scholarly journals A Case of Cervical Dystonia with Non Responsive To Usual Noninvasive Treatment

2017 ◽  
Vol 6 (1) ◽  
pp. 44-46
Author(s):  
Fahmida Hafez ◽  
Md Zahidul Islam ◽  
Jebun Nessa ◽  
Md Sk Shahidullah ◽  
Shahina Sobhan ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Cervical Dystonia ◽  
Signs And Symptoms ◽  
Short Wave ◽  
Ultra Sound ◽  
Noninvasive Treatment ◽  
Sound Therapy ◽  
History Of ◽  
Type Of Exercise ◽  
Awkward Posture

Cervical dystonia is a focal dystonia characterized by neck muscles contracting involuntarily-causing abnormal movement and awkward posture of the head and neck. A rare disorder can occur at any age even at infancy. Symptoms generally begin gradually and then reach a point where they don't get substantially worse. Asymmetry of the sternocleidomastoid (SCM) is often present in untreated patient. There is no cure for cervical dystonia. Injecting botulinum toxin into the affected muscles often reduces the signs and symptoms of cervical dystonia. In this case, it has been described a rare case of a forty seven year old male patient with a history of cervical dystonia presented with struggle with head position, resisting but never overcoming the tendency of his head to assume an unnatural position. The management including drugs like oral analgesic, muscle relaxant, anti-Parkinson drug & even antipsychotic drug were used. Physiatric approach like different modalities of heat such as Short wave diathermy (SWD), Microwave diathermy (MWD) & Ultra sound therapy (UST) were used. Brace like cervical collar and different type of exercise was also prescribed, even botulinum toxin injected into suspected muscles but all discussed above failed in this case.J Shaheed Suhrawardy Med Coll, June 2014, Vol.6(1); 44-46

scholarly journals A Case of Cervical Dystonia - Non Responsive to Usual Noninvasive Treatment

2014 ◽  
Vol 11 (2) ◽  
pp. 92-94
Author(s):  
Fahmida Hafez ◽  
Shahanaz Begum ◽  
Jahidul Islam ◽  
Shahina Sobhan ◽  
Jebun Nessa ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Cervical Dystonia ◽  
Short Wave ◽  
Head Position ◽  
Ultra Sound ◽  
Noninvasive Treatment ◽  
Sound Therapy ◽  
Different Types ◽  
History Of ◽  
Awkward Posture

Cervical dystonia is a focal dystonia characterized by neck muscles contracting involuntarily-causing abnormal movement & awkward posture of the head & neck.It is a rare disorder that can occur at any age even infancy.Symptoms generally begin gradually& then reach a point where they don’t get substantially worse.Asymmetry of the Sternocleidomastoid is often present in untreated patient.There is no cure for cervical dystonia. Injecting botulinum toxin into the affected muscles often reduce the signs & symptoms of cervical dystonia.Here, it has been described a rare case of a forty seven year old male patient with a history of cervical dystonia presented with struggle with head position, resisting but never overcoming the tendency of his head to assume an unnatural position.The management including drugs like oral analgesic,muscle relaxant,anti-parkinson drug & even antipsychotic drug were used. Phychiatric approach like different modalities of heat such as Short Wave Diathermy, Microwave diathermy & Ultra sound therapy were used. Brace like cervical collar and different types of exercise was also prescribed,even botulinum toxin was injected into suspected muscles but all treatments discussed above failed in this case. DOI: http://dx.doi.org/10.3329/bja.v11i2.20679 Bangladesh Journal of Anatomy, July 2013, Vol. 11 No. 2 pp 92-94

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
X Ray ◽  
Medical College ◽  
Lingual Dystonia ◽  
History Of ◽  
Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

SMAD4 juvenile polyposis syndrome and hereditary haemorrhagic telangiectasia presenting in a middle-aged man as a large fungating gastric mass, polyposis in both upper and lower GI tract and iron deficiency anaemia, with no known family history

2020 ◽  
Vol 13 (12) ◽  
pp. e236855
Author(s):  
Wendy Chang ◽  
Patricia Renaut ◽  
Casper Pretorius
Keyword(s):  
Family History ◽  
Autosomal Dominant ◽  
Signs And Symptoms ◽  
Juvenile Polyposis ◽  
Hereditary Haemorrhagic Telangiectasia ◽  
Gi Tract ◽  
Juvenile Polyposis Syndrome ◽  
Polyposis Syndrome ◽  
History Of ◽  
Gastric Mass

Juvenile polyposis syndrome (JPS) and hereditary haemorrhagic telangiectasia (HHT) are rare autosomal dominant diseases, where symptoms manifest at childhood. A 32-year-old man with no family history of JPS or HHT with SMAD4 gene mutation who developed signs and symptoms only at the age of 32, when he was an adult. In this article, we highlight the steps taken to diagnose this rare pathology, explain its pathophysiology and management.

scholarly journals Endometriosis Mimicking a Cecum Mass with Complete Bowel Obstruction: An Infrequent Cause of Acute Abdomen

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Gabriel A. Molina ◽  
Darwin R. Ramos ◽  
Alberto Yu ◽  
Patricio A. Paute ◽  
Paul S. Llerena ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Bowel Obstruction ◽  
Preoperative Diagnosis ◽  
Malignant Tumors ◽  
Signs And Symptoms ◽  
Final Diagnosis ◽  
Intestinal Involvement ◽  
History Of ◽  
Ovarian Abscess ◽  
Fertile Women

Endometriosis is a common entity among fertile women which unfortunately manifests through variable symptomatology. Intestinal involvement in endometriosis is quite common and can simulate several diseases such as Crohn’s disease, appendicitis, tubo-ovarian abscess, or malignant tumors. Intestinal obstruction due to endometriosis is rare, and preoperative diagnosis is difficult because the signs and symptoms are nonspecific and can be easily confused. In the case of patients without a history of endometriosis, diagnosis is further complicated. We present a case of a 41-year-old female patient. She presented to the emergency room with complete bowel obstruction and a mass in the cecum. Surgery was decided, and the patient underwent full recovery. Endometriosis was the final diagnosis for the observed condition.

scholarly journals Retrospective analysis of the clinical presentation and imaging of eight primary benign mediastinal schwannomas

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Ramiro Sandoval-Macias ◽  
Irving Daniel Ortiz-Sanchez ◽  
Ana Lilia Remirez-Castellanos ◽  
Luis Mora-Hernandez ◽  
Candelaria Cordova-Uscanga ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Signs And Symptoms ◽  
Cystic Degeneration ◽  
Imaging Features ◽  
Posterolateral Thoracotomy ◽  
Accurate Analysis ◽  
Cystic Changes ◽  
History Of ◽  
Histology And Immunohistochemistry

Abstract Objective Mediastinal schwannomas are sometimes confused with other neoplasms during initial radiological studies, especially when there is a history of cancer in another area. In these cases, a more accurate analysis using computed tomography (CT) or even magnetic resonance (MRI) is required. Our study aimed to perform a retrospective analysis of the clinical and imaging features for a series of patients with mediastinal schwannomas that were confirmed by histology and immunohistochemistry. Results We found eight patients, five men and three women, with an average age of 51 years for this study. The main signs and symptoms at diagnosis were chest pain, dyspnea, cough, and dysphagia. CT showed that the tumor was located in the posterior compartment of the chest in 7/8 cases. Tumors > 10 cm were more heterogeneous and showed cystic changes. All patients underwent posterolateral thoracotomy, and radiological follow-up showed no evidence of recurrence. Histological analysis was considered the gold standard to confirm diagnosis, along with at least one neurogenic IHC marker. In conclusion, mediastinal schwannomas are benign encapsulated tumors. According to CT, schwannomas > 10 cm show cystic degeneration more frequently. Posterolateral thoracotomy allows complete resection and is considered the surgical approach of choice.

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