The contribution of assessing cognitive impairment in radiologically-isolated syndrome (RIS): A single case report follow-up study

2014 ◽  
Vol 20 (14) ◽  
pp. 1916-1917
Author(s):  
Filipe Palavra
2014 ◽  
Vol 20 (14) ◽  
pp. 1912-1915 ◽  
Author(s):  
L D’Anna ◽  
S Lorenzut ◽  
A Perelli ◽  
B Zanchettin ◽  
M Valente ◽  
...  

Radiologically-isolated syndrome (RIS) is a recently-defined entity, described as the incidental discovery of lesions suggestive of multiple sclerosis (MS) on brain magnetic resonance imaging (MRI) scans demonstrating dissemination in space (DIS) without symptom expression and with a normal neurological examination. Recent studies demonstrate that RIS patients present similar features of cognitive impairment as MS patients. We describe a case of a RIS patient in whom investigating cognitive functions was a useful tool for diagnostic and therapeutic decisions.


Hand ◽  
2017 ◽  
Vol 12 (5) ◽  
pp. NP166-NP169 ◽  
Author(s):  
Michael T. Edgerton ◽  
Robert C. Kollmorgen

Background: Triangular fibrocartilage complex (TFCC) injuries are a known cause of ulnar-sided wrist pain. Wrist arthroscopy is the gold standard for diagnosis of these lesions and is becoming a more frequent method of treatment. Isolated radial-sided tears are uncommon and treatment of these lesions is controversial. There are few reports on repair techniques. Here we report on a novel arthroscopic, all-inside technique for traumatic radial-sided TFCC tears that resulted in full range of motion, significant improvement in pain, and ultimately return to sport. Methods: This is a single case report describing an all-inside, arthroscopic repair of a radial-sided TFCC tear. The techniques and postoperative protocol are discussed. Clinical outcomes were reported at final follow-up of 3.5 months. Results: At final follow-up, our patient had full wrist range of motion, 95% strength, occasional 1/10 pain, and returned to sport at her previous level of play. There were no complications. Conclusion: Although just a single case report, our patient had an excellent result based on modified Mayo wrist score. When comparing our result and the previous literature, this technique seems to be a valid method for addressing radial-sided TFCC tears.


2016 ◽  
Vol 33 (S1) ◽  
pp. S472-S472
Author(s):  
C. Moreno Menguiano ◽  
M. Gutierrez Rodriguez ◽  
F. Garcia Sanchez ◽  
S. Bravo Herrero

IntroductionCapgras syndrome is the most frequent delusional misidentification syndrome (DMS) which was first described in 1923 by Capgras and Reboul-Lachaux as ‘L’illusion des sosies’. Consists of believe that close relatives have been replaced by nearly identical impostors. It can occur in the context of psychiatric disorders (schizophrenia, major depression) such organic, in which onset of delirium is usually later coinciding with neurological damage or neurodegenerative disease.Case reportWoman 73-year-old diagnosed of schizophrenia since more than thirty years ago. Her family talk about general impairment of the patient in the last two years. She needed a couple of psychiatric hospitalizations because of her psychiatric disease, and probably onset of cognitive impairment. In this context, we objectified the presence of a Capgras syndrome.ObjectivesTo review the literature available about Capgras syndrome in elderly and illustrate it with a clinical case.MethodsReview of literature about Capgras syndrome in elderly by searching of articles in the PubMed database of the last five years to illustrate the exposure of a single case report.ResultsThe etiology of this syndrome is not yet well understood. Advanced age is frequently found Capgras syndrome with or without the concomitant presence of an obvious cognitive impairment.ConclusionsSince it is a complex process an etiological model that combines cognitive and perceptual deficits, organic impairment and psychodynamic factors should be proposed. And it is important to make a correct differential diagnosis that allows us to carry out the best possible treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2018 ◽  
Vol 5 (2) ◽  
pp. 1-4
Author(s):  
Gustavo Moreira Amorim ◽  
Luisa Krusser Vanin ◽  
Celyna Scariot Grezzana ◽  
Laura Gomes Da Broi ◽  
Gabriel Amorim ◽  
...  

We reported a case of a female patient, 27 years of age, attended due to an acquired dyschromia, whose clinical and pathological diagnosis was of Lichen Planus Pigmentosus (LPP). Facing the clinic reported, with the linear pattern of the lesions, restricted to the area of one sensitive dermatome, we classified the conditions as a linear zosteriform LPP. The literature was consulted and presented with the clinical report, in order to draw attention to this rare entity. The patient is still under follow-up


Author(s):  
Dr.Jasna Chandran ◽  
Dr. Sujathamma K.

Rhinosporidiosis is an enigmatic disease which has been known to medicine since 1900. It is a chronic infestation caused by Rhinosporidium seeberi, which predominantly affects the mucus membrane of eye, nose and nasopharynx. We report a case of rhinosporidiosis with presentation of mass which looks like a chalazia present in left upper lid. Here the case ultimately managed by surgical resection followed by Ayurvedic treatment and antibiotic eye drops for a duration of one month. Despite it has chance of recurrence but here after an year also patient doesn’t have any complaints regarding the same. Here 24 year old female patient diagnosed with Rhinosporidiosis was advised to undergo Pratisarana followed with Bidalaka and later excision. Patient came for follow-up after 1 year, there was no recurrence as well as no complaints particular to rhinosporidiasis.


1983 ◽  
Vol 11 (3) ◽  
pp. 249-256 ◽  
Author(s):  
G. R. Smith ◽  
L. Medlik

Exposure and response prevention has recently been reported as a successful treatment for binge eating in obesity (Smith, 1981). This present paper further extends this treatment to modification of binge eating in a single case study of a young anorexic woman. Binge eating decreased during treatment and this improvement was maintained at 9 months follow-up. Satisfactory weight was also attained during treatment and maintained at follow-up.


Author(s):  
Imen Ksiaa ◽  
Safa Ben Aoun ◽  
Sourour Zina ◽  
Dhouha Nefzi ◽  
Sana Khochtali ◽  
...  

Abstract Objective To describe a case of Behçet disease (BD) uveitis manifesting with sequential bilateral neuroretinitis associated with prepapillary inflammatory vitreous exudate (PIVE). Material and methods A single case report documented with multimodal imaging. Results A 37-year-old man developed neuroretinitis with associated PIVE in the left eye. He was diagnosed with ocular toxoplasmosis and treated accordingly based on positive serologic testing and negative work-up for other entities, including BD. The disease course was favorable, but 1 year later a similar neuroretinitis developed in the right eye. Extraocular features of BD became evident only at the time of the second eye involvement, and the patient received corticosteroid and immunosuppressive therapy. Swept source (SS) OCT showed at the acute phase in both eyes a typical “mushroom-shaped” prepapillary hyperreflectivity of the PIVE. SS OCT angiography (OCTA) demonstrated a corresponding prepapillary hypointense area due to shadowing effect, decreasing in size while scanning deeper layers. It also detected peripapillary retinal hypervascularity in both eyes and a sectoral area of flow signal loss in the first involved left eye. Visual acuity improved following the resolution of the PIVE and associated acute inflammatory changes in both eyes. The left eye showed residual optic disc pallor and retinal nerve fiber layer defects. Conclusion Sequential bilateral neuroretinitis associated with PIVE may occur before other clinical features of BD become evident. SS OCT and OCTA can provide useful information for the diagnosis and management of this rare, but typical, ocular manifestation of BD uveitis.


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