Epilepsia partialis continua present with shoulder joint-trunk-hip joint rhythmic clonic seizure: a case report

AbstractThe coracobrachialis muscle (CBM) originates from the apex of the coracoid process, in common with the short head of the biceps brachii muscle, and from the intermuscular septum. The CBM demonstrates variability in both the proximal and distal attachment, with some extremely rare varieties, such as the coracobrachialis superior, coracobrachialis longus and coracocapsularis muscle. This case report describes an extremely rare variant of the coracobrachialis superior muscle, or a very rare variant of the CBM. Our findings highlight the importance of muscle variants in the shoulder region, especially the coracoid region, and are significant for radiologists, anatomists, physiotherapists and surgeons specializing in the shoulder joint.

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Phenylketonuria and juvenile idiopathic arthritis: a case report

BMC Pediatrics ◽

10.1186/s12887-021-02602-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ting Ting Zhu ◽

Jin Wu ◽

Li Yuan Wang ◽

Xiao Mei Sun

Keyword(s):

Juvenile Idiopathic Arthritis ◽

Case Report ◽

Autoimmune Diseases ◽

Hip Joint ◽

Metabolic Disorder ◽

Rare Case ◽

Molecular Data ◽

Methotrexate Therapy ◽

Case Presentation

Abstract Background Phenylketonuria (PKU) is a genetic metabolic disorder in which patients have no ability to convert phenylalanine to tyrosine. Several autoimmune diseases have been reported to combine with PKU, co-existent of PKU and Juvenile Idiopathic Arthritis (JIA) has not been presented. Case presentation The girl was diagnosed with PKU at the age of 1 month confirmed by molecular data. At the age of 3.5 years, she presented with pain and swelling of her right ankle, right knee, and right hip joint. After a serial of examinations, she was diagnosed with JIA and treated with a nonsteroidal anti-inflammatory drug. Conclusions We report a rare case of a 4-year-old girl with PKU and JIA, which supports a possible interaction between PKU and JIA. Long-term metabolic disturbance may increase the susceptibility to JIA. Further chronic inflammation could alter the metabolism of tryptophan and tyrosine to increase blood Phe concentration. In addition, corticosteroid and methotrexate therapy for JIA may increase blood Phe concentration.

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Traumatic Obturator Dislocation of the Hip Joint Associated with Greater Trochanter Fracture: A Case Report

Orthopaedic Surgery ◽

10.1111/os.12892 ◽

2021 ◽

Author(s):

Qifeng Tao ◽

Fenglin Zhong ◽

Chuan Wang ◽

Hongping Wang ◽

Chunyu Chen ◽

...

Keyword(s):

Case Report ◽

Hip Joint ◽

Greater Trochanter ◽

Trochanter Fracture ◽

Dislocation Of The Hip

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Acute neurogenic pulmonary oedema following generalized tonic clonic seizure. A case report and a review of the literature

European Heart Journal ◽

10.1093/oxfordjournals.eurheartj.a062590 ◽

1988 ◽

Vol 9 (8) ◽

pp. 933-936 ◽

Cited By ~ 13

Author(s):

U. FREDBERG ◽

H. E. BøTKER ◽

F. K. RøMER

Keyword(s):

Case Report ◽

Pulmonary Oedema ◽

Clonic Seizure ◽

Tonic Clonic Seizure ◽

Review Of The Literature ◽

Neurogenic Pulmonary Oedema

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Brodie’s Abscess of the Proximal Humerus Metaphysis: A Case Report

Journal of Orthopaedic Case Reports ◽

10.13107/jocr.2021.v11.i09.2406 ◽

2021 ◽

Vol 11 (9) ◽

Author(s):

Nilesh Vishwakarma ◽

Shaival Chauhan ◽

Shrey S Binyala ◽

Sanjeev K Singh

Keyword(s):

Case Report ◽

Shoulder Joint ◽

Proximal Part ◽

Focal Lesion ◽

Posterior View ◽

Brodie’S Abscess ◽

Magnetic Resonance Imaging Mri ◽

The Right ◽

Pyogenic Osteomyelitis ◽

Metaphyseal Region

Introduction:Primary subacute pyogenic osteomyelitis, or Brodie’s abscess was initially documented by Sir Benjamin Brodie in 1832. We present a case report with a 6-months follow-up period, demonstrating the successful diagnosis and surgical treatment of a focal lesion of the proximal metaphysis of the right humerus in a 21-years-old female. The pathology of hematologic osteomyelitis and its role in the development of a subacute abscess along with a review of literature and an in detail description of the pathogenesis of Brodie’s abscess is discussed and submitted. Case Report:A 21- years -old healthy female with a history of fall sustaining injury to the right shoulder one 1 year back followed by which she presented to the outpatient clinic with a swelling over her right shoulder. The patient was managed conservatively with analgesics and was relieved of pain over a course of one 1 week of medications, the patient now presents with pain and swelling in the right shoulder joint on and off since the episode of fall one 1 year back, which had increased over a period of past one 1 week. A week before the most recent presentation she started experiencing some discomfort and pain in her right shoulder. No recent trauma was reported. A mild swelling appeared over the proximal part of the humerus. There were no constitutional symptoms of fever or any illness reported. On examination, there was noted a painful restriction of ROM at the right shoulder joint with no rotator cuff injury. Laboratory investigations were suggestive of raised inflammatory markers. Radiograph of the right shoulder taken in the true antero-posterior view with the shoulder in the neutral rotation was suggestive of an oval lucency with surrounding sclerosis in the proximal metaphyseal region of the humerus. Magnetic resonance imaging MRI of the right shoulder joint showed features consistent with Brodie’s abscess in the proximal metaphyseal region of the humerus. Surgical debridement of the abscess w

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