scholarly journals Anomalous Higher Branching Pattern of the Femoral Nerve: a Case Report with Clinical Implications

2007 ◽  
Vol 50 (4) ◽  
pp. 245-246 ◽  
Author(s):  
Srijit Das ◽  
Neelam Vasudeva

The femoral nerve usually divides into anterior and posterior branches below the inguinal ligament. In the present case, we report the anomalous higher branching pattern of the femoral nerve on both sides of a 52 year male cadaver. The femoral nerve divided into the anterior and posterior branches above the inguinal ligament. Such a higher division of femoral nerve is a rare finding and it may be important for surgeons, orthopaedicians and anaesthetists in day to day clinical practice.

2014 ◽  
Vol 31 (03) ◽  
pp. 159-161
Author(s):  
O. Oyedun ◽  
O. Onatola ◽  
C. Kanu ◽  
O. Zelibe

Abstract Introduction: The ulnar nerve is one of the two terminal branches of the medial cord. It passes down the medial aspect of the arm and runs posterior to medial epicondyle to enter the forearm without branching. Previously, ulnar nerve variations have been consistently located in origin or course of the distal branches. Case Report: In this present case, an unreported rare bifurcation of ulnar nerve was seen in the left lower arm of a 65 year male cadaver with the resulting posteromedial and anterolateral branches arising above the medial epicondyle in.Its phylogeny and implications are discussed in detail. Conclusion: A lack of awareness of variations might complicate surgical repair and may cause ineffective nerve blockade.


2016 ◽  
Vol 05 (02) ◽  
pp. 107-109
Author(s):  
Saranya Deb Barma ◽  
Gunamani Rabba ◽  
Kunjalal Talukdar

AbstractThe atlas vertebra articulates with the occipital bone of the skull by a pair of sunovial joints. Occipitalization is a congenital fusion of the atlas to the base of the occiput which reduces the foramen mangnum dimension leading to neurological complications due to compression of spinal cord. Individuals with occipitalization of the atlas may have low hairline, torticollis, restricted neck movement and abnormal short neck. During routine osteology demonstration class for undergraduate students, a total atlanto-occipital fusion was seen. The clinical implications of altanto-occipitalization may be beneficial for neurosurgeons, neurologists, orthopaedic surgeons and radiologists in day-to-day clinical practice.


2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Swamy Ravindra Shantakumar ◽  
K. G. Mohandas Rao

During routine dissection of an approximately 50-year-old male cadaver for the undergraduate medical students at Melaka Manipal Medical College, Manipal University, Manipal, we came across a variation in branching pattern of right axillary artery. The second part of axillary artery gave rise to a common trunk which divided into the subscapular and lateral thoracic arteries. The third part of right axillary artery gave rise to anterior and posterior circumflex humeral arteries. Variations in the branching pattern of axillary artery are important for the surgeons performing interventional or diagnostic procedures in cardiovascular diseases.


2019 ◽  
Vol 36 (01) ◽  
pp. 051-054
Author(s):  
Caroline Dussin ◽  
Lucas Moyses ◽  
Sávio Siqueira

AbstractMany authors have reported and classified several anatomical variations between the musculocutaneous (Mc) and median (Me) nerves, regarding their origin, number, and proximity with the coracobrachialis muscle. There also are, in the scientific community, records classifying the origin of supernumerary heads of the biceps brachii muscle. However, the occurrence of both aforementioned variations in the same arm is very uncommon. During a routine dissection of the right upper limb of a male cadaver, a third head of the biceps brachii was found originating from the fibers of the brachialis muscle, as well as a communicating branch between the Mc and the Me nerves, in the same limb. The objective of the present case report is to describe these multiple variations found, relating them and discussing their relevant clinical implications.


2016 ◽  
Vol 8 (2) ◽  
pp. 104-109
Author(s):  
Sameer R. Dhumale ◽  
Abduelmenem Alashkham

The iliacus muscle variation and coexisting femoral nerve split were discovered during routine anatomical dissection of iliac fossae in an embalmed cadaver. Careful dissection revealed abnormal branching of the femoral nerve around a muscular slip of iliacus, named iliacus minimus. We reason that the coexistence of a femoral nerve split with aberrant muscular slips increases the chance of nerve compression. The findings reported here support many other cases of unusual femoral nerve branching and highlight the impact on diagnostic testing, imaging, and treatment of pathology within the iliac compartment. Understanding and recognising anatomical variation is critical for medical specialists and educators, particularly anatomists, radiologists, and surgeons in order to improve medical practice;La variación de músculo del ilíaco coexistiendo con la división del nervio femoral fueron descubiertos durante la disección anatómica rutinaria de la Fosa ilíaca en un cadáver fijado. La disección cuidadosa reveló una ramificación anormal del nervio femoral alrededor de una división accesoria del musculo iliaco, llamado iliacus minimus. Razonamos que la coexistencia de una ramificación del nervio femoral con divisiones musculares aberrantes aumenta la posibilidad de compresión del nervio. Los resultados publicados aquí apoyan muchos otros casos de ramificación del nervio femoral inusuales y destacan la relevancia en las pruebas diagnósticas, los métodos por imágenes y el tratamiento de la patología dentro de la fosa iliaca. Comprender y reconocer las variaciones anatómicas son fundamentales para médicos especialistas y docentes, particularmente anatomistas, radiólogos y cirujanos con el fin de mejorar la práctica médica.


2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Amro Mohamed Soliman ◽  
Elvy Suhana Ramli ◽  
Srijit Das ◽  
Norzana Abd Ghafar

The facial nerve divides within the parotid gland into upper temporozygomatic and lower cervicofacial branches. The two branches further subdivide and emerge from the parotid gland as five main branches. We observed a rare anomalous branching pattern of the facial nerve along with double parotid duct on the right side of a 50-year-old male cadaver. The two parotid ducts emerged at the level of the anterior border of parotid gland then united to form one single duct thereby opened into the oral cavity. The first duct (D1) emerged from the upper one third of the anterior border of the parotid gland and traversed horizontally for 9 mm to join the second duct. Knowledge of anomalous branching pattern of facial nerve and double parotid ducts may be beneficial for maxillofacial surgeons.


Author(s):  
Adithya Chandregowda ◽  
Julie A. G. Stierwalt ◽  
Heather M. Clark

Purpose The purpose of this report is to promote conversation among medical speech-language pathologists (SLPs) about their role in facilitating family–patient interaction involving patients who acutely encounter the end-of-life (EOL) phase and have severe communication impairment. Case Report We provide self-reflections from our own clinical practice, pertinent literature review, and medical chart review of a relevant patient to serve as a catalyst for such discussion. Reflections We share a preliminary handout containing strategies that SLPs could provide family members of patients who have encountered an EOL phase and have severe communication impairment (e.g., global aphasia) and reduced alertness level. Clinical Implications SLPs can play an important role in facilitating EOL patient–family interaction and alleviate suffering even when patients have severe communication impairment.


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