Passive Hydrotherapy WATSU® for Rehabilitation of an Accident Survivor: A Prospective Case Report

2018 ◽  
Vol 25 (4) ◽  
pp. 263-268 ◽  
Author(s):  
Agnes M. Schitter ◽  
Johannes Fleckenstein
Keyword(s):  
Case Report ◽  
Qualitative Data ◽  
The Body ◽  
Patient Specific ◽  
Functional Scale ◽  
Rehabilitative Care ◽  
Sense Of Security ◽  
Patient’S Experience ◽  
Conventional Physiotherapy ◽  
The Right

Background: WaterShiatsu (WATSU) is a passive form of hydrotherapy in warm water (35 °C) that aims at relaxation, pain relief, and a sense of security. This case report focuses on a patient's experience of integrating WATSU into her rehabilitative care. Case Report: A 52-year-old woman survived a severe motorcycle accident in which she sustained several fractures on the right side of her body, including ribs, the pelvis, and the femur. After discharge from stationary care, she independently scheduled 8 weekly WATSU sessions with an experienced WATSU therapist also trained in physiotherapy and psychosomatics. Quantitative and qualitative data obtained from the patient's diary and the therapist's notes is presented. Results: The patient associated WATSU with physical and emotional release, reconciliation with her body, and trunk mobilization (followed by ameliorated breath). She ascribed WATSU lasting effects on her body image and reported continuous improvement by the Patient-Specific Functional Scale. The therapist employed WATSU to equalize awareness throughout the body and for careful mobilization. Due to complications (elevated inflammation markers), only 6 of 8 scheduled sessions were administered. Conclusions: WATSU was experienced as helpful in approaching a condition that the patient felt insufficiently covered by conventional physiotherapy alone. In early rehabilitation, additional medical/physiotherapeutic skills of contributing complementary therapists are advocated.

scholarly journals Endoscopic removal of metal foreign bodies by magnet: case report

2020 ◽  
Vol 10 (4) ◽  
pp. 467-472
Author(s):  
Vladimir I. Petlakh ◽  
Vladimir A. Borovitsky ◽  
Alexander K. Konovalov ◽  
Natalya N. Strogova
Keyword(s):  
Case Report ◽  
Conservative Therapy ◽  
Foreign Bodies ◽  
Intestinal Wall ◽  
The Body ◽  
Surgical Interventions ◽  
Number Of Children ◽  
The Past ◽  
A Chain ◽  
The Right

The number of children swallowing magnetic foreign bodies has been a significantly high for the past decades, increasingly needing endoscopic or surgical interventions. Case report. In our observation, a 12-year-old girl swallowed magnetic balls from childrens designer 10 days prior to hospital admission. Foreign bodies (5 balls) were found during X-ray examination in the projection of the cecum. Conservative therapy carried out for 4 days had no success, thus colonoscopy was performed to remove foreign bodies. Foreign bodies were fixed to the intestinal wall, and attempts to separate them were unsuccessful. When a medical magnet was placed outside the body in the right iliac region, a chain of magnetic balls detached from the intestinal wall and made it possible to be captured in a trap loop and be removed. The girl avoided a laparotomy with an opening of the colon. Conclusion. External use of a medical magnet is effective for navigation and assistance during colonoscopic extraction when magnetic foreign bodies are found in the colon.

scholarly journals Crossed renal ectopia with an unusual form of fusion (inverted U shape) managed by novel approach - laparoscopic ureterocalicostomy. A case report

2021 ◽  
Vol 6 (1) ◽  
pp. 71-75
Author(s):  
Osama Bani Hani ◽  
Omar Halalsheh ◽  
Yazeed Mohammad ◽  
Anas Bani Yaseen ◽  
Ruba Khasawneh ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
The Body ◽  
Published Data ◽  
Renal Ectopia ◽  
Novel Approach ◽  
Crossed Renal Ectopia ◽  
The Right ◽  
Tract Infections ◽  
Unusual Type

Herein we present a case of crossed renal ectopia with an unusual type of fusion, discovered incidentally in a 11-year-old girl presented with recurrent urinary tract infections. Both kidneys were located on the right side of the body fused in their upper poles only, forming an inverted U shape. After reviewing the published data on this topic, we found that most of the described anomalies were within the six well-known types of fusion anomalies. This child had an unusual clinical presentation of severe hydronephrosis of the orthotopic kidney. A unique surgical technique to correct the pathology to be able to preserve the residual mass of that kidney was performed.

scholarly journals Unilateral Lichen Planus: A Rare Case Report

2018 ◽  
Vol 16 (1) ◽  
pp. 70-71
Author(s):  
Niharika Jha ◽  
Bimal Kanish ◽  
Anuradha Bhatia
Keyword(s):  
Case Report ◽  
Lichen Planus ◽  
Rare Variant ◽  
Rare Case ◽  
The Body ◽  
Lumbar Region ◽  
Volar Aspect ◽  
Rare Case Report ◽  
The Right

Lichen planus (LP) is a papulosquamous disorder characterized by violaceous, flat topped papules and plaques seen on the volar aspect of the wrists, lumbar region and around the ankles. It can have a varied presentation. Here we describe a rare variant of LP in a female who presented with unilateral eruptions of violaceous papules over the right side of the body.

Load transfer across a mandible during a mastication cycle: The effects of odontogenic tumour

2020 ◽  
Vol 234 (5) ◽  
pp. 486-495
Author(s):  
Abir Dutta ◽  
Kaushik Mukherjee ◽  
Venkata Sundeep Seesala ◽  
Kaushik Dutta ◽  
Ranjan Rashmi Paul ◽  
...  
Keyword(s):  
Principal Stress ◽  
Potential Risk ◽  
Pathological Fracture ◽  
Load Transfer ◽  
The Body ◽  
Patient Specific ◽  
Stress Distributions ◽  
Odontogenic Tumour ◽  
Odontogenic Tumours ◽  
The Right

The extent to which load transfer in a diseased mandible with odontogenic tumour might influence the potential risk of pathological fracture has scarcely been investigated. The study sought to investigate the quantitative deviations in load transfer across healthy and cancer-affected (diseased) mandibles having odontogenic tumours. The effect of size of the tumours (small: 9 mm diameter, large: 19 mm diameter), and variation in bone mechanical (elastic) properties of the mandible on load transfer in cancer-affected mandibles during a mastication cycle have been investigated. Based on patient-specific computed tomography–scan datasets, detailed three-dimensional finite element models of healthy and diseased mandibles were developed. High stresses of 25–30 MPa and strains ∼700 µε were observed in the healthy mandible during the right molar bite. However, marginal deviations were observed in principal stress distributions in the diseased mandibles with small- and large-sized tumours, as compared to the healthy mandible. Maximum principal strains of ∼1474 µε were found in the body region adjacent to the symphysis region for small-sized tumour. Whereas for large-sized tumour, maximum strains of ∼2700 µε were observed in the right buccal regions. Reduction in Young’s modulus due to different stages of odontogenic tumours had a localised effect on the principal stress distributions, but triggered an abrupt increase in the principal tensile strains. It appears that there is a potential risk of pathological fracture for large-sized odontogenic tumour, owing to high tensile stresses and strains.

Pysa syndrome: a case report

2011 ◽  
Vol 26 (S2) ◽  
pp. 1243-1243
Author(s):  
F. Gutierrez ◽  
C. Losada ◽  
M. López ◽  
C. Rozados ◽  
J.M. Olivares ◽  
...  
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Physical Examination ◽  
Neurodegenerative Disorders ◽  
Cholinesterase Inhibitors ◽  
The Body ◽  
Prolonged Treatment ◽  
Pisa Syndrome ◽  
Slight Rotation ◽  
The Right

Pisa syndrome is known to be a condition in which there is sustained involuntary flexion of the body and head to one side and slight rotation of the trunk so the person appears to lean like the Leaning Tower of Pisa.The development of Pisa syndrome is most commonly associated with prolonged treatment with antipsychotics. Although less frequently, Pisa syndrome has been reported, in patients who are receiving other medications (such as cholinesterase inhibitors and antiemetics), in those not receiving medication (idiopathic Pisa syndrome) and also patients with neurodegenerative disorders like Alzheimer's disease and multiple system atrophy.We report a case of a 67 year- old male diagnosed with Schizophrenia for 20 years. He has been following a treatment with Clozapine 400 mg/day for 4 years. Amisulpiride was added to the established regimen of antipsychotic and increased during the last month reaching the doses of 600 mg/day. Three weeks later he was observed walking with a tilt toward the right. A first physical examination revealed sustained tonic flexion of the trunk to the right side. No deficits or mental status changes during neurological exploration were shown. We prescribed biperidene hydrochloride therapy. After 24 hour side effects disappeared.As far as we know, no many cases of amisulpride-induced Pisa syndrome in the literature have been reported. This abstract presents a case of amisulpride induced Pisa syndrome.

scholarly journals Safety of Radiofrequency Ablation of Thoracic T2 and T3 Sympathectomy in Palmar Hyperhidrosis: A Case Report

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Atef Mohammad Khalil ◽  
Joseph Makram Botros ◽  
Maged Labib Boules ◽  
Atef Kamel Salama ◽  
Safaa Gaber Ragab
Keyword(s):  
Case Report ◽  
Success Rate ◽  
Median Nerve ◽  
Severe Pain ◽  
Nerve Fibers ◽  
The Body ◽  
Palmar Hyperhidrosis ◽  
Invasive Technique ◽  
Right Hand ◽  
The Right

Introduction: Hyperhidrosis is the maladjustment of excess sweating in specific parts of the body. Radiofrequency (RF) therapy has been successfully used to treat hyperhidrosis with a success rate of 85% - 95% in patients refractory to sympathectomy. The main hypothesis was the association between reduced palmar hyperhidrosis and radiofrequency RF therapy. The RF therapy is a less invasive technique, including the utilization of electromagnetic energy that is deposited near the nerve tissue. The mechanism of action of continuous RF could be explained by the destruction of afferent nerve fibers on their way from a nociceptive focus to the central nervous system. Pulsed RF was invented to explore this possibility, with the sole purpose of finding a less destructive and equally effective technique for the application of RF to afferent pathways. Herein, we further evaluated whether the procedure was safe without any complications in routine follow-up in palmar hyperhidrosis. Case Presentation: Herein, we report the case of a male patient with an age of 22 years undergoing thermal RF sympathectomy therapy of thoracic T2 and T3 sympathetic ganglia for the palmar hyperhidrosis of his right hand observed for 3 months. The patient developed a contraction of the flexor involving the small muscles of the right hand with severe pain and congestion 17 days after the procedure without any other complications. The contraction was relieved by a sonar-guided median nerve block at the wrist with two injections of 2 mL lidocaine 2% and 2 mL dexamethasone. Conclusions: This study has been the first clinical case report complicated by the development of a contraction of the flexor muscles of the right hand with severe pain and congestion. The spasm was gradually relieved by sonar-guided median nerve injection at the level of the wrist and intended to assess the role of RF ablation with a success rate of 85% - 95% in palmar hyperhidrosis.

scholarly journals Case Report: Corpus callosal apraxia following acute ischemic stroke

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 731
Author(s):  
Santhosh Narayanan ◽  
Gomathy Subramaniam
Keyword(s):  
Computed Tomography ◽  
Ischemic Stroke ◽  
Case Report ◽  
Corpus Callosum ◽  
The Body ◽  
Cerebral Hemispheres ◽  
Diagnostic Challenge ◽  
Compact Structure ◽  
Ischemic Infarct ◽  
The Right

The corpus callosum is a compact structure that connects the right and left cerebral hemispheres. Here we report the case of a 50 year old woman who presented with features of corpus callosum apraxia, initially mistaken as psychiatric symptom by her relatives. Computed tomography and magnetic resonance of brain confirmed the diagnosis of acute ischemic infarct in the body of the corpus callosum. Isolated stroke involving the corpus callosum is rarely reported in literature and is a diagnostic challenge due to atypical clinical features.

scholarly journals Iatrogenic Foreign Body in the Heart in Relation to Possible Malpractice and Its Consequences a Case Report

2015 ◽  
Vol 20 (3) ◽  
pp. 163-165
Author(s):  
Karol Karnecki ◽  
Michał Kaliszan ◽  
Zbigniew Jankowski
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Right Ventricle ◽  
Medical History ◽  
Medical Information ◽  
Circulatory System ◽  
Postmortem Examination ◽  
The Body ◽  
The Right ◽  
Positional Asphyxia

The paper presents the case of a 55-year-old man whose body was found at home at the foot of the stairs. The inspection of the body at the scene showed that the probable cause of the man’s death was positional asphyxia after falling down the stairs. The forensic autopsy revealed a 10-cm-long tip of a nephrostomy catheter. To determine the time and circumstances of the foreign body’s entry into the heart and its possible impact on the man’s death, the medical history was analyzed. It indicated that the piece of the catheter entered the circulatory system during surgery performed few years before man’s death. The results of the postmortem examination, taking into consideration the obtained medical information, excluded the foreign body in the right ventricle of the heart as a contributory cause of the man’s death.

scholarly journals Long-lasting severe knee pain in a SLE patient after renal transplantation: what is the reason? A case report and literature review

2021 ◽  
Author(s):  
Anna Masiak ◽  
Iga Kościńska ◽  
Beata Rutkowska ◽  
Zbigniew Zdrojewski
Keyword(s):  
Kidney Transplantation ◽  
Case Report ◽  
Knee Pain ◽  
Case Reports ◽  
Immunosuppressive Treatment ◽  
The Body ◽  
Review Of The Literature ◽  
Letters To The Editor ◽  
Appropriate Treatment ◽  
The Right

AbstractMusculo-skeletal complaints in a patient suffering from systemic lupus, with co-existing chronic renal failure, undergoing immunosuppressive treatment after kidney transplantation, can have a varied etiology. The aim of this work was to present a case based review of differential diagnosis of knee pain in such a patient. A literature search was carried out using MEDLINE/PubMed, Google Scholar and EBSCO, with no time limit. We undertook a systematic review of the literature published in English, limited to full-text publications of original articles, letters to the editor, and case reports in peer-reviewed journals, for a discussion and analysis of studies reporting arthralgia in patients with lupus after kidney transplantation. We present a case report of a 45-year-old woman with lupus nephritis, after kidney transplantation, who started to complain of increasing pain in the knees, most pronounced at night and after physical activity approximately 2 years after transplantation. Extensive causal diagnostics were carried out, which revealed bilateral extensive regions of bone infarction in the femur and tibia, chondropathy, degenerative changes of medial meniscuses in the body and posterior horn as well as chondromalacia of the patella. Establishing the right diagnosis is crucial for implementing appropriate treatment.

scholarly journals Endovascular Recanalization by Mechanical Thrombectomy in Tandem Extracranial and Intracranial Occlusive Lesion in Acute Ischemic Stroke is Still a Therapeutic Challenge: A Case Report

2019 ◽  
Vol 5 (1) ◽  
pp. 90-94
Author(s):  
Sirajee Shafiqul Islam ◽  
Kazi Mohibur Rahman ◽  
Sharif Uddin Khan ◽  
Dewan Md Elyas ◽  
Khairul Kabir Patwary ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Ischemic Stroke ◽  
Case Report ◽  
Mechanical Thrombectomy ◽  
Intravenous Thrombolysis ◽  
The Body ◽  
National Institutes Of Health ◽  
Endovascular Recanalization ◽  
Occlusive Lesion ◽  
The Right

A 55-year-old male presented with complete left-sided weakness of the body with a National Institutes of Health Stroke Scale (NIHSS) 15 and Alberta Stroke Program Early Computed Tomography (ASPECT) score 8 and occlusion of the right middle cerebral artery (MCA) in the M1 segment on Computed Tomography Angiography (CTA). Intravenous thrombolysis (IVT) was not performed as symptoms developed at sleep. Mechanical Thrombectomy was performed after 4.5 hours of the symptom onset with recanalization of Thrombolysis in Cerebral Infarction (TICI classification 2b). Journal of National Institute of Neurosciences Bangladesh, 2019;5(1): 90-94

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