scholarly journals Localized Asymmetry in Human Dental Crown Form—an Interesting Case

2018 ◽  
Vol 17 (1) ◽  
pp. 18-23 ◽  
Author(s):  
John Wetherell ◽  
Tracey Winning ◽  
Grant Townsend
Keyword(s):  
Root Formation ◽  
Interesting Case ◽  
Normal Range ◽  
History Of ◽  
Tooth Germs ◽  
The Right ◽  
Range Of Variation ◽  
Lower Molar ◽  
Or History ◽  
Crown Form

A case of a 20-year-old female is described in which the premolars and molars on the right side of the arch display altered crown proportions and altered occlusal morphology. There is no evidence of an orofacial congenital disorder or history of trauma. It is argued that the asymmetrical expression of crown form does not fall within the normal range of variation but has resulted from a localized disruption in cellular function within the developing tooth germs, probably upsetting the folding of the internal enamel epithelia. This has produced crowns that have rounded cuspal outlines and reduced intercuspal distances. Superimposed space constraints in the mandible may have also led to compression of the lower molar crowns mesiodistally and affected their root formation.

scholarly journals Chronic traumatic encephalopathy – a study in Brazilian retired soccer players

Neurology ◽  
2019 ◽  
Vol 93 (14 Supplement 1) ◽  
pp. S11.1-S11
Author(s):  
Jéssica Natuline Lanof ◽  
Renata Areza-Fegyveres ◽  
Carla Guariglia ◽  
Fábio Freire ◽  
Patrícia Nadruz ◽  
...  
Keyword(s):  
Chronic Traumatic Encephalopathy ◽  
Digit Span ◽  
Soccer Players ◽  
Control Group ◽  
Eeg Analysis ◽  
Normal Range ◽  
Clock Drawing Test ◽  
History Of ◽  
The Right ◽  
Clinical Changes

ObjectiveEvaluate the neurological, neuopsychological and electroencephalogram (EEG) findings in a cohort of retired soccer players.BackgroundChronic traumatic encephalopathy (CTE) is considered to be a consequence of exposure to repeated head traumas, but evidence suggests that a single moderate or severe traumatic brain injury can also induce progressive neuropathological changes.Design/MethodsProspective observational study that evaluated 26 retired soccer players and 14 controls. The retired athletes and controls were submitted to neurological evaluation, neuropsychological evaluation and EEG.ResultsIn general, the soccer players performed well in tests, within the normal range. 15 soccer players had a history of previous TBI/concussion. In the retired group the average age was 60.4 years (55.7 in the CG), average of 11.7 schooling years (13.7 in the CG). The average results in MMSE was 26.6 (29 in the CG), the average digit span in backwards was 3.1 (3.8 in the CG), the average verbal fluency for animals was 15.6 (24 in the CG) and the average clock-drawing test was 8.96 (9 in the CG). Visual EEG analysis showed a predominance of posterior alpha activity between 9.0 and 12.0 Hz (mean 10.3 Hz) in the soccer participants and 11 Hz in the control group (CG). The analysis wiht low resolution electromagnetic tomography (LORETA) showed that 11 soccer players had hippocampal asymmetry (5 had less activity in the right hippocampus and 6 had less activity in the left hippocampus).ConclusionsAlthough the performance of the athletes in the tests was within the normal range, the means were always inferior to those of the controls. Almost half of the players presented asymmetry in the analysis by LORETA, although visual EEG analysis was normal. This may indicate that EEG changes may be earlier and more sensitive than clinical changes. These data are preliminary and further analysis are needed.

The Sweating Anomaly in Cluster Headache: Further Observations on the Underlying Mechanism

Cephalalgia ◽  
1987 ◽  
Vol 7 (1) ◽  
pp. 77-81 ◽  
Author(s):  
Ottar Sjaastad ◽  
Rolf Salvesen ◽  
F Antonaci
Keyword(s):  
Cluster Headache ◽  
Underlying Mechanism ◽  
Interesting Case ◽  
Test Results ◽  
Sympathetic Dysfunction ◽  
Typical History ◽  
History Of ◽  
Heating Test ◽  
The Right ◽  
Autonomic Test

We describe a patient with a typical history of cluster headache for more than 18 years. During the first approximately 10 years of his disease, the pain was right-sided, and pupillometric and evaporimetric measurements indicated a sympathetic deficiency on this same side. However, for the next >6 years, his pain was consistently left-sided, although the signs of sympathetic dysfunction still were more marked on the right side. This was also true for the findings obtained during the interictal period and for the heating test performed within an attack. The implications of this interesting case are discussed. The view that two separate lines of symptom production lead to the pain and the autonomic phenomena seems to be supported by this case history. The cluster headache syndrome may also be a bilateral disorder, with only the weight of balance pointing one way or the other. Finally, the autonomic test results of this patient could reflect an autonomic “scar” in the previous headache side.

scholarly journals An Interesting Case Report of Frontal Sinus Keratocyst

2019 ◽  
Vol 9 (1) ◽  
pp. 100
Author(s):  
Alireza Mohebbi ◽  
Mohammad Aghajanpour
Keyword(s):  
Case Report ◽  
Surgical Resection ◽  
Frontal Sinus ◽  
Interesting Case ◽  
Ophthalmological Examination ◽  
Eyelid Edema ◽  
Complete Surgical Resection ◽  
Orbital Wall ◽  
History Of ◽  
The Right

Purpose: To report an unusual case of frontal sinus keratocyst. Case Report: A 31 year old woman presented with a history of swollen right eye and visual field impairment. The ophthalmological examination revealed right superior eyelid edema and some degrees of proptosis. CT scan with iodine injection evidenced the opacification of the right frontal sinus with superior orbital wall lysis. Complete endoscopic surgical resection of a mass containing foul smelling keratin material was performed via Draf type III. The patient became symptomatic after 6 years. Imaging studies showed neo- osteogenesis in the far lateral end of right frontal sinus. Frontal trephination was done and the remnant of keratocyst was removed and the septum interfacing the cell and the right frontal sinus was walled down entirely. Conclusion: Although frontal sinus keratocyst is benign but can spread to the surrounding structures leading to several complications. Therefore, complete surgical resection is necessary to avoid recurrence.

scholarly journals Non-Steroidal Anti-Inflammatory Drugs: A Rare Cause of Colonic Mass

2021 ◽  
pp. 395-399
Author(s):  
Ahmed Baiomi ◽  
Hafsa Abbas ◽  
Shehriyar Mehershahi ◽  
Myrta Daniel
Keyword(s):  
Lower Abdominal Pain ◽  
Interesting Case ◽  
Right Colon ◽  
Intravenous Contrast ◽  
Colonic Malignancy ◽  
History Of ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
The Right ◽  
Mucosal Thickening

NSAIDs (non-steroidal anti-inflammatory drugs) are one of the most used medications worldwide. Every day they are used by more than 30 million Americans. Here, we report a rare and interesting case of a 63-year-old woman with a history of NSAID use who presented to our emergency room with lower abdominal pain. Computed tomography (CT) scan of the abdomen with intravenous contrast revealed focal mucosal thickening in the cecum which was highly suspicious for colonic malignancy. She had a colonoscopy which showed two masses and ulcers in the right colon, pathology was negative for malignancy and showed inflammation consistent with NSAID colopathy.

scholarly journals Ileo-caecal Tuberculosis Associated with Hepatic Involvement - A Case Report

1970 ◽  
Vol 20 (1) ◽  
pp. 60-63
Author(s):  
SMK Nahar Begum ◽  
M Azizul Hoque ◽  
K Khalilur Rahmen ◽  
AK Pramanik ◽  
S Shafiqul Alam
Keyword(s):  
Weight Loss ◽  
Case Report ◽  
Case History ◽  
Interesting Case ◽  
Hepatic Involvement ◽  
History Of ◽  
The Right

This is the case history of a 36 year old male who presented with fever, diarrhoea, weight loss with tenderness in the right hypochondrium and right ileac region. This was finally diagnosed as an interesting case of ileo-caecal tuberculosis with associated hepatic involvement.   doi: 10.3329/taj.v20i1.3093 TAJ 2007; 20(1): 60-63

scholarly journals An Interesting Case of Rhino-Orbito-Cerebral Mucormycosis: A Case Report

2020 ◽  
Author(s):  
R Minnu Lekshmi ◽  
Stephen Sudhakar ◽  
S Rajasekharan
Keyword(s):  
Fungal Infections ◽  
Neurological Complications ◽  
Acute Onset ◽  
Interesting Case ◽  
Rapid Progression ◽  
Uncontrolled Diabetes ◽  
Immunocompromised Individual ◽  
Life Threatening ◽  
History Of ◽  
The Right

Fungal infections are the most challenging problems in an immunocompromised individual. Mucormycosis is a life-threatening fungal infection with rapid progression and high mortality in immunocompromised individuals. A case of 58-year-old female, with uncontrolled diabetes is with five days history of headache, fever, and acute onset drooping of the eyelid. The initial vision was normal which dropped to PL in the following days, with ophthalmoplegia and dilated nonreactive pupil in the right eye. Fundus and IOP were normal on presentation. MRI and MRV brain showed subtle ethmoidal cysts. CT-PNS showed mild ethmoidal thickening and cyst. Diagnostic nasal endoscopy showed unhealthy mucosa with no lesion suggesting eschar. A provisional diagnosis of orbital mucormycosis was made. The patient was started on antibiotics and IV Amphotericin B but she went on to further neurological complications. Despite treatment, she developed necrotising eschars in eyelid for which debridement was done. Further, exenteration was advised and patient developed septicaemia, however he died. The culture from debrided tissue showed growth of mucor. The objective of presenting this particular case is to emphasise the importance of considering mucormycosis as diagnosis despite subtle radiological and endoscopic findings in symptomatic immunocompromised patients. Early diagnosis and aggressive management improve better chances for survival.

scholarly journals Identifying the aetiology of sudden acute abnormal involuntary movements in a primigravid

2018 ◽  
Vol 11 (1) ◽  
pp. e227112
Author(s):  
Benjamin Olano Sosa ◽  
Jean Anne Balajadia Toral
Keyword(s):  
Laboratory Tests ◽  
Lower Extremities ◽  
Final Diagnosis ◽  
Upper Extremities ◽  
Neck Flexion ◽  
Normal Range ◽  
Upper And Lower Extremities ◽  
History Of ◽  
Inflammatory Bowel ◽  
The Right

A 20-year-old primigravid experienced sudden stiffening of the neck, upper and lower extremities and trunk associated with joint pains. She was generally well before hospital admission with no history of attacks, except for her inflammatory bowel disease that was treated more than a year ago. During physical examination, the patient manifested neck flexion deviated to the right, deviation of the eyes downward and to the right, spooning of the upper extremities, exhibition of milkmaid’s grip, extension of both lower extremities and jerky speech. She also showed uncontrollable tremors of the neck and occasional flailing of upper extremities. Her preliminary laboratory tests were within normal range. It was worth noting here that her family’s medical history was unremarkable. In this article, the process of arriving at the final diagnosis and treatment would be discussed.

scholarly journals A Tragical Paediatric Case History of Intraorbital and Intracranial Epithelioid Hemangioendothelioma

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
K. Aniba ◽  
M. Laghmari ◽  
M. Lmejjati ◽  
H. Ghannane ◽  
S. Ait Benali
Keyword(s):  
Ct Scan ◽  
Case History ◽  
Epithelioid Hemangioendothelioma ◽  
Interesting Case ◽  
Temporal Fossa ◽  
Paediatric Case ◽  
Neuroradiologic Imaging ◽  
History Of ◽  
The Right ◽  
Subfrontal Approach

Epithelioid hemangioendothelioma (EHE) is a rare tumor of intermediate malignancy. We report a case of intracranial and intraorbitar EHE. A 3-year-old girl presented with a 3-month history of progressive left exophthalmia. Neuroradiologic imaging (CT scan and MRI) showed an intraorbitar process with an intense enhancement extending to temporal fossa, ethmoidal bone, nasal fossa, maxillary sinus, and cavernous sinus. The angiogram was normal. The tumor was operated through subfrontal approach but only a partial resection was performed. The histological diagnosis was epithelioid hemangioendothelioma. The patient was neurologically intact 2 months after surgery without exophtalmia. However 4 months after surgery he displayed a fall of the right eye vision with intense headache. Control CT scan showed persistence of important tumoral residue. Epithelioid hemangioendothelioma is a hemorrhagic tumor. Total removal must be possible. Otherwise, we recommend a complementary chemoradiotherapy and close followup. We propose this interesting case history of a tragical evolution of EHE in contradiction with what has already been reported.

scholarly journals Isolated tuberculous epididymal mass mimicking testicular malignancy: an interesting case report and lessons learnt

2021 ◽  
Author(s):  
Tejaswini Manne ◽  
Solomon Nazareth ◽  
Pavithra Vittalraj ◽  
Sandhya Sundaram ◽  
Sriram Krishnamoorthy ◽  
...  
Keyword(s):  
Case Report ◽  
Pulmonary Tuberculosis ◽  
Previous History ◽  
Interesting Case ◽  
Histopathological Diagnosis ◽  
Recent Onset ◽  
Appropriate Treatment ◽  
History Of ◽  
The Right ◽  
High Index Of Suspicion

Tuberculous epididymal mass is a condition that presents as a painless scrotal swelling. It resembles a testicular mass and is more often diagnosed after orchidectomy. About 22% of all genitourinary tuberculosis show epididymal involvement and 22% of epididymal tuberculosis are bilateral. This report reiterates the need for an increased awareness amongst the treating urologists that would enable an earlier diagnosis, appropriate treatment and may avert the need for orchidectomy in most cases. A 35-year-old diabetic male presented with rapidly enlarging right testicle associated with recent onset of pain over the testis. He also had fever and chills. At the age of 18, he was treated for pulmonary tuberculosis. The right testicle was enlarged, irregular and mildly tender. The right epididymis was also irregular and nodular, blended with the right testicle and indistinguishable from it. A clinical diagnosis of testicular tumour was made. Tumour markers were normal and he underwent high orchidectomy. Histopathological diagnosis confirmed right epididymal tuberculosis. This case report mainly highlights the need for a high index of suspicion amongst the treating physicians. A previous history of treatment for pulmonary tuberculosis should alert the physician to think in lines of tuberculous pathology in epididymis too. A prompt diagnosis and early, appropriate treatment would largely prevent removal of testicles in most cases.

scholarly journals Eyelid Abscess with Dacryocystitis due to Burkholderia pseudomallei

2020 ◽  
pp. 61
Author(s):  
Chee Yik Chang
Keyword(s):  
Burkholderia Pseudomallei ◽  
White Cell Count ◽  
Lower Eyelid ◽  
Nasolacrimal Duct ◽  
Normal Range ◽  
Abdominal Ultrasonography ◽  
Skin Erythema ◽  
History Of ◽  
The Right ◽  
Enhanced Computed Tomography

A 24-year-old female complained of a 2-week history of fever and right-eye swelling. There was no ocular pain, blurring of vision, or history of prior trauma to the affected eye. On examination, she was febrile and not in respiratory distress. The right lower eyelid appeared swollen with skin erythema (Figure 1), while the visual acuity was normal. The white cell count was 14.8 × 103/μL (normal range = 4 – 10 × 103/μL). Her liver and renal function tests were within the normal range. The abdominal ultrasonography revealed multiple splenic microabscesses, while chest radiograph was normal. Contrast-enhanced computed tomography of the orbit showed a right lower eyelid abscess with extension into the right nasolacrimal duct (Figure 2). Incision and drainage of the eyelid abscess were performed and the culture of the pus, as well as the blood, yielded Burkholderia pseudomallei. She received intravenous ceftazidime 2 g every 8 hours for 4 weeks, followed by oral trimethoprim-sulfamethoxazole for 20 weeks’ duration. The right eyelid abscess and splenic microabscesses resolved completely post-treatment. Please interpret the figures and suggest the provisional diagnosis.

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