scholarly journals Dramatic improvement of segmental Zoster Paresis by late-onset antiviral therapy

2021 ◽  
Vol 18 (4) ◽  
pp. 44-48
Author(s):  
Halil Onder ◽  
Gokcen Celik
Keyword(s):  
Neuropathic Pain ◽  
Differential Diagnosis ◽  
Case Report ◽  
Herpes Zoster ◽  
Clinical Course ◽  
Late Onset ◽  
Neurological Complication ◽  
Dramatic Improvement ◽  
Antiviral Medication ◽  
Low Dosage

Focal paresis secondary to Herpes zoster (HZ) is a rare neurological complication and should be kept in mind in the differential diagnosis of acute weakness with corresponding dermatomal rashes. In this case report, we illustrate an 84-year-old male patient, who presented with focal upper extremity weakness following HZ on right C4-8 dermatome. After clinical and electrophysiological evaluations, segmental zoster paresis was diagnosed. Although antiviral medication(oral brivudine) had been administered previously, oral valacyclovir and low dosage methylprednisolone were initiated. In the following 2 months interval, a progressive and dramatic recovery in extremity weakness and neuropathic pain were achieved. The clinical course of this patient may give substantial perspectives regarding the clinical evaluation of similar cases.

scholarly journals Bilateral Charcot hip Arthropathy Due to Tabes Dorsalis: A Case Report

2018 ◽  
Vol 25 (1) ◽  
pp. 21-23
Author(s):  
Ip Hoi Yeung ◽  
Yeung Yip Kan ◽  
Luk Kristine Shik ◽  
Lam Polly Wy ◽  
Wong Kwok Ho
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Course ◽  
High Index ◽  
Tabes Dorsalis ◽  
High Index Of Suspicion

This article illustrates the clinical course of a patient diagnosed to have bilateral Charcot hip arthropathy secondary to tabes dorsalis from delayed untreated syphilitic infection. This differential diagnosis of rapid bilateral hip destruction was a near-extinct entity, and a high index of suspicion is needed to prevent untoward sequelae.

Herpes Zoster-Associated Encephalitis in a Patient Undergoing CAPD: Case Report and Literature Review

2007 ◽  
Vol 27 (4) ◽  
pp. 391-394 ◽  
Author(s):  
Kim C.E. Sigaloff ◽  
Carola W.H. de Fijter
Keyword(s):  
Differential Diagnosis ◽  
Peritoneal Dialysis ◽  
Case Report ◽  
Herpes Zoster ◽  
Literature Review ◽  
Neurological Complications ◽  
Cognitive Status ◽  
Dialysis Patients ◽  
Varicella Zoster ◽  
Capd Patient

Neurological complications of varicella zoster virus (VZV) reactivation have rarely been described in dialysis patients. We report a case of a continuous ambulatory peritoneal dialysis (CAPD) patient who developed herpes zoster encephalitis. The patient was treated with acyclovir and steroids and had a slow but complete return to her prior cognitive status. The available literature is reviewed and the differential diagnosis with acyclovir toxicity is discussed.

scholarly journals Abdominal Cutaneous Nerve Entrapment Syndrome, Case Report and Diagnostic Evaluation

2019 ◽  
Vol 38 (02) ◽  
pp. 141-144
Author(s):  
Jose Fernando Guedes-Correa ◽  
Stephanie Oliveira Fernandes de Bulhões
Keyword(s):  
Neuropathic Pain ◽  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Findings ◽  
Nerve Entrapment ◽  
Cutaneous Nerve ◽  
Noninvasive Treatment ◽  
Important Differential Diagnosis ◽  
Anterolateral Wall ◽  
Nerve Entrapment Syndrome

Abdominal cutaneous nerve entrapment is a rarely diagnosed condition that leads to intense neuropathic pain in the anterolateral wall of the abdomen. Generally, it is triggered by some factor implied in the increase of the pressure on the nerve in its passage by the abdominal wall. Its most important differential diagnosis is pain of visceral origin.We present a case in which the clinical findings confirmed on ultrasound and other imaging tests established the diagnosis and in which the noninvasive treatment was effective.

scholarly journals Julius Caesar's Late Onset Epilepsy: A Case of Historic Proportions

2010 ◽  
Vol 37 (5) ◽  
pp. 557-561 ◽  
Author(s):  
Richard S. McLachlan
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Presentation ◽  
Late Onset ◽  
Real Possibility

This is a case report of Julius Caesar's epilepsy that onset when he was 54-years-old. The differential diagnosis of late onset epilepsy is discussed and the rationale presented for concluding from the clinical presentation that the cause was neurocysticercosis. That this man's disease and its consequences altered the course of history is a very real possibility.

Differential diagnosis and therapy of cycloid psychoses: A case report

2017 ◽  
Vol 41 (S1) ◽  
pp. s843-s843
Author(s):  
A.M. Uminska-Albert ◽  
G. Eikmeier
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Course ◽  
Complete Recovery ◽  
Psychotic Symptoms ◽  
Cycloid Psychosis ◽  
Cycloid Psychoses ◽  
Endogenous Psychoses ◽  
Icd 10 ◽  
Competing Interest

Kraepelin already challenged his dichotomy of psychoses, because in clinical practice too many cases were not in line with his pattern. Different terms for these disorders were coined. Leonhard separated cycloid psychoses from other forms of endogenous psychoses. The idealized subtypes (anxiety-beatific, hyperkinetic-akinetic-motility and confusional exited-inhibited) are characterized by a bipolar course with complete recovery. Operationalised criteria were developed by Perris. We report on a 60 year old woman diagnosed as schizophrenic in 1984/1985 and 2006. In August 2015 she was admitted with stupor and mutism and therefore was treated with fluphenazine and lorazepame. Six days later the clinical picture changed, she became confused and very agitated. After change of treatment to benperidole her clinical condition improved within 12 days. After 3 further days she became confused, agitated and euphoric again. The symptoms persisted in spite of a change of treatment to haloperidole. After diagnostic revision therapy was augmented with lithiumcarbonate. Six days later the psychotic symptoms began to improve and were completely remitted after 10 further days. The case report points out that a differential-diagnostic revision of an apparently therapy-resistant schizophrenia should not only be carried out according to ICD 10 criteria but a cycloid psychosis should be taken into account, too. Perris-criteria are contrasted with ICD 10-criteria for schizophrenia and mania with psychotic symptoms. Symptomatology and clinical course in our patient fulfilled exactly the Perris-criteria. We recommend an augmentation trial with lithium in acute phases of cycloid psychoses by all means before ECT.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Gemcitabine-Induced Radiation Recall Myositis: Case Report and Review of the Literature

2018 ◽  
Vol 11 (1) ◽  
pp. 168-178 ◽  
Author(s):  
Adarsh Ravishankar ◽  
Sean S. Park ◽  
Kenneth R. Olivier ◽  
Kimberly S. Corbin
Keyword(s):  
Breast Cancer ◽  
Differential Diagnosis ◽  
Metastatic Breast Cancer ◽  
Case Report ◽  
Inflammatory Reaction ◽  
Clinical Course ◽  
Postoperative Radiotherapy ◽  
Metastatic Breast ◽  
Review Of The Literature ◽  
Radiation Recall

Gemcitabine-induced radiation recall (GIRR) is a phenomenon wherein the administration of gemcitabine induces an inflammatory reaction within an area of prior radiation. We present the case of a 39-year-old female patient with metastatic breast cancer who experienced GIRR myositis 3 months following postoperative radiotherapy, with additional potential paraspinal myositis following ablative radiotherapy to the thoracic spine. A review of previously published cases of GIRR myositis was performed. The case and literature review describe the clinical course and presentation of GIRR, and highlight the importance of including radiation recall as part of a differential diagnosis when a patient undergoing chemotherapy experiences an inflammatory reaction at a prior site of radiation.

scholarly journals Intramedullary Tuberculoma of the Spinal Cord: A Case Report

2020 ◽  
Vol 13 ◽  
pp. 300-303
Author(s):  
Kelsey Knobbe ◽  
Melissa Gaines
Keyword(s):  
Spinal Cord ◽  
Differential Diagnosis ◽  
Case Report ◽  
Treatment Guidelines ◽  
Clinical Course ◽  
Spinal Tuberculosis ◽  
Spot Test ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Spinal Lesion

Intramedullary tuberculoma (IMT) is a form of spinal tuberculosis which provides a challenge to the internist because there lacks clear diagnostic and treatment guidelines to date. Although rare, it should be included on the differential diagnosis of any patient who presents with progressively worsening symptoms of radiculopathy and a new spinal lesion on imaging. Traditional methods for detection of tuberculosis including tuberculosis spot test and the Ziehl-Neelsen stain have limited utility in diagnosing IMT. In this report, we describe the clinical course, diagnosis and treatment regimen of an adult male with intramedullary tuberculoma of the thoracic spinal cord

scholarly journals A case report of atypical Ramsay-Hunt Syndrome presented with severe vertigo and vomiting

2021 ◽  
Vol 38 (4) ◽  
pp. 693-695
Author(s):  
Kemal KEF
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Herpes Zoster ◽  
Physical Examination ◽  
Facial Paralysis ◽  
External Auditory Canal ◽  
Peripheral Facial Paralysis ◽  
Skin Changes ◽  
Ramsay Hunt Syndrome ◽  
Hunt Syndrome

Ramsay-Hunt Syndrome (Herpes zoster oticus) is often characterized by severe ear pain, vesicles on external auditory canal or auricula and peripheral facial paralysis. However, the patient in this case presented to the clinic with dizziness, pain in the ear and vomiting. During the physical examination there was no vesicles and no evidence of skin changes found around the auricula that were typical for Ramsay Hunt syndrome. The patient did not have facial paralysis. If there is an unexpected severe ear pain accompanying vertigo, Ramsay Hunt syndrome should be considered in the differential diagnosis even if there is no rash or facial paralysis.

Chronic Encapsulated Intracerebellar Hematoma in Infancy: Case Report

Neurosurgery ◽  
1984 ◽  
Vol 14 (5) ◽  
pp. 594-597 ◽  
Author(s):  
Nobuhiko Aoki ◽  
Kunio Mizuguchi
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Course ◽  
Cerebellar Tumor ◽  
Chronic Expanding Hematoma ◽  
Computed Tomographic ◽  
Microscopic Investigations

Abstract A case of intracerebellar hematoma in infancy is reported. Although the clinical course and computed tomographic appearances suggested a cerebellar tumor, intraoperative and microscopic investigations demonstrated a chronic expanding hematoma enlarging with repeated hemorrhages inside the capsule. The differential diagnosis of this entity is discussed.

scholarly journals Chronic prostatitis: differential diagnosis. Case report discussion

2019 ◽  
Vol 10 (2) ◽  
pp. 85-90
Author(s):  
Vladimir P. Kovalyk ◽  
Evgenia V. Ekusheva
Keyword(s):  
Neuropathic Pain ◽  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Examination ◽  
Pelvic Pain ◽  
Chronic Prostatitis ◽  
Chronic Pelvic Pain ◽  
Clinical Analysis ◽  
Close Cooperation ◽  
Interdisciplinary Interaction

The diagnostics of chronic pelvic pain is a complex interdisciplinary problem. It requires a thorough and detailed clinical examination involving clinicians of various specialties. Neuropathic pain in the structure of chronic pelvic pain is present in 1/3 of patients, which call the need for a close cooperation between the urologist and neurologist at all the stages of the management of these patients. The presented clinical analysis demonstrates an algorithm for such an interdisciplinary interaction, which provides a care for a patient with this complex and debilitating pathology.

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