scholarly journals Ribbing Disease: An Unusual Cause of Leg Pain in a Young Woman

2017 ◽  
Author(s):  
Ali Raza Naqvi ◽  
Pat Forbes ◽  
Jeremy Cox ◽  
Alexander N Comninos
Keyword(s):  
Young Woman ◽  
Leg Pain ◽  
Ribbing Disease

scholarly journals McArdle's Disease Presenting as Unexplained Dyspnea in a Young Woman

2004 ◽  
Vol 11 (2) ◽  
pp. 163-167 ◽  
Author(s):  
Nha Voduc ◽  
Katherine A Webb ◽  
Christine D'Arsigny ◽  
Ian McBride ◽  
Denis E O'Donnell
Keyword(s):  
Young Woman ◽  
Respiratory Muscle ◽  
Esophageal Pressure ◽  
Lung Mechanics ◽  
Exercise Intolerance ◽  
Leg Pain ◽  
Exertional Dyspnea ◽  
Mcardle's Disease ◽  
Mcardle’S Disease ◽  
Muscle Impairment

McArdle's disease is a rare, inherited deficiency of myophosphorylase, an enzyme required for the utilization of glycogen. Patients with myophosphorylase deficiency classically present with exercise intolerance, leg pain and muscle fatigue. The case of a young woman with exertional dyspnea and leg cramps is described. Exercise testing confirmed the presence of exercise intolerance and demonstrated an accelerated heart rate response, despite the absence of an anaerobic threshold and a respiratory exchange ratio of less than 1.0. Subsequent ischemic forearm testing and muscle biopsy confirmed the diagnosis of myophosphorylase deficiency. Evaluation of lung mechanics with esophageal pressure measurements demonstrated the presence of respiratory muscle weakness and early fatiguability, suggesting that the patient's dyspnea might have been attributable to an increased respiratory effort. Dyspnea is not a classic symptom associated with myophosphorylase deficiency, although subclinical respiratory muscle impairment may be present. No previous studies have evaluated respiratory muscle function during exercise in patients with myophosphorylase deficiency.

Popliteal entrapment syndrome and age

VASA ◽  
2012 ◽  
Vol 41 (4) ◽  
pp. 262-268 ◽  
Author(s):  
Schweizer ◽  
Hügli ◽  
Koella ◽  
Jeanneret
Keyword(s):  
Risk Factors ◽  
Leg Pain ◽  
Walking Distance ◽  
Therapeutic Approaches ◽  
Long Distance ◽  
Entrapment Syndrome ◽  
Long Distance Running ◽  
Popliteal Entrapment ◽  
Popliteal Entrapment Syndrome ◽  
Atherosclerotic Risk Factors

On the occasion of diagnosing a popliteal entrapment syndrome in a 59-year old man with no cardiovascular risk factors, who developed acute ischemic leg pain during long distance running, we give an overview on this entity with emphasis on patients’age. The different types of the popliteal artery compression syndrome are summarized. The diagnostic and therapeutic approaches are discussed. The most important clinical sign of a popliteal entrapment syndrome is the lack of atherosclerotic risk factors in patients with limited walking distance. Not only in young athletes but also in patients more than 50 years old the popliteal entrapment syndrome has to be taken into account.

Should I prefer chest pain over leg pain?

VASA ◽  
2012 ◽  
Vol 41 (2) ◽  
pp. 75-77
Author(s):  
Minar
Keyword(s):  
Chest Pain ◽  
Leg Pain

Transient Global Amnesia in a Young Woman on Prolonged Treatment with Oral Contraceptive Drugs

1996 ◽  
Vol 75 (06) ◽  
pp. 980-980
Author(s):  
G Orefice ◽  
L Soriente ◽  
A M Cerbone ◽  
M Coppola ◽  
R Lanzillo ◽  
...  
Keyword(s):  
Oral Contraceptive ◽  
Young Woman ◽  
Transient Global Amnesia ◽  
Prolonged Treatment ◽  
Global Amnesia

Prompt Return to Work after Bilateral Transforaminal Full-endoscopic Lateral Recess Decompression under Local Anesthesia: A Case Report

2020 ◽  
Author(s):  
Kosuke Sugiura ◽  
Kazuta Yamashita ◽  
Hiroaki Manabe ◽  
Yoshihiro Ishihama ◽  
Fumitake Tezuka ◽  
...  
Keyword(s):  
Return To Work ◽  
Local Anesthesia ◽  
Skin Incision ◽  
Leg Pain ◽  
Lateral Recess ◽  
Canal Stenosis ◽  
Transforaminal Approach ◽  
Lateral Recess Stenosis ◽  
Lumbar Spinal ◽  
Herniated Nucleus Pulposus

AbstractTransforaminal full-endoscopic lumbar diskectomy became established early in the 21st century. It can be performed under local anesthesia and requires only an 8-mm skin incision, making it the least invasive disk surgery method available. The full-endoscopic technique has recently been used to treat lumbar spinal canal stenosis. Here, we describe the outcome of simultaneous bilateral decompression of lumbar lateral recess stenosis via a transforaminal approach under local anesthesia in a 60-year-old man. The patient presented with a complaint of bilateral leg pain that was preventing him from standing and walking, and he had been able to continue his work as a dentist by treating patients while seated. Imaging studies revealed bilateral lumbar lateral recess stenosis with central herniated nucleus pulposus at L4/5. We performed simultaneous bilateral transforaminal full-endoscopic lumbar lateral recess decompression (TE-LRD) under local anesthesia. Both decompression and diskectomy were successfully completed without complications. Five days after TE-LRD, he was able to return to work, and 3 months after the surgery, he resumed playing golf. Full-endoscopic surgery under local anesthesia can be very effective in patients who need to return to work as soon as possible after surgery.

Correlation of axial loaded magnetic resonance imaging with clinical symptoms in lumbar spinal canal stenosis patients

MedPharmRes ◽  
2019 ◽  
Vol 2 (4) ◽  
pp. 15-19
Author(s):  
Son Nguyen ◽  
Son Vi ◽  
Hoat Luu ◽  
Toan Do
Keyword(s):  
Spinal Canal ◽  
Clinical Symptoms ◽  
Axial Loading ◽  
Spinal Canal Stenosis ◽  
Leg Pain ◽  
Cross Sectional ◽  
Canal Stenosis ◽  
Conventional Mri ◽  
Frame System ◽  
Lumbar Spinal

There are cases when symptoms are available but no abnormal stenosis is found in MRI and vice versa. Axial-loaded MRI has been shown that it can demonstrate more accurately the real status of spinal canal stenosis than conventional MRI. This is the first time we applied a new system that we have recreated from the original loading frame system in order to fit with the demands of Vietnamese people. Sixty-two patients were selected from Phu Tho Hospital in Phu Tho Province, Vietnam, who fulfilled the inclusion criteria. The Anterior-posterior diameter (APD), Dura Cross-sectional Area (DSCA) in conventional MRI and axial loaded MRI, and changes in APD and DCSA were determined at the single most constricted intervertebral level. The APD and DCSA in axial loaded MRI had very good significant correlations with VAS for back pain (rs=0.83, 0.79), leg pain (rs=0.69, 0.57) and JOA score (rs=0.70, 0.65). APD and DCSA in axial loaded MRI significantly correlated with the severity of symptoms. Our axial loading MRI provides more valuable information than the conventional MRI for assessing patients with LSCS.

A family with oedipal dynamics

2020 ◽  
Vol 3 (1) ◽  
pp. 111-118
Author(s):  
Li Yanling ◽  
David E. Scharff
Keyword(s):  
Family Therapy ◽  
Parental Care ◽  
Young Woman ◽  
Discussion Group ◽  
Entire Group ◽  
Group Leaders ◽  
Couple And Family Therapy ◽  
Supervision Group ◽  
The Way

The following case presents the way that overtly oedipal identification in a young woman covered failure in early parental care and discontent between her parents. The case was presented by Li Yanling to her supervision group, and the commentary and elaboration have been gathered from comments from the entire group of advanced supervisees, all of whom were discussion group leaders in the Beijing Continuous Program in Psychoanalytic Couple and Family Therapy.

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