scholarly journals Bilateral basal ganglia haemorrhage following motor vehicle accident: A Case report

2014 ◽  
Vol 21 (2) ◽  
pp. 231-233 ◽  
Author(s):  
Pankaj Gupta ◽  
R.S. Mittal ◽  
Devendra Purohit ◽  
Jitendra Singh Shekhawat ◽  
Ugan Singh Meena
Keyword(s):  
Basal Ganglia ◽  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Axonal Injury ◽  
Diffuse Axonal Injury ◽  
Anterior Choroidal Artery ◽  
Vehicle Accident ◽  
Anterior Choroidal ◽  
Choroidal Artery

Abstract Bilateral basal ganglia haemorrhage following motor vehicle accident is extremely rare in field of neurosurgery. This is presumed to be secondary to rupture of lenticulostriate or Anterior Choroidal artery by shearing, as a result of acceleration/deceleration forces. Although the exact mechanism is still not known. Isolated bilateral basal ganglia haemorrhage carries favourable prognosis. We report a rare case of 50 years old lady having bilateral basal ganglia haemorrhage with diffuse axonal injury following motor vehicle accident. Patient was managed conservatively and improved.

scholarly journals Report of a Rare Case of Trauma-Induced Thyroid Storm

2002 ◽  
Vol 81 (8) ◽  
pp. 570-574 ◽  
Author(s):  
Neil M. Vora ◽  
Fred Fedok ◽  
Brendan C. Stack
Keyword(s):  
Nervous System ◽  
Rare Case ◽  
Hepatic Dysfunction ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Definitive Treatment ◽  
Thyroid Storm ◽  
Vehicle Accident ◽  
Hyperthyroid State ◽  
Life Threatening

Thyroid storm is a potentially life-threatening endocrinologic emergency characterized by an exacerbation of a hyperthyroid state. Several inciting factors can instigate the conversion of thyrotoxicosis to thyroid storm; trauma is one such trigger, but it is rare. Patients with thyroid storm can manifest fever, nervous system disorders, gastrointestinal or hepatic dysfunction (e.g., nausea, vomiting, diarrhea, and/or jaundice), and arrhythmia and other cardiovascular abnormalities. Treatment of thyroid storm is multimodal and is best managed by the endocrinologist and medical intensivist. Initial medical and supportive therapies are directed at stabilizing the patient, correcting the hyperthyroid state, managing the systemic decompensation, and treating the underlying cause. Once this has been achieved, definitive treatment in the form of radioactive ablation or surgery should be undertaken. We describe a case of thyroid storm in a young man that was precipitated by a motor vehicle accident.

scholarly journals A Rare Case of Spontaneous Bilateral Subcapsular Renal Hematoma

2020 ◽  
Vol 8 ◽  
pp. 232470962091809
Author(s):  
Tushar Bajaj ◽  
Ngon Trang ◽  
Faisal Nasrawi ◽  
Sabitha Eppanapally
Keyword(s):  
Diabetic Ketoacidosis ◽  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Disease Stage ◽  
Close Monitoring ◽  
Invasive Approach ◽  
Subcapsular Hematoma ◽  
Vehicle Accident ◽  
History Of

Spontaneous bilateral renal subcapsular hematoma is a rare condition. On literature review, only 2 case reports have elucidated possible etiologies for such a presentation; however, no definite conclusions have been made. We present a rare case of a 52-year-old female with diabetes mellitus type 2, chronic kidney disease stage 4, hypertension, hyperlipidemia, prior traumatic brain injury via motor vehicle accident, who presented to our hospital with diabetic ketoacidosis and clinical signs of pyelonephritis; subsequently, imaging demonstrated spontaneous bilateral renal subcapsular hematoma. Risk factors for the rare presentation in this patient included pyelonephritis, history of bilateral ureteral stent placement, and a remote history of a mild unilateral renal laceration secondary to a motor vehicle accident. Typically, patients with this condition achieve spontaneous resolution with conservative management. Our patient initially presented with diabetic ketoacidosis and pyelonephritis but gradually developed retroperitoneal bleeding and hemorrhagic shock. Our patient’s critical condition required close monitoring in an intensive care unit and a more invasive approach including unilateral left renal artery embolization followed by a unilateral left nephrectomy. The patient ultimately recovered and continued to be followed outpatient without any serious long-term complications.

Cruciate paralysis

1986 ◽  
Vol 65 (1) ◽  
pp. 108-110 ◽  
Author(s):  
Daniel Dumitru ◽  
James E. Lang
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Cervical Spinal Cord ◽  
Content Type ◽  
Vehicle Accident ◽  
Cord Injury ◽  
Fine Print

✓ A rare case of cruciate paralysis is reported in a 39-year-old man following a motor-vehicle accident. The differentiation of this syndrome from a central cervical spinal cord injury is delineated.

scholarly journals Complete Traumatic Talus Dislocation: A Rare Case Report

2020 ◽  
Vol 2 (6) ◽  
pp. 1-2
Author(s):  
Tariq A Shaheed ◽  
Keyword(s):  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Injury Pattern ◽  
Review Of The Literature ◽  
Distal Fibula ◽  
Rare Injury ◽  
Vehicle Accident ◽  
Rare Case Report ◽  
Management Recommendations

A complete traumatic talus dislocation is an exceedingly rare injury pattern. A case of reimplantation of an open traumatic complete intact talus dislocation and distal fibula fracture following a motor vehicle accident is reported. A review of the literature and emergency medicine management recommendations follows.

scholarly journals Double Trouble: Two Scapulothoracic Dissociation in a Single Head-On Collision

2019 ◽  
Vol 3 (3) ◽  
pp. 169
Author(s):  
Ng Bing Wui ◽  
Ong Kean Long ◽  
Mohammad Fittry Bin Safian ◽  
Abdul Muttalib Bin Abdul Wahid
Keyword(s):  
Upper Limb ◽  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
High Energy ◽  
Health Sciences ◽  
Vehicle Accident ◽  
Life Threatening ◽  
Scapulothoracic Dissociation

Scapulothoracic dissociation is a potentially limb-threatening and life-threatening high energy injury. Diagnosis could be obscured due to other associated trauma sustained by the patient. We present a rare case of motor vehicle accident involving 2 motorcyclists who collided onto each other, resulting in both victims sustaining left upper limb scapulothoracic dissociation.International Journal of Human and Health Sciences Vol. 03 No. 03 July’19. Page: 169-171

scholarly journals CADASIL accelerated by acute hypotension

Neurology ◽  
2017 ◽  
Vol 88 (11) ◽  
pp. 1077-1080 ◽  
Author(s):  
Jacqueline A. Pettersen ◽  
Julia Keith ◽  
Fuqiang Gao ◽  
J. David Spence ◽  
Sandra E. Black
Keyword(s):  
White Matter ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Periodic Acid ◽  
Diffuse Axonal Injury ◽  
Periodic Acid Schiff ◽  
Vehicle Accident ◽  
Acute Hypotension ◽  
Cerebellar Peduncles ◽  
Open Femur Fracture

Objective:To underline the importance of blood pressure regulation in cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) and to describe changes that occur in the veins in this condition, specifically venous collagenosis associated with leukoaraiosis.Methods:Case report with neuroimaging and pathologic data.Results:A 61-year-old man with genetically confirmed CADASIL was initially lucid following a motor vehicle accident but subsequently became hypotensive (60/40 mm Hg) due to an open femur fracture and required intubation. Multiple new white matter infarcts appeared on brain imaging. A second hypotensive episode days later was associated with new coin-sized infarcts in the bilateral corona radiata and cerebellar peduncles, and resulted in quadriplegia. No embolic source was found on cardiac or vascular imaging. He died 5 weeks post trauma. Autopsy revealed extensive subcortical and periventricular leukoencephalopathy and multiple cavitations involving deep subcortical gray and white matter. Small arteries had thickened walls, disruption of the muscularis, and intimal periodic acid–Schiff (PAS)–positive material. Both larger periventricular and small caliber veins had thickened walls that were PAS-negative and trichrome-positive, consistent with venous collagenosis. There was no pathologic evidence of global hypoxia or diffuse axonal injury.Conclusions:The findings suggest rapid acceleration of CADASIL pathology from acute hypotension in the setting of impaired vasoreactivity. In addition, collagenosis of veins in the affected white matter regions suggests that the veins may play an important, though largely overlooked, role in maintaining white matter integrity.

scholarly journals Anomalous Origin of the Anterior Choroidal Artery

2009 ◽  
Vol 15 (1) ◽  
pp. 73-76 ◽  
Author(s):  
A. Nishio ◽  
M. Yoshimura ◽  
S. Yamauchi ◽  
S. Masamura ◽  
T. Kawakami ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Rare Case ◽  
Internal Carotid ◽  
Posterior Communicating Artery ◽  
Anomalous Origin ◽  
Anterior Choroidal Artery ◽  
Anterior Choroidal ◽  
Choroidal Artery

We describe a very rare case of anomalous origin of the anterior choroidal artery. In our case the anterior choroidal artery arises from the internal carotid artery proximal to the posterior communicating artery.

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