scholarly journals Iliopsoas haematoma in a rugby player

2016 ◽  
Vol 27 (2) ◽  
pp. 55
Author(s):  
D C Janse van Rensburg
Keyword(s):  
Nerve Palsy ◽  
Femoral Nerve ◽  
Young Athlete ◽  
Sports Injury ◽  
Iliopsoas Muscle ◽  
Lower Back ◽  
Pelvic Area ◽  
The Right ◽  
Hip Flexor ◽  
Rare Diagnosis

Traumatic iliopsoas haematoma is a serious complication of haemorrhage disorders rarely seen in young healthy athletes. It is mostly describedin patients on anticoagulant therapy and commonly associated with various degrees of femoral nerve palsy. A 22-year-old male rugby playerpresented with severe onset of pain in the lower back, right hip flexor/pelvic area following a tackle during a rugby match. Magnetic resonanceimaging identified a distinct, hyperechoic heterogeneous mass within the right iliopsoas muscle, confirming a diagnosis of iliopsoas haematoma.The case resolved completely after conservative medical treatment in addition to a period of rest and intense active physical therapy. This casestudy reports the rare diagnosis of an uncomplicated iliopsoas haematoma following a sports injury in a young athlete.

Isolated third cranial nerve palsy as the first presentation of multiple myeloma

2021 ◽  
Vol 14 (3) ◽  
pp. e239917
Author(s):  
Tejasvini Vaid ◽  
Rishi Dhawan ◽  
Mukul Aggarwal ◽  
Seema Tyagi
Keyword(s):  
Multiple Myeloma ◽  
Cranial Nerve ◽  
Cranial Nerve Palsy ◽  
Nerve Palsy ◽  
Cns Involvement ◽  
Cerebrospinal Fluid Analysis ◽  
Fluid Analysis ◽  
Third Cranial Nerve Palsy ◽  
The Right ◽  
Rare Diagnosis

A 50-year-old woman presented with a right-sided isolated third cranial nerve palsy. MRI brain showed a mass lesion arising from the right clivus with extension into the cavernous sinus. Blood investigations and bone marrow biopsy were suggestive of multiple myeloma with hypercalcaemia and renal dysfunction. It was unclear at first if the intracranial lesion was due to myelomatous involvement or a separate disease entirely. The patient declined consent for a biopsy and cerebrospinal fluid analysis was inconclusive. She was treated with bortezomib based chemotherapy and the palsy resolved by day 6, which helped clinch the rare diagnosis of central nervous system (CNS) involvement by multiple myeloma. Most patients with CNS myeloma have a dismal survival of under 6 months but she is on therapy for relapse 26 months after diagnosis. While placed under the umbrella of CNS myeloma, patients with osteodural myeloma have better outcomes, perhaps due to their distinct aetiopathogenesis.

scholarly journals Iliopsoas Muscle Hematoma with Femoral Nerve Palsy during Treatment with Low Molecular Weight Heparin

2016 ◽  
Vol 9 (1) ◽  
pp. 54-57
Author(s):  
A-reum Jung ◽  
Yoonkyung Chang ◽  
Gyeongseon Choi ◽  
Min-Jung Yoon ◽  
Ji-Hyun Choi ◽  
...  
Keyword(s):  
Molecular Weight ◽  
Low Molecular Weight Heparin ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Iliopsoas Muscle ◽  
Low Molecular Weight ◽  
Femoral Nerve Palsy

scholarly journals A Case of a Postzoster Femoral Nerve Palsy Patient with Weakness of the Right Lower Limb Treated with Korean Medicine

2018 ◽  
Vol 39 (2) ◽  
pp. 192-200
Author(s):  
Jung-yun Yang ◽  
Min-jeong Park ◽  
Soo-hyun Kim ◽  
Ki-ho Cho ◽  
Sang-kwan Mun ◽  
...  
Keyword(s):  
Lower Limb ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Korean Medicine ◽  
Femoral Nerve Palsy ◽  
The Right

Left suboccipital supracerebellar transtentorial approach for resection of tectal cavernous malformation

2019 ◽  
Vol 1 (2) ◽  
pp. V19
Author(s):  
Hussam Abou-Al-Shaar ◽  
Timothy G. White ◽  
Ivo Peto ◽  
Amir R. Dehdashti
Keyword(s):  
Nerve Palsy ◽  
Oculomotor Nerve ◽  
Oculomotor Nerve Palsy ◽  
Entry Zone ◽  
Third Nerve Palsy ◽  
History Of ◽  
Tectal Plate ◽  
The Right ◽  
Transtentorial Approach ◽  
Third Nerve

A 64-year-old man with a midbrain cavernoma and prior bleeding presented with a 1-week history of diplopia, partial left oculomotor nerve palsy, and worsening dysmetria and right-sided weakness. MRI revealed a hemorrhagic left tectal plate and midbrain cavernoma. A left suboccipital supracerebellar transtentorial approach in the sitting position was performed for resection of his lesion utilizing the lateral mesencephalic sulcus safe entry zone. Postoperatively, he developed a partial right oculomotor nerve palsy; imaging depicted complete resection of the cavernoma. He recovered from the right third nerve palsy, weakness, and dysmetria, with significant improvement of his partial left third nerve palsy.The video can be found here: https://youtu.be/ofj8zFWNUGU.

Femoral Nerve Palsy Following Total Hip Arthroplasty: Incidence and Course of Recovery

2018 ◽  
Vol 33 (4) ◽  
pp. 1194-1199 ◽  
Author(s):  
Andrew N. Fleischman ◽  
Richard H. Rothman ◽  
Javad Parvizi
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Nerve Palsy ◽  
Femoral Nerve ◽  
Total Hip ◽  
Femoral Nerve Palsy

scholarly journals An Unusual Presentation of Pyelonephritis: Is It COVID-19 Related?

2021 ◽  
Author(s):  
L. J. van ‘t Hof ◽  
L. Pellikaan ◽  
D. Soonawala ◽  
H. Roshani
Keyword(s):  
Late Onset ◽  
Blood Clot ◽  
Time Frame ◽  
Venous Occlusion ◽  
Late Complications ◽  
Organ Injury ◽  
Vein Thrombosis ◽  
Lower Back ◽  
The Right ◽  
Renal Infection

AbstractIn severe cases of COVID-19, late complications such as coagulopathy and organ injury are increasingly described. In milder cases of the disease, the exact time frame and causal path of late-onset complications have not yet been determined. Although direct and indirect renal injury by SARS-CoV-2 has been confirmed, hemorrhagic renal infection or coagulative problems in the urinary tract have not yet been described. This case report describes a 35-year-old female without relevant medical history who, five days after having recovered from infection with SARS-CoV-2, had an unusual course of acute pyelonephritis of the right kidney and persistent fever under targeted antibiotic treatment. A hemorrhagic ureteral obstruction and severe swollen renal parenchyma preceded the onset of fever and was related to the developing pyelonephritis. Sudden thrombotic venous occlusion in the right eye appeared during admission. Symmetrical paresthesia in the limbs in combination with severe lower back pain and gastro-intestinal complaints also occurred and remained unexplained despite thorough investigation. We present the unusual combination of culture-confirmed bacterial hemorrhagic pyelonephritis with a blood clot in the proximal right ureter, complicated by retinal vein thrombosis, in a patient who had recovered from SARS-CoV-2-infection five days before presentation. The case is suspect of a COVID-19-related etiology.

scholarly journals Clinical and morphological study of calf enlargement following S-1 radiculopathy

1992 ◽  
Vol 50 (3) ◽  
pp. 383-386 ◽  
Author(s):  
Osvaldo J. M. Nascimento ◽  
Marcos R. G. de Freitas ◽  
Myrian D. Hahn ◽  
Abelardo Q. C. Araújo
Keyword(s):  
Gastrocnemius Muscle ◽  
Rare Condition ◽  
Satisfactory Explanation ◽  
Lower Back ◽  
Left Buttock ◽  
Left Calf ◽  
One Year ◽  
The Right ◽  
Gastrocnemius Muscles

Calf enlargement following sciatica is a rare condition. It is reported the case of a 28-year-old woman who complained of repeated episodes of lower back pain radiating into the left buttock and foot. One year after the beginning of her symptoms, she noticed enlargement of her left calf. X-ray studies disclosed L5-S1 disk degeneration. EMG showed muscle denervation with normal motor conduction velocity. Open biopsies of the gastrocnemius muscles were performed. The left gastrocnemius muscle showed hypertrophic type 2 fibers in comparison with the right gastrocnemius. Electron microscopy showed mildly increased number of mitochondria in these fibers. A satisfactory explanation for denervation hypertrophy has yet to be provided.

scholarly journals Lower back pain with sciatic disorder following L5 dermatome caused by herpes zoster infection

2015 ◽  
Vol 7 (3) ◽  
Author(s):  
Roslind Karolina Hackenberg ◽  
Arnd Von den Driesch ◽  
Dietmar Pierre König
Keyword(s):  
Back Pain ◽  
Herpes Zoster ◽  
Lower Back Pain ◽  
Pain Treatment ◽  
Acute Onset ◽  
Mri Scan ◽  
Lower Back ◽  
Acyclovir Treatment ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

We report the case of a 62-year-old patient with lower back pain radiating into the right leg accompanied by numbness. The pain had an acute onset and was resistant to conservative pain treatment. A magnetic resonance imaging (MRI) scan of the lumbar spine showed no degenerative discovertebral lesions, but a swelling of the nerve root supplying the affected dermatome. For pain treatment the patient received lumbar epidural infiltrations. During this treatment the patient suddenly developed a skin rash with grouped vesicular blisters on an erythematous ground. After the diagnosis of a lumbar herpes zoster and an acyclovir treatment, the patient could be discharged in an ameliorated condition. This case demonstrates the importance to consider rare causes of lumbosciatic pain and disorders and to acknowledge unspecific changes in a MRI scan.

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