Vertebroplasty of the C2 Vertebral Body and Dens Using an Anterior Cervical Approach: Technical Case Report

Neurosurgery ◽  
2010 ◽  
Vol 67 (4) ◽  
pp. E1143-E1146 ◽  
Author(s):  
John K Dorman
Keyword(s):  
Case Report ◽  
Neck Pain ◽  
Vertebral Body ◽  
Anterior Approach ◽  
Clinical Presentation ◽  
Pain Medication ◽  
Steroid Injections ◽  
Cervical Approach ◽  
Anterior Cervical Approach ◽  
History Of

Abstract BACKGROUND AND IMPORTANCE: This article is the first description of an anterior approach for a biopsy and vertebroplasty of the C2 body and dens. CLINICAL PRESENTATION: A 52-year-old woman presented with a 9-month history of neck pain and a destructive lesion of the dens. The patient was treated with pain medication as well as steroid injections without relief of her pain. A biopsy and vertebroplasty of the C2 body and dens was performed using an anterior cervical approach. CONCLUSION: This report describes the first vertebroplasty of C2 using an open anterior cervical approach.

Surgical management of choke through oesophagotomy in a buffalo: A case report

2017 ◽  
Vol 12 (3) ◽  
Author(s):  
Devasee Borakhatariya ◽  
A. B. Gadara
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Clinical Presentation ◽  
Clinical Signs ◽  
Thoracic Inlet ◽  
Cervical Oesophagus ◽  
Foreign Objects ◽  
History Of ◽  
Oesophageal Obstruction ◽  
Large Animals

Oesophageal disorders are relatively uncommon in large animals. Oesophageal obstruction is the most frequently encountered clinical presentation in bovine and it may be intraluminal or extra luminal (Haven, 1990). Intraluminal obstruction or “choke” is the most common abnormality that usually occurs when foreign objects, large feedstuff, medicated boluses, trichobezoars, or oesophageal granuloma lodge in the lumen of the oesophagus. Oesophageal obstructions in bovine commonly occur at the pharynx, the cranial aspect of the cervical oesophagus, the thoracic inlet, or the base of the heart (Choudhary et al., 2010). Diagnosis of such problem depends on the history of eating particular foodstuff and clinical signs as bloat, tenesmus, retching, and salivation

Traumatic ulcers with a hidden cause: A case report

Dental Update ◽  
2021 ◽  
Vol 48 (2) ◽  
pp. 141-143
Author(s):  
Pavneet Chana ◽  
Daniela Ion
Keyword(s):  
Case Report ◽  
Oral Mucosa ◽  
Secondary Care ◽  
Clinical Relevance ◽  
Clinical Presentation ◽  
Common Condition ◽  
Oral Ulceration ◽  
History Of

Oral ulceration is a common condition that can affect the oral mucosa, and patients often present in both primary and secondary care. There are a number of causes of oral ulceration, ranging from trauma to malignancy. The cause of the oral ulceration can be difficult to establish, especially when the history and investigations do not support an obvious cause. We report a case of a 19-year-old male who presented with a 2-month history of worsening oral ulceration. Despite further questioning and investigations, the cause of the oral ulceration remained elusive. CPD/Clinical Relevance: To understand the clinical presentation and causes of oral ulceration.

Unilateral Keratoderma in a Mother and Her Son

2012 ◽  
Vol 16 (4) ◽  
pp. 288-290 ◽  
Author(s):  
Ashley O'toole ◽  
Maureen O'malley
Keyword(s):  
Case Report ◽  
Clinical Features ◽  
Rare Case ◽  
Clinical Presentation ◽  
History Taking ◽  
History Of ◽  
Soles Of The Feet

Background: Keratoderma is a group of conditions characterized by hyperkeratosis affecting the skin on the soles of the feet and palms of the hands bilaterally. The classification of keratodermas depends on whether it is inherited or acquired and on its clinical features, including diffuse or focal involvement of the skin and the morphology of lesions present. Case Report: We describe the rare case of a 54-year-old female who presented with a nearly 40-year history of punctate keratoderma on her right palm and sole. History taking revealed that her biologic son also has unilateral left-sided keratoderma. The clinical presentation of unilateral keratoderma has been reported only four times in the literature.

scholarly journals Primary amebic meningoencephalitis: a silent killer

CJEM ◽  
2006 ◽  
Vol 8 (05) ◽  
pp. 365-369 ◽  
Author(s):  
Isaac Grate
Keyword(s):  
Emergency Department ◽  
Cerebrospinal Fluid ◽  
Case Report ◽  
Neck Pain ◽  
Amphotericin B ◽  
Clinical Presentation ◽  
Aggressive Management ◽  
Cerebrospinal Fluid Examination ◽  
Nægleria Fowleri ◽  
Primary Amebic Meningoencephalitis

ABSTRACTOne week after swimming in a man-made lake, a 9-year-old boy presented to the emergency department with headache, vomiting and lethargy. He had neck pain upon flexion and was unable to stand or walk. Cerebrospinal fluid examination revealed trophozoite and diflagellate forms consistent withNaegleria fowleri, an ameba species known to cause primary amebic meningoencephalitis. Despite aggressive management with amphotericin B and rifampin, he died 2 days later. This case report describes the clinical presentation, diagnostic findings and management of this uncommon but lethal entity.

An anterior approach to spinal pathology of the upper thoracic spine through a partial manubriotomy

2011 ◽  
Vol 15 (5) ◽  
pp. 467-471 ◽  
Author(s):  
Fred C. Lam ◽  
Michael W. Groff
Keyword(s):  
Thoracic Spine ◽  
Anterior Approach ◽  
Surgical Pathology ◽  
Anterior Decompression ◽  
Upper Thoracic Spine ◽  
Perioperative Morbidity ◽  
Cervical Approach ◽  
Anterior Cervical Approach ◽  
Upper Thoracic

Surgical pathology in the region of the upper thoracic spine (T1–4) is uncommon compared with other regions of the spine. Often times posterior and posterolateral approaches can be used, but formal anterior decompression often requires a low anterior cervical approach combined with a sternotomy, which yields significant perioperative morbidity. The authors describe a modified low anterior cervical dissection combined with a partial manubriotomy that they have used to successfully access and decompress anterior pathology of the upper thoracic spine. Their modified approach spares the sternoclavicular joints and leaves the sternum intact, decreasing the morbidity associated with these added procedures.

scholarly journals Scrotal Ulcer is a Rare Presentationof TB Epididymis in Young Male

2021 ◽  
pp. 146-149
Author(s):  
Rekadi Srinivasa Rao ◽  
Senthil Kumar ◽  
R. Anantharamakrishnan ◽  
P. Varadaraju
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Clinical Presentation ◽  
Young Male ◽  
High Index ◽  
History Of ◽  
Scrotal Swelling ◽  
High Index Of Suspicion

Introduction: Scrotal tuberculosis (TB) is rare and may present as painful scrotal swelling with ulceration and discharging sinus. Case Report: A 28 years male with 2 months history of swelling and pain over left scrotum. Developed ulcer over the scrotal region with multiple sinus associated with pus discharge. Conclusion: The clinical presentation of TB scrotal ulcer can be atypical and a high index of suspicion is required for early diagnosis. Diagnosis is by using ultrasonography, microbiology, and biopsy. Treatment requires prolonged ATT for 6 months.

scholarly journals The Application of Endoscopic Technique in High Cervical Anterior Approach to the Craniovertebral Junction

2020 ◽  
Author(s):  
Jiangtao Liu ◽  
Hongming Ji ◽  
Gangli Zhang ◽  
Shengli Chen ◽  
Shiyuan Zhang ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Surgical Approach ◽  
Anterior Approach ◽  
Craniovertebral Junction ◽  
Close Proximity ◽  
Cervical Approach ◽  
Anterior Cervical Approach ◽  
Surgical Corridor ◽  
High Cervical ◽  
Neurovascular Structures

Abstract Objectives: Surgery on the craniovertebral junction (CVJ) presents particular challenges owing to the close proximity of critical neurovascular structures and the brainstem. It is difficult for classic approaches to obtain the extra exposure of neurovascular structures of the CVJ in practice.The surgical approach to the craniovertebral junction (CVJ) offers specific challenges. We explored the feasibility of an endoscope-assisted high anterior cervical approach to the CVJ. Methods: We quantitatively assessed the surgical corridor to, and extent of exposure of, the CVJ in six cadaveric specimens, using 0° and 30° endoscopes. Results: The endoscope provided sufficient exposure of neurovascular structures and the brainstem in the CVJ. Resection of the anterior arch of C1 was avoided in minimal anterior clivectomy. After removing the odontoid, greater exposure of the CVJ was obtained. Conclusion: An endoscope-assisted high anterior cervical approach to the CVJ preserves cervical spine stability while minimizing the risk of neurovascular injury within the surgical corridor.

scholarly journals Multiple amyloid lesions in the lateral pharyngeal wall: a case report

2021 ◽  
Vol 7 (5) ◽  
pp. 875
Author(s):  
Andres Claros ◽  
Cristina Blebea ◽  
Pedro Clarós
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Clinical Presentation ◽  
Diverse Group ◽  
Amyloid Protein ◽  
Lateral Pharyngeal Wall ◽  
Pharyngeal Wall ◽  
Laryngeal Lesion ◽  
Left Posterior ◽  
History Of

<p class="abstract">Amyloidosis represents a diverse group of disorders that have in common the deposition of amyloid protein in various extracellular tissues. Its clinical presentation may be systemic or localised. However, regions in the head and neck are rarely affected. This report discusses the case of a 57 year old man with a history of 6 years of left ear non-pulsatile tinnitus, who at the physical examination presented a polilobulated, yellowish oropharyngeal lesion, behind the left posterior pillar of the tonsil. Biopsy of the lesion sustained the diagnostic of light chain amyloidosis and subsequent evaluation was significant for establishing the diagnosis of localised amyloidosis. While further investigations a second laryngeal lesion was encountered. We present a case report of double synchronous amyloidosis localization on head and neck and asymptomatic lesions and discuss the implications for diagnosis and treatment.</p>

scholarly journals A case report of brunner gland adenoma

2016 ◽  
Vol 4 (04) ◽  
pp. 29-31
Author(s):  
Vidhya Subramanian ◽  
Mahendranath .P ◽  
A. Shalini ◽  
Sucharita Murugesan
Keyword(s):  
Case Report ◽  
Duodenal Obstruction ◽  
Clinical Presentation ◽  
Common Symptom ◽  
Rare Tumor ◽  
Duodenal Polyp ◽  
Obscure Bleeding ◽  
History Of

Brunner gland adenoma are rare tumor and etiology remains obscure. Bleeding is the most common symptom, Gastric outlet or duodenal obstruction may also occur. The incidence is less than 5%. This case is presented here for rarity of clinical presentation. A 69 years female came with history of melena . Gastroduodenoscopy diagnosed with duodenal polyp.

Abdominal Proptosis: A Case Report

1987 ◽  
Vol 32 (4) ◽  
pp. 310-311 ◽  
Author(s):  
Joelle-Louise Hardy ◽  
Maurice Coulombe
Keyword(s):  
Case Report ◽  
Case History ◽  
Clinical Presentation ◽  
History Of ◽  
Psychological Origin

A case history of abdominal swelling of psychological origin is described. The clinical presentation and psychogenic pathogenesis of the disorder provide a differentiation from pseudocyesis. The psychodynamics of this case are discussed emphasizing the conflict involving strong elements of pre-oedipal aggressivity towards the father image.

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