scholarly journals Post-traumatic Cervical Spondyloptosis Without Neurological Deficits: A Case Report

2021 ◽  
Vol 7 (3) ◽  
pp. 165-170
Author(s):  
Hamid Rezaee ◽  
◽  
Mohammad Ali Abouie-Mehriz ◽  
Saman Mohazzab-Torabi ◽  
Ehsan Keykhosravi ◽  
...  
Keyword(s):  
Case Report ◽  
Neurological Impairment ◽  
Neurological Deficits ◽  
Fracture Dislocation ◽  
Surgical Removal ◽  
X Rays ◽  
Case Presentation ◽  
Cord Injury ◽  
Post Traumatic ◽  
Magnetic Resonance Imaging Mri

Background and Importance: Traumatic cervical spondyloptosis is a rare and severe situation, i.e., associated with disabling neurological deficits. Case Presentation: We described an unusual clinical presentation of cervical spondyloptosis in a 49-year-old man without neurological impairment and severe neck pain. Moreover, C6-C7 spondyloptosis was assessed two days after the trauma. X-rays, Computed Tomography (CT) scans and Magnetic Resonance Imaging (MRI) demonstrated a C6 bi-pedicular fracture, C6-C7 facet dislocation with complete ptosis of C6 vertebral body over C7 and without spinal cord injury. The patient was managed with an intra-operative 4 Kg traction and underwent a posterior decompression, with reduced fracture/dislocation by bilateral completed facetectomies at C6, and fusion from C4 to T3. Conclusion: This case report emphasized that sometimes cervical spondyloptosis may occur without neurological deficit symptoms. Prompt clinical recognition and surgical removal are essential to prevent serious complications in this respect.

scholarly journals Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Tomoyuki Ishida ◽  
Jun Kanamori ◽  
Hiroyuki Daiko
Keyword(s):  
Magnetic Resonance Imaging ◽  
Interventional Radiology ◽  
Case Report ◽  
Magnetic Resonance ◽  
Thoracic Duct ◽  
Rare Case ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Thoracostomy Tube ◽  
Magnetic Resonance Imaging Mri

Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.

scholarly journals Body lateropulsion as the primary manifestation of medulla oblongata infarction: a case report

2020 ◽  
Vol 48 (11) ◽  
pp. 030006052097077
Author(s):  
Hui Li ◽  
Na Wei ◽  
Lu Zhang ◽  
Xiuli Liu ◽  
Jingzhe Han
Keyword(s):  
Medulla Oblongata ◽  
Brain Function ◽  
Plasma Lipids ◽  
Neurological Deficits ◽  
Resonance Imaging ◽  
International Peace ◽  
Case Presentation ◽  
Vertebrobasilar System ◽  
Magnetic Resonance Imaging Mri ◽  
Cerebellar Symptoms

Background Isolated body lateropulsion is a possible predominant manifestation of medulla oblongata infarction, and can occur without vestibular and cerebellar symptoms. However, it is relatively rare and challenging to diagnose. Case presentation A 67-year-old woman was admitted to the Harris International Peace Hospital complaining mainly of instability when standing and walking for the previous 8 hours. Based on the neural localization and multiple head magnetic resonance imaging (MRI) examinations, a diagnosis of cerebral infarction (vertebrobasilar system) was made. Consequently, the patient was managed using therapy aimed at preventing platelet aggregation, lowering plasma lipids, stabilizing plaques, protecting mitochondria, and improving circulation and brain function. The patient’s gait improved and she was discharged after 14 days because she was able to walk unaided. The patient was followed up for 6 months and had no noticeable undesirable side effects or signs of neurological deficits. Conclusion The possibility of lateral medulla oblongata infarction should be considered when patients present with isolated body lateropulsion, without other signs or symptoms of brainstem damage.

Heterotrophic calcification of medial collateral ligament of knee joint: a case report

2020 ◽  
pp. 1-7
Author(s):  
Ijaz Amin ◽  
Wajida Perveen ◽  
Misbah Amanat Ali ◽  
Umer Ilyas
Keyword(s):  
Knee Joint ◽  
Medial Collateral Ligament ◽  
Surgical Removal ◽  
Joint Motion ◽  
Normal Range ◽  
Collateral Ligament ◽  
Functional Scale ◽  
Cord Injury ◽  
Post Traumatic

Abstract Soft-tissue calcification is characterised by the deposit of calcium in the damaged collagen fibres. The pathology of the phenomenon is not fully known. Trauma, spinal cord injury and traumatic brain injury have been reported as possible risk factors. Hypertrophic calcification of medial collateral ligament can be post-traumatic with unexplained aetiology. It can restrict the normal range of joint motion, affecting performance of activities of daily living, resulting in disturbance of quality of life. It may be managed conservatively, but if unsuccessful, surgical removal of the calcification may be carried out. Here, we present a case of post-traumatic heterotrophic calcification of medial collateral ligament of knee joint and review of current literature. Keywords: Heterotrophic calcification, Lower extremity functional scale, medial collateral ligament, Continuous...

scholarly journals Fracture-Dislocation of the Thoracic Spine Without Spinal Cord Injury. A Case Report.

1991 ◽  
Vol 40 (2) ◽  
pp. 756-758
Author(s):  
Treuyuki Hirohashi ◽  
Osamu Sugiyama ◽  
Toshiya Endo ◽  
Touru Takamatsu ◽  
Kensei Nagata
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Case Report ◽  
Thoracic Spine ◽  
Fracture Dislocation ◽  
Cord Injury

Penetrating Craniocerebral Injury by the Hook of a School Desk

2021 ◽  
Vol 56 (2) ◽  
pp. 152-156
Author(s):  
Yahya Guvenc ◽  
Mustafa Sakar ◽  
Seymur Niftaliyev ◽  
Abdulmammad Guliyev ◽  
Ismail Simsek ◽  
...  
Keyword(s):  
Foreign Body ◽  
High Frequency ◽  
Causes Of Death ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Epileptic Seizures ◽  
Neurological Deficits ◽  
Surgical Removal ◽  
Case Presentation ◽  
Cranial Injury

<b><i>Introduction:</i></b> Although penetrating cranial injuries are rare in pediatric patients, these injuries can lead to morbidity and mortality. Removal of a gigantic foreign body from the cranium requires proper management as it has high risk of further brain damage and seizures. <b><i>Case Presentation:</i></b> We report the case of a patient with cranial injury caused by hitting the head to the hook of a school desk. Due to the extreme nature of the injury, the following additional steps were necessary: taking help from a local firefighter team to cut the desk, surgical removal of the foreign body, and cranioplasty after 6 months. Following this, he was discharged without neurological deficits. <b><i>Discussion/Conclusion:</i></b> Neurotrauma is one of the major causes of death in children. The damage and effect of the injuring foreign body depends on its size, shape, velocity, trajectory, and entry point. It should be kept in mind that any high-frequency processes applied on the extracranial parts of conductive objects, such as metal bars, may trigger seizures. Preoperative extracranial intervention for huge penetrating foreign bodies should be performed under anticonvulsant administration and intubation to decrease the risk of epileptic seizures and its complications.

scholarly journals Isolated trochlear palsy as the only presentation of midbrain infarction: a case report

2021 ◽  
Vol 49 (4) ◽  
pp. 030006052110082
Author(s):  
Wen-Ching Chen ◽  
Ying-Sheng Li ◽  
Poyin Huang
Keyword(s):  
Case Report ◽  
Recent Literature ◽  
Brain Magnetic Resonance Imaging ◽  
Neurological Deficits ◽  
Resonance Imaging ◽  
Current Case ◽  
Brainstem Stroke ◽  
Midbrain Infarction ◽  
Magnetic Resonance Imaging Mri ◽  
Trochlear Palsy

Trochlear palsy often results from traumatic, congenital and microvascular disorders. An intra-axial lesion as a cause of trochlear palsy is uncommon. Moreover, it usually accompanies other neurological deficits. Isolated trochlear palsy as the only presentation of brainstem stroke is unexpected. This current case report describes a 74-year-old male that presented with trochlear palsy without other neurological signs. Brain magnetic resonance imaging (MRI) revealed an acute midbrain infarction. The case report also reviews recent literature and provides a stepwise algorithm for clinicians to approach patients with trochlear palsy. Despite its rarity, clinicians are advised to consider ischaemic stroke as a cause of trochlear palsy even without other neurological deficits. Early MRI should be performed for prompt and proper management.

scholarly journals Nine-segment laminectomy is safe for the resection of a schwannoma extending from C-2 to T-3: a rare case report

2020 ◽  
Vol 29 (3) ◽  
pp. 326-31
Author(s):  
Mohamad Saekhu ◽  
Nuryati Chairani Siregar ◽  
Kevin Gunawan ◽  
Setyo Widi Nugroho
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Rare Case ◽  
Neurological Deficits ◽  
Surgical Removal ◽  
Common Complication ◽  
Rare Case Report ◽  
Normal Strength ◽  
Atypical Feature ◽  
One Year

Cervical spine schwannoma, which is long and entirely intracanal, is rare to be found. Its rarity and atypical feature leads to difficulty in diagnosing and managing cases because of the scarcity of available literature. The surgical removal of this type of schwannomas via multisegment laminectomy is a great challenge because of various risks of postoperative complications. This report describes cervical spine schwannoma that was initially was not suspected as schwannoma and was subject to surgical removal via nine-segment laminectomy. In one year after surgery, motor function returned to normal strength, no new neurological deficits occurred, and no kyphotic deformity, which is a common complication of multisegment laminectomy.

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