EMDR Treatment of Children and Adolescents With a Choking Phobia

Given the limited number of reported cases in literature, it might be concluded that it is rare to develop a choking phobia in childhood. However, it appears as though confusion in terminology and the time lapse between the onset of the disorder and treatment often results in the diagnosis being missed. In this article, we discuss a review of the clinical symptoms, differential diagnosis, comorbidity, etiology, and treatment options for choking phobia. We present a case series, describing the successful EMDR treatment of choking phobia for 4 children and adolescents, with positive outcomes achieved in 1 or 2 sessions. In addition, a detailed transcript is presented of a 15-year-old girl with a choking phobia related to an incident that occurred 5 years previously. The rapid elimination of symptoms in all 4 cases indicates that EMDR can be an effective treatment for choking phobias resulting from previous disturbing events. Randomized research on this promising intervention is strongly suggested.

Download Full-text

SUNCT/SUNA in children and adolescents: Application of ICHD-3 criteria and treatment response: Case series of 13 SUNCT/SUNA pediatric cases

Cephalalgia ◽

10.1177/0333102420954525 ◽

2020 ◽

pp. 033310242095452

Author(s):

Sharoon Qaiser ◽

Andrew D Hershey ◽

Joanne Kacperski

Keyword(s):

Children And Adolescents ◽

Treatment Options ◽

Case Series ◽

Paroxysmal Hemicrania ◽

Primary Headaches ◽

Trigeminal Autonomic Cephalalgias ◽

Pediatric Case ◽

Trigeminal Autonomic Cephalalgia ◽

Autonomic Symptoms

Introduction Trigeminal autonomic cephalalgias (TACs) are characterized by paroxysmal attacks of unilateral primary headaches associated with ipsilateral craniofacial autonomic symptoms. In this pediatric case series, 13 cases of short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT)/short-lasting unilateral neuralgiform headache with autonomic symptoms (SUNA), including children ages 3–18 years, are discussed. This paper reviews the application of International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria especially in children presenting with SUNCT or SUNA. This is the largest pediatric case series of SUNCT/SUNA reported in the literature. Background Trigeminal autonomic cephalalgias are rare in children and adolescents, with SUNCT/SUNA having the least reported cases. We will discuss the application of ICHD-3 criteria to diagnose SUNCT/SUNA in children and review overlapping cases and their response to different treatment options including indomethacin, which is typically reserved for specific subtypes of TACs; for example, paroxysmal hemicrania. Conclusion This case series presents a unique opportunity to aid in the diagnosis and treatment of similar pediatric cases in the future. It helps us to broaden the ICHD-3 criteria to diagnose and treat different overlapping trigeminal autonomic cephalalgia cases in children.

Download Full-text

Clinical characteristics of COVID-19 in children and adolescents: a systematic review and meta-analysis

10.1101/2021.03.12.21253472 ◽

2021 ◽

Author(s):

Lixiang Lou ◽

Hui Zhang ◽

Baoming Tang ◽

Ming Li ◽

Zeqing Li ◽

...

Keyword(s):

Children And Adolescents ◽

Fixed Effects ◽

Clinical Characteristics ◽

Assessment Tool ◽

Clinical Symptoms ◽

Meta Analysis ◽

Case Series ◽

Lower Lobe ◽

Systematic Evaluation ◽

Cochrane Library

Background: Although the number of COVID-19 (coronavirus disease 2019) cases continues to increase globally, there are few studies on the clinical characteristics of children and adolescents with COVID-19. Objective: To conduct a comprehensive systematic evaluation and meta-analysis of the clinical characteristics of COVID-19 in children and adolescents to better guide the response to the current epidemic. Methods: We searched PubMed, Embase, the Cochrane Library, Web of Science, CNKI (Chinese database), Clinical Trials.gov and chictr.org.cn (China). The methodological quality of the included literature was evaluated using the Quality Assessment Tool for Case Series Studies. Meta-analysis was performed using STATA 14.0. Heterogeneity was assessed by the Q statistic and quantified using I2. We used fixed-effects or random-effects models to pool clinical data in the meta-analysis. Publication bias was evaluated by the Begg's test. Results: We analyzed 49 studies involving 1627 patients. In the pooled data, the most common clinical symptoms were fever (56% [0.50−0.61]) and cough (45% [0.39−0.51]). The most common laboratory abnormalities were elevated procalcitonin (40% [0.23−0.57]), elevated lactate dehydrogenase (31% [0.19−0.43]), increased lymphocyte count (28% [0.17−0.42]), increased creatine kinase (28% [0.18− 0.40]), and elevated C-reactive protein (26% [0.17−0.36]). The most common abnormalities determined by computed tomography were lower-lobe involvement (56% [0.42- 0.70]), ground-glass opacities (33% [0.25−0.42]), bilateral pneumonia (32% [0.24- 0.40]), patchy shadowing (31% [0.18- 0.45]), and upper lobe involvement (30% [0.20- 0.41]). Conclusion: Disease severity among children and adolescents with COVID-19 was milder than that among adult patients, with a greater proportion of mild and asymptomatic cases, and thus, the diagnosis of COVID-19 and control of the infection source are more challenging.

Download Full-text

Anxiety disorders in patients with cardiac diseases

Medycyna Faktów ◽

10.24292/01.mf.0321.3 ◽

2021 ◽

Vol 14 (3) ◽

pp. 234-238

Author(s):

Dominika Dudek

Keyword(s):

Quality Of Life ◽

Differential Diagnosis ◽

Anxiety Disorders ◽

Cardiovascular System ◽

Effective Treatment ◽

Treatment Options ◽

Cardiac Diseases ◽

Family Doctors ◽

Proper Diagnosis

Anxiety disorders are a common problem in cardiac patients. They can be the basic condition with heart symptoms, or they can be associated with a disease of the cardiovascular system. Hence, their symptomatology and differential diagnosis is of interest not only to psychiatrists, but also family doctors, internists and cardiologists. Proper diagnosis and treatment affects not only the quality of life, but also cardiological prognosis. One of the safe and effective treatment options is pregabalin.

Download Full-text

Multimodality Treatment Options and Outcomes of Laryngeal Carcinosarcoma: A Clinical Analysis of a Rare Tumor from a Single Hospital

BioMed Research International ◽

10.1155/2019/1754675 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Yang Zhang ◽

Zhigang Huang ◽

Neil Gross ◽

Jugao Fang ◽

Xiaohong Chen ◽

...

Keyword(s):

Neck Dissection ◽

Clinical Symptoms ◽

Early Stage ◽

Postoperative Radiotherapy ◽

Treatment Options ◽

Case Series ◽

Multimodality Treatment ◽

Clinical Analysis ◽

Partial Laryngectomy ◽

Rare Type

Primary laryngeal carcinosarcoma is a rare type of malignancies, and the standard therapeutic protocol for its treatment has yet to be established. This retrospective study analyzed the clinical and pathological characteristics, risk factors, treatment options, and prognosis of 13 patients with primary laryngeal carcinosarcomas. This case series included 11 males and 2 females with an age range from 32 to 78 years at diagnosis. The initial clinical symptoms included hoarseness, dyspnea, and foreign body sensation in the throat. The primary tumor sites were at the glottis, supraglottis, and larynx. All these patients were active or passive smokers, and more than half of them were alcohol addictive. The surgical treatment for laryngeal carcinosarcomas included CO2 laser surgery in seven cases, partial laryngectomy and neck dissection in three cases, and total laryngectomy and neck dissection in three cases. Among them, seven cases received postoperative radiotherapy. After follow-up with a mean of 31.15-month, four cases died. Primary laryngeal carcinosarcoma is a rare but more aggressive malignancy. Contralateral lymph node metastasis can occur at the early stage of this disease. A treatment combining surgery and postoperative radiotherapy is strongly recommended.

Download Full-text

Predictors of Morbidity & Mortality in Organophosphorus Poisoning: A Case Study in Rural Hospital of Karnataka

Journal of Medicine ◽

10.3329/jom.v17i1.30049 ◽

2016 ◽

Vol 17 (1) ◽

pp. 3-7

Author(s):

Tanveer Hassan Banday ◽

Sadaf Bashir ◽

Vikas Naik ◽

Baharat

Keyword(s):

Effective Treatment ◽

Clinical Symptoms ◽

Clinical Manifestations ◽

Case Series ◽

Rapid Diagnosis ◽

Male Ratio ◽

Acute Complications ◽

Organophosphorus Poisoning ◽

History Of

Organophosphorous pesticides poisoning can result from occupational, accidental or intentional exposure. Clinical manifestations include cholinergic syndromes, central nervous system and cardiovascular disorders Death is usually due to cardiovascular& respiratory failure.Material & methods: This case series was conducted in department Medicine AIMS, Bangalore from July 2013 to June 2014. Detailed history & clinical examination was done. Diagnosis of OP poisoning was based on clinical features, history of exposure to a known OP compound and low serum Achcholiesterase & pseudocholiesterase activity.Results: Out of one thirty three, one hundred and thirty (82.66%) patients ingested the compound, 23 (7.6%) & only three patients had dermal / inhaled exposure while spraying pesticides in rice fields. In our study female to male ratio in was 1: 3.2, age ranged from 13 to 50 years with mean age was 31.5 years. Acute complications were frequently noted and were related to morbidity & mortality. Most consistent clinical symptoms were miosis 93.6%, increased salivation 86.4%, anxiety and restlessness 82.7%, bronchospam 78.1% and incontinence in 58%.Conclusion: In OP acute complications are seen more frequently and are related to mortality & morbidity. The importance of rapid diagnosis, early and effective treatment should not be overlooked because patients who receive early& effective treatment generally will do better and have less complication and severity of poisoning.J MEDICINE January 2016; 17 (1) : 3-7

Download Full-text

Autoinflammatorische Erkrankungen als Differenzialdiagnose des Fiebers unklarer Genese

DMW - Deutsche Medizinische Wochenschrift ◽

10.1055/s-0043-103468 ◽

2017 ◽

Vol 142 (13) ◽

pp. 969-978

Author(s):

Jasmin Kümmerle-Deschner

Keyword(s):

Differential Diagnosis ◽

Effective Treatment ◽

Fever Of Unknown Origin ◽

Treatment Options ◽

Unknown Origin ◽

Organ Damage ◽

Autoinflammatory Diseases ◽

Leading Symptom ◽

Autoinflammatorische Erkrankungen

AbstractFever is the most leading symptom of autoinflammatory diseases (AID). Therefore, AID have to be considered in differential diagnosis concerning fever of unknown origin. Unspecific Inflammatory manifestations may lead to misinterpretations that possibly cause irreversible organ damage. Effective treatment options are available and imply profound diagnostics.

Download Full-text

G.P.71 Myasthenia gravis in young children and adolescents: Clinical symptoms and treatment options

Neuromuscular Disorders ◽

10.1016/j.nmd.2012.06.177 ◽

2012 ◽

Vol 22 (9-10) ◽

pp. 856

Author(s):

A. Della Marina ◽

H. Trippe ◽

S. Lutz ◽

G.M. Shamdeen ◽

U. Schara

Keyword(s):

Young Children ◽

Myasthenia Gravis ◽

Children And Adolescents ◽

Clinical Symptoms ◽

Treatment Options

Download Full-text

Miltefosine for Mucosal and Complicated Cutaneous Old World Leishmaniasis: A Case Series and Review of the Literature

Open Forum Infectious Diseases ◽

10.1093/ofid/ofw008 ◽

2016 ◽

Vol 3 (1) ◽

Cited By ~ 15

Author(s):

Vincent Mosimann ◽

Claudia Blazek ◽

Heini Grob ◽

Matthew Chaney ◽

Andreas Neumayr ◽

...

Keyword(s):

Effective Treatment ◽

Cutaneous Leishmaniasis ◽

Clinical Studies ◽

Systemic Treatment ◽

Treatment Options ◽

Case Series ◽

Review Of The Literature ◽

Effective Treatment Option ◽

Old World ◽

Mucosal Leishmaniasis

Abstract Complicated Old World cutaneous leishmaniasis (OWCL) and Old World mucosal leishmaniasis (OWML) constitute an indication for systemic treatment. To date, there no controlled clinical studies that compare treatment options for these diseases. We compiled a case series of 24 cases successfully treated with miltefosine. We conclude that oral miltefosine is an effective treatment option for both OWCL and OWML.

Download Full-text

In-block lateralization as a new technique for mobilization of the inferior alveolar nerve: a technique case series

Journal of Oral Implantology ◽

10.1563/aaid-joi-d-20-00041 ◽

2020 ◽

Author(s):

Marcos Augusto Tomazi ◽

Alexandre da Silveira Gerzson ◽

Angelo Menuci Neto ◽

André Luciano Pasinato da Costa

Keyword(s):

Treatment Options ◽

Inferior Alveolar Nerve ◽

Case Series ◽

New Technique ◽

Autogenous Bone ◽

Minimal Risk ◽

Short Implants ◽

Bone Atrophy ◽

A New Technique ◽

Number Of Treatment

The edentulous atrophic posterior mandible is often a great challenge for implant rehabilitation. Although a number of treatment options have been proposed, including the use of short implants and surgical grafting techniques, in cases of severe bone atrophy, techniques for mobilization of the inferior alveolar nerve (IAN) have been shown to be efficient, with good results. Four female patients underwent IAN lateralization for prosthetic rehabilitation of the posterior mandible from 2013 to 2019, with 1 year to 5 years and 4 months of follow-up. This case series describes a new technique for mobilization of the IAN, named in-block lateralization, to facilitate access to the IAN and to reduce nerve manipulation. The implant is immediately installed (allowing nerve lateralization in unitary spaces) and the original mandibular anatomy is restored with autogenous bone from the original bed during the same surgical procedure. When well indicated and well performed, this new approach provides better and easier visualization of the IAN as well as safer manipulation aiming to achieve good results for implant stability and minimal risk of neurosensory disturbances, allowing rehabilitation even in unitary spaces.

Download Full-text