Transient radial paralysis occurring in a Belgian White Blue bull undergoing general anaesthesia for claw amputation

A four-year-old, 973 kg Belgian White Blue bull was presented for further evaluation of a persistent right hindlimb lameness. The physical and radiographic examinations revealed osteitis of the medial second phalanx of the right hindlimb. A claw amputation was performed under general anaesthesia. The bull was premedicated with 0.17 mg/kg xylazine intramuscularly and general anaesthesia was induced with 2 mg/kg ketamine administered intravenously. During the recovery phase, the bull could not bear any weight on his left thoracic limb. Further examinations revealed left radial nerve paralysis. Treatment consists of a bolus of dexamethasone (0.05 mg/kg) intravenously in order to decrease the inflammation; fluid therapy in an attempt to improve muscle perfusion and to replace the fluid losses and cold showers to decrease the rise in temperature. After 90 minutes from the end of general anaesthesia, the radial paralysis resolved spontaneously without any major consequences.

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OSTEOMYELITIS KRONIS MANDIBULA PASCA EKSTRAKSI GIGI DISERTAI BELL’S PALSY

ODONTO Dental Journal ◽

10.30659/odj.6.0.52-55 ◽

2019 ◽

Vol 6 ◽

pp. 52

Author(s):

Yayun Siti Rochmah

Keyword(s):

Facial Nerve ◽

Panoramic Radiograph ◽

Surrounding Tissue ◽

Facial Nerve Paralysis ◽

Muscle Paralysis ◽

Nerve Paralysis ◽

The Right ◽

Spread Of Infection ◽

Nerve System ◽

Intravenous Ketorolac

Background: Chronic osteomyelitis mandibula is one of the complications from dental extraction. Inadequate wound handling can have an impact on the spread of infection in the surrounding tissue like nerve which results in facial nerve paralysis. The purpose is to present a rare case that facilitative nerve paralysis as a result of the spread of osteomyelitis infectionCase Management: A 69 years old woman with chief complains numbness onher lips accompanied by pus out beside the lower teeth. No sistemic disease. Panoramic radiograph showed abnormal bone-like sequester. Extraoral examination appeared the bluish color on the right cheek and there was right facial muscle paralysis. Debridement, sequesterectomy by general anesthesia and medication using ceftriaxone intravenous, ketorolac injection, multivitamin, and corticosteroid, physiotherapy for facial nerve paralyze, also.Discussion: Pathogenesis mandibular osteomyelitis involves contiguous spreadfrom an odontogenic focus infection. The bacteria produce an exotoxin, which, while unable to cross the blood-brain barrier, can have deleterious effects on thePeripheral Nerve System (Fasialis Nerve) in up to 75% of cases, with the severity of presentation correlating with the severity of the infection.Conclusion: Chronic mandibular osteomyelitis can spread the infection to around another anatomy oral cavity like facials nerves.

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Tendon Transfer for Old Radial Nerve Paralysis

Plastic & Reconstructive Surgery ◽

10.1097/00006534-195804000-00018 ◽

1958 ◽

Vol 21 (4) ◽

pp. 328-329

Author(s):

H R Brodman

Keyword(s):

Radial Nerve ◽

Tendon Transfer ◽

Nerve Paralysis

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Strange VLF bursts in northern Scandinavia: case study of the afternoon "mushroom-like" hiss on 8 December 2013

Annales Geophysicae ◽

10.5194/angeo-33-991-2015 ◽

2015 ◽

Vol 33 (8) ◽

pp. 991-995 ◽

Cited By ~ 4

Author(s):

J. Manninen ◽

N. G. Kleimenova ◽

A. Kozlovsky ◽

I. A. Kornilov ◽

L. I. Gromova ◽

...

Keyword(s):

Low Frequency ◽

Mutual Effect ◽

Time History ◽

Lower Ionosphere ◽

Wave Interaction ◽

Recovery Phase ◽

Frequency Wave ◽

Left Hand ◽

Very Low Frequency ◽

The Right

Abstract. We investigate a non-typical very low frequency (VLF) 1–4 kHz hiss representing a sequence of separated noise bursts with a strange "mushroom-like" shape in the frequency–time domain, each one lasting several minutes. These strange afternoon VLF emissions were recorded at Kannuslehto (KAN, &varphi; = 67.74° N, λ = 26.27° E; L ∼ 5.5) in northern Finland during the late recovery phase of the small magnetic storm on 8 December 2013. The left-hand (LH) polarized 2–3 kHz "mushroom caps" were clearly separated from the right-hand (RH) polarized "mushroom stems" at the frequency of about 1.8–1.9 kHz, which could match the lower ionosphere waveguide cutoff (the first transverse resonance of the Earth–ionosphere cavity). We hypothesize that this VLF burst sequence could be a result of the modulation of the VLF hiss electron–cyclotron instability from the strong Pc5 geomagnetic pulsations observed simultaneously at ground-based stations as well as in the inner magnetosphere by the Time History of Events and Macroscale Interactions during Substorms mission probe (THEMIS-E; ThE). This assumption is confirmed by a similar modulation of the intensity of the energetic (1–10 keV) electrons simultaneously observed by the same ThE spacecraft. In addition, the data of the European Incoherent Scatter Scientific Association (EISCAT) radar at Tromsø show a similar quasi-periodicity in the ratio of the Hall-to-Pedersen conductance, which may be used as a proxy for the energetic particle precipitation enhancement. Our findings suggest that this strange mushroom-like shape of the considered VLF hiss could be a combined mutual effect of the magnetospheric ULF–VLF (ultra low frequency–very low frequency) wave interaction and the ionosphere waveguide propagation.

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Management of Phantom Limb Pain through Thalamotomy of the Centro-Median Nucleus

Neurology International ◽

10.3390/neurolint13040058 ◽

2021 ◽

Vol 13 (4) ◽

pp. 587-593

Author(s):

Ramiro A. Pérez de la Torre ◽

Job J. Rodríguez Hernández ◽

Ali Al-Ramadan ◽

Abeer Gharaibeh

Keyword(s):

Phantom Limb Pain ◽

Phantom Limb ◽

Limb Pain ◽

Surgical Interventions ◽

Burning Pain ◽

A Value ◽

Thoracic Limb ◽

History Of ◽

One Year ◽

The Right

Background: Phantom limb syndrome is defined as the perception of intense pain or other sensations that are secondary to a neural lesion in a limb that does not exist. It can be treated using pharmacological and surgical interventions. Most medications are prescribed to improve patients’ lives; however, the response rate is low. In this case report, we present a case of phantom limb syndrome in a 42-year-old female with a history of transradial amputation of the left thoracic limb due to an accidental compression one year before. The patient underwent placement of a deep brain stimulator at the ventral posteromedial nucleus (VPM) on the right side and removal secondary to loss of battery. The patient continued to have a burning pain throughout the limb with a sensation of still having the limb, which was subsequently diagnosed as phantom limb syndrome. After a thorough discussion with the patient, a right stereotactic centro-median thalamotomy was offered. An immediate response was reported with a reduction in pain severity on the visual analogue scale (VAS) from a value of 9–10 preoperative to a value of 2 postoperative, with no postoperative complications. Although phantom limb pain is one of the most difficult to treat conditions, centro-median thalamotomy may provide an effective stereotactic treatment procedure with adequate outcomes.

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Humeral shaft fracture associated with radial nerve palsy -a case report

Journal of Innovations in Applied Pharmaceutical Science (JIAPS) ◽

10.37022/jiaps.v6i3.251 ◽

2021 ◽

pp. 54-55

Author(s):

Rishitha M ◽

Akasha Sindhu M

Keyword(s):

Radial Nerve ◽

Nerve Palsy ◽

Wrist Joint ◽

Shaft Fracture ◽

Humeral Shaft Fracture ◽

Humeral Shaft ◽

Radial Nerve Palsy ◽

Loss Of Function ◽

History Of ◽

The Right

Radial nerve palsy was induced by radial nerve compression, which was often caused by humerus bone fracture. This leads to pain, weakness, or loss of function mostly in the wrist, hand, and fingers. We reported a case of a 24-year-old male patient with complaints of swelling of the right-hand wrist joint and pain during extension and flexion while moving. He had a three-month history of mild displaced humeral shaft fracture from a traffic accident and an intramedullary Ender nailing was performed. He now has been admitted with swelling in his right wrist joint and pain while moving his hand. The case was diagnosed as Radial nerve palsy. Surgery was performed, the proximal and distal ends of the radial nerve were separated at the humeral bone's surface. The radial nerve stumps were enough long to be sutured. Our one-month follow-up shows no complications. The majority cases of radial nerve palsy will resolve within a few weeks after surgery, as our patient did, and the most prominent is patient education.

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Internal Trauma, Humeral Fracture, and Radial Nerve Paralysis: How Could it Occur in the Sport Setting? A Case Report and Review of the Literature

Advances in Bioscience and Clinical Medicine ◽

10.7575/aiac.abcmed.v.8n.1p.1 ◽

2020 ◽

Vol 8 (1) ◽

pp. 1

Author(s):

Elghoul Naoufal ◽

Elantri Ismail ◽

Bouya Ayoub ◽

Bennis Azzelarab ◽

Zaddoug Omar ◽

...

Keyword(s):

Radial Nerve ◽

Full Range ◽

Humeral Fracture ◽

Imaging Findings ◽

Review Of The Literature ◽

Significant Morbidity ◽

Nerve Paralysis ◽

Pathologic Fractures ◽

Type Of Fracture

Thrower’s fractures are Spiral fractures of the humerus in the ball. They represent very uncommon clinical entities that can simulate pathologic fractures. Moreover, the concomitant neurologic deficient is rare. Herein we report a 27 years old muscular man presented a spiral fracture of the humerus following a forceful throw of the ball during an amateur throwing challenge. Clinical and imaging findings showed a displaced Thrower fracture with radial nerve neurapraxia (known as Holstein Lewis fracture) prompting the patient to undergo surgery. The intraoperative aspect found that the nerve was near to the beveled distal humeral fragment with no incarceration. We performed an internal fixation using the Leicester plate and the nerve was kept away from the plate by the interposition of a soft tissue sheet. At the last follow up, the fracture united and radial nerve neurapraxia resolved and the patient regained the full range of motion of his right upper limb with no pain. In conclusion, although this type of fracture is rare, given their significant morbidity, we emphasize that the reactional throwers should undergo appropriate preseason training before practicing a throwing challenge or generally a throwing sport.

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Acute laryngeal paralysis induced by the migration of a totally implantable venous access device’s catheter tip

The Journal of Laryngology & Otology ◽

10.1258/002221504322928062 ◽

2004 ◽

Vol 118 (3) ◽

pp. 237-239 ◽

Cited By ~ 2

Author(s):

S. Hervé ◽

C. Conessa ◽

J. Desrame ◽

O. Chollet ◽

S. Talfer ◽

...

Keyword(s):

Vessel Wall ◽

Chemotherapeutic Agent ◽

Jugular Vein ◽

Venous Access ◽

Nerve Paralysis ◽

Laryngeal Paralysis ◽

Catheter Tip ◽

The Right ◽

Venous Access Device ◽

Carotid Space

The authors report a case of acute vagus nerve paralysis that appeared during a course of chemotherapy. The drugs had been administered through a totally implantable venous access device (TIVAD), whose catheter tip had migrated into the right internal jugular vein (IJV) and was surrounded by a complete venous thrombosis. The supposed aetiology of this paralysis was a leakage of the cytotoxic drug (5-fluorouracil) from the vessel wall into the surrounding carotid space, because of the stagnation of the chemotherapeutic agent above the thrombosis. Four months after cessation of chemotherapy, the laryngeal paralysis was still evident.

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