scholarly journals An Atypical Presentation of Acute Macular Neuroretinopathy after Non-Ocular Trauma

2019 ◽  
Vol 10 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Robin K. Kuriakose ◽  
Eric K. Chin ◽  
David R.P. Almeida
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Ocular Trauma ◽  
Disease Process ◽  
Rare Condition ◽  
Atypical Case ◽  
Pathophysiological Process ◽  
Acute Macular Neuroretinopathy ◽  
Capillary Plexus

Purpose: Acute macular neuroretinopathy (AMN) is a rare clinical entity with an uncertain etiology. We report an atypical case presenting with retinal hemorrhages (RH) and cotton-wool spots (CWS) following non-ocular trauma. Observations: A 49-year-old male presented with an acute onset of a paracentral scotoma in his left eye, immediately following a motor vehicle accident 1 day prior. Fundus findings revealed a unilateral nasal petalloid perifoveal lesion with the tip pointing toward the fovea associated with CWS and RH. Optical coherence tomography demonstrated disruption of the ellipsoid zone. Symptoms and exam findings improved at 2-week follow-up without any intervention, consistent with the natural history of the disease process. Conclusion: We report a rare case of AMN following non-ocular trauma with the unique fundus findings of CWS and RH. This presentation supports the role of ischemia in the retinal deep capillary plexus, of which trauma contributed to the pathophysiological process. Summary: AMN is a rare condition whose pathophysiological process remains speculative. We report an atypical case of AMN, which supports the role of trauma in the pathophysiology of deep retinal capillary plexus compromise.

scholarly journals Repair of Unstable Posterior Sternoclavicular Dislocation Using Nonabsorbable Tape Suture and Tension Band Technique: A Case Report with Good Results

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ekrem Aydın ◽  
Turan Cihan Dülgeroğlu ◽  
Ali Ateş ◽  
Hasan Metineren
Keyword(s):  
Closed Reduction ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Rare Condition ◽  
Sternoclavicular Joint ◽  
Tension Band ◽  
Imaging Studies ◽  
Vehicle Accident ◽  
Sternoclavicular Dislocation ◽  
Tension Band Technique

Posterior sternoclavicular joint dislocation (PSCJD) is quite a rare condition. Nearly half of the closed reduction attempts fail due to various reasons. In this paper, we present a 25-year-old male patient who was admitted to the emergency department in our hospital after having a motor-vehicle accident. It was decided to do PSCJD after physical and imaging studies. Following necessary preparations, closed reduction was attempted with abduction-traction maneuver under general anesthesia; however, adequate stabilization could not be achieved and redislocation was detected during control. Therefore, joint was stabilized with tension band technique using 6 mm polyamide nonabsorbable type suture during open reduction. Painless and complete range of motion in shoulder was achieved at the postoperative 10th week.

Cerebral Myiasis Associated with Angiosarcoma of the Scalp

Neurosurgery ◽  
2007 ◽  
Vol 61 (1) ◽  
pp. E167-E167 ◽  
Author(s):  
Samuel H. Cheshier ◽  
Simon R. Bababeygy ◽  
Dominique Higgins ◽  
Julie Parsonnet ◽  
Stephen L. Huhn
Keyword(s):  
United States ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Skilled Nursing Facility ◽  
Rare Condition ◽  
Developed Countries ◽  
The United States ◽  
Skilled Nursing ◽  
Contact Exposure ◽  
A Minor

Abstract OBJECTIVE Primary human cerebral myiasis is an exceedingly rare condition and is almost never encountered by physicians in developed countries. The case report summarizes a case of extensive cerebral myiasis in a periurban community in the United States. CLINICAL PRESENTATION After a minor motor vehicle accident, police brought a 75-year-old man to the emergency room because he was observed to have a large cranial lesion. Examination revealed a 15 × 17 cm frontal bone defect with eroded frontal dura, exposed cortex, and massive cortical maggot infestation. INTERVENTION The patient was empirically treated with intravenous antibiotics for meningitis. Maggots (Phaenicia sericata, or the green bottle fly) were removed by suction, attrition, and gentle contact exposure to a mild bleach solution. Biopsy of the scalp and cranium revealed angiosarcoma, for which operative treatment was refused. The patient was transferred to a skilled nursing facility for palliative care where he died 3 months later. CONCLUSION This is the first published case of cerebral myiasis in the United States. Although human cerebral myiasis is rare, conditions do exist in this country that permit myiasis.

scholarly journals Fracture of the Fabella: A Rare Injury in Knee Trauma

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Andre Rodrigues Façanha Barreto ◽  
Francisco Abaete Chagas-Neto ◽  
Michel Daoud Crema ◽  
Mario Muller Lorenzato ◽  
Mariana Tiemi Teixeira Kobayashi ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Knee Extension ◽  
Rare Injury ◽  
Vehicle Accident ◽  
Plain Films ◽  
Knee Trauma ◽  
Posterolateral Knee Pain

We present a case of a 21-year-old woman sustaining a traumatic [fabellar] fracture following a motor vehicle accident. The fabellar fracture was confirmed on plain films, which prompted further evaluation of the knee with ultrasound and magnetic resonance imaging to evaluate other possible associated injuries. Fracture of the fabella is a rare condition. Clinically, patients present with posterolateral knee pain, edema, and limited knee extension. Occasionally these symptoms may be very subtle, delaying the correct diagnosis and patient management.

A Case of Traumatic Choroidopathy With Subretinal Fluid

2020 ◽  
pp. 247412642095197
Author(s):  
Kapil Mishra ◽  
Mustafa Iftikhar ◽  
Roomasa Channa
Keyword(s):  
Visual Acuity ◽  
Indocyanine Green ◽  
Indocyanine Green Angiography ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Ocular Trauma ◽  
Retinal Pigment ◽  
Subretinal Fluid ◽  
Blurred Vision ◽  
Blunt Ocular Trauma

Purpose: We report a unique case of blunt ocular trauma with subretinal fluid (SRF), presumed to be traumatic choroidopathy as evidenced by multimodal imaging. Methods: A case report is presented. Results: A 22-year-old woman involved in a motor vehicle accident presented 1 day later to our emergency department with blurred vision in the left eye. Visual acuity was 20/40, significant SRF was present throughout the macula, and fluorescein angiography showed diffuse pooling and leakage. There were no retinal tears or intraocular inflammation. Indocyanine green angiography performed a week later showed patchy hypofluorescence in the affected area. One month later, visual acuity had improved to 20/20 and the SRF and the hypofluorescence on indocyanine green angiography had resolved. Conclusions: Subfoveal collection of SRF may be a cause of decreased vision following blunt ocular trauma. We hypothesize that in our case choroidal hypoperfusion and retinal pigment epithelial dysfunction contributed to the SRF collection.

scholarly journals Combined Intrathoracic and Subcutaneous Splenosis Discovered 51 Years after Abdominal Trauma

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
James Benjamin Gleason ◽  
Anas Hadeh ◽  
Maria Julia Diacovo ◽  
Jonathan Ryan Schroeder
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Subcutaneous Tissue ◽  
English Literature ◽  
Rare Condition ◽  
Smoking History ◽  
Traumatic Rupture ◽  
Vehicle Accident ◽  
Splenic Parenchyma ◽  
Rupture Of The Spleen

Splenosis is a rare condition that results from the autotransplantation of splenic parenchyma into unexpected locations such as the abdomen or subcutaneous tissue. In the presence of coexisting injury to the diaphragm intrathoracic transplantation can occur emerging as single or multiple pleural-based masses. This occurs after traumatic rupture of the spleen and is usually asymptomatic, only to be discovered incidentally on routine thoracic or abdominal imaging. To our knowledge this is the third documented case of combined intrathoracic and subcutaneous splenosis found in English literature. This occurred in a 71-year-old male involved in a motor vehicle accident at age 19 requiring urgent splenectomy. He has a significant cigarette smoking history and was referred to our hospital for further evaluation of an abnormality seen on shoulder X-ray.

scholarly journals Benign Metastasizing Leiomyoma of the Uterus with Pulmonary and Bone Metastases

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Parikshit Padhi ◽  
Margarita Topalovski
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Rare Condition ◽  
Middle Aged ◽  
Benign Metastasizing Leiomyoma ◽  
Spindle Cell Neoplasm ◽  
Aged Woman ◽  
History Of ◽  
Metastasizing Leiomyoma ◽  
Leiomyoma Of The Uterus

Benign metastasizing leiomyoma (BML) is a rare spindle cell neoplasm seen in middle-aged women who have a history of leiomyoma of the uterus. The most common sites of metastases are the lungs; however, other sites of spread have been documented. These tumors by definition have no malignant features on histology and tend to be estrogen and progesterone positive. We present a middle-aged woman who was incidentally found to have multiple pulmonary nodules and a mass on her sternum after she was involved in a motor vehicle accident. She had a history of uterine leiomyoma and had undergone a hysterectomy ten years prior to the accident. Biopsies were performed of the lung nodules and sternum mass and compared to her hysterectomy specimen, and they were identical, and hence, she was diagnosed with BML. Due to the growing tumor of her sternum, she was started on tamoxifen with stability of her tumors. These tumors, since they are benign, tend to have an indolent course. However, in the instances that treatment is warranted, options include surgery or antiestrogen therapy. We will be discussing the pathogenesis, histological findings, and treatment options of this rare condition. Our case is unique because BML in general do not tend to spread to multiple organs and tend to be limited to one site of disease.

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