Neuropathic pain post-COVID-19: a case report

A 61-year-old man with no significant medical history developed fever, headache and mild shortness of breath. He tested positive for SARS-CoV-2 and self-isolated at home, not requiring hospital admission. One week after testing positive, he developed acute severe burning pain affecting his whole body, subsequently localised distally in the limbs. There was no ataxia or autonomic failure. Neurological examination was unremarkable. Electrophysiological tests were unremarkable. Skin biopsy, lumbar puncture, enhanced MRI of the brachial plexus and MRI of the neuroaxis were normal. His pain was inadequately controlled with pregabalin but improved while on a weaning regimen of steroids. This case highlights the variety of possible symptoms associated with SARS-CoV-2 infection.

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Whole‐body reversible neuropathic pain associated with right parieto‐temporal operculum single inflammatory lesion in a patient with multiple sclerosis: A case report

European Journal of Pain ◽

10.1002/ejp.1464 ◽

2019 ◽

Vol 23 (10) ◽

pp. 1763-1766 ◽

Cited By ~ 1

Author(s):

Louis Poncet‐Megemont ◽

Radhouane Dallel ◽

Carine Chassain ◽

Antoine Perrey ◽

Sophie Mathais ◽

...

Keyword(s):

Multiple Sclerosis ◽

Neuropathic Pain ◽

Case Report ◽

Inflammatory Lesion ◽

Whole Body

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Intramuscular Injection of Ketamine in the Treatment of Postburn Neuropathic Pain -A case report-

The Korean Journal of Pain ◽

10.3344/jkps.2004.17.2.248 ◽

2004 ◽

Vol 17 (2) ◽

pp. 248

Author(s):

Chul Ho Woo ◽

Sung Ha Mun ◽

Soo Yeon Lee ◽

Tae Hyung Han ◽

Hyun Soo Kim ◽

...

Keyword(s):

Neuropathic Pain ◽

Case Report ◽

Intramuscular Injection

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Cognitive–Evaluative Dimension of Pain in Neuropathic Pain Relapse in Sciatica: A Case Report

Medicina ◽

10.3390/medicina57070658 ◽

2021 ◽

Vol 57 (7) ◽

pp. 658

Author(s):

Tsubasa Kawasaki ◽

Takuya Yada ◽

Masahiro Ohira

Keyword(s):

Neuropathic Pain ◽

Low Back Pain ◽

Back Pain ◽

Case Report ◽

Acute Phase ◽

Low Back ◽

Evaluative Dimension ◽

Long Duration ◽

Improvement Process ◽

Insight Into

The cognitive–evaluative (C–E) dimension of pain is commonly observed in patients with a relatively long duration of pain. However, little is known about the effects of pain relapse on the C–E dimension of pain. Moreover, the improvement process of the C–E dimension of pain following treatment is unknown. The objective of this case report was to (a) demonstrate that the C–E dimension was affected in the acute phase of neuropathic pain in cases of pain relapse, and (b) demonstrate the improvement process of the C–E dimension of pain. A woman was diagnosed with low back pain (LBP) and sciatica. The patient had previously experienced symptoms of LBP and sciatica; thus, this episode was a case of pain relapse. At the beginning of rehabilitation, the C–E dimension of pain was present in addition to the sensory–discriminative (S–D) dimension of pain. It was observed that improvement of the C–E dimension of pain was delayed in comparison with that of the S–D dimension of pain. The C–E dimension of pain was observed with pain relapse even though it was in the acute phase of pain. This case provides a novel insight into the C–E dimension of pain. Moreover, the delay in improving the C–E dimension of pain indicates a difference in the improvement process for each pain dimension.

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Traumatic myositis ossificans: multifocal lesions suggesting malignancy on FDG-PET/CT—a case report

Skeletal Radiology ◽

10.1007/s00256-020-03521-w ◽

2020 ◽

Vol 50 (1) ◽

pp. 249-254

Author(s):

Miho Sasaki ◽

Yuka Hotokezaka ◽

Reiko Ideguchi ◽

Masataka Uetani ◽

Shuichi Fujita

Keyword(s):

Case Report ◽

Fdg Pet ◽

Myositis Ossificans ◽

Whole Body ◽

Left Cheek ◽

Multiple Fractures ◽

Fdg Uptake ◽

Pet Ct ◽

Multiple Regions ◽

Fdg Pet Ct

AbstractMyositis ossificans (MO) is a benign soft-tissue lesion characterized by the heterotopic formation of the bone in skeletal muscles, usually due to trauma. MO is occasionally difficult to diagnose because of its clinical and radiological similarities with malignancy. We report a case of traumatic MO (TMO) in the masseter and brachial muscles of a 37-year-old man who presented with painless swelling in the left cheek and severe trismus. Due to the absence of a traumatic history at the first consultation and identification of a tumorous lesion in the left masseter muscle by magnetic resonance imaging (MRI), the lesion was suspected to be a malignant tumor. Subsequently, 18F-fluorodeoxyglucose positron-emission tomography/computed tomography (FDG-PET/CT) showed multiple regions of high FDG uptake across the whole body, suggestive of multiple metastases or other systemic diseases. However, intramuscular calcifications were also observed in the left masseter and brachial muscles, overlapping the areas with high FDG uptake. Moreover, multiple fractures were seen in the rib and lumbar spine, also overlapping the areas with high FDG uptake. Based on these imaging findings, along with a history of jet-ski trauma, TMO was suspected. The left cheek mass was surgically excised and histologically diagnosed as TMO. In this case report, FDG-PET/CT could detect multiple TMOs across the whole body. To the best of our knowledge, cases of multiple TMOs located far apart in different muscles are rare, and this may be the first report.

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Regional migratory osteoporosis: case report of a patient with neuropathic pain

Rheumatology International ◽

10.1007/s00296-009-1256-1 ◽

2009 ◽

Vol 31 (10) ◽

pp. 1375-1381 ◽

Cited By ~ 2

Author(s):

Esin Kartal ◽

Ebru Sahin ◽

Banu Dilek ◽

Meltem Baydar ◽

Metin Manisali ◽

...

Keyword(s):

Neuropathic Pain ◽

Case Report ◽

Regional Migratory Osteoporosis

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Radiation-induced lumbosacral plexopathy with severe burning pain after 17 years of radiation therapy for cervical cancer: a case report

Rinsho Shinkeigaku ◽

10.5692/clinicalneurol.cn-000706 ◽

2015 ◽

Vol 55 (9) ◽

pp. 654-656

Author(s):

Teppei Komatsu ◽

Masako Ikeda ◽

Masahiro Sonoo ◽

Toshiaki Hirai ◽

Hidetaka Mitsumura ◽

...

Keyword(s):

Cervical Cancer ◽

Radiation Therapy ◽

Case Report ◽

Burning Pain ◽

Lumbosacral Plexopathy ◽

Radiation Induced

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Subglottic tracheal stenosis complicating pregnancy: A case report

Obstetric Medicine ◽

10.1177/1753495x21990220 ◽

2021 ◽

pp. 1753495X2199022

Author(s):

Edward J Miller ◽

Emily YS Huning

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Tracheal Stenosis ◽

Multidisciplinary Management ◽

Shortness Of Breath ◽

Uncommon Case ◽

In Pregnancy

The case presented details an uncommon case of subglottic tracheal stenosis exacerbated by pregnancy. We outine the multidisciplinary management involved and the outcomes for the pregnancy. The case serves as a reminder that shortness of breath in pregnancy has a broad differential diagnosis, and stridor is always abnormal.

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BRASH: Case Report and Review of Literature

Hearts ◽

10.3390/hearts2030025 ◽

2021 ◽

Vol 2 (3) ◽

pp. 302-306

Author(s):

Sauradeep Sarkar ◽

Nicole Rapista ◽

Amit Rout ◽

Rahul Chaudhary

Keyword(s):

Renal Failure ◽

Case Report ◽

Predisposing Factors ◽

Shortness Of Breath ◽

Review Of Literature ◽

Vicious Cycle ◽

Hypertensive Urgency

BRASH syndrome is characterized by bradycardia, renal failure, AV nodal blockade, shock, and hyperkalemia. The proposed mechanism involves a vicious cycle between AV nodal blockers, hyperkalemia, and renal failure and was first described in 2016. We present a case of a 52-year-old woman who presented with progressively worsening shortness of breath and hypertensive urgency who subsequently developed profound bradycardia and shock that was refractory to resuscitative measures, she was diagnosed with BRASH syndrome. In this article, we explore the predisposing factors and challenges faced during the management of patients with BRASH syndrome.

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Abstract 1122‐000205: Bilateral ACA Stroke ‐ A Case Report of an Unusual Presentation

Stroke: Vascular and Interventional Neurology ◽

10.1161/svin.01.suppl_1.000205 ◽

2021 ◽

Vol 1 (S1) ◽

Author(s):

Tejeswi Suryadevara ◽

Bhavya Narapureddy ◽

Carlos Y Lopez ◽

Karen C Albright

Keyword(s):

Case Report ◽

Brain Magnetic Resonance Imaging ◽

Whole Body ◽

Rapid Improvement ◽

Stroke Registry ◽

Disconnection Syndrome ◽

Leg Weakness ◽

Anatomic Variants ◽

Computed Tomography Angiogram ◽

Cerebrovascular Risk

Introduction : Bilateral ACA strokes are rare, with one stroke registry reporting 2 cases out of 1490 strokes (1). These strokes are even less common in the absence of anatomic variants, such as an azygos ACA. Diagnosis may be difficult given the variability in clinical presentation. Methods : This is a case report. Results : A 51‐year‐old right handed man with no cerebrovascular risk factors on no antithrombotic medications presented two hours from last known well with complaints of generalized weakness, inability to speak or move, and feeling numb all‐over during intercourse. He reported rapid improvement in symptoms. Emergency room exam was notable for right leg weakness (3/5) and left leg plegia with intact sensation. Hoover’s sign was positive in the left leg and the patient was able to bear some weight while standing with a two‐person assist. A computed tomography angiogram (CTA) of his head and neck was preliminarily interpreted as normal. No azygos ACA or single internal carotid artery origin for the ACAs were present. His exam improved to an isolated left foot dorsiflexor and plantar flexor weakness. The decision was made not to use thrombolytics based on his symptoms and exam which were improving and not entirely consistent with acute stroke. Brain magnetic resonance imaging demonstrated bilateral parasagittal acute strokes. It was later noted the that non‐contrast head CT demonstrated bilateral hyperdense ACAs. Conclusions : This case demonstrates the difficulty in diagnosing bilateral ACA infarcts in a previously healthy adult in the setting of whole‐body numbness and positive Hoover’s sign. In retrospect, his transient inability to speak or move may have been transient akinetic mutism or callosal disconnection syndrome. Additionally, this case emphasizes the importance of evaluating for the hyperdense ACA sign (2) in patients complaining of bilateral leg weakness.

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