scholarly journals Facial onset sensory and motor neuropathy in a pain clinic outpatient: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Hiroki Hanawa ◽  
Ryo Nagaoka ◽  
Yuya Fukuda ◽  
Kazuya Akutsu ◽  
Teppei Yamada ◽  
...  
Keyword(s):  
Case Report ◽  
Nerve Palsy ◽  
Pain Clinic ◽  
Motor Neuropathy ◽  
Cervical Pain ◽  
Case Presentation ◽  
Previous Diagnosis ◽  
Old Japanese ◽  
Cervical Facet ◽  
Facet Arthropathy

Abstract Background Facial onset sensory and motor neuropathy is a very rare sensorimotor disorder characterized by facial onset and gradual progression, with approximately 100 cases reported worldwide in 2020. We report on our experience with a facial onset sensory and motor neuropathy case in our outpatient pain clinic. Case presentation A 71-year-old Japanese man with a previous diagnosis of trigeminal nerve palsy complained of facial paresthesia, cervical pain, and arm numbness. Cervical facet arthropathy was diagnosed initially, but neither pharmacotherapy nor nerve blocking alleviated his symptoms. We suspected bulbar palsy based on the presence of tongue fasciculation, which prompted referral to a neurologist. Based on a series of neurological examinations, facial onset sensory and motor neuropathy was ultimately diagnosed. Conclusions Pain clinicians must be mindful of rare diseases such as facial onset sensory and motor neuropathy; if they are unable to make a diagnosis, they should consult with other competent specialists.

scholarly journals Unicuspid aortic valve concomitant with aortic insufficiency presenting with infectious endocarditis: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Naoko Yuzawa-Tsukada ◽  
Toshikazu D. Tanaka ◽  
Satoshi Morimoto ◽  
Michihiro Yoshimura
Keyword(s):  
Case Report ◽  
Aortic Valve ◽  
Aortic Insufficiency ◽  
Infectious Endocarditis ◽  
Cardiac Abnormality ◽  
Case Presentation ◽  
Old Japanese ◽  
History Of ◽  
Nonbacterial Thrombotic Endocarditis ◽  
High Turbulence

Abstract Background A unicuspid aortic valve is a rare congenital cardiac abnormality. Despite its uncommon finding on an initial presentation, aortic insufficiency is accompanied with unicuspid aortic valve and this might reflect the natural history of progression in the morphology of unicuspid aortic valve. Case presentation We describe a 65-year-old Japanese man who was evaluated for endocarditis and found to have a unicuspid aortic valve concomitant with moderate aortic insufficiency, which was, owing to the lack of evidence of valve membrane destruction, independent of underlying infectious endocarditis. In addition, aortic insufficiency was progressed because of nonbacterial thrombotic endocarditis on the ventricular side, in areas of high turbulence around the heart valve. Conclusions Our case is unusual given the unicuspid aortic valve concomitant with aortic insufficiency, which was presumably independent of underlying infectious endocarditis because of the location of the vegetation and the lack of evidence of valve destruction. Therefore, attention should be paid to a variety of complications in the setting of unicuspid aortic valve.

Poster 390 Effect of Atlanto-Axial Joint Injection in Treatment of Cervical Facet Arthropathy: A Case Report

PM&R ◽  
2016 ◽  
Vol 8 (9) ◽  
pp. S288
Author(s):  
Katarzyna Iwan ◽  
Matthew C. Kruppenbacher ◽  
Annie G. Philip
Keyword(s):  
Case Report ◽  
Joint Injection ◽  
Atlanto Axial Joint ◽  
Cervical Facet ◽  
Facet Arthropathy

scholarly journals Suicidal attempt with caffeine overdose treated with dexmedetomidine: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Teppei Kitano ◽  
Masaki Okajima ◽  
Koji Sato ◽  
Toru Noda ◽  
Takumi Taniguchi
Keyword(s):  
Case Report ◽  
Sinus Tachycardia ◽  
Qt Prolongation ◽  
Cardiac Events ◽  
Sympathetic Nerve Stimulation ◽  
Case Presentation ◽  
Japanese Male ◽  
Adverse Cardiac Events ◽  
Old Japanese ◽  
Caffeine Overdose

Abstract Background Caffeine is a widely used dietary stimulant, and cases of caffeine overdoses, sometimes leading to death, are increasing. We encountered a case of caffeine intoxication resolved with administration of the sedative agent dexmedetomidine. Case presentation We administered dexmedetomidine for sedation and to suppress sympathetic nerve stimulation in the case of an 18-year-old Japanese male who ingested a massive dose of caffeine with the intention of committing suicide. The patient was in an excited state and had hypertension, sinus tachycardia, and hypokalemia with prominent QT prolongation. After dexmedetomidine administration, the patient’s mental state, hemodynamics, and electrolyte levels were improved immediately. He was discharged without any sequelae 3 days later. Conclusion Cases of acute caffeine intoxication with agitation, sympathetic overactivity and adverse cardiac events would benefit with dexmedetomidine treatment.

scholarly journals Acute Cervical Facet Joint Inflammation After a Prolonged Dental Procedure: A Case Report

2020 ◽  
pp. 153-156
Author(s):  
Lucas First
Keyword(s):  
Case Report ◽  
Physical Therapy ◽  
Neck Pain ◽  
Facet Joint ◽  
Corticosteroid Injection ◽  
Joint Inflammation ◽  
Careful Consideration ◽  
Dental Procedure ◽  
Cervical Facet ◽  
Facet Arthropathy

Background: Facet joints of the spine are the only true synovial joints between adjacent spinal levels. Degenerative disease changes of the joint, or facet arthropathy, can be asymptomatic. However, pain can occur when the joint becomes acutely inflamed. Specifically, cervical facet arthropathy and associated neck pain can be difficult to treat. Case Report: We present a case of a 64-year-old man with known lumbar spondylosis who developed acute neck pain after a dental procedure. Magnetic resonance imaging (MRI) revealed inflammation of the left C2-C3 facet joint. This patient achieved successful relief of pain with an intraarticular corticosteroid injection followed by physical therapy. Careful consideration was given to a detailed therapy protocol in order to regain pain-free active range of motion of the neck. Conclusion: To our knowledge, this is the first reported case of acute facet inflammation after a dental procedure. Additionally, this report highlights the value of intraarticular corticosteroids for an acutely inflamed facet joint. In order to prevent injury, dentists and oral surgeons should be attentive to neutral spine positioning, especially during prolonged procedures. Key words: Arthritis, cervical spine, corticosteroids, dentistry, facet joint, neck pain, physical therapy, posture

scholarly journals XI cranial nerve cervical schwannoma – Case report

2014 ◽  
Vol 33 (02) ◽  
pp. 160-163
Author(s):  
Roger Schmidt Brock ◽  
Marcelo Viana da Silva Barroso ◽  
Iuri Santana Neville ◽  
Marcos Queiroz Teles Gomes ◽  
Alberto Capel Cardoso ◽  
...  
Keyword(s):  
Case Report ◽  
Nerve Stimulation ◽  
Nerve Palsy ◽  
Rare Condition ◽  
Neurological Status ◽  
Posterior Arch ◽  
Cervical Pain ◽  
Spinal Accessory ◽  
Suboccipital Craniectomy ◽  
Complete Surgical Resection

Cisternal spinal accessory schwannoma are still a rare condition without neurofibromatosis with only 32 cases reported so far. We describe a cisternal accessory schwannoma presented in a 36-year-old woman with posterior cervical pain and cervical mieolopaty, defined by grade IV tetraparesia. A suboccipital craniectomy with C1 posterior arch resection was performed. During microsurgical dissection together with electrophysiological monitoring and nerve stimulation tumor was identified as having the spinal accessory root as its origins. Carefully intraneural dissection was then performed with complete lesion removal, histopatological examination confirmed the hypothesis of schwannoma. The patient was free from pain and improved her neurological status with no accessory nerve palsy. Complete surgical resection is indicated for such lesions and can be achieved with good outcome.

scholarly journals Spinal Accessory Nerve Palsy following Cervical Cooled Radiofrequency Ablation: A Case Report and Review of the Literature

2017 ◽  
pp. 231-237
Author(s):  
Tristan Weaver
Keyword(s):  
Radiofrequency Ablation ◽  
Nerve Palsy ◽  
Spinal Accessory Nerve ◽  
Accessory Nerve ◽  
Medial Branch ◽  
Spinal Accessory ◽  
Upper Trapezius ◽  
Scapular Winging ◽  
Cervical Facet ◽  
Facet Arthropathy

Chronic neck pain is a common cause of functional impairment in the general population. A significant percentage has a component of cervical facet arthropathy for which cervical radiofrequency ablation (RFA) has been successful in treating. We present a case of spinal accessory nerve (SAN) palsy after water-cooled cervical RFA. A 37-year-old female with history of fibromyalgia and occipital neuralgia presented with cervicalgia. Magnetic resonance imaging (MRI) revealed degenerative changes and central canal stenosis at C5-6. After positive result to diagnostic cervical medial branch blocks (MBB), she underwent staged bilateral C2-3-4-5 medial branch watercooled RFA. On subsequent follow up, she noted new left shoulder pain. On exam, difficulty with left arm abduction and scapular winging was noted. Electrodiagnostics (EDX) revealed mild denervation and mild decreased motor units on needle EMG study. Nerve stimulation study of the SAN to the upper trapezius revealed latency prolongation and amplitude reduction, consistent with an acute spinal accessory neuropathy. Repeat EDX study, 7 months later, no longer showed denervation in upper trapezius, normal latency, and improved (although still decreased) amplitude. SAN palsy after multilevel cervical RFA has not been reported in the literature to our knowledge. Cervical RFA is generally considered safe with most complications being transient and minor with no lasting adverse effects. Spinal accessory nerve palsy is one cause of scapular winging. This case highlights the importance of physical exam and knowledge of anatomical structures in promptly diagnosing SAN palsy. Key words: Spinal accessory nerve palsy, medial scapular winging, lateral scapular winging, cervical radiofrequency ablation, cervical facet arthropathy, cervical medial branch blocks, cervicalgia, water-cooled radiofrequency ablation

Q&A: Cervical Facet Arthropathy

2020 ◽  
Vol 25 (4) ◽  
pp. 12-13
Author(s):  
Charles N. Brooks ◽  
Christopher R. Brigham ◽  
Marjorie Eskay-Auerbach ◽  
James B. Talmage
Keyword(s):  
Cervical Facet ◽  
Facet Arthropathy

TRANSIENT FACIAL NERVE PALSY AFTER SCALP BLOCK FOR AWAKE CRANIOTOMY: A CASE REPORT

2018 ◽  
Vol 4 (5) ◽  
pp. 369-371
Author(s):  
Rajashree U Gandhe . ◽  
Chinmaya P Bhave . ◽  
Avinash S Kakde . ◽  
Neha T Gedam .
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Awake Craniotomy ◽  
Scalp Block

An Obscure Colon Dilatation and its Underlying Cause: Case Report and Literature Review

2020 ◽  
pp. 1-5
Author(s):  
Anton Stift ◽  
Kerstin Wimmer ◽  
Felix Harpain ◽  
Katharina Wöran ◽  
Thomas Mang ◽  
...  
Keyword(s):  
Case Report ◽  
Sigmoid Colon ◽  
Immunohistochemical Staining ◽  
Late Onset ◽  
Hirschsprung Disease ◽  
Endoscopic Examination ◽  
Case Presentation ◽  
Idiopathic Megacolon ◽  
History Of ◽  
Cells Of Cajal

Introduction: Congenital as well as acquired diseases may be responsible for the development of a megacolon. In adult patients, Clostridium difficile associated infection as well as late-onset of Morbus Hirschsprung disease are known to cause a megacolon. In addition, malignant as well as benign colorectal strictures may lead to intestinal dilatation. In case of an idiopathic megacolon, the underlying cause remains unclear. Case Presentation: We describe the case of a 44-year-old male patient suffering from a long history of chronic constipation. He presented himself with an obscurely dilated large intestine with bowel loops up to 17 centimeters in diameter. Radiological as well as endoscopic examination gave evidence of a spastic process in the sigmoid colon. The patient was treated with a subtotal colectomy and the intraoperative findings revealed a stenotic stricture in the sigmoid colon. Since the histological examination did not find a conclusive reason for the functional stenosis, an immunohistochemical staining was advised. This showed a decrease in interstitial cells of Cajal (ICC) in the stenotic part of the sigmoid colon. Discussion: This case report describes a patient with an idiopathic megacolon, where the underlying cause remained unclear until an immunohistochemical staining of the stenotic colon showed a substantial decrease of ICCs. Various pathologies leading to a megacolon are reviewed and discussed.

Sign in / Sign up

Export Citation Format

Share Document