scholarly journals A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Kaori Momota ◽  
Toshihiko Nishisho ◽  
Ryo Miyagi ◽  
Shunichi Toki ◽  
Kazuta Yamashita ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Rare Case ◽  
Ligamentum Flavum ◽  
Acute Onset ◽  
Manual Muscle Testing ◽  
Benign Tumors ◽  
Decompression Surgery ◽  
Muscle Testing ◽  
The Right ◽  
Spastic Quadriparesis

Chondromas are benign cartilaginous tumors that occur very rarely in the spine. Moreover, chondromas of the extraskeletal origin are also very rare. In this case report, we describe an extremely rare case of chondroma arising from the ligamentum flavum in the cervical spine. A 67-year-old man presented to our clinic with acute-onset spastic quadriparesis. We performed emergent magnetic resonance imaging and found an epidural mass in the right ligamentum flavum at C4-C5. The acute-onset presentation was suspicious for intraligamentous hematoma in the ligamentum flavum at this level. We performed emergency decompression surgery and en bloc removal of the epidural mass with the right C4 and C5 lamina. The lesion had the appearance of cartilaginous tissue rather than hematoma. Based on the histological investigation, the final diagnosis was intraligamentous chondroma of the cervical spine. The quadriparesis improved postoperatively, as did the results of manual muscle testing in the affected area, and he was able to resume walking independently with a cane. At the one-year follow-up, the manual muscle testing results were almost normal. Surgeons should keep in mind the possibility of benign tumors including chondroma of the cervical spine when a patient presents with acute-onset quadriparesis.

scholarly journals Extremely rare case of retropharyngeal space benign plexiform schwannoma - Excised through Smith- Robinson Approach

2020 ◽  
Vol 11 ◽  
pp. 182
Author(s):  
Rajendra Sakhrekar ◽  
Vishal Peshattiwar ◽  
Ravikant Jadhav ◽  
Bijal Kulkarni ◽  
Sanjiv Badhwar ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Rare Case ◽  
Neck Region ◽  
Retropharyngeal Space ◽  
Case Description ◽  
Head And Neck Region ◽  
Plexiform Schwannoma ◽  
Spine Mr ◽  
The Right ◽  
Slow Growing

Background: Approximately 25–45% of schwannomas are typically slow-growing, encapsulated, and noninvasive tumors that occur in the head-and-neck region where they rarely involve the retropharyngeal space. Here, we report deep-seated benign plexiform schwannoma located in the retropharyngeal C2-C5 region excised utilizing the Smith-Robinson approach. Case Description: A 30-year-old male presented with dysphagia and impaired phonation attributed to an MR documented C2-C5 retropharyngeal schwannomas. On examination, the lesion was soft, deep seated, and extended more toward the right side of the neck. Utilizing a right-sided Smith-Robinson’s approach, it was successfully removed. The histopathology confirmed the diagnosis of a plexiform schwannoma. Conclusion: Retropharyngeal benign plexiform schwannomas are rare causes of dysphagia/impaired phonation in the cervical spine. MR studies best document the size and extent of these tumors which may be readily resected utilizing a Smith-Robinson approach.

scholarly journals Concurrent Spinal Epidural Tubercular and Pyogenic Abscess of Cervical Spine without Bony Involvement

2019 ◽  
Vol 10 (02) ◽  
pp. 374-378
Author(s):  
Batuk Diyora ◽  
Swapnil Patil ◽  
Bhagyashri Bhende ◽  
Mehool Patel ◽  
Gagan Dhall ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Upper Limb ◽  
Imaging Study ◽  
Developed Countries ◽  
Young Female ◽  
Acute Onset ◽  
Histopathological Study ◽  
Spinal Epidural Abscess ◽  
The Right ◽  
Spinal Epidural

ABSTRACTSpinal epidural abscess (SEA) presents with vertebral body involvement. SEA is mostly pyogenic in developed countries, but in developing countries, tuberculosis is more common cause. Young female presented with fever, neck, and right upper limb pain for 1 month followed by acute onset weakness in the right upper limb. Magnetic resonance imaging study of cervical spine showed contrast-enhancing lesion in C2–C3 epidural region. Surgery-aided by initiation of antibacterial and antitubercular treatment based on culture and histopathological study of pus helped us to get good clinical outcome. One should always keep in mind possibility of tubercular abscess while treating cases of spinal epidural lesions, though it is rare in the absence of osseous involvement. Pyogenic and tubercular abscess can present concurrently and sending pus for culture and sensitivity is must as it plays important role in identifying dual organisms.

scholarly journals Leiomyoma of the Cheek

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Ricardo Roberto de Souza Fonseca ◽  
Mário Augusto Ramos Junior ◽  
Douglas Baruchi ◽  
Tabata Resque Beckmann Carvalho ◽  
Andresa Borges Soares ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Gastrointestinal Tract ◽  
Smooth Muscle Cells ◽  
Rare Case ◽  
Surgical Excision ◽  
Muscle Cells ◽  
Benign Tumors ◽  
Tunica Media ◽  
The Right

Leiomyomas are rare benign tumors that grow in the tunica media of smooth muscle cells. Leiomyomas occur most frequently in the uterus or gastrointestinal tract and only very rarely in the area of the cheek. This study reports on a rare case of a leiomyoma in the cheek of a 43-year-old woman, who presented with a well-circumscribed, asymptomatic, mobile swelling in the right cheek. This swelling was slightly purplish in color and measured approximately 4 cm×3 cm. Surgical excision was the treatment of choice, and the diagnosis was based on histopathological and immunohistochemical stains, which were positive for actin and desmin and negative for AE1/AE3, CD34, and S100. The patient’s follow-up, two years later, showed no recurrence, and she has been asymptomatic since the surgery.

scholarly journals Rare Case of Sarcoidosis Presenting As Bilateral Iridocyclitis

2018 ◽  
Vol 2 (3) ◽  
Keyword(s):  
Rare Case ◽  
Final Diagnosis ◽  
Acute Onset ◽  
Unknown Etiology ◽  
Slit Lamp ◽  
Prevalence Studies ◽  
Laboratory Investigations ◽  
Granulomatous Disorder ◽  
Asymptomatic Case ◽  
The Right

Background: A case of acute onset bilateral iridocyclitis is reported in a previously undiagnosed and asymptomatic case of sarcoidosis. Case: A 39 years old male presented with pain and redness in the right eye for one day. Slit lamp examination revealed granulomatous iridocyclitis in the eye with three hundred sixty degree posterior synechiae. While under investigation for the cause, on fourth day of initial presentation, left eye also developed similar granulomatous iridocyclitis, being symptomatic only overnight. All laboratory investigations, radiological evaluation and biopsy led to the final diagnosis of sarcoidosis. Conclusion: Sarcoidosis is a multisystem granulomatous disorder of unknown etiology which may present as an acute uveitis or chronic form. As definite prevalence studies are not available, it should be considered in the differential diagnosis of all cases of uveitis in Nepal.

scholarly journals Impact of Movement with Mobilization and Triceps Eccentric Strengthening in Tennis Elbow: Case Report

2021 ◽  
pp. 10-14
Author(s):  
Nabeela Fatema ◽  
Bodhisattva Dass ◽  
Rinkle Hotwani
Keyword(s):  
Elbow Joint ◽  
Tennis Elbow ◽  
Limited Range ◽  
Treatment Session ◽  
Manual Muscle Testing ◽  
Outer Side ◽  
Lateral Epicondyle ◽  
Muscle Testing ◽  
Limited Range Of Motion ◽  
The Right

Background: Tennis elbow can be caused by repetitive wrist and arm motions. Pain is the primary symptom. It usually occurs on the outside of the elbow and sometimes in the forearm and wrist. Treatment includes rest, pain relievers and physiotherapy. Case Presentation: A 28years old male patient presented with a complaint of pain in outer side of the right side elbow. In subjective examination, He gave history of pain while playing tennis mainly in smashing the ball or passing shot, riding bike for more than 2kilometers, difficulty in holding objects sometimes as well. When this pain was unbearable to him he came to Physiotherapy department. Treatment: A Treatment session initially started with Cryotherapy (Ice Pack) application for 5min. On lateral epicondyle of right elbow. Then Ultrasound 0.8 watt/Cm² for 7minutes given, these helped in pain reduction. After 2days patient is asked to follow the commands to perform Triceps strengthening along with wrist strengthening with the help of Half Kg Dumb bell.  There was an effect on the reduction of the symptoms of the patient which were pain, reduce strength and limited range of motion of wrist in right hand. After 1week of treatment, we added Mobilization with movement (Mulligan) technique at elbow joint. The same procedure was continued for 2weeks after which patient's symptoms were minimized as to the day of assessment. Outcome measures used for the evaluation of the symptoms were NPRS Scale for Pain, Manual Muscle Testing (MMT) for Strength. Conclusion: Triceps strengthening along with Mulligan technique for elbow joint was found to be effective in patients with severe pain and reduced strength.

scholarly journals Patellofemoral Pain and Asymmetrical Hip Rotation

2005 ◽  
Vol 85 (11) ◽  
pp. 1201-1207 ◽  
Author(s):  
Michael T Cibulka ◽  
Julie Threlkeld-Watkins
Keyword(s):  
Knee Pain ◽  
Patellofemoral Joint ◽  
External Rotation ◽  
Womac Score ◽  
Patellofemoral Pain ◽  
Manual Muscle Testing ◽  
Muscle Testing ◽  
Medial Rotation ◽  
The Right ◽  
Hip Rotation

Abstract Background and Purpose. Patellofemoral joint problems are the most common overuse injury of the lower extremity, and altered femoral or hip rotation may play a role in patellofemoral pain. The purpose of this case report is to describe the evaluation of and intervention for a patient with asymmetrical hip rotation and patellofemoral pain. Case Description. The patient was a 15-year-old girl with an 8-month history of anterior right knee pain, without known trauma or injury. Prior to intervention, her score on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was 24%. Right hip medial (internal) rotation was less than left hip medial rotation, and manual muscle testing showed weakness of the right hip internal rotator and abductor muscles. The intervention was aimed at increasing right hip medial rotation, improving right hip muscle strength (eg, the muscle force exerted by a muscle or a group of muscles to overcome a resistance), and eliminating anterior right knee pain. Outcomes. After 6 visits (14 days), passive left and right hip medial rotations were symmetrical, and her right hip internal rotator and abductor muscle grades were Good plus. Her WOMAC score was 0%. Discussion. The patient had right patellofemoral pain and an uncommon pattern of asymmetrical hip rotation, with diminished hip medial rotation and excessive hip lateral (external) rotation on the right side. The patient's outcomes suggest that femoral or hip joint asymmetry may be related to patellofemoral joint pain.

scholarly journals A Rare Case of Angiofibroma Mimicking Fibrous Epulis in Posterior Gingival Mucosa

2021 ◽  
Vol 55 (8) ◽  
Author(s):  
Annete Nabila ◽  
Ni Putu Mira Sumarta ◽  
Okky Prasetio
Keyword(s):  
Rare Case ◽  
Histopathological Examination ◽  
Excisional Biopsy ◽  
Definitive Diagnosis ◽  
Benign Tumors ◽  
Histopathological Analysis ◽  
Clinical Appearance ◽  
Gingival Mucosa ◽  
The Right ◽  
Superficial Soft Tissue

Angiofibromas are highly vascular, locally aggressive but histologically benign tumors. A 40-year-old woman complaint of pedunculated mass in the right gingiva of the posterior region since 7 months earlier. Surgical excisional biopsy under general anesthesia was performed. Histopathological examination showed an angiofibroma. Angiofibromas are localized in the superficial soft tissue and the gingiva could have a similar clinical appearance as an epulis. Definitive diagnosis was determined through histopathological analysis.

Effect of strengthening exercises in Hirayama disease: a case study

2020 ◽  
Vol 27 (11) ◽  
pp. 1-7
Author(s):  
Tinu Sethi ◽  
Sushma Rawat ◽  
SL Munde
Keyword(s):  
Hand Function ◽  
Manual Dexterity ◽  
Manual Muscle Testing ◽  
Hirayama Disease ◽  
Hand Functions ◽  
Muscle Testing ◽  
Hand Grip ◽  
Strengthening Exercises ◽  
The Right

Background/Aims The effects of strengthening exercises in patients with Hirayama disease are not well documented. This case study examined the effect of strengthening exercises on hand functions in a patient with Hirayama disease. Methods An 18-year-old man with weakness in the right hand was given a hand-function strengthening programme consisting of 40 minutes of exercises, which were performed 5 days a week over an 8-week period. The patient used theraputty, a gel ball, finger dexterity board, gym kit and hand grip exerciser. The effects of the programme were evaluated using manual muscle testing, a hand-held dynamometer, pinchometer and the Minnesota Manual Dexterity Test. Results The patient's manual muscle testing grades improved following the strengthening programme. Results from the Dynamometer, pinchometer and Minnesota Manual Dexterity Test objectively exhibited increased muscle strength and improved hand functions. Conclusions Strengthening exercises are effective in alleviating muscle weakness and improving hand functions associated with Hirayama disease.

Cough induced by ossification of the ligamentum flavum in the high cervical spine

2004 ◽  
Vol 100 (4) ◽  
pp. 364-366 ◽  
Author(s):  
Yu-Cheng Chou ◽  
Chau-Chin Lee ◽  
Pao-Sheng Yen ◽  
Jui-Feng Lin ◽  
Chain-Fa Su ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Traffic Accident ◽  
Rare Case ◽  
Ligamentum Flavum ◽  
Pathophysiological Mechanism ◽  
Decompressive Laminectomy ◽  
Content Type ◽  
High Cervical ◽  
Fine Print

✓ The authors report a very rare case of high cervical ossification of the ligamentum flavum (OLF) in a 40-year-old woman who developed an intractable cough after a traffic accident. The patient's symptoms subsided immediately after decompressive laminectomy and removal of the lesion. To the authors' knowledge, this is the first reported case of high cervical OLF in a patient who presented with a cough. The pathophysiological mechanism underlying the cough was determined to be symptomatic of high cervical spine OLF.

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