scholarly journals Multimodal therapeutical-rehabilitative approches in a complex case of pathology including possibly evolving discariotic type- case report.

2019 ◽  
Vol 10 (Vol 10 No. 4) ◽  
pp. 567-570
Author(s):  
Ana-Carmen REBEDEA ◽  
Laura Georgiana POPESCU ◽  
Luminița NIRLU ◽  
Ali Osman SAGLAM ◽  
Alexandru STAVRICĂ ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Depression ◽  
Cardiac Insufficiency ◽  
Complex Case ◽  
Motor Deficit ◽  
Temporal Region ◽  
Class Iii ◽  
Current Case ◽  
Safety Margins ◽  
Short Period

Introduction Having the patient’s consent and The Teaching Emegency Hospital “Bagdasar-Arseni” Ethics Committeee N.O 20270 from 26.06.2019, the current case report presents the case of a female patients with both hemiplegia following a thalamic vascular accident and a long history of neglected auricular melanoma. The management of a patient diagnosed with melanoma is a complex one, involving wide local excisions with safety margins, with sentinel lymph node biopsy. Auricular melanomas have recently evolved from radical procedures involving the amputation of the involved organ, to much less radical procedures, which help save more of the patient’s tissue and functionality. (1) Another important factor that threatens the rehabilitation process in the case of hemiplegic patients is the presence of clinical depression, both as a pre-existing comorbidity and as a common psychiatric complication of stroke. (2) Depression jeopardizes the patient’s quality of life and increases mortality. (2) There is also relevant date supporting the hypotheses that depression history is associated with melanoma risk, although no effect on survival was observed. (3) Materials and Methods A 70 years old pacient, which suffered right thalamic vascular accident in december 2018 was admitted in our Neuromuscular clinic division with the following comorbidities: basal-cell carcinoma (BCC), diagnosed 20 years ago, with slow evolution. When admittedin our division, the pacient presented with a moderately large ulcerated tumor in the temporal region and the left auricular pavilion – with surgical indication. She was also diagnosed with arterial hypertension stage III, chronic, cardiac insufficiency class III NYHA, chronic cervicalgia and lumbosacralgia, class II obesity, clinical depression. She was admitted into our clinic for hemiplegic motor deficit, sensibility disorders, severe locomotor and self-grooming dysfunction. Results The patient improved on most of the assessment scales/scores implemented in our Clinic’s Division Motor FIM (Functiona Independence Measure) from 35/91 to 38/91, FAC (Functional Ambulation Categories) from 0/5 to 1/5, GOS-E (The Extended Glasgow Outcome Scale) from 4/8 to 5/8. The most important improvemet in our patent’s evolution was her ability to start walking again. During her admission into our Clinic, she was also briefly admitted into the hospital’s Plastic Survery Divison, where she received the necessary surgical trateament for the melanoma. Conclusions Following a complex neuro-recovery program developed by a multidisciplinary team made of doctors, kinesio-therapists, middle and allied health personnel, the patient had an extremely good evolution (during a short period of time) - attested on the scales and also - on a psycho-cognitive and behavioral level. Key words: neuromuscular rehabilitation, stroke, hemiplegia, melanoma, basal-call carcinoma,

scholarly journals Diagnostic particularities and multimodal therapeutic and rehabilitation approches to a complex case of post ischemic stroke with dyshphagia and dysphonia, associating Millard-Gubler and Wallenberg syndromes- case report

2019 ◽  
Vol 10 (Vol 10 No. 4) ◽  
pp. 535-540
Author(s):  
Luminița NIRLU ◽  
Laura Georgiana POPESCU ◽  
Ana Carmen ALBEȘTEANU ◽  
Ali-Osman SAGLAM ◽  
Alexandru G. STAVRICĂ ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Clinical Symptoms ◽  
Lower Limbs ◽  
Complex Case ◽  
Functional Improvement ◽  
Motor Deficit ◽  
Emergency Hospital ◽  
Wallenberg Syndrome ◽  
Lateral Medullary Syndrome

Introduction. Millard-Gubler syndrome (MGS), also known as the ventral pontine syndrome or hemiplegic syndrome, is one of the classical crossed syndromes characterized by a unilateral lesion of the basal portion of the caudal part of the pons. MGS manifests as ipsilateral palsy of CN VI and VII with contralateral hemiplegia. Wallenberg syndrome or lateral medullary syndrome, is characterized by the triad of Horner's syndrome, ipsilateral ataxia and contralateral hypoalgesia. Other clinical symptoms may include difficult swallowing, slurred speech, vertigo, nausea, vomiting, dyspnea, tachycardia, headaches and muscular hypertonia. Materials and Methods Having the patient’s consent and The Teaching Emergency Hospital “Bagdasar-Arseni” Ethics Committee N.O 20270 from the 26th of June 2019, the current case report presents a 67-year-old male patient from rural area with left hemiplegia (complete brachial and crural motor deficit), right eye abduction paresis, dysphagia, dysphonia, central facial palsy - all post acute ischemic stroke. The patient was also diagnosed with ischemic cardiomyopathy, atherosclerosis, alcoholism, type 2 diabetes with Insulin therapy and oral antidiabetic agent. The patient was admitted in the Neurorehabilitation Clinic of the Teaching Emergency Hospital „Bagdasar-Arseni” (TEHBA) Bucharest, Romania, associating severe alteration in self-care abilities, locomotor dysfunction, memory disorders, slurred speech, for specialized rehabilitation treatment and nursing. Results. A case of rare pathology for which, unfortunately, there is a discrepancy between functional improvement and the poor motor control in the in the lower limbs (muscle force was 0-1 out of 5 on the Medicale Research Council scale), within an overall favorable evolution, including elements of the clinical status afferent to the two above mentioned syndromes. Conclusions. Approaching such a clinical case has been a complex and extensive challenge for the entire neuromuscular recovery team and remains similar for any other squad. This pathology remains an issue that demands our earnest attention. Key words: Millard-Gubler syndrome (MGS), Wallenberg syndrome, crossed syndromes, hemiplegia, neurorehabilitation, stroke

A Case Report for a Complex Denture Case on a Special Care Patient with Osteogenesis Imperfecta

2015 ◽  
Vol 4 (2) ◽  
pp. 77-81
Author(s):  
Colin Sawyer ◽  
David Drysdale
Keyword(s):  
Case Report ◽  
Osteogenesis Imperfecta ◽  
Social Life ◽  
Care Patient ◽  
Special Care ◽  
Complex Case ◽  
Class Iii ◽  
Brittle Bone Disease ◽  
Partially Dentate

This case report presents a patient with Dentogenesis Imperfecta (DI) associated with Osteogenesis Imperfecta (OI) and its subsequent dental manifestations. The patient in this report (see Figure 1) has spent his life living with his disability type III OI (also known as brittle bone disease) and its degenerative affects. The patient is independent and enjoys his social life but felt his existing dentures were having an adverse effect on the quality of his life. The patient attended Dorset County Hospitals Special Care Dentistry and on clinical examination it was noted the patient was partially dentate with a class III malocclusion and brownish discoloration of the remaining teeth caused by enamel hypoplasia. Treatment for this patient would entail making a maxillary complete denture and a mandibular partial chrome denture, normally quite simple tasks but due to the DI and its dental manifestations, the treatment would be complicated. This case demonstrates how a complex case treated by a collaborative dental team using their different skills and knowledge can lead to a successful and rewarding treatment for both patient and team.

Retreatment of a Skeletal Class III Patient with Open Bite: A Case Report

2020 ◽  
Vol 10 (1) ◽  
pp. 1-11
Author(s):  
So-Hyun Kim ◽  
Nam-Ki Lee ◽  
Young-Kyun Kim ◽  
Tae-Hyun Choi
Keyword(s):  
Case Report ◽  
Open Bite ◽  
Class Iii ◽  
Skeletal Class

scholarly journals Skeletal Class III Malocclusion with Lateral Open Bite and Facial Asymmetry Treated with Asymmetric Lower Molar Extraction and Lingual Appliance: A Case Report

2021 ◽  
Vol 18 (10) ◽  
pp. 5381
Author(s):  
Vo Truong Nhu Ngoc ◽  
Nguyen Thi Thu Phuong ◽  
Nguyen Viet Anh
Keyword(s):  
Case Report ◽  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Facial Esthetics ◽  
Lingual Appliance ◽  
Lower Incisors ◽  
Mandibular Incisors ◽  
Molar Extraction

A skeletal Class III malocclusion with open bite tendency is considered very difficult to treat orthodontically without surgery. This case report describes the lingual orthodontic treatment of an adult skeletal Class III patient with mandibular deviation to the left side, lateral open bite, unilateral posterior crossbite, zero overbite and negative overjet. The lower incisors were already retroclined to compensate with the skeletal discrepancy. The patient was treated by asymmetric molar extraction in the mandibular arch to retract the lower incisors and correct the dental midline, with the help of intermaxillary elastics. Lingual appliance was used with over-torqued lower anterior teeth’s brackets to control the torque of mandibular incisors. After a 30-month treatment, satisfactory smile and facial esthetics and good occlusion was achieved. A 12-month follow-up confirmed that the outcome was stable. Asymmetric molar extraction could be a viable option to retract mandibular incisors in Class III malocclusion with lower dental midline deviation.

scholarly journals Case report: Manual therapies promote resolution of persistent post-concussion symptoms in a 24-year-old athlete

2021 ◽  
Vol 9 ◽  
pp. 2050313X2095222
Author(s):  
Susan Vaughan Kratz
Keyword(s):  
Case Report ◽  
Symptom Severity ◽  
Impact Test ◽  
Manual Therapies ◽  
Symptom Checklist ◽  
Post Concussion Syndrome ◽  
Persistent Symptoms ◽  
Short Period ◽  
History Of ◽  
Headache Impact

This case report illustrates the treatment outcomes of a collegiate athlete presenting with an 18-month history of post-concussion syndrome who received a series of mixed manual therapies in isolation of other therapy. Persistent symptoms were self-reported as debilitating, contributing to self-removal from participation in school, work, and leisure activities. Patient and parent interviews captured the history of multiple concussions and other sports-related injuries. Neurological screening and activities of daily living were baseline measured. Post-Concussion Symptom Checklist and Headache Impact Test-6™ were utilized to track symptom severity. Treatments applied included craniosacral therapy, manual lymphatic drainage, and glymphatic techniques. Eleven treatment sessions were administered over 3 months. Results indicated restoration of oxygen saturation, normalized pupil reactivity, and satisfactory sleep. Post-concussion syndrome symptom severity was reduced by 87% as reflected by accumulative Post-Concussion Symptom Checklist scores. Relief from chronic headaches was achieved, reflected by Headache Impact Test-6 scores. Restoration of mood and quality of life were reported. A 6-month follow-up revealed symptoms remained abated with full re-engagement of daily activities. The author hypothesized that post-concussion syndrome symptoms were related to compression of craniosacral system structures and lymphatic fluid stagnation that contributed to head pressure pain, severe sleep deprivation, and multiple neurological and psychological symptoms. Positive outcomes over a relatively short period of time without adverse effects suggest these therapies may offer viable options for the treatment of post-concussion syndrome.

Interception of developing class III malocclusion with temporary anchorage devices: A case report

2014 ◽  
Vol 21 (2) ◽  
pp. 131-135
Author(s):  
Maciej Dobrzyński ◽  
Katarzyna Miśków ◽  
Krzysztof Dowgierd
Keyword(s):  
Case Report ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Temporary Anchorage Devices

Nonsurgical treatment for a Class III dental relationship: A case report

1993 ◽  
Vol 103 (3) ◽  
pp. 203-211 ◽  
Author(s):  
Thomas W. Popp ◽  
Christel G.M. Gooris ◽  
Jeffrey A. Schur ◽  
Vincent Kokich
Keyword(s):  
Case Report ◽  
Nonsurgical Treatment ◽  
Class Iii

LUPUS NEPHRITE WITH FAST - PROGRESSING CURRENT: CASE REPORT

Vestnik ◽  
2021 ◽  
pp. 143-146
Author(s):  
Б.Г. Султанова ◽  
С.Б. Бодесова ◽  
А.Т. Ибрашева ◽  
Б.С. Мусабаев ◽  
Д.Ш. Бетирова ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Case Report ◽  
Lupus Erythematosus ◽  
Clinical Laboratory ◽  
Rapidly Progressive Glomerulonephritis ◽  
Diagnostic Methods ◽  
Symptomatic Therapy ◽  
Systemic Lupus ◽  
Current Case ◽  
Complex Therapy

В статье описан «неклассический» случай, редко встречающаяся форма заболевания системной красной волчанкой без типичного поражения кожи с проявлением быстропрогрессирующего гломерулонефрита, с поражением тазобедренного сустава, выраженным болевым синдромом у юноши. С применением новых инновационных методов диагностики (непрямая иммунофлюоресценция на анализаторе AKLIDES), что позволило провести своевременно комплексную терапию включая в себя патогенетическую, эфферентную (гемодиализ, плазмаферез), тем самым получен хороший клинический эффект. This article describes a non- racial case of systemic lupus erythematosus with the manifestation of a rapidly progressive glomerulonephritis, hip joint lesion, a pronounced painful syndrom, without dermal manifestations. By the use of new diagnostic methods (immunofluorescence), timely complex therapy: pathogenetic, efferent therapy, symptomatic therapy, it is possible to obtain a fairly good clinical - laboratory- instrumental result.

Sign in / Sign up

Export Citation Format

Share Document