scholarly journals Managing solar retinopathy with suprachoroidal triamcinolone acetonide injection in a young girl: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ameen Marashi ◽  
Marwa Baba ◽  
Aya Zazo
Keyword(s):  
Case Report ◽  
Triamcinolone Acetonide ◽  
Young Female ◽  
Functional Improvement ◽  
Eye Drops ◽  
Suprachoroidal Space ◽  
Optical Coherence Tomography Signal ◽  
Custom Made ◽  
Snellen Chart ◽  
History Of

Abstract Background Solar retinopathy is a disease that causes photochemical toxicity in the retinal fovea tissues, leading to an acute decrease of vision. Case presentation This case report is an interventional case of an asymptomatic 17-year-old Caucasian female with a history of suddenly decreased vision due to solar retinopathy. The patient was managed with a custom-made needle injection of triamcinolone acetonide in the suprachoroidal space. Four months post suprachoroidal injection showed an anatomical and functional improvement in the ellipsoid zone layer through optical coherence tomography signal reappearance. In addition, the best-corrected visual acuity had improved from 0.1 to 1.0 on the Snellen chart with the disappearance of the scotoma. However, there was a mild increase in intraocular pressure after this procedure, controlled with topical hypertensive eye drops. Conclusion Suprachoroidal triamcinolone acetonide injection using a custom-made needle showed both functional and anatomical improvement of macular changes post-solar retinopathy, with acceptable safety outcomes in a young female.

scholarly journals Pushing behavior and hemiparesis: which is critical for functional recovery in pusher patients ? Case report

2007 ◽  
Vol 65 (2b) ◽  
pp. 536-539 ◽  
Author(s):  
Taiza E.G. Santos-Pontelli ◽  
Octávio M. Pontes-Neto ◽  
José Fernando Colafêmina ◽  
Dráulio B. de Araújo ◽  
Antônio Carlos Santos ◽  
...  
Keyword(s):  
Case Report ◽  
Barthel Index ◽  
Functional Improvement ◽  
Chronic Hypertension ◽  
Acute Hemorrhage ◽  
Lateral Posterior ◽  
History Of ◽  
Lateral Posterior Nucleus ◽  
Neuroimaging Study ◽  
The Right

We report a sequential neuroimaging study in a 48-years-old man with a history of chronic hypertension and lacunar strokes involving the ventral lateral posterior nucleus of the thalamus. The patient developed mild hemiparesis and severe contraversive pushing behavior after an acute hemorrhage affecting the right thalamus. Following standard motor physiotherapy, the pusher behavior completely resolved 3 months after the onset and, at that time, he had a Barthel Index of 85, although mild left hemiparesis was still present. This case report illustrates that pushing behavior itself may be severely incapacitating, may occur with only mild hemiparesis and affected patients may have dramatic functional improvement (Barthel Index 0 to 85) after resolution pushing behavior without recovery of hemiparesis.

Development of lymphangioleiomyomatosis in a female patient with Sjö gren's disease: a review of literature and a case report

2019 ◽  
Vol 13 (2) ◽  
pp. 119-123
Author(s):  
Yu. I. Khvan ◽  
S. G. Palshina ◽  
V. I. Vasiliev
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Clinical Case ◽  
Young Female ◽  
Renal Angiomyolipoma ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
History Of ◽  
Genetically Determined ◽  
Sjögren’S Disease

Cystic and bullous lung transformation occurs in diseases of various origins: neoplastic, genetically determined, rheumatic, lymphoproliferative, and infectious diseases. The paper presents a review of the literature and a clinical case of a young female patient with a long history of Sjögren's disease. Fifteen years after the onset of the disease, the patient developed cystic and bullous lung transformation and renal angiomyolipoma, which are regarded as a manifestation of probable lymphangioleiomyomatosis.

Ibopamine Treatment in Chronic Hypotony Secondary to Long-Lasting Uveitis. A Case Report

2000 ◽  
Vol 10 (4) ◽  
pp. 332-334 ◽  
Author(s):  
P. Pivetti-Pezzi ◽  
S. Da Dalt ◽  
M. La Cava ◽  
M. Pinca ◽  
F. De Gregorio ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Intraocular Pressure ◽  
Case Report ◽  
Side Effects ◽  
Visual Field ◽  
Clinical Efficacy ◽  
Eye Drops ◽  
Days Of Therapy ◽  
History Of

Purpose To assess the clinical efficacy of ibopamine eye drops in severe hypotony secondary to chronic progressive uveitis. Methods Case report. A 47-year-old man with a 37-year history of diffuse uveitis and severe refractory hypotony was treated with topical 2% ibopamine (Trazyl®) six times a day. Intraocular pressure, visual acuity, visual field and side effects were recorded during 15 months of follow-up. Results IOP, visual acuity and visual field increased after four days of therapy and lasted for two months when the drug was suspended because of the onset of filamentous keratopathy. A new course of treatment with 2% ibopamine eye drops in a different solvent (BSS®) resulted in a stable increase in IOP, VA and visual field, with no side effects in a follow-up of 13 months. Conclusions Ibopamine 2% eye drops in BSS® solvent seem effective in the treatment of uveitis-related hypotony.

scholarly journals Keratitis due to a Rare Fungus Colletotrichum dematium: A Case Report

2021 ◽  
Author(s):  
Archana Bhimrao Wankhade ◽  
Vijaya Sahu ◽  
Pratibha Sharma ◽  
Padma Das
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Geographical Distribution ◽  
Male Patient ◽  
Clinical Condition ◽  
Fungal Keratitis ◽  
Eye Drops ◽  
Microbiological Investigation ◽  
Colletotrichum Dematium ◽  
History Of

Keratitis is a very serious clinical condition caused by bacteria, fungi or parasites. It is associated with serious complications like blindness or endophthalmitis if remained undiagnosed. A 42-year-old male patient with the history of foreign body inoculation presented with mild pain and redness. After clinical examination, fungal keratitis was diagnosed. Corneal scrapping was sent for microbiological investigation. A very rare fungi Colletotrichum dematium was isolated and identified. Patient was managed with Natamycin tab fluconazole and atropin eye drops. To know the geographical distribution of the rare fungi, more and more cases should be studied and reported, which will help in management of rare fungi and standardisation of therapy.

A rare case of fibromuscular dysplasia involving multiple vascular beds

Vascular ◽  
2020 ◽  
pp. 170853812097909
Author(s):  
Christian Renz ◽  
Nader Tehrani ◽  
Lillian Malach ◽  
Michael Soult ◽  
Matthew Blecha ◽  
...  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Rare Case ◽  
Carotid Arteries ◽  
Fibromuscular Dysplasia ◽  
Young Female ◽  
Review Of The Literature ◽  
Pubmed Search ◽  
History Of ◽  
Vascular Beds

Objective Fibromuscular dysplasia rarely involves vessels other than the renal and carotid arteries. We present a case of a rare fibromuscular dysplasia involving multiple vascular beds in a young female patient with history of spontaneous coronary artery (SCAD). Methods This is a case report with review of the literature using PubMed search for other cases of fibromuscular dysplasia that involves multiple vascular beds and its association with SCAD. The patient agreed to publish her case including her images. Results Fibromuscular dysplasia involving multiple vascular beds in a young female patient with prior coronary dissection is rarely reported in the literature. Conclusion Fibromuscular dysplasia affecting multiple vascular beds is rare but should be suspected in patients with SCAD, particularly young female patients.

Punctate inner choroidopathy reactivation following COVID-19: A case report

2021 ◽  
pp. 112067212110287
Author(s):  
Michele Nicolai ◽  
Maria Jolanda Carpenè ◽  
Nicola Vito Lassandro ◽  
Paolo Pelliccioni ◽  
Vittorio Pirani ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Case Report ◽  
Multimodal Imaging ◽  
Fundus Autofluorescence ◽  
Functional Improvement ◽  
Caucasian Woman ◽  
High Dose ◽  
Punctate Inner Choroidopathy ◽  
Corrected Visual Acuity ◽  
History Of

Purpose: The purpose of this study is to report our experience with a case of punctate inner choroidopathy (PIC) reactivation following COVID-19. Case report: A 29-year-old caucasian woman with past ophthalmological history of bilateral PIC reported sudden visual acuity decrease in her right eye (RE) 3 weeks after SARS-CoV-2 infection. Her best-corrected visual acuity (BCVA) was 20/32 in RE; fundus examination and multimodal imaging (including indocyanine-green angiography, fundus autofluorescence, and optical coherence tomography) was consistent with unilateral PIC reactivation. The active choroidal lesions responded to high-dose corticosteroids, with functional improvement. Conclusion: Sars-CoV-2 infection could induce autoimmune and autoinflammatory dysregulation in genetically predisposed subjects. We report a case of PIC reactivation following COVID-19.

scholarly journals Nymphomania Associated With Childhood Sexual Abuse: A Case Report

2021 ◽  
pp. 263183182110136
Author(s):  
Swaleha Mujawar ◽  
Suprakash Chaudhury ◽  
Daniel Saldanha ◽  
Aslam Khan Jafar
Keyword(s):  
Sexual Abuse ◽  
Case Report ◽  
Childhood Sexual Abuse ◽  
Young Female ◽  
Emotional Involvement ◽  
History Of Childhood ◽  
Sexual Drive ◽  
History Of ◽  
Proper Diagnosis

Defining and classifying nymphomania has been a challenge for clinicians. It is characterized by an unquenchable urge to engage in repeated sexual contact with many partners without a deep emotional involvement. The sexual drive is unvarying, voracious, impetuous, and unrestrained. The case report describes a young female who presented with increased sexual desires and engaging in excessive sexual activity leading to divorce and marital disharmony in her second marriage. There was a history of childhood sexual abuse. Women developed nymphomania out of engagement in the behavior due to a genetic predisposition or from an environmental stressor such as trauma or sexual abuse. Since sex addiction is not a recognized disorder in DSM-5 or ICD-11, women who have this disorder have difficulty receiving treatment. Proper diagnosis and treatment of such patients will lead to better functioning and quality of life.

scholarly journals Tuberous Sclerosis Complex : A Case Report

2014 ◽  
Vol 13 (3) ◽  
pp. 89-92 ◽  
Author(s):  
Shahara Haque ◽  
Tarannum Morshed ◽  
Hasina Begum ◽  
Shahidul Islam ◽  
Kaniz Fatema ◽  
...  
Keyword(s):  
Case Report ◽  
Tuberous Sclerosis ◽  
Female Patient ◽  
Left Kidney ◽  
Young Female ◽  
Multiple Organ ◽  
Organ System ◽  
Complex Nature ◽  
History Of ◽  
Cortical Tubers

The aim of this report is to present various clinical and radiological features of a young female patient with tuberous sclerosis who exhibited multiple hamartomas of various organ system. Tuberous sclerosis is a rare neurocuteneous syndrome exhibiting multiple hamartomatous proliferations that may involve multiple organ system such as brain, kidney, heart, lungs, eyes and skin. An 18 year old female patient presented with abdominal pain and swelling. Clinical examination of the patient revealed presence of facial angiofibromas and huge left flank mass. She also gave history of twin  pregnancy with IUD. USG of abdomen showed bilateral gross angiomyolipoma with necrosis and haemorrhage in left kidney. CT and MRI of brain showed presence of multiple cortical tubers and calcified subependymal nodules. This case report is a good example of complex nature of tuberous sclerosis. The diagnosis and management of these patients depend on the presentation of the disease.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i3.21044

scholarly journals Acute Psychosis Due to Anti-N-Methyl D-Aspartate Receptor Encephalitis Following COVID-19 Vaccination: A Case Report

2021 ◽  
Vol 12 ◽  
Author(s):  
Patrick Flannery ◽  
Ingrid Yang ◽  
Madjid Keyvani ◽  
George Sakoulas
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Nmda Receptor ◽  
Young Female ◽  
High Dose ◽  
Acute Psychosis ◽  
Neurological Assessment ◽  
Aspartate Receptor ◽  
Nmdar Encephalitis ◽  
History Of

Anti-N-methyl D-aspartate (NMDA) receptor (anti-NMDAR) encephalitis has been reported after SARS-CoV-2 infection, but not after SARS-CoV-2 vaccination. We report the first known case of anti-NMDAR encephalitis after SARS-CoV-2 immunization in a young female presenting with acute psychosis, highlighting a rare potential immunological complication of vaccination against SARS-CoV-2 that is currently being distributed worldwide. The patient presented initially with anxiety and hypochondriacal delusions which progressed to psychosis and catatonia but returned to baseline with aggressive immunomodulatory therapy consisting of intravenous immunoglobulin, high-dose glucocorticoids, and rituximab. This study highlights that the workup of acute psychosis should include establishing a history of recent vaccination followed by a thorough neurological assessment, including for anti-NMDAR antibodies in blood and cerebrospinal fluid.

scholarly journals Endonasal endoscopic transsphenoidal chiasmapexy using a clival cranial base cranioplasty for visual loss from massive empty sella following macroprolactinoma treatment with bromocriptine: case report

2016 ◽  
Vol 124 (4) ◽  
pp. 1025-1031 ◽  
Author(s):  
G. Rene Alvarez Berastegui ◽  
Shaan M. Raza ◽  
Vijay K. Anand ◽  
Theodore H. Schwartz
Keyword(s):  
Case Report ◽  
Visual Loss ◽  
Rare Event ◽  
Empty Sella ◽  
Functional Improvement ◽  
Endoscopic Endonasal ◽  
Lumbar Drainage ◽  
Visual Deterioration ◽  
Giant Prolactinoma ◽  
History Of

Visual deterioration after dopamine-agonist treatment of prolactinomas associated with empty sella syndrome and secondary optic apparatus traction is a rare event. Chiasmapexy has been described as a viable treatment option, although few cases exist in the literature. Here, a novel endonasal endoscopic approach to chiasmapexy is described and its efficacy is demonstrated in a case report. A 55-year-old female patient with a history of a giant prolactinoma and 14 years of treatment using dopaminergic agonist therapy presented to our institution with a 1-month history of visual changes. Neuroophthalmological examination confirmed severe bitemporal field defects, and MRI revealed a large empty sella with downward optic chiasmal herniation. Endoscopic endonasal chiasmapexy was performed by elevating the chiasm with lumbar drainage and filling the clival and sellar defect with an extradural liquid (HydroSet; a cranioplasty bone cement), and a piece of AlloDerm was used to cover and cushion the chiasm. Postoperative imaging demonstrated successful anatomical elevation of the optic apparatus, and the patient showed functional improvement in the visual field at 3 months postoperatively. Although rare, massive empty sellar and chiasmal descent from macroadenoma treatment can result in progressive visual loss. Here, a novel technique of endonasal endoscopic extradural cranioplasty aided by lumbar drainage is reported, which appears to be an effective technique for stabilizing and possibly reversing anatomical and visual deterioration.

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