Hemifacial Spasm as a Rare Clinical Presentation of Idiopathic Intracranial Hypertension: Case Report and Literature Review

2020 ◽  
Vol 129 (8) ◽  
pp. 829-832 ◽  
Author(s):  
Charles B. Poff ◽  
Noga Lipschitz ◽  
Gavriel D. Kohlberg ◽  
Joseph T. Breen ◽  
Ravi N. Samy
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Intracranial Hypertension ◽  
Hemifacial Spasm ◽  
Idiopathic Intracranial Hypertension ◽  
Case Reports ◽  
English Literature ◽  
Anterior Inferior Cerebellar Artery ◽  
First Report ◽  
History Of

Objectives: To report a rare case of idiopathic intracranial hypertension (IIH) presenting with hemifacial spasm (HFS) and review the current literature. Methods: Case report and literature review. The patient’s medical record was reviewed for demographic and clinical data. For literature review, all case reports or other publications published in English literature were identified using PUBMED. Results: A 43-year-old obese female presented with a 2-year history of left HFS. Electroencephalography and head computed tomography were unremarkable. Magnetic resonance imaging demonstrated bilateral anterior inferior cerebellar artery vascular loops involving the internal auditory canals as well as IIH-associated findings. A lumbar puncture was performed and revealed an elevated opening pressure of 26 cm H20 cerebrospinal fluid. Acetazolamide treatment was then initiated, resulting in complete resolution of the HFS. Conclusion: HFS may be a rare presenting manifestation of IIH, and treatment of IIH may result in improvement of HFS symptoms. This is the first report of IIH presenting with HFS in the absence of headache or visual change. As a result, this is the first report of HFS as a presenting manifestation of IIH in Otolaryngology literature.

SPONTANEOUS IMPROVEMENT OF IDIOPATHIC INTRACRANIAL HYPERTENSION DURING PREGNANCY: CASE REPORT AND A SHORT LITERATURE REVIEW

2016 ◽  
Vol 22 (1) ◽  
pp. 56-62
Author(s):  
Goda Randakevičienė ◽  
Rymantė Gleiznienė ◽  
Rūta Nylander ◽  
Evaldas Laurenčikas
Keyword(s):  
Gastric Bypass ◽  
Case Report ◽  
Literature Review ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Spontaneous Improvement

Reikšminiai žodžiai: idiopatinė, intrakranijinė, hipertenzija, nėštumas, nutukimas. Idiopatinė intrakranijinė hipertenzija yra nežinomos kilmės liga, pasireiškianti padidėjusiu intrakranijiniu slėgiu, optinių diskų patinimu, normalia smegenų skysčio sudėtimi ir normaliu neurologiniu tyrimu. Jaunos ir nutukusios vaisingo amžiaus moterys ypač dažnai serga šia patologija. Anksčiau buvo manoma, kad nėštumas yra vienas šios ligos rizikos veiksnių. Šiame straipsnyje mes pristatome jauną, nutukusią moterį, kuri kreipėsi dėl simptomų, susijusių su padidėjusiu intrakranijiniu slėgiu, ir kuriai buvo diagnozuota idiopatinė intrakranijinė hipertenzija. Jai buvo paskirtas medikamentinis gydymas. Pacientei pastojus, gydymas medikamentais buvo nutrauktas dėl galimo teratogeninio poveikio vaisiui. Nepaisant nutraukto gydymo, intrakranijinis slėgis dar sumažėjo, o klinikiniai simptomai pagerėjo. Nėštumas ir gimdymas buvo be komplikacijų. Pacientei ligos simptomai vėl atsinaujino nutraukus laktaciją. Ligonei buvo atlikta skrandžio padalinimo operacija (gastric bypass) dėl nutukimo. Praėjus šešiems mėnesiams po operacijos, pacientės svoris gerokai sumažėjo, simptomai pranyko, o intrakranijinis slėgis sumažėjo iki normalaus. Mūsų žiniomis, spontanškas idiopatinės intrakranijinės hipertenzijos simptomų pagerėjimas nėra anksčiau aprašytas literatūroje. Straipsnyje taip pat pateikiama trumpa literatūros apžvalga šia tema.

A Unique Subset: Idiopathic Intracranial Hypertension Presenting as Spontaneous CSF Leak of the Anterior Skull Base

2021 ◽  
Author(s):  
Christopher S. Hong ◽  
Adam J. Kundishora ◽  
Aladine A. Elsamadicy ◽  
Eugenia M. Vining ◽  
R. Peter Manes ◽  
...  
Keyword(s):  
Literature Review ◽  
Intracranial Hypertension ◽  
Skull Base ◽  
Idiopathic Intracranial Hypertension ◽  
Empty Sella ◽  
Csf Leak ◽  
Presenting Symptoms ◽  
History Of ◽  
Sinus Stenosis ◽  
Csf Leaks

Abstract Background Spontaneous cerebrospinal fluid (CSF) leaks represent a unique clinical presentation of idiopathic intracranial hypertension (IIH), lacking classical features of IIH, including severe headaches, papilledema, and markedly elevated opening pressures. Methods Following a single-institution retrospective review of patients undergoing spontaneous CSF leak repair, we performed a literature review of spontaneous CSF leak in patients previously undiagnosed with IIH, querying PubMed. Results Our literature review yielded 26 studies, comprising 716 patients. Average age was 51 years with 80.8% female predominance, and average body mass index was 35.5. Presenting symptoms included headaches (32.5%), visual disturbances (4.2%), and a history of meningitis (15.3%). Papilledema occurred in 14.1%. An empty sella was present in 77.7%. Slit ventricles and venous sinus stenosis comprised 7.7 and 31.8%, respectively. CSF leak most commonly originated from the sphenoid sinus (41.1%), cribriform plate (25.4%), and ethmoid skull base (20.4%). Preoperative opening pressures were normal at 22.4 cm H2O and elevated postoperatively to 30.8 cm H2O. 19.1% of patients underwent shunt placement. CSF leak recurred after repair in 10.5% of patients, 78.6% involving the initial site. A total of 85.7% of these patients were managed with repeat surgical intervention, and 23.2% underwent a shunting procedure. Conclusion Spontaneous CSF leaks represent a distinct variant of IIH, distinguished by decreased prevalence of headaches, lack of visual deficits, and normal opening pressures. Delayed measurement of opening pressure after leak repair may be helpful to diagnose IIH. Permanent CSF diversion may be indicated in patients exhibiting significantly elevated opening pressures postoperatively, refractory symptoms of IIH, or recurrent CSF leak.

scholarly journals Brucellosis Presenting with Pericarditis: Case Report and Literature Review

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Fábio Lopes Pedro ◽  
Fernanda Paula Franchini ◽  
Leonardo Muraro Wildner
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Medical History ◽  
English Literature ◽  
Testicular Tumor ◽  
Past Medical History ◽  
Medical English ◽  
Rare Manifestation ◽  
History Of

Pericarditis is a rare manifestation during the course of brucellosis. This paper describes a case of pericarditis associated with brucellosis in a 31-year-old veterinary physician with a past medical history of testicular tumor and reviews the cases of pericarditis associated with brucellosis in medical English literature.

scholarly journals Secondary Syphilis with Pleural Effusion: Case Report and Literature Review

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Abdel-Naser Elzouki ◽  
Mustafa Al-Kawaaz ◽  
Zaid Tafesh
Keyword(s):  
Case Report ◽  
Pleural Effusion ◽  
Literature Review ◽  
Case Reports ◽  
Secondary Syphilis ◽  
Acute Illness ◽  
Review Of Literature ◽  
Radiological Findings ◽  
Extramarital Relationships ◽  
History Of

Here we present a case of a 38-year-old Indian man with a history of extramarital relationships who presented with pleurisy, skin rash, and radiological findings of pleural effusion. After thorough investigation of the etiology of his acute illness, he was found to be positive for syphilis. Review of literature revealed a small number of case reports of pleural effusion as a manifestation of secondary syphilis. The review of criteria proposed in the literature was utilized to diagnose this patient as a case of pulmonary syphilis.

Idiopathic intracranial hypertension associated with sulphasalazine treatment: A case report and literature review

2021 ◽  
Vol 429 ◽  
pp. 119255
Author(s):  
Manel Akkari ◽  
Mariem Messelmani ◽  
Hajer Derbali ◽  
Malek Mansour ◽  
Jamel Zaouali ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension

Reticular erythematous mucinosis: Literature review and case report of a 24-year-old patient with systemic erythematosus lupus

Lupus ◽  
2020 ◽  
pp. 096120332096570
Author(s):  
Juliana P Ocanha-Xavier ◽  
Camila O Cola-Senra ◽  
Jose Candido C Xavier-Junior
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Literature Review ◽  
English Language ◽  
Case Reports ◽  
Histopathological Diagnosis ◽  
Skin Disorders ◽  
Histopathological Findings ◽  
Inflammatory Skin

Reticular erythematous mucinosis (REM) was first described 50 years ago, but only around 100 case reports in English have been published. Its relation with other inflammatory skin disorders is still being debated. We report a case of REM, including the clinical and histopathological findings. Also, a systematic review of 94 English-language reported cases is provided. The described criteria for clinical and histopathological diagnosis are highlighted in order to REM can be confidently diagnosed.

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