rhino-orbito-maxillary area. The patient presented to our hospital with dental pain a month after his discharge. Since the mucormycosis cases were at a peak in this period, our team of doctors did a thorough examination of the patient, which revealed dental and ophthalmologic abnormalities. No clinical necrotic eschar in the palatine or nasal cavity was diagnosed, but magnetic resonance imaging (MRI) revealed a typical COVID-19 mucormycosis infection. Accordingly, prompt treatment with systemic amphotericin B was started. However, as the patient declined surgical intervention, we feared the worst outcome, which to our surprise showed no adverse progression.


2021 ◽  
Vol 18 (4) ◽  
pp. 72-74
Author(s):  
Halil Onder ◽  
Serdar Kirmizi

In this report, we present a rare patient with Wernicke encephalopathy (WE) in whom the initial magnetic resonance imaging (MRI) was normal. However, cranial MRI, performed two weeks later, showed lesions compatible with WE. Via the presentation of this patient, we discuss the need for future studies of larger cases including the temporal evaluation of the MRI characteristics of Wernicke encephalopathy.


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