scholarly journals Neonatal Sacrococcygeal Neuroblastoma Mimicking a Teratoma

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Leticia Gely ◽  
Humberto Lugo-Vicente ◽  
María Correa-Rivas ◽  
Kary Bouet ◽  
Zayhara Reyes Bou ◽  
...  
Keyword(s):  
Puerto Rico ◽  
Physical Examination ◽  
Preoperative Diagnosis ◽  
Neonatal Period ◽  
Newborn Infants ◽  
Stage Iv ◽  
Sacrococcygeal Teratoma ◽  
First Case ◽  
History Of ◽  
Adequate Prenatal Care

We reported the first case of a congenital intrapelvic presacral neuroblastoma in Puerto Rico managed in the early neonatal period. The preoperative diagnosis was a sacrococcygeal teratoma Altman stage IV classification. This case confirms the importance of a comprehensive physical examination and observation of low-risk newborn infants with a history of adequate prenatal care and an unremarkable fetal ultrasonogram during pregnancy.

scholarly journals Atypical Meningioma in the Medulla Oblongata Parenchyma

2020 ◽  
Author(s):  
Qiushi Xu ◽  
Ziang Pan ◽  
Meidan Hou ◽  
Fang Peng
Keyword(s):  
Magnetic Resonance Imaging ◽  
Medulla Oblongata ◽  
Preoperative Diagnosis ◽  
Histopathological Examination ◽  
Atypical Meningioma ◽  
Resonance Imaging ◽  
Case Presentation ◽  
First Case ◽  
History Of ◽  
Atypical Meningiomas

Abstract Background: Glioma is the most common tumor occurring in the brainstem. A primary intraparenchymal meningioma located in the brainstem without dura attachment is rare. Meanwhile, atypical meningiomas that occur in the medulla oblongata parenchyma, and without dura coverage, are extremely rare. In this study, we report the first case of atypical meningioma in the medulla oblongata parenchyma and review the existing literature.Case presentation: A 38-year-old female was admitted at our hospital with a 2-week history of progressive neck and occipital pain. Magnetic resonance imaging revealed a presence of a 1.5x0.9cm mass lesion, located in the left side of the medulla oblongata, which was hypointense on T1-weighted and hyperintense on T2-weighted images, and with inhomogeneous enhancement following gadolinium-diethylenet-riamine pentaacetic acid (Gd-DTPA) administration. The initial preoperative diagnosis was glioma or angioblastoma. The patient underwent a total surgical resection of the left medulla oblongata tumor and the histopathological examination indicated that the lesion was an atypical meningioma. The patient returned to normal life after surgery.Conclusions: Although glioma is the most common tumor occurring in the brainstem parenchyma, the possibility of meningioma cannot be ruled out in this area.

scholarly journals I. History of two cases of hernia of the ovaries, in one of which there was a periodical enlargement of one or other of these organs

1857 ◽  
Vol 8 ◽  
pp. 377-380
Keyword(s):  
Physical Examination ◽  
Royal Society ◽  
Direct Evidence ◽  
Gradual Reduction ◽  
First Case ◽  
History Of ◽  
The Subject ◽  
Physiological Peculiarity

The two cases which I beg to present to the Royal Society, are examples of a rare conformation of the female sexual organs, in which the two ovaria have descended through the inguinal canals and have become permanently lodged in the upper part of the external labia; and in both of them the most careful and repeated physical examination has failed to detect either uterus or vagina. I should hardly, however, have ventured to bring them before the Society simply as examples of faulty conformation—because, although rare, yet they have been observed—had not the first of the two cases presented the interesting physiological peculiarity of a spontaneous periodical increase of one or other of the ovaria, followed by its gradual reduction, thus supplying direct evidence of an ovarian menstrual act. The subject of the first case applied to me in September 1851 for advice on account of never having menstruated.

Familial neonatal nonautoimmune hyperthyroidism due to a gain-of-function (D619G) thyrotropin-receptor mutation

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Doris Taha ◽  
Amita Adhikari ◽  
Leigh Anne Flore
Keyword(s):  
Neonatal Period ◽  
Thyroid Stimulating Hormone ◽  
African American Female ◽  
Free Triiodothyronine ◽  
Rare Form ◽  
Case Presentation ◽  
First Case ◽  
History Of ◽  
New Association ◽  
Tshr Gene

AbstractObjectivesActivating germline mutations of the thyroid-stimulating hormone receptor (TSHR) are responsible for a rare form of neonatal nonautoimmune hyperthyroidism (NAH). We report the first case of familial neonatal neonatal nonautoimmune associated with c.1856A>G (p.Asp619Gly) variant in the TSHR gene.Case presentationWe describe an eight-year-old African-American female presenting with neonatal NAH associated with an inherited heterozygous c.1856A>G (p.Asp619Gly) variant in the TSHR gene. This variant was previously described in one patient presenting with sporadic NAH in adolescence. Our patient was diagnosed with hyperthyroidism in the neonatal period. The mother had a history of hyperthyroidism and had thyroidectomy at the age of 4 years. The patient had goiter and elevated free thyroxine (FT4) and free triiodothyronine (FT3) levels that normalized with methimazole treatment; however, TSH level remained suppressed. Thyroid antibodies were negative. The patient also had bilateral exotropia, a trait shared by the mother and may represent a new association.ConclusionsFamilial neonatal NAH is associated with heterozygous c.1856A>G (p.Asp619Gly) variant of the TSHR gene.

scholarly journals A Case of Rett Syndrome

2018 ◽  
Vol 29 (11-12) ◽  
pp. 241-4
Author(s):  
Samuel Lazuardi ◽  
Najib Advani ◽  
Sofyan Ismael
Keyword(s):  
Physical Examination ◽  
Laboratory Test ◽  
Rett Syndrome ◽  
Clinical Manifestations ◽  
Perinatal Period ◽  
Psychomotor Development ◽  
Hand Movements ◽  
First Case ◽  
History Of ◽  
Normal Head

A case of Rett syndrome in a-3 ½ year-old girl is presented. The patient had normal pre and perinatal period and normal psychomotor development till the age of 14 months, followed by behavioural, social and psychomotor regression. Physical examination revealed a below normal head circumference, loss of eye and psychic contact, stereotypic hand movements and gait disturbance. No laboratory test can confirm the diagnosis of Rett syndrome, therefore the diagnosis was established by virtue of history of illness and clinical manifestations. This is the first case of Rett syndrome found and reported in Indonesia.

scholarly journals Bilateral auricular aneurysm with intact pericardial sac in a dog

2021 ◽  
Vol 14 (1) ◽  
pp. 46-49
Author(s):  
Aline Viott ◽  
◽  
Mayane Faccin ◽  
Mônica Matos ◽  
João Cavasin ◽  
...  
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Physical Examination ◽  
Clinical Signs ◽  
Adequate Treatment ◽  
First Case ◽  
History Of

A nine-year-old, male, Pekingese dog was presented with a history of dyspnea, lethargy, syncope, polyuria, polydipsia, and selective appetite over two years. When the clinical signs first began, a radiographic exam revealed a radiopaque mass in the cranial mediastinum. An adequate treatment was not performed and the dog was presented to the hospital with severe tachycardia, dyspnea, and tachypnea, and died during physical examination. On necropsy, the heart presented bilateral auricular aneurysms. The pericardial sac was intact, and no other defects were found within the heart. Microscopically, the cardiomyocytes were marked degenerated and proliferation of connective tissue. This is the first case report of a bilateral auricular aneurysm with intact pericardial sac in a dog.

scholarly journals INVESTIGATIONS AND DIAGNOSIS OF GIANT PERIURETHRAL CONDYLOMA AND EFFICACY OF THE MANAGEMENT WITH CONVENTIONAL APPROACH: A CASE REPORT

2022 ◽  
Vol 29 (1) ◽  
Author(s):  
Stefanus Cahyo Ariwicaksono ◽  
Hendy Mirza
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Satisfactory Result ◽  
Conventional Approach ◽  
Pathological Examination ◽  
Rare Occurrence ◽  
Genital Area ◽  
First Case ◽  
History Of

Objective: This study aims to show our first case of female with periurethral condyloma and how we managed it. Case(s) Presentation: A 40-year-old female came with asymptomatic lesion in the genital area for 4 months, without any history of promiscuity. The physical examination showed a mass of 5 x 5 cm located in the periurethral area. The patient underwent mass excisions without any complication, further pathological examination confirmed the diagnosis of CA. Discussion: After operation and discharge there are no sign of recurrence after 6 months follow up. Conclusion: Despite the rare occurrence in periurethral region, clinicians should be aware of CA case in female and for our first case we used mass excision with satisfactory result.

Case Report: Management of a Patient with mTBI and Vestibular Hypofunction with the Binasal Occlusion Technique

2018 ◽  
pp. 87-90
Keyword(s):  
Case Report ◽  
Visual Motion ◽  
Hand Movement ◽  
Motion Sensitivity ◽  
Vestibular Hypofunction ◽  
First Case ◽  
Neurological Exam ◽  
History Of ◽  
Occlusion Technique ◽  
Visual Vertigo

Background: Binasal Occlusion (BNO) is a clinical technique used by many neurorehabilitative optometrists in patients with mild traumatic brain injury (mTBI) and increased visual motion sensitivity (VMS) or visual vertigo. BNO is a technique in which partial occluders are added to the spectacle lenses to suppress the abnormal peripheral visual motion information. This technique helps in reducing VMS symptoms (i.e., nausea, dizziness, balance difficulty, visual confusion). Case Report: A 44-year-old AA female presented for a routine eye exam with a history of mTBI approximately 33 years ago. She was suffering from severe dizziness for the last two years that was adversely impacting her ADLs. The dizziness occurred in all body positions and all environments throughout the day. She was diagnosed with vestibular hypofunction and had undergone vestibular therapy but reported little improvement. Neurological exam revealed dizziness with both OKN drum and hand movement, especially in the left visual field. BNO technique resulted in immediate relief of her dizziness symptoms. Conclusion: To our knowledge, this is the first case that illustrates how the BNO technique in isolation can be beneficial for patients with mTBI and vestibular hypofunction. It demonstrates the success that BNO has in filtering abnormal peripheral visual motion in these patients.

Scales and Units

2018 ◽  
Author(s):  
Kathryn M. de Luna
Keyword(s):  
Language Change ◽  
Historical Linguistics ◽  
Bantu Languages ◽  
The North ◽  
First Case ◽  
Linguistic Evidence ◽  
River Region ◽  
History Of ◽  
Alternative Approaches

This chapter uses two case studies to explore how historians study language movement and change through comparative historical linguistics. The first case study stands as a short chapter in the larger history of the expansion of Bantu languages across eastern, central, and southern Africa. It focuses on the expansion of proto-Kafue, ca. 950–1250, from a linguistic homeland in the middle Kafue River region to lands beyond the Lukanga swamps to the north and the Zambezi River to the south. This expansion was made possible by a dramatic reconfiguration of ties of kinship. The second case study explores linguistic evidence for ridicule along the Lozi-Botatwe frontier in the mid- to late 19th century. Significantly, the units and scales of language movement and change in precolonial periods rendered visible through comparative historical linguistics bring to our attention alternative approaches to language change and movement in contemporary Africa.

scholarly journals Immediate post partum macular subretinal bleeding in a highly myopic patient: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Karen Bitton ◽  
J.-L. Bacquet ◽  
F. Amoroso ◽  
S. Mrejen ◽  
M. Paques ◽  
...  
Keyword(s):  
Valsalva Maneuver ◽  
Post Partum ◽  
Pathologic Myopia ◽  
Pathological Myopia ◽  
Case Presentation ◽  
Sudden Loss ◽  
Corrected Visual Acuity ◽  
First Case ◽  
History Of ◽  
Macular Hemorrhage

Abstract Background Pathologic myopia is a major cause of visual impairment and blindness. Case presentation We report a case of an immediate post partum macular subretinal bleeding observed in a highly myopic patient. A 30-years-old woman presented two days after childbirth for sudden loss of vision in her right eye. Multimodal imaging showed macular hemorrhage masking a subtle yellowish linear lesion corresponding to lacker crack. Due to the lack of evidence for choroidal neovascularization, a simple clinical and imaging monitoring was recommended. Six weeks later, we noted an improvement in her best-corrected visual acuity and a decreased in size of the macular hemorrhage. Conclusions This is the first case reporting a macular subretinal bleeding on macular lacquer cracks in a highly myopic patient in immediate post partum. Valsalva maneuver associated with vaginal delivery could explain the occurrence of the hemorrhage associated with lacquer crack. However, natural history of pathological myopia could not be excluded.

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