scholarly journals A Rare Complication of Herpes Zoster: Segmental Zoster Paresis

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Hooi Khee Teo ◽  
Mayank Chawla ◽  
Manish Kaushik
Keyword(s):  
Herpes Zoster ◽  
Lower Limb ◽  
Rare Complication ◽  
Good Prognosis ◽  
Interesting Case ◽  
Motor Neuropathy ◽  
Rare Presentation ◽  
Limb Weakness ◽  
Lower Limb Weakness ◽  
The Right

Herpes zoster is a common presentation in both the community and emergency department; however segmental zoster paresis is a rare complication that can lead to misdiagnosis. We present a case of a 74-year-old Indian gentleman with a background of well controlled diabetes mellitus, hypertension, and ischaemic heart disease who presented with sudden right lower limb weakness. This was preceded by a 5-day history of paraesthesia starting in the right foot and ascending up the right lower limb. On examination, there was a characteristic vesicular rash in the L2/3 region with MRC grading 3/5 in the right hip flexors. The rest of the neurological examination was unremarkable. MRI of the spine did not show any evidence of spinal disease. The patient was initiated on IV acyclovir with improvement of the lower limb weakness to MRC grading 5/5 as the vesicles improved. This is an interesting case as it highlights a rare presentation of zoster: segmental motor paresis that recovered fully with resolution of the rash. It shows the importance of recognizing motor neuropathy as a complication of shingles as it has a very good prognosis with most patients regaining full motor function of the affected limb with treatment.

Spontaneous Spinal Subarachnoid Haemorrhage: A Rare Complication of Dengue Fever

2017 ◽  
Vol 2 (2) ◽  
pp. 54
Author(s):  
Nur Hidayati Mohd Sharif ◽  
Nor Arisah Misnan ◽  
Norashikin Saidon ◽  
Phaik Yee Ooi ◽  
Hilwati Hashim
Keyword(s):  
Subarachnoid Haemorrhage ◽  
Lower Limb ◽  
Rare Complication ◽  
Dengue Infection ◽  
Febrile Illness ◽  
Neurological Complications ◽  
Sensory Function ◽  
Limb Weakness ◽  
Surgical Interventions ◽  
Lower Limb Weakness

A 37-year-old woman presented with a short history of fever and bilateral lower limb weakness. She also had impaired sensory function up to T4 spine level and lax anal tone. Laboratory investigations confirmed dengue infection with mild thrombocytopenia. MRI of the spine showed a spinal subarachnoid haemorrhage from the level of T4 till T9. Despite medical and surgical interventions, her lower limb weakness persists. A high index of suspicion is needed to recognise dengue-related neurological complications. This diagnosis should be considered in any patients from dengue endemic areas presenting with acute febrile illness with atypical neurological manifestations.

Poster 163 Acute Lower Limb Weakness Due to Herpes Zoster: A Case Report

PM&R ◽  
2014 ◽  
Vol 6 (9) ◽  
pp. S241-S242
Author(s):  
Morgan Brubaker ◽  
Eric Sorenson
Keyword(s):  
Case Report ◽  
Herpes Zoster ◽  
Lower Limb ◽  
Limb Weakness ◽  
Lower Limb Weakness

scholarly journals Acute longitudinal extensive transverse myelitis secondary to asymptomatic SARS-CoV-2 infection

2021 ◽  
Vol 14 (7) ◽  
pp. e244687
Author(s):  
Gabriel Lee
Keyword(s):  
Lower Limb ◽  
Post Partum ◽  
Rare Complication ◽  
Transverse Myelitis ◽  
Sensory Loss ◽  
Nasopharyngeal Swab ◽  
Limb Weakness ◽  
Lower Limb Weakness ◽  
Longitudinal Extensive Transverse Myelitis ◽  
Extensive Transverse Myelitis

A 35-year-old woman, 6 months post partum, presented with acute onset back pain at the T8 level progressing to bilateral lower limb weakness and sensory loss with urinary retention and constipation. This patient had a pre-existing inflammatory disease, having recently developed ulcerative colitis antenatally. Five days prior to admission, she had tested positive asymptomatically on a SARS-CoV-2 reverse-transcriptase PCR nasopharyngeal swab. The positive swab result was confirmed on admission. Clinical examination revealed bilaterally exaggerated knee reflexes, lower limb weakness and positive Babinski’s sign. Sensation was impaired at L4 and L5 dermatomes and absent at S1 and S2. MRI findings suggested longitudinal extensive transverse myelitis, with multiple regions of patchy hyperintensity seen in the thoracic region of the spinal cord both centrally and peripherally. She was started on a course of intravenous corticosteroids and improvement was seen both clinically and on repeat imaging. This case demonstrates a rare complication to an asymptomatic COVID-19 infection and explores the potential neurotropic properties of COVID-19.

scholarly journals Bilateral Femoral Neuropathy: A Rare Complication of Drug Overdose due to Prolonged Posturing in Lithotomy Position

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
D. Tsiptsios ◽  
D. Daud ◽  
K. Tsamakis ◽  
E. Rizos ◽  
A. Anastadiadis ◽  
...  
Keyword(s):  
Drug Overdose ◽  
Lower Limb ◽  
Rare Complication ◽  
Femoral Nerve ◽  
Lithotomy Position ◽  
Limb Weakness ◽  
Femoral Neuropathy ◽  
Lower Limb Weakness ◽  
Lower Limb Pain ◽  
Uncommon Complication

Background. Bilateral femoral neuropathy is an uncommon complication of various surgical and nonsurgical procedures, such as pelvic/abdominal surgery or vaginal delivery. Case Report. We report a case of a 41-year-old male who was found unresponsive against the wall in a “lithotomy-type” position with both knees flexed at approximately 90 degrees and both hips flexed and externally rotated at approximately 90 and 60 degrees, respectively, 24–48 hours after a drug overdose (combination of dihydrocodeine, paracetamol, diazepam, and amitriptyline). During his recovery, he complained of severe bilateral proximal lower limb weakness and bilateral distal lower limb pain and allodynia. His symptoms were initially attributed to critical illness myopathy/neuropathy (CIMN). However, thorough clinical and neurophysiological evaluation revealed that his symptoms were due to severe bilateral femoral neuropathies. Conclusions. To our knowledge, this is the first reported case of bilateral femoral nerve palsy due to prolonged posturing in a “lithotomy-type” position in the context of a drug overdose.

Potassium losing, aldosterone producing adrenocortical carcinoma: a rare presentation

2020 ◽  
Vol 13 (9) ◽  
pp. e235317
Author(s):  
Zahir S Hussain ◽  
Smitha S Rao ◽  
Wajith Z Hussain ◽  
Shikhil Puzhakkal
Keyword(s):  
Lower Limb ◽  
Adrenal Mass ◽  
Rare Case ◽  
Postoperative Adjuvant Chemotherapy ◽  
Rare Presentation ◽  
Limb Weakness ◽  
Lower Limb Weakness ◽  
Serum Aldosterone ◽  
Complete Surgical Resection ◽  
Adrenocortical Carcinomas

Adrenocortical carcinomas (ACCs) are rare malignancies with an incidence of one to two per million per year. Aldosterone-producing ACCs (APACs) are extremely rare with an incidence less than 1%. We describe a rare case of APAC, presenting with episodic lower-limb weakness and hypertension. Our patient was found to have serum aldosterone levels of 20.8 ng/dL (2.5–15.2) with persistent hypokalaemia and a 9.7×8.3×7.7 cm right adrenal mass, which was suspicious of malignancy on evaluation. He underwent a complete surgical resection which confirmed the diagnosis of ACC and normalised his aldosterone and potassium levels. He was then subjected to postoperative chemotherapy. Postoperative adjuvant chemotherapy with mitotane has a role in preventing recurrence.

scholarly journals Lower limb weakness: an unusual cause

2018 ◽  
Vol 5 (5) ◽  
pp. 2011
Author(s):  
Antony Leo Jerry ◽  
Sundari S. ◽  
Krithika A. P.
Keyword(s):  
Lower Limb ◽  
Cord Compression ◽  
Acute Onset ◽  
Long Bones ◽  
Age Group ◽  
Rare Presentation ◽  
Limb Weakness ◽  
Solitary Lesion ◽  
Pediatric Age Group ◽  
Lower Limb Weakness

Osteochondromas are usually tumours of the long bones and occurs rarely in other bones. Osteochondroma of rib causing spinal cord compression is a rare presentation with only 8 cases reported in literature involving similar presentation in pediatric age group. Our case is a boy who presented with paraparesis of acute onset. All the usual suspects were ruled out. The cause was found to be a solitary lesion arising from the head of the 3rd rib causing cord compression. Laminectomy and decompression with excision of the lesion was done. On HPE it showed features of osteochondroma. Post operatively the child recovered well, the weakness and sensations improved.

scholarly journals Postpartum femoral neuropathy: managing the next pregnancy

2019 ◽  
Vol 12 (12) ◽  
pp. e232967 ◽  
Author(s):  
Cathy Rowland ◽  
Daniel Kane ◽  
Maeve Eogan
Keyword(s):  
Caesarean Section ◽  
Motor Function ◽  
Lower Limb ◽  
Elective Caesarean Section ◽  
Mode Of Delivery ◽  
Primiparous Woman ◽  
Limb Weakness ◽  
Femoral Neuropathy ◽  
Lower Limb Weakness ◽  
Spontaneous Labour

A 34-year-old primiparous woman presented in spontaneous labour and had an unassisted vaginal birth of a 3.5 kg infant. Postnatally, the patient experienced lower limb weakness and was unable to mobilise unassisted. A diagnosis of postpartum femoral neuropathy was made. Full recovery of normal motor function was not achieved until 5 months postpartum. She returned in her next pregnancy, seeking advice on how to avoid this complication from reoccurring. It was decided that an elective caesarean section was an appropriate mode of delivery, which she underwent at 39 weeks without complication and without recurrence of the femoral neuropathy.

Improving sit-to-stand transition by the saddle-assistive device in the spinal cord injury: A case study

2021 ◽  
pp. 095441192110033
Author(s):  
Akbar Hojjati Najafabadi ◽  
Saeid Amini ◽  
Farzam Farahmand
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Lower Limb ◽  
Reaction Force ◽  
Assistive Device ◽  
Limb Weakness ◽  
Sit To Stand ◽  
Lower Limb Weakness ◽  
Wide Range ◽  
Cord Injury

Physical problems caused by fractures, aging, stroke, and accidents can reduce foot power; these, in the long term, can dwindle the muscles of the waist, thighs, and legs. These conditions provide the basis for the invalidism of the harmed people. In this study, a saddle-walker was designed and evaluated to help people suffering from spinal cord injury and patients with lower limb weakness. This S-AD works based on body weight support against the previously report designs. This saddle-walker consisted of a non-powered four-wheel walker helping to walk and a powered mechanism for the sit-to-stand (STS) transfer. A set of experiments were done on the STS in the use of the standard walker and the saddle-assistive device(S-AD). A comparison of the results showed that this device could reduce the vertical ground reaction force (GRF) of the legs up to 70%. Using this device could help a wide range of patients with lower limb weakness and SCI patients in changing from sitting to standing.

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