scholarly journals Evaluation of clinical findings and treatment options of Sydenham chorea patients

2021 ◽  
Vol 5 (4) ◽  
pp. 367-370
Author(s):  
Sevgi YİMENİCİOĞLU ◽  
Pelin KOSGER
2013 ◽  
Vol 98 (4) ◽  
pp. 346-353 ◽  
Author(s):  
Cengiz Eris ◽  
Sami Akbulut ◽  
Mehmet Kamil Yildiz ◽  
Hasan Abuoglu ◽  
Mehmet Odabasi ◽  
...  

Abstract The benefits and risks of surgery for splenic hydatid cyst (SHC) remain controversial. We aimed to share our experience about a surgical approach for SHC. Sixteen consecutive patients with SHC disease who underwent open splenectomy at our hospital between January 2006 and July 2012 were retrospectively evaluated. Data on the patients' demographic features, clinical findings, radiological and serological diagnostic methods, and surgical and medicinal treatment options were collected and used to generate descriptive profiles of diagnosis, treatment course, and outcome. The patient population was composed of 6 females and 10 males, with an age range of 18 to 79 years (mean age: 47.0 ± 18.0). Radiological examinations detected hydatid cysts in spleen alone (n = 7) or both spleen and liver (n = 9). Preoperative serological testing identified 13 of the patients as IHA positive. All except 1 patient received a 10- to 21-day preoperative course of albendazole therapy and all patients received vaccination 1 week prior to surgery. Seven patients underwent splenectomy. The remaining patients underwent splenectomy with partial cystectomy and omentopexy (n = 6), partial cystectomy and unroofing (n = 1), pericystectomy (n = 1), or pericystectomy with partial nephrectomy (n = 1). All except one patient received a 10- to 45-day postoperative course of albendazole. No patients developed serious complications or signs of recurrence during the follow-up. The clinical profile of SHC disease at our hospital includes diagnosis by radiological methods, splenectomy treatment by simple or concomitant procedures according to the patient's symptoms, cyst size, number and localization, and compression of adjacent organs, and adjunct vaccination to decrease risk of postoperative septic complications. This profile is associated with low risk of complications and high therapeutic efficacy.


2016 ◽  
Vol 32 (1) ◽  
pp. 47-51
Author(s):  
Imran Sarker ◽  
Maliha Hakim ◽  
Mahmudul Islam ◽  
Md Badrul Alam ◽  
Md Rafiqul Islam

Background and Objective:: Miller Fisher syndrome (MFS) is a variant of Guillan Barre syndrome characterized by ophthalmoplegia, ataxia and areflexia. Although self-limiting disease course is expected, disease modifying treatment options for MFS are no different than for GBS and include intravenous immune globulin (IVIG) and plasmapheresis. Here, we report a case of MFS presented with bilateral ptosis, ophthalmoplegia, ataxia with quadriparesis and normal NCS. Patient Methods: A 14- year-old young boy was admitted to our hospital with the complaints of double vision, vertigo, difficulty in walking, imbalance. He had no diarrhea or upper respiratory tract infection prior to this illness. On neurological examination, he had limited ability to move his eyes up and out, had bilateral ptosis, ataxia. The muscle strength was mildly impaired. The plantar reflexes were flexor and the deep tendon reflexes were absent. Results: The blood laboratory, CT and brain MRI were normal. In the first sample of CSF, there was no change. Subsequent sample after 14 days revealed high protein with albuminocytological dissociation. The NCS and EMG were normal. Anti GQ 1b antibody was negative. He showed marked improvement with conservative management. Conclusion: MFS is a rare disease that must be diagnosed with the clinical findings and in the following days the diagnosis can be supported by the laboratory findings. Bangladesh Journal of Neuroscience 2016; Vol. 32 (1): 47-51


Author(s):  
James P. Dunn

Upon completion of this chapter, the reader should be able to • Describe the symptoms and signs of cytomegalovirus (CMV) retinitis in patients with AIDS. • Describe treatment options for CMV retinitis and the need for systemic therapy whenever possible. • Identify risk factors, clinical findings, and treatment of immune recovery uveitis....


Author(s):  
Dorothy L. Gilbertson-Dahdal

Chapter 112 focuses on developmental dysplasia of the hip, which includes a spectrum of abnormalities ranging from a stable hip with a mildly dysplastic acetabulum to complete hip dislocation. Pathophysiology, clinical findings, and screening studies are explored. The pathophysiology is multifactorial including mechanical, genetic and hormonal factors. Imaging strategies, findings, and treatment options are also discussed. Screening US, which is the imaging modality of choice, is performed on infants with predisposing risk factors. Outcome is quite variable with many cases resolving spontaneously without treatment whereas others stabilize with acetabular dysplasia. Treatment options include immobilization and surgery. MRI is used for problem solving in postoperative patients.


Author(s):  
Angeli S. Mayadev ◽  
George H. Kraft

Brainstem and cerebellar plaques often result in some of the most disabling symptoms experienced by persons with multiple sclerosis, and may be among the most challenging to treat. The impairments resulting from these lesions may also be a significant source of secondary complications such as falls, aspiration, and poor nutrition. This chapter outlines the anatomical origin of dysfunction, clinical findings, and treatment options available to patients and providers. Medical, surgical, and rehabilitative methods for the treatment of tremors, ataxia, vertigo, dysphagia, dysarthria, dysphonia, trigeminal neuralgia, and facial nerve palsy are reviewed.


2021 ◽  
Vol 26 (3) ◽  
pp. e2182
Author(s):  
Tuba Cigdem Oguzoglu ◽  
B. Taylan KOÇ ◽  
Zeynep Akkutay-Yoldar

Objective. Several studies from different countries have been performed about the viral diseases of domestic cats, and detailed information has been provided on their transmission, prevalence/incidence, virulence, origins/molecular characteristics and pathogenesis so far. Multiple- or co-infections in domestic and wild cats have been described by many papers. However, viral co-infections have been reported on a limited basis. In this study, three domestic clinically diseased cats have been found to be positive with feline coronavirus (FCoV), feline parvovirus (FPV) and feline foamy virus (FFoV). We aimed to examine triple viral infections circumstances in Turkish cats. Material and method. Ascites and blood samples were collected from diseased cats. Different polymerase chain reaction protocols for each virus were performed. After PCRs, all products were run in agarose gel and visualized under a blue-light transilluminator. Results. We found FCoV, FPV and FFoV as triple infection in three cats. Conclusions. We think that the results indicating the presence of multiple infections will ease the work of veterinary clinicians concerning infection treatment options, especially when animals show multiple clinical findings due to co-infections. It should be not forgotten the presence of multi-systemic co-infections in early routine laboratory diagnosis.


2018 ◽  
Vol 4 (1) ◽  
pp. 82-87
Author(s):  
Fahad Khan ◽  
Sumaita Waqar ◽  
Noor Ul Ain Jamal ◽  
Asra Saleem

The clinical findings and treatment options of cardiovascular abnormalities in a 20-year old male patient with Noonan syndrome are described with literature review. The classical clinical features of Noonan syndrome which were identified included short stature, abnormalities of ear and eye, low posterior hair line, cubitus valgus and webbed neck. The major cardiovascular abnormalities included pulmonary valvular stenosis and hypertrophic cardiomyopathy. A comparison with Leopard syndrome is made and the overlapping features between the two rare genetic disorders are discussed.


2021 ◽  
Vol 6 (4) ◽  
pp. 288-296
Author(s):  
Spyridon Sioutis ◽  
Lampros Reppas ◽  
Achilles Bekos ◽  
Eleftheria Soulioti ◽  
Theodosis Saranteas ◽  
...  

Echinococcosis or hydatid disease affecting the spine is an uncommon manifestation of Echinococcus granulosus infection of the spine. More commonly found in endemic areas, it causes significant morbidity and mortality as it grows slowly and produces symptoms mainly by compressing the spinal cord. As diagnostic methods are non-specific, diagnosis and management are usually delayed until the disease is advanced, thereby therapy is usually unlikely. Treatment is usually surgical, aiming at cyst excision, spinal cord decompression and spinal stabilization. This article summarizes the clinical findings of echinococcosis of the spine, discusses the specific laboratory and diagnostic findings, lists the current treatment options, and reviews the patients’ outcomes. The aim is to prompt clinicians to be aware of the possibility of echinococcosis as a possible diagnosis in endemic areas. Cite this article: EFORT Open Rev 2021;6:288-296. DOI: 10.1302/2058-5241.6.200130


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