Post-COVID symptoms and whole-body cryotheraphy: A case report

A 61-year-old man with no significant medical history developed fever, headache and mild shortness of breath. He tested positive for SARS-CoV-2 and self-isolated at home, not requiring hospital admission. One week after testing positive, he developed acute severe burning pain affecting his whole body, subsequently localised distally in the limbs. There was no ataxia or autonomic failure. Neurological examination was unremarkable. Electrophysiological tests were unremarkable. Skin biopsy, lumbar puncture, enhanced MRI of the brachial plexus and MRI of the neuroaxis were normal. His pain was inadequately controlled with pregabalin but improved while on a weaning regimen of steroids. This case highlights the variety of possible symptoms associated with SARS-CoV-2 infection.

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Traumatic myositis ossificans: multifocal lesions suggesting malignancy on FDG-PET/CT—a case report

Skeletal Radiology ◽

10.1007/s00256-020-03521-w ◽

2020 ◽

Vol 50 (1) ◽

pp. 249-254

Author(s):

Miho Sasaki ◽

Yuka Hotokezaka ◽

Reiko Ideguchi ◽

Masataka Uetani ◽

Shuichi Fujita

Keyword(s):

Case Report ◽

Fdg Pet ◽

Myositis Ossificans ◽

Whole Body ◽

Left Cheek ◽

Multiple Fractures ◽

Fdg Uptake ◽

Pet Ct ◽

Multiple Regions ◽

Fdg Pet Ct

AbstractMyositis ossificans (MO) is a benign soft-tissue lesion characterized by the heterotopic formation of the bone in skeletal muscles, usually due to trauma. MO is occasionally difficult to diagnose because of its clinical and radiological similarities with malignancy. We report a case of traumatic MO (TMO) in the masseter and brachial muscles of a 37-year-old man who presented with painless swelling in the left cheek and severe trismus. Due to the absence of a traumatic history at the first consultation and identification of a tumorous lesion in the left masseter muscle by magnetic resonance imaging (MRI), the lesion was suspected to be a malignant tumor. Subsequently, 18F-fluorodeoxyglucose positron-emission tomography/computed tomography (FDG-PET/CT) showed multiple regions of high FDG uptake across the whole body, suggestive of multiple metastases or other systemic diseases. However, intramuscular calcifications were also observed in the left masseter and brachial muscles, overlapping the areas with high FDG uptake. Moreover, multiple fractures were seen in the rib and lumbar spine, also overlapping the areas with high FDG uptake. Based on these imaging findings, along with a history of jet-ski trauma, TMO was suspected. The left cheek mass was surgically excised and histologically diagnosed as TMO. In this case report, FDG-PET/CT could detect multiple TMOs across the whole body. To the best of our knowledge, cases of multiple TMOs located far apart in different muscles are rare, and this may be the first report.

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Abstract 1122‐000205: Bilateral ACA Stroke ‐ A Case Report of an Unusual Presentation

Stroke: Vascular and Interventional Neurology ◽

10.1161/svin.01.suppl_1.000205 ◽

2021 ◽

Vol 1 (S1) ◽

Author(s):

Tejeswi Suryadevara ◽

Bhavya Narapureddy ◽

Carlos Y Lopez ◽

Karen C Albright

Keyword(s):

Case Report ◽

Brain Magnetic Resonance Imaging ◽

Whole Body ◽

Rapid Improvement ◽

Stroke Registry ◽

Disconnection Syndrome ◽

Leg Weakness ◽

Anatomic Variants ◽

Computed Tomography Angiogram ◽

Cerebrovascular Risk

Introduction : Bilateral ACA strokes are rare, with one stroke registry reporting 2 cases out of 1490 strokes (1). These strokes are even less common in the absence of anatomic variants, such as an azygos ACA. Diagnosis may be difficult given the variability in clinical presentation. Methods : This is a case report. Results : A 51‐year‐old right handed man with no cerebrovascular risk factors on no antithrombotic medications presented two hours from last known well with complaints of generalized weakness, inability to speak or move, and feeling numb all‐over during intercourse. He reported rapid improvement in symptoms. Emergency room exam was notable for right leg weakness (3/5) and left leg plegia with intact sensation. Hoover’s sign was positive in the left leg and the patient was able to bear some weight while standing with a two‐person assist. A computed tomography angiogram (CTA) of his head and neck was preliminarily interpreted as normal. No azygos ACA or single internal carotid artery origin for the ACAs were present. His exam improved to an isolated left foot dorsiflexor and plantar flexor weakness. The decision was made not to use thrombolytics based on his symptoms and exam which were improving and not entirely consistent with acute stroke. Brain magnetic resonance imaging demonstrated bilateral parasagittal acute strokes. It was later noted the that non‐contrast head CT demonstrated bilateral hyperdense ACAs. Conclusions : This case demonstrates the difficulty in diagnosing bilateral ACA infarcts in a previously healthy adult in the setting of whole‐body numbness and positive Hoover’s sign. In retrospect, his transient inability to speak or move may have been transient akinetic mutism or callosal disconnection syndrome. Additionally, this case emphasizes the importance of evaluating for the hyperdense ACA sign (2) in patients complaining of bilateral leg weakness.

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Diffusion-weighted imaging and diffusion-weighted whole-body imaging with background body signal suppression for characterizing esophageal cancer: a case report

International Medical Case Reports Journal ◽

10.2147/imcrj.s41823 ◽

2013 ◽

pp. 95 ◽

Cited By ~ 1

Author(s):

Minoru Tomizawa ◽

Fuminobu Shinozaki ◽

Aika Ozaki ◽

Akira Baba ◽

Yoshiya Fukamizu ◽

...

Keyword(s):

Esophageal Cancer ◽

Case Report ◽

Diffusion Weighted Imaging ◽

Whole Body ◽

Whole Body Imaging ◽

Body Imaging ◽

Diffusion Weighted ◽

Signal Suppression ◽

And Diffusion

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Whole‐body reversible neuropathic pain associated with right parieto‐temporal operculum single inflammatory lesion in a patient with multiple sclerosis: A case report

European Journal of Pain ◽

10.1002/ejp.1464 ◽

2019 ◽

Vol 23 (10) ◽

pp. 1763-1766 ◽

Cited By ~ 1

Author(s):

Louis Poncet‐Megemont ◽

Radhouane Dallel ◽

Carine Chassain ◽

Antoine Perrey ◽

Sophie Mathais ◽

...

Keyword(s):

Multiple Sclerosis ◽

Neuropathic Pain ◽

Case Report ◽

Inflammatory Lesion ◽

Whole Body

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Whole-body MRI: a helpful diagnostic tool for juvenile dermatomyositis case report and review of the literature

Rheumatology International ◽

10.1007/s00296-009-0890-y ◽

2009 ◽

Vol 29 (12) ◽

pp. 1511-1514 ◽

Cited By ~ 21

Author(s):

Nikolay Tzaribachev ◽

C. Well ◽

J. Schedel ◽

M. Horger

Keyword(s):

Case Report ◽

Diagnostic Tool ◽

Juvenile Dermatomyositis ◽

Whole Body ◽

Review Of The Literature ◽

Whole Body Mri

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A parapagus dicephalus tripus tribrachius conjoined twin with a unique morphological pattern: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-020-02501-x ◽

2020 ◽

Vol 14 (1) ◽

Author(s):

Jeske F. M. Bovendeert ◽

Rutger A. J. Nievelstein ◽

Ronald L. A. W. Bleys ◽

Cindy G. J. Cleypool

Keyword(s):

Case Report ◽

Congenital Malformation ◽

Medical Center ◽

Conjoined Twins ◽

Lower Limbs ◽

Whole Body ◽

Radiological Imaging ◽

Morphological Pattern ◽

The Third ◽

Macroscopic Examination

Abstract Background Conjoined twinning is a rare congenital malformation with an incidence of about 1.5 per 100,000 births. Because no consensus has been reached regarding the dysmorphology, thorough descriptions of conjoined twins as part of teratological collections can be useful to increase knowledge of this congenital malformation. In this case report, we describe a parapagus dicephalus twin from the collection of the Department of Anatomy of the University Medical Center Utrecht in the Netherlands. External anatomical characteristics were assessed through a detailed macroscopic examination and internal characteristics by means of whole-body computed tomography and magnetic resonance imaging (3 Tesla). Case presentation Macroscopic examination showed a Caucasian male parapagus dicephalus tripus tribrachius conjoined twin a type of conjoined twinning in which there are two heads side by side, one rump, and three upper and three lower limbs. In addition, anencephaly was observed in the left twin. Radiological imaging showed a normal central nervous system in the right twin and absence of the calvaria, cerebrum, diencephalon, and mesencephalon in the left twin. There was clear duplication of the vertebral column, rib cage, respiratory system, and gastrointestinal system at least up to and including the first part of the duodenum. The heart consisted of a monoatrium with two separate ventricles. There was a fused liver with a single gallbladder, a single spleen, three kidneys, two bladders, and duplication of the penis. The third upper and lower extremities were articulating with a fused glenoid and acetabulum, respectively. The third foot showed both polydactyly and syndactyly of the toes. Conclusion This case report describes a unique case of a male dicephalus parapagus tripus tribrachus conjoined twin discordant for anencephaly. Radiological imaging proved to be an adequate noninvasive method to provide insights into the internal (dys)morphology of this specific specimen, improving its scientific and educational value. This approach could be generally applied to other teratological specimens, thereby strengthening arguments regarding pathogenetic hypotheses, which may lead to new or improved insights into both normal and abnormal embryonic development.

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