Case Report and Literature Review: COVID-19 and status epilepticus in Dyke-Davidoff-Masson syndrome

Dyke-Davidoff-Masson syndrome (DMMS) is a non-inherited rare condition with a clinical constellation of hemiparesis/hemiplegia, facial asymmetry, intellectual disability, and epilepsy. The radiological features can be including unilateral cerebral atrophy, calvarial thickening, and hyper pneumatization of the paranasal sinuses. The condition can either be congenital or acquired. The presentation usually occurs during childhood or early adolescents, but there have been adult cases reported. Here we report a 48-year-old male who was a known poorly controlled epileptic that contracted SARS-CoV-2 with subsequently developed status epilepticus and, when worked up, was shown to have features of DDMS. This case is unique as the patient had hemiatrophy and epilepsy but managed to lead a normal, physically demanding, and high functioning academic career and presented late in life. Perhaps only due to coronavirus disease 2019 (COVID-19) was this diagnosis picked up. This report contains a case presenting atypical DDMS in status epilepticus and COVID -19 plus other complications. From our knowledge, this is the first case presenting these comorbidities reported to the medical literature.

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Coexistence of Ectopic Posterior Pituitary and Sellar/Suprasellar Arachnoid Cyst: A Case Report

Current Medical Imaging Formerly Current Medical Imaging Reviews ◽

10.2174/1573405616666200530210847 ◽

2020 ◽

Vol 16 (8) ◽

pp. 1055-1057

Author(s):

Suzan Saylisoy ◽

Goknur Yorulmaz

Keyword(s):

Case Report ◽

Rare Condition ◽

Optic Chiasm ◽

Magnetic Resonance Images ◽

Bright Spot ◽

Posterior Pituitary ◽

First Case ◽

History Of ◽

Diaphragma Sellae ◽

Ectopic Posterior Pituitary

Background: The ectopic posterior pituitary (EPP) is a rare condition characterized by the ectopic location of the posterior pituitary lobe associated with varying degrees of stalk anomalies. The arachnoid cysts (AC) are benign lesions of the arachnoid, which account for 1% of all intracranial space-occupying lesions. Sellar/suprasellar ACs account for approximately 1% of all ACs. This is the first case of coexistence EPP with sellar/suprasellar AC. Case Report: A 67-year-old woman presented with 6 months history of fatigue. Her medical history was positive for irregular menstruation. Her endocrine examinations indicated low free thyroxine level with low TSH level, low oestradiol with low gonadotrophin level, slightly elevated prolactin level. Her Insulin-like growth factor-1 was below the normal levels. Dynamic contrast hypophysis MRI revealed a sellar cystic lesion with a dimension of 18 × 14 × 14 mm, extending from the suprasellar cistern, traversing the diaphragma sellae and reaching the level of the floor of the 3rd ventricle, consistent with sellar/suprasellar AC. There was no wall enhancement. The optic chiasm was compressed. The precontrast T1-weighted magnetic resonance images did not demonstrate the characteristic bright spot of posterior pituitary within the sella, which was higher in position, in the region of the median eminence. The pituitary stalk was not present. Conclusion: Although speculative, we have a hypothesis to explain how the EPP and sellar/- suprasellar AC coexist in this patient. Due to the absence of stalk, CSF may enter the sella tursica from the central aperture of the diaphragma sellae through which normally the stalk passes.

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Variant of bohring-opitz syndrome: A rare case report

IP Journal of Paediatrics and Nursing Science ◽

10.18231/j.ijpns.2021.017 ◽

2021 ◽

Vol 4 (2) ◽

pp. 84-86

Author(s):

Ramesh Choudhary ◽

Romesh Gauttam ◽

Vishnu Pansari ◽

Anand Kumawat

Keyword(s):

Case Report ◽

Rare Case ◽

Medical Literature ◽

Male Child ◽

Rare Syndrome ◽

First Case ◽

Eventration Of Diaphragm ◽

Rare Case Report ◽

Opitz Syndrome

Bohring–Opitz syndrome also known as Opitz C syndrome or Oberklaid–Danks syndrome is a rare syndrome. We are reporting a 2 months old male child with Bohring-Opitz like syndrome with all classical features and eventration of diaphragm (left side) which has not been reported yet with this syndrome. To our knowledge, a total of 23 cases with this syndrome have been reported in the medical literature to date and this is probably the first case report from India. Although there is overlap, a clinical distinction from the Bohring-Opitz syndrome and other syndromes seems possible, and thus a specific causal entity may be postulated.

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AN EARLY CASE REPORT OF INFANTILE DEHYDRATION IN COLONIAL AMERICA (1663)

PEDIATRICS ◽

10.1542/peds.61.2.255 ◽

1978 ◽

Vol 61 (2) ◽

pp. 255-255

Author(s):

John Pynchon

Keyword(s):

Case Report ◽

American Medical ◽

Medical Literature ◽

Colonial America ◽

Medical Advice ◽

First Case ◽

Early Case ◽

The One ◽

Father And Son ◽

Young Daughter

In colonial America the outstanding members of the governing class who were acknowledged as physicians were the two John Winthrops, father and son. John Winthrop, Jr. (1606-1676), Governor of Connecticut, far surpassed his father in the extent of his medical activities. His medical advice was sought, usually by letter, by hundreds of people. Typical of the letters he received is the one below, sent to him by John Pynchon concerning his daughter's illness. I believe this is the first case report of dehydration in American medical literature and, to my knowledge, has never been published. Much Honored Sir- We are bold to crave your advice concerning our young daughter about or neere one yeare & three quarters old. God having pleased to visit her with Illness. She hath not bin welt these 3 or 4 days, but especially yesterday morning was taken with a greate looseness & vomiting which doth continue much & exceedingly weakens her. Shee is very restless & unquiet & sleepes litle & is exceding dry craving for drink: how the Lord may deale with her & us we know not, but desire in the use of meanes to submit to his good pleasure: desiring your helpfullness in what you conceive needfull. I comend you & your affaires to the guidance of God & humbly take leave to subscribe.

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Supercharged End-to-Side Anterior Interosseous to Ulnar Motor Nerve Transfer for Hirayama Disease: A Case Report

Hand ◽

10.1177/15589447211063556 ◽

2021 ◽

pp. 155894472110635

Author(s):

Aleixo Abreu Tanure ◽

Luis Guilherme Rosifini Alves Rezende ◽

Ana Carolina Pazim ◽

Marcel Leal Ribeiro

Keyword(s):

Case Report ◽

Ulnar Nerve ◽

Motor Nerve ◽

Hand Function ◽

Rare Condition ◽

Nerve Transfer ◽

Late Presentation ◽

Hirayama Disease ◽

Nerve Transfers ◽

First Case

Hirayama disease is a rare condition of cervical myelopathy. Its early identification and correction can optimize functional outcomes. However, late presentation and some more severe cases may be associated with loss of hand function. Among the cases described, there are no reports of nerve transfers for this condition. We presented the first case report of a Hirayama disease of isolated ulnar nerve impairment managed with nerve transfer. Electroneuromyography showed isolated preganglionic involvement of C7, C8, and T1, with no sensory changes. The patient underwent nerve transfer with anterior interosseous nerve to ulnar nerve supercharge end-to-side, recovering hand function in 7 months.

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Complete Midline Cleft of Lower Lip, Mandible, Tongue, Floor of Mouth with Neck Contracture: A Case Report and Review of Literature

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0035-1549013 ◽

2015 ◽

Vol 8 (4) ◽

pp. 363-369 ◽

Cited By ~ 6

Author(s):

Anantheswar Y. N. Rao

Keyword(s):

Case Report ◽

World Literature ◽

Rare Condition ◽

Female Child ◽

Flexion Contracture ◽

Lower Lip ◽

Floor Of The Mouth ◽

First Case ◽

Manubrium Sterni ◽

Midline Cleft

Midline cleft of the lower lip and mandible is an extremely rare condition. Since 1819, when the first case was reported by Couronne, fewer than 80 cases have been described in the world literature so far. The cleft has also been described as facial cleft no. 30 by Paul Tessier. The condition varies in severity from a mild variety in which there is a submucous cleft and notching in the lower lip to a severe variety, involving the tongue, floor of the mouth, mandible, absent hyoid, atrophic neck muscles, and sternum. In this case report, a female child having complete midline cleft of the lower lip and mandible, with bifid tongue stuck to the floor of the mouth, absent hyoid bone and flexion contracture band extending from the confluence of the tip of the tongue, floor of the mouth, cleft mandible to the manubrium sterni is described, with special emphasis on surgical planning and management.

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Spontaneous pneumocephalus associated with pneumocele of the frontal sinus

Cephalalgia ◽

10.1177/0333102410378047 ◽

2010 ◽

Vol 30 (11) ◽

pp. 1400-1402 ◽

Cited By ~ 6

Author(s):

Chong Yoon Park ◽

Kyung Soo Kim

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Paranasal Sinus ◽

Paranasal Sinuses ◽

Frontal Sinus ◽

Soft Tissues ◽

Rare Condition ◽

Severe Headache ◽

First Case

Background: Pneumoceles of the paranasal sinuses are a very rare condition; characterized by a distended air-filled paranasal sinus extending beyond the margins of the paranasal bone, with bony defects and extension of air into the surrounding soft tissues. Also, spontaneous pneumo-cephalus is a rare condition which represented only 0.6% in the largest reported series of pneumocephalus. Although pneumocephalus caused by sinogenic origins, such as osteoma, has been reported, spontaneous pneumocephalus has not been reported as a complication associated with pneumocele of the frontal sinus. Methods: We report a case of spontaneous pneumocephalus associated with a pneumocele involving the frontal sinus which presented as acute severe headache. Results: To the best of our knowledge, this is the first case report in literature reporting spontaneous pneumocephalus in association with pneumocele of the frontal sinus. Conclusions: Although pneumocele of the frontal sinus is a very rare condition, it can develop into spontaneous pneumocephalus, and thus it needs to be included in the differential diagnosis of acute severe headache.

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Mixed Etiology COVID-19 Associated Pulmonary Aspergillosis (CAPA)—A Case Report and Brief Review of the Literature

Journal of Fungi ◽

10.3390/jof7100877 ◽

2021 ◽

Vol 7 (10) ◽

pp. 877

Author(s):

Dan Alexandru Toc ◽

Carmen Costache ◽

Alexandru Botan ◽

Razvan Marian Mihaila ◽

Ioana Alina Colosi ◽

...

Keyword(s):

Case Report ◽

Medical Literature ◽

Significant Risk ◽

Future Research ◽

Review Of The Literature ◽

Pulmonary Aspergillosis ◽

First Case ◽

Invasive Infections ◽

Shed Light ◽

Aspergillus Section

The SARS-CoV-2 pandemic has proved to be a significant risk addition for invasive infections with Aspergillus. Even though there are plenty of data about the COVID-19-associated pulmonary aspergillosis (CAPA), especially involving Aspergillus fumigatus, recent studies are presenting cases of CAPA involving more than one species of Aspergillus. We report the first case of a SARS-CoV-2 patient associating co-infection with, most likely, Aspergillus section Fumigati and Aspergillus section Flavi from Romania, and we review the existing medical literature in order to shed light upon mixed etiology cases of CAPA. Since mortality remains high in these cases, there is an acute need for more information about the interaction between SARS-CoV-2 and Aspergillus spp., and the therapies for CAPA. The emerging number of cases and the high mortality rate must be considered an incentive for future research.

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Otophyma: a case report

The Journal of Laryngology & Otology ◽

10.1017/s0022215107008419 ◽

2007 ◽

Vol 122 (5) ◽

pp. 524-526 ◽

Cited By ~ 3

Author(s):

K Daniels ◽

K Haddow

Keyword(s):

Case Report ◽

Rare Case ◽

English Language ◽

Rare Condition ◽

Successful Management ◽

English Language Literature ◽

First Case ◽

End Stage ◽

Slow Growing ◽

Language Literature

AbstractObjective:We report a rare case of otophyma.Method:A case report of otophyma and a review of the current literature concerning otophyma and the more common rhinophyma, are presented.Results:A 46-year-old male presented with slow growing fleshy growths on both auricles which were excised. A diagnosis of otophyma was made. Although rosacea is more common, otophyma and other ‘phymas’ are thought to be the end stage of the rosacea spectrum of skin disease. However, unlike rhinophyma, otophyma is rarely seen and as a result there is little in the English language literature regarding it. Consequently, the management of otophyma is largely based on previous experiences with rhinophyma.Conclusion:To our knowledge this is the first case report of otophyma in the otolaryngology literature and only the second described in the English language literature. This case demonstrates the difficulties faced in diagnosing this rare condition and our successful management of this case.

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Management of Unilateral Masseter Hypertrophy and Hypertrophic Scar—A Case Report

Case Reports in Dentistry ◽

10.1155/2012/521427 ◽

2012 ◽

Vol 2012 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Naresh Shetty ◽

Rajanikanth K. Malaviya ◽

M. K. Gupta

Keyword(s):

Case Report ◽

Hypertrophic Scar ◽

Masseter Muscle ◽

Muscle Hypertrophy ◽

Treatment Options ◽

Facial Asymmetry ◽

Rare Condition ◽

Keloid Scar ◽

Masseter Muscles ◽

Single Approach

Masseter muscle hypertrophy is a rare condition of idiopathic cause. It clinically presents as an enlargement of one or both masseter muscles. Most patients complain of facial asymmetry; however, symptoms such as trismus, protrusion, and bruxism may also occur. Several treatment options reported for masseter hypertrophy are present, which range from simple pharmacotherapy to more invasive surgical reduction. Keloid scar with unilateral masseter hypertrophy is a rarely seen in clinical practice. This paper reports a case of unilateral masseter hypertrophy with keloid scar in the angle of the mandible for which surgical treatment was rendered to the patient by using a single approach.

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