Nummular Headache - A case report of a rare entity

Mapping Intimacies ◽

10.21203/rs.2.23624/v1 ◽

2020 ◽

Author(s):

Davis Thomas ◽

Gary M. Heir ◽

Amey G. Patil ◽

Prutha K. Soni

Keyword(s):

Case Report ◽

Primary Headache ◽

Primary Diagnosis ◽

Primary Headaches ◽

Rare Entity ◽

Rare Occurrence ◽

Rare Type ◽

Nummular Headache ◽

The Past ◽

Comprehensive History

Abstract Background: Nummular Headache is a rare type of chronic primary headache wherein the pain is usually located in a well-circumscribed, round or elliptical shaped area of the scalp. Case Report: A 26-year-old female presented to the Center for TMD/ OFP with the chief complaint of chronic persistent left parietal headache, for more than 10 years, which has been worsening over the past few days with no specific identifiable trigger. The medical history is non- contributory. The primary diagnosis is Nummular Headache. Conclusion: A comprehensive history is the first step to achieve an accurate diagnosis. The diagnosis of Nummular Headache is challenging and confusing due to the rare occurrence. An examination must include imaging and is detrimental in eliminating other underlying pathologies. The diagnosis is made from distinct clinical features after exclusion of all other entities. Keywords: Nummular headache, Rare primary headaches, Coin-shaped headache, Chronic Primary headache, Epicranial headache.

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Intraoral Schwannoma: A Rare Case Report

International Journal of Advanced and Integrated Medical Sciences ◽

10.5005/jp-journals-10050-0008 ◽

2016 ◽

Vol 1 (1) ◽

pp. 20-22

Author(s):

Ranjan Agrawal ◽

Prashant Bhardwaj ◽

Abhinav Srivastava

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Rare Case ◽

Rare Entity ◽

Rare Occurrence ◽

Floor Of The Mouth ◽

Nerve Sheath ◽

Rare Case Report ◽

Sheath Cells

ABSTRACT Schwannomas or neurilemmomas are benign, encapsulated tumor arising from nerve sheath cells. Intracranial Schwannomas are most common with rare occurrence in the extracranial region. It rarely occurs in the floor of the mouth with very few cases reported. We present a rare case report of Schwannoma of the floor of the mouth, thereby highlighting the consideration of this rare entity as one of the differential diagnosis in cases who present to us with swelling of the floor of the mouth and also the importance of immunohistochemistry in coming to the diagnosis. How to cite this article Srivastava A, Mohan C, Bhardwaj P, Agrawal R. Intraoral Schwannoma: A Rare Case Report. Int J Adv Integ Med Sci 2016;1(1):20-22.

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Laryngolith

The Journal of Laryngology & Otology ◽

10.1017/s0022215109004265 ◽

2009 ◽

Vol 123 (2) ◽

Author(s):

A H Hegab

Keyword(s):

Computed Tomography ◽

Case Report ◽

Interesting Case ◽

Rare Entity ◽

Review Of The Literature ◽

Computed Tomography Scan ◽

Unique Case ◽

The Past ◽

Tomography Scan ◽

Biochemical Examination

AbstractObjective:To report an extremely rare and interesting case of a woman who developed a laryngeal stone.Case report:A 44-year-old woman was referred to our ENT clinic complaining of dyspnoea and stridor. She had been treated for chest problems for approximately 30 years. On examination, she had a large, spiky, subglottic lesion compromising the airway. A laryngeal computed tomography scan and histopathological and biochemical examination showed the lesion to be a calcium phosphate stone. Review of the literature from the past 50 years, using several search engines, revealed no similar cases.Conclusion:To the author's knowledge, this is a unique case of a stone that developed in the subglottis. This rare entity was the cause of long-standing chest problems unresponsive to medical treatment. The patient recovered completely from all her symptoms after removal of the laryngolith.

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Inflammatory pseudo-tumoral primary hepatic tuberculosis: a surgeons dilemma

International Surgery Journal ◽

10.18203/2349-2902.isj20205916 ◽

2020 ◽

Vol 8 (1) ◽

pp. 411

Author(s):

Dharmesh J. B. ◽

Satya Sree Balija

Keyword(s):

Case Report ◽

Correct Diagnosis ◽

Left Lobe ◽

Rare Entity ◽

Radiological Findings ◽

Active Pulmonary Tuberculosis ◽

The Past ◽

Normal Limits ◽

Hepatic Tuberculosis ◽

Specific Symptoms

Pseudo-tumor hepatic tuberculosis is a rare entity. Tuberculosis involving the liver in the absence of active pulmonary tuberculosis is very uncommon. It is characterized by non-specific symptoms and radiological polymorphism. This case report illustrates the difficulty in reaching the correct diagnosis in case of hepatic masses, which are most often confused with carcinoma of the liver, primary or metastatic and hence, in the past referred to as pseudo-tumoral hepatic tuberculosis. We report a case of an inflammatory pseudo-tumor of the liver due to tuberculosis in a 6 years child. Computer tomography showed evidence of a large heterogenously enhancing predominantly cystic multiseptated mass in left lobe of liver with peripheral nodular enhancement and persistent enhancement of internal septations and nodular solid components. Hence malignant tumor was initially considered in view of the radiological findings. Alpha fetoprotein was within normal limits. The patient was treated surgically by debridement of left lobe of liver.

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Type VI choledochal cyst: a rare entity case report and review of literature

International Surgery Journal ◽

10.18203/2349-2902.isj20170877 ◽

2017 ◽

Vol 4 (3) ◽

pp. 1129

Author(s):

Digvijoy Sharma ◽

Nagari Bheerappa ◽

Venu Madhav Thumma ◽

Suryaram Varma G. ◽

Kunduru Navakishore

Keyword(s):

Case Report ◽

Choledochal Cyst ◽

Single Case ◽

Case Reports ◽

Rare Entity ◽

Rare Occurrence ◽

Review Of Literature ◽

Choledochal Cysts ◽

Cystic Dilatation ◽

Cyst Excision

Choledochal cysts (CDC) are cystic dilatations of the biliary system, which are usually found in children and uncommon in adults, and type VI choledochal cyst which is isolated cystic dilatation of the cystic duct is a very rare occurrence and only single case reports are documented in the literature. We have reported a case of a young girl who was diagnosed as having Type VI CDC on pre-operative MRCP and found to have the same intraoperatively. She was treated with a simple cholecystectomy with cyst excision.

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Natal Tooth With Riga Fede Disease: A Case Report

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v16i2.1083 ◽

2017 ◽

Vol 16 (2) ◽

Author(s):

Nurjasmine Aida Jamani ◽

Yunita Dewi Ardini ◽

Nor Asilah Harun

Keyword(s):

Case Report ◽

Oral Cavity ◽

Physical Examination ◽

Tooth Extraction ◽

Topical Anesthesia ◽

Anterior Region ◽

Rare Occurrence ◽

Baby Girl ◽

The Past ◽

Ventral Aspect

Introduction: Natal tooth and neonatal tooth is a rare occurrence but can have a significant impact on lactation. A 45-day-old baby girl was referred for problem with breastfeeding. Her mother complained of painful nipple during nursing for the past two weeks. Physical examination of the mother's breast and nipple revealed normal findings. Examination of the baby's oral cavity revealed a natal tooth over the mandibular anterior region, small in size, whitish opaque in colour and exhibiting grade 1mobility. There was a whitish ulcer over the ventral aspect of the tongue. A diagnosis of natal tooth in association with Riga Fede disease was made. The baby underwent tooth extraction under topical anesthesia. Subsequently, breastfeeding was able to be continued without any problem. Hence, extraction of natal tooth should be individualized and properly assessed.

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Continuous Hemicrania After Clipping of Internal Carotid Aneurism: Case Report

10.5327/1516-3180.376 ◽

2021 ◽

Author(s):

Marcelo Tognato Ximenes ◽

Isabella Silva Picon ◽

Ivy Liger Riso ◽

Anielle Melina Florencio ◽

Renan Barros Domingues

Keyword(s):

Case Report ◽

Surgical Approach ◽

Internal Carotid ◽

Artery Aneurysm ◽

Primary Headache ◽

Primary Headaches ◽

Carotid Artery Aneurysm ◽

Internal Carotid Artery Aneurysm ◽

Structural Epilepsy ◽

The Right

Context: The trigeminal autonomic cephalalgias (TACs) are primary headaches, however there are some reports of patients with TAC phenotypes related to vascular or neoplastic lesions. We discuss here the case of a patient presenting a headache with a pattern of continuous hemicrania developed after aneurysm clipping surgery. Case report: Male, 37 years old, presented with periodic migraine since childhood, worsening after surgical approach of a ruptured right internal carotid artery aneurysm in 2014. Developed structural epilepsy after the surgical approach. Headache begins in the right occipital region radiating to right hemicranium, of severe intensity, pulsatile, intermittent, lasting 2 hours, partial improvement between crises, with persistence of mild to moderate pain between crises. Exacerbations were accompanied by ocular hyperemia and ipsilateral lacrimation, little improvement with analgesics. Normal neurological examination. Presented total control of the pain after the introduction of indomethacin. Conclusion: Continuous hemicrania is a primary headache with a therapeutic response to indomethacin, classified in the TACs group. Secondary cases may be related to trauma, craniotomy, expansive intracranial injury, among others. The patient presented with these headaches after a surgical approach to clip a ruptured aneurysm. Previous headaches had another pattern. There is a previous report of continuous hemicrania related to an aneurysm of the anterior communicant. This extremely rare case illustrates the importance of testing with indomethacin when this phenotype is present, even in the presence of a triggering factor.

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A Case Report of Complete Excision of Brachial Plexus Schwannoma: A Rare Entity

Nepal Journal of Neuroscience ◽

10.3126/njn.v13i2.20484 ◽

2016 ◽

Vol 13 (2) ◽

pp. 92-93

Author(s):

Anish M Singh ◽

Janith L Singh ◽

Bellu Kayastha ◽

Prabin Shrestha

Keyword(s):

Case Report ◽

Brachial Plexus ◽

Gross Total Resection ◽

Anatomical Location ◽

Rare Entity ◽

Rare Occurrence ◽

Total Resection ◽

Complete Excision ◽

Nerve Sheath Tumors ◽

Nerve Sheath

Brachial plexus schwannomas are rare benign nerve sheath tumors and only about 5% of schwannoma arise from the brachial plexus. They create a great challenge to surgeons due to their rare occurrence and complex anatomical location. We present a case of 37 yrs female presented with a right supraclavicular mass with severe radiating pain in right hand. Further investigation was done with MRI and FNAC which turns out to be huge right brachial plexus schwannoma. Gross total resection was done without any neurological motor defi cits. Nepal Journal of Neuroscience. Vol. 13, No. 2, 2016, Page: 92-93

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Case report of patient with chronic rhinosinusitis and rare type of primary immunodeficiency

Russian otorhinolaryngology ◽

10.18692/1810-4800-2020-2-100-106 ◽

2020 ◽

Vol 19 (2) ◽

pp. 100-106

Author(s):

D. M. Savvateeva ◽

◽

V. M. Svistushkin ◽

V. P. Sobolev ◽

U. V. Nazarova ◽

...

Keyword(s):

Primary Immunodeficiency ◽

Clinical Observation ◽

Middle Age ◽

Systemic Disease ◽

Primary Diagnosis ◽

Male Gender ◽

Unknown Etiology ◽

Rare Type ◽

The Past ◽

Immunological Examination

The article tentatively reviewed such rare immuno-dependent conditions as: IgG4-linked primary immunodeficiency (PI) and general variable immunodeficiency. Over the past two decades, more and more data has been accumulating about this subject, due to which several previously known nosological forms were combined into a new group of IgG4-associated diseases (IgG4-SZ), and in order to establish a diagnosis of IgG4-related systemic disease, two or more lesions of organs are required. This group of diseases has a common serological sign – an increase in the concentration of IgG4 subclass in serum. Histologically in organs and tissues, plasmocytes infiltration secreting IgG4, eosinophils are formed, fibrosclerosis and obliterating phlebitis develop. Laboratory and immunological examination of patients with PI helps to identify a specific violation of the immune system. Primary diagnosis is usually done using a panel of screening laboratory tests. A high risk of developing IgG4-C3 is in patients with pancreatitis with unknown etiology, sclerosing cholangitis, bilateral enlargement of the salivary and lacrimal glands, in the presence of multiple nodes in the lungs. Predisposing factors are middle age and male gender. The article presents a clinical observation of a patient suffering from a rare combination of primary immunodeficiency and chronic bilateral rhinosinusitis, special attention on laboratory and instrumental examinations and treatment.

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