Multiple subluxations and comminuted fracture of the cervical spine in a sheep

2015 ◽  
Vol 43 (01) ◽  
pp. 44-38
Author(s):  
C.-C. Lin ◽  
K.-S. Chen ◽  
Y.-L. Lin ◽  
J. P.-W. Chan
Keyword(s):  
Cervical Spine ◽  
Pain Perception ◽  
Cervical Vertebrae ◽  
Traumatic Injury ◽  
Spinal Reflexes ◽  
Spine Trauma ◽  
Blunt Force Trauma ◽  
Comminuted Fracture ◽  
History Of ◽  
The Right

SummaryA 5-month-old, 13.5 kg, female Corriedale sheep was referred to the Veterinary Medicine Teaching Hospital, with a history of traumatic injury of the cervical spine followed by non-ambulatoric tetraparesis that occurred 2 weeks before being admitted to the hospital. At admission, malalignment of the cervical spine with the cranial part of the neck deviating to the right was noted. Neurological examinations identified the absence of postural reactions in both forelimbs, mildly decreased spinal reflexes, and normal reaction to pain perception tests. Radiography revealed malalignment of the cervical vertebrae with subluxations at C1–C2 and C2–C3, and a comminuted fracture of the caudal aspect of C2. The sheep was euthanized due to a presumed poor prognosis. Necropsy and histopathological findings confirmed injuries of the cervical spine from C1 to C3, which were consistent with the clinical finding of tetraparesis in this case. This paper presents a rare case of multiple subluxations of the cervical spine caused by blunt force trauma in a young sheep. These results highlight the importance of an astute clinical diagnosis for such an acute cervical spine trauma and the need for prompt surgical correction for similar cases in the future.

An Impacted Malformed Primary Maxillary Central Incisor Diagnosed as a Compound Odontoma.

2008 ◽  
Vol 33 (2) ◽  
pp. 161-166 ◽  
Author(s):  
Dror Aizenbud ◽  
Yael Pery Front
Keyword(s):  
Normal Development ◽  
Surgical Intervention ◽  
Traumatic Injury ◽  
Permanent Tooth ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
History Of ◽  
The Right ◽  
Compound Odontoma ◽  
Early Surgical Intervention

An odontoma is usually found in the surrounding area of the unerupted permanent tooth bud and rarely adjacent to the primary central incisor. This report presents a case of an unerupted malformed primary central incisor, histologically diagnosed as a compound odontoma. A 5.5 year-old healthy boy presented with an unerupted maxillary left primary central incisor and mild gingival buccal swelling. No history of traumatic injury was recorded. Radiological examination revealed a tooth-like mass with a partially developed root and a malformed crown in the area of the left primary central incisor. Delayed development of the successor left permanent incisor in comparison to the right one was noted. The rational for early surgical intervention to enable normal development and eruption of permanent incisors is described. Clinical and radiographic diagnoses as well as several etiological factors and a differential diagnosis are considered and reviewed.

scholarly journals Subcutaneous hyalohyphomycosis caused by Acremonium recifei: case report

1995 ◽  
Vol 37 (3) ◽  
pp. 267-270 ◽  
Author(s):  
Clarisse Zaitz ◽  
Edward Porto ◽  
Elisabeth Maria Heins-Vaccari ◽  
Aya Sadahiro ◽  
Ligia Rangel Barbosa Ruiz ◽  
...  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Histopathological Examination ◽  
Traumatic Injury ◽  
The State ◽  
Right Hand ◽  
History Of ◽  
The Right ◽  
First Time ◽  
Hematoxylin Eosin

We present a case of subcutaneous hyalohyphomycosis due to Acremonium recifei, a species whose habitat is probably the soil, first identified in 1934 by Arêa Leão and Lobo in a case of podal eumycetoma with white-yellowish grains and initially named Cephalosporium recifei. A white immunocompetent female patient from the state of Bahia, Brazil, with a history of traumatic injury to the right hand is reported. The lesion was painless, with edema, inflammation and the presence of fistulae. Seropurulent secretion with the absence of grains was present. Histopathological examination of material stained with hematoxylin-eosin showed hyaline septate hyphae. A culture was positive for Acremonium recifei. Treatment with itraconazole, 200 mg/day, for two months led to a favorable course and cure of the process. We report for the first time in the literature a case of subcutaneous hyalohyphomycosis due to Acremonium recifei in a immunocompetent woman. Treatment with itraconazole 200 mg/day, for two months, resulted in cure.

scholarly journals Right-sided strangulating diaphragmatic hernia in an adult without history of trauma: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Konstantinos G. Spiridakis ◽  
Mathaios E. Flamourakis ◽  
Ioannis G. Gkionis ◽  
Eleni I. Kaloeidi ◽  
Anthoula I. Fachouridi ◽  
...  
Keyword(s):  
Diaphragmatic Hernia ◽  
Clinical Status ◽  
Traumatic Injury ◽  
Postoperative Recovery ◽  
Case Presentation ◽  
Uneventful Postoperative Recovery ◽  
History Of ◽  
Chest X Ray ◽  
The Right ◽  
Diaphragmatic Hernias

Abstract Background Diaphragmatic hernia involves protrusion of abdominal contents into the thorax through a defect in the diaphragm. This defect can be caused either by developmental failure of the posterolateral foramina to fuse properly, or by traumatic injury of the diaphragm. Left-sided diaphragmatic hernias are more common (80–90%) because the right pleuroperitoneal canal closes earlier and the liver protects the right diaphragm. Diaphragmatic hernias in adults are relatively asymptomatic, but in some cases may lead to incarcerated bowel, intraabdominal organ dysfunction, or severe pulmonary disease. The aim of this report is to enlighten clinical doctors about this rare entity that can have fatal consequences for the patient. Case presentation We present a rare case of a right-sided strangulating diaphragmatic hernia in an adult Caucasian patient without history of trauma. Clinical examination revealed bowel sounds in the right hemithorax, which were confirmed by the presence of loops of small intestine into the right part of the thorax through the right diaphragm, as was shown on chest X-ray and computerized tomography. Deterioration of the clinical status of the patient led to an operation, which revealed strangulated necrotic small bowel. Approximately 1 m of bowel was removed, and laterolateral anastomosis was performed. The patient had an uneventful postoperative recovery and was discharged 8 days later. Conclusions Surgery is required to replace emerged organs into the abdomen and to repair diaphragmatic lesion. A delayed approach can have catastrophic complications for a patient.

scholarly journals The association of the Arg1277Gln mutation in the MYH7 gene with myosin storage myopathy in a Chinese family

2020 ◽  
Author(s):  
Li-li Li ◽  
Riu Li ◽  
Dongyun Liu
Keyword(s):  
Muscle Tone ◽  
Cervical Vertebrae ◽  
Chinese Family ◽  
Type I ◽  
Missense Mutations ◽  
Skeletal Muscle Myosin ◽  
Heterozygous Variant ◽  
History Of ◽  
Myosin Storage Myopathy ◽  
The Right

Abstract Background Myosin storage myopathy (MSM) is caused by missense mutations in the MYH7 gene, which encodes the β-cardiac/slow skeletal muscle myosin heavy chain rod (MyHCI). MSM is an autosomal dominant/recessive myopathy characterized by subsarcolemmal accumulations of myosin in type I muscle fibers that results in weakness of the scapula, limb and distal muscles.Methods Here, we report a MSM phenotype that was present across three generations of individuals from the same family, one of whom was a neonate.Results At birth, the neonate had an elevated creatine kinase level and decreased muscle tone in the limbs. At 2 months of age, the infant’s cervical vertebrae caused his head to be skewed to the right. At 7 months of age, the infant’s development was delayed.Whole exome sequencing showed a novel heterozygous variant NM_000257.3: c.3830G>A (p.Arg1277Gln) at exon 28 of the MYH7 gene in the DNA of the infant and his father.Conclusions Previously, which site has only been reported in 2 cases of cardiomyopathy; therefore, this study expands our knowledge of the clinical phenotypes associated with mutations within the rod region of MyHCI. Importantly, close follow-up of the neonate will provide important information on the natural history of MSM associated with MYH7 gene mutation.

scholarly journals Pain characteristics of temporomandibular disorder: a pilot study in patients with cervical spine dysfunction

2006 ◽  
Vol 14 (5) ◽  
pp. 388-392 ◽  
Author(s):  
Cristiane Rodrigues Pedroni ◽  
Anamaria Siriani de Oliveira ◽  
Fausto Bérzin
Keyword(s):  
Cervical Spine ◽  
Pilot Study ◽  
Pain Perception ◽  
Temporomandibular Disorder ◽  
Cervical Vertebrae ◽  
Radiographic Examination ◽  
Mcgill Pain Questionnaire ◽  
Number Of Patients ◽  
Pain Characteristics ◽  
Cervical Spine Dysfunction

OBJECTIVE: The purpose of the present pilot study was to describe pain complaints of TMD patients and cervical spine dysfunction. METHODS: Fourteen women with myogenous TMD, cervical motion limitation and rotation of at least one of the three first cervical vertebrae evidenced by radiographic examination participated in this study. The multidimensional pain evaluation was accomplished by a Brazilian version of the McGill Pain Questionnaire. RESULTS: The results showed that the most painful body site mentioned was cervical spine, followed by scapular region and temporomandibular joint. More than half of the volunteers reported temporal pain pattern as rhythmic, periodic and, or still, intermittent. The majority of the patients classified the pain intensity assessed at the moment of the evaluation as mild to discomforting. Absolute agreement was not observed among volunteers regarding word dimensions used to describe their pain, although a great number of patients chose the descriptor related to tension as the better expression to describe their painful complaint. CONCLUSION: Pain characteristics of TMD patients with cervical spine dysfunction showed cervical spine as a common painful region reported and words related to affective and emotional dimensions of pain perception can be used by these patients to qualify their pain complain.

scholarly journals Cervical Dumbbell Ganglioneuroma Causing Quadriplegia

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
J O Obande ◽  
Y D Dawang ◽  
E J Otorkpa ◽  
C I Okpanachi ◽  
E I 0bande
Keyword(s):  
Ganglion Cells ◽  
Cervical Vertebrae ◽  
Young Male ◽  
Cord Compression ◽  
Posterior Mediastinum ◽  
Tumour Resection ◽  
Complete Tumour ◽  
History Of ◽  
Rare Benign Tumour ◽  
The Right

Ganglioneuroma is a rare benign tumour that originates from the ganglion cells of the sympathetic nervous system. They are rare in cervical spine region and only 8 % of ganglioneuromas occur in the neck. The common sites of occurrence are in the posterior mediastinum, retroperitoneum and adrenal medulla, and as such, a cervical occurrence presenting with quadriplegia is a reportable event. We present a 26-year old young male with a two-year history of neck pain and progressive quadriplegia. He later became wheelchair-bound. Musculoskeletal examination revealed multiple generalized nodular skin swellings with café au lait macules. Magnetic resonance imaging showed a huge dumbbell tumour of the first two cervical vertebrae, to the right side of the spinal canal causing significant spinal cord compression. He had surgical intervention, aimed at complete tumour resection, postoperatively, power of the limbs improved to normal. Histological examination was consistent with ganglioneuroma. We present this report because the occurrence of ganglioneuroma is rare, secondly a cervical presentation is unusual and thirdly it presented as a rare cause of quadriplegia.

scholarly journals Traumatic Injury from a Tooth Brush: An Unusual Hazard of Oral Hygiene

2009 ◽  
Vol 3 (1) ◽  
pp. 1-2
Author(s):  
Suhas Godhi ◽  
Sandeep Goyal ◽  
Sonia Goyal
Keyword(s):  
Soft Tissue ◽  
Tissue Injury ◽  
Traumatic Injury ◽  
Soft Tissue Injury ◽  
Medial Aspect ◽  
Experienced Clinician ◽  
History Of ◽  
The Right ◽  
Careful Assessment ◽  
Rule Out

ABSTRACT We present a case of a 6 year old boy with a history of soft tissue injury caused by a toothbrush, the snapped head of which lodged into the medial aspect of the right ramus of the mandible. A survey of literature confirms that most injuries of this kind can be treated conservatively; however careful assessment by an experienced clinician is necessary to rule out other complications. The present paper discusses the prevalence, management and complications associated with impalement injuries of the oral cavity in children.

scholarly journals Myelopathy caused by Ossification of Thoracic Ligamentum Flavum

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Farid Yudoyono ◽  
Rully Hanafi Dahlan ◽  
Sevline Esthetia Ompusunggu ◽  
Laniyati Hamijoyo ◽  
Muhammad Zafrullah Arifin
Keyword(s):  
Cervical Spine ◽  
Thoracic Spine ◽  
Ligamentum Flavum ◽  
Pathological Condition ◽  
Thoracic Myelopathy ◽  
History Of ◽  
Spinal Ligaments ◽  
Ossification Of Ligamentum Flavum ◽  
Nerve Dysfunction ◽  
The Right

Hypertrophy of the posterior spinal elements leading to compromise of the spinal canal and its neural elements is a well-recognized pathological entity affecting the lumbar or cervical spine. Such stenosis of the thoracic spine in the absence of a generalized rheumatological,metabolic, or orthopedic disorder, or a history of trauma is generally considered to be rare. Spinal ligaments, such as the ligamentum flavum (LF), are prone to degeneration and can lead to back pain and nerve dysfunction. Ossification of ligamentum flavum (OLF) is a pathological condition that cause neurological symptoms and usually occurs in the thoracic spine and less frequently in the cervical spine. However the disease is now being increasingly recognized as acause of thoracic myelopathy. We report a rare case of thoracic myelopathy caused by OLF. A 48-year-old male presented with a chief complaint of weakness of bilateral lower extremities. Neurological examination revealed sensory deficit at Th 11 level below. Magnetic resonance imaging and computed tomography demonstrated OLF at the right T9–11 level. Thoracicmyelopathy caused by OLF was consider and surgical intervention was performed. Posterior decompression and laminoplasty has been performed for this patient. Keywords: ossification of ligamentum flavum, thoracic myelopathy, laminoplasty

scholarly journals Large Retropharyngeal Abscess Associated with Cervical Spine Tuberculosis

2018 ◽  
Vol 07 (01) ◽  
pp. 036-038
Author(s):  
Amit Agrawal ◽  
Vissa Santhi ◽  
Gali Kumar ◽  
Yashwanth Sandeep
Keyword(s):  
Cervical Spine ◽  
Retropharyngeal Abscess ◽  
Antitubercular Treatment ◽  
Loss Of Weight ◽  
Temperature Loss ◽  
History Of ◽  
Spine Tuberculosis ◽  
Vertebral Bodies ◽  
The Right

AbstractThe authors report a case of a 25-year-old man who presented with the history of neck pain and weakness of the right hand of 6-month duration. He had history of fever with evening rise in temperature, loss of weight, and cough. Radiologic investigations of the cervical spine showed collapse of the C5 vertebral body and partial destruction of the C4 and C6 vertebral bodies with kyphotic deformity and a large retropharyngeal hyperintense collection. The patient underwent drainage of the abscess, and the histopathology was suggestive of tuberculosis. He was started on antitubercular treatment and doing well at follow-up.

History of skeletal traction in the treatment of cervical spine injuries

1970 ◽  
Vol 33 (1) ◽  
pp. 54-59 ◽  
Author(s):  
John D. Loeser
Keyword(s):  
Cervical Spine ◽  
Cervical Vertebrae ◽  
Spine Fractures ◽  
Skeletal Traction ◽  
Content Type ◽  
Cervical Spine Injuries ◽  
Spine Injuries ◽  
History Of ◽  
Cervical Spine Fractures ◽  
Fine Print

✓ Therapy of cervical spine fractures is reviewed from the time of the Egyptians (4000 B.C.) to the present day. Immobilization has been practiced for slightly more than a century; devices for exerting traction upon the skull have been in use for 37 years. The Renaissance surgeon, Fabricus Hildanus, designed a tool for exerting traction upon the cervical vertebrae, but this method did not become popular. Until the 20th century, few physicians considered the therapy of this common injury.

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