The Process of Improving the Patient’s Motor After a S troke Due to Craniocerebral Trauma – Case Report

2020 ◽  
Vol 62 (3) ◽  
pp. 186-190
Author(s):  
Andżelika Piekarska ◽  
Monika Gałczyk ◽  
Wojciech Kułak ◽  
Arkadiusz Komorowski ◽  
Aneta Klejment ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Left Hemisphere ◽  
Cranial Nerves ◽  
Craniocerebral Trauma ◽  
Individual Case ◽  
Rehabilitation Program ◽  
Common Disease ◽  
The Individual ◽  
The Brain

Introduction: Stroke is the most common disease of the central nervous system. Whereas craniocerebral trauma is defined as the function of the skull bones, broken soft tissue continuity and / or brain contents, including cranial nerves and cerebrospinal opponents. Aim: The aim of the study was to present the importance of kinesitherapy in the process of improving a 72-year-old patient with craniocerebral trauma after an ischemic stroke of the left hemisphere of the brain. Material and Methods: The method of individual case was used in the work. The study included a patient aged 72 with craniocerebral trauma after an ischemic stroke of the left hemisphere of the brain. The description of the individual case study was based on the subject and subject tests performed before and after rehabilitation. Results: The physical examination used the Lovett test to assess muscle strength, range of joint mobility using a goniometer, measurement of limb circumferences and the Ashworth scale to assess spasticity. The tests and functional scales were carried out twice in the patient, in whom her clinical condition was assessed. Conclusions: Based on the case report, it was found that the kinesitherapy used improved the patient’s physical condition. The pain and lymphoedema she was struggling with decreased. A significant increase in the range of mobility, strength and muscle mass of the limbs affected by hemiparesis was also observed. Individually selected rehabilitation program has improved proprioception, standing and gait re-education. The patient moved with the help of orthopedic equipment in the form of elbows.

scholarly journals Transition Between Sensitive Delusion of Reference and Mood Disorder: A Case Report

2021 ◽  
Vol 12 ◽  
Author(s):  
Cecilia Maria Esposito ◽  
Alessio Fiorentini ◽  
Antonio Callari ◽  
Gian Maria Galeazzi ◽  
Paolo Brambilla
Keyword(s):  
Case Report ◽  
Mood Disorder ◽  
Mood Disorders ◽  
Clinical Case ◽  
Clinical Observation ◽  
Individual Case ◽  
Clinical Entity ◽  
Ernst Kretschmer ◽  
The Face ◽  
The Individual

The Sensitive Delusion of Reference is a clinical entity described by Ernst Kretschmer and never integrated into mainstream nosographic systems. It represents the possibility of developing psychosis starting from a personality characterized by sensitivity, scrupulousness, and fear of judgment of others. The presentation of the following clinical case highlights how the overlap between this clinical entity and mood disorders leads to characteristic psychopathology, which has not been sufficiently detailed. In particular, the delusions, which always starts from the idea of reference and the shame in the face of the judgment of others, takes on characteristics of guilt during the depressive phases and persecutory themes during the activation phases. This clinical observation, which obviously needs to be confirmed on a larger scale, encourages a renewed interest in the concept of Kretschmer's Sensitive Delusion of Reference and creates the possibility of intersecting multiple psychopathological levels, for a more complete perspective on the individual case.

Aspirin Overdosage: Incidence, Diagnosis, and Management

PEDIATRICS ◽  
1978 ◽  
Vol 62 (5s) ◽  
pp. 890-897
Author(s):  
Alan K. Done
Keyword(s):  
Risk Factors ◽  
Individual Case ◽  
Diagnosis And Management ◽  
Chronic Poisoning ◽  
Sick Children ◽  
The Individual ◽  
Poisoning In Children ◽  
Kinetics Of ◽  
The Brain

The importance of aspirin as a cause of poisoning in children has declined dramatically with safety packaging and reductions in the dose of flavored children's aspirin per package. Although flavoring entices children to ingest more tablets, the increment is less than the dose differential between the children's and adults' preparations, and so the latter pose the greater hazard in the individual case. Chronic poisoning of children during therapy with aspirin is aggravated by the peculiar kinetics of the drug, but is preventable and constitutes no essential basis for the substitution of acetaminophen, which may not be devoid of risk factors in sick children. Salicylate levels are essential in the diagnosis and management of intoxication. In treatment, emphasis should be on trapping salicylate in the plasma and eventually the urine-through ionization to prevent its entry into the brain.

scholarly journals RECURRENT MENINGIOMA AFTER INITIAL RESECTION SURGERY – CASE REPORT

2015 ◽  
Vol 14 (4) ◽  
pp. 238-241
Author(s):  
Ioana Cociasu ◽  
◽  
Irene Davidescu ◽  
Ioan Buraga ◽  
Bogdan O. Popescu ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Brain Tumour ◽  
Cranial Nerves ◽  
Medical Advice ◽  
Imaging Studies ◽  
The Central Nervous System ◽  
The Brain ◽  
Initial Resection

The most common tumours of the central nervous system, meningiomas are frequently diagnosed by accident when patients undergo imaging studies of the brain for other reasons. Most patients lack symptoms and thus can live their whole lives without knowing they have a brain tumour. Less fortunate patients seek medical advice for troubling symptoms – like seizures or disturbances of the cranial nerves – get surgery for the excision of the tumour and years later fi nd out their tumour has come back. We are presenting the case of such a patient with a recurrent parietal meningioma.

scholarly journals Homoeopathic Treatment of Pituitary Adenoma: A Case Report

2020 ◽  
Vol 7 (2) ◽  
pp. 109-128
Author(s):  
Nur-E-Alam Rasel ◽  
Md. Sofiqul Alam ◽  
Md. Mostafizur Rahman Siddique ◽  
Narottam Debnath ◽  
Md. Jahangir Alam ◽  
...  
Keyword(s):  
Case Report ◽  
Pituitary Adenoma ◽  
Pituitary Adenomas ◽  
Combined Therapy ◽  
Optic Chiasm ◽  
Individual Case ◽  
The Body ◽  
Near Future ◽  
The Brain

Most pituitary adenomas are slow-growing and benign, which means they are not cancer and do not spread to other parts of the body. They generally have a slow but severe impact on vision due to compression of the optic nerves, optic chiasm, and cavernous sinus.  However, as they grow big they can put pressure on nearby structures, such as the nerves that connect the eyes to the brain and cause symptoms. Pituitary adenomas are the third most common intracranial tumor and arise from the pituitary gland. An individual case is presented in this paper with radiological evidence (MRI) of a large lobulated intrasellar mass (3.0 cm transversely, 3.5 cm craniocaudally and 2 cm anteroposteriorly) with supra-sellar extension is causing elevation of the floor of the 3rd ventricle of the brain. Pituitary macroadenoma and hemorrhagic foei, pituitary apoplexy, and pituitary adenomas were founded by different CT scan and MRI reports in different laboratories. The patient was treated with constitutional homoeopathic medicines – Natrum muriticum-m/1, 16 doses up to Natrum muriticum-m/20, 16 doses each from 26/04/2014 to 07/08/2017. Before treatment imaging was done several times from 6/04/2011 to 12/01/2012showed complete resolution of the pituitary adenoma and during treatment3 follow-up imaging was done on 25/07/2015 and 06/08/2017. This case report reviews the clinical presentation, homoeopathic management, and treatment of the major classification of pituitary adenomas and call attention to the need for repertorization in individualized homoeopathic prescription. It is hoped that if this type of clinical research continues in the future, homeopathy will have a breakthrough result and it’s symptomatic medical treatment will play a beneficial role in the near future from the deadly evils of various types of chemotherapy, radiotherapy, or combined therapy.

scholarly journals HIV-Associated Vacuolar Encephalomyelopathy

2019 ◽  
Vol 6 (10) ◽  
Author(s):  
Gregory R Madden ◽  
Molly E Fleece ◽  
Akriti Gupta ◽  
M Beatriz S Lopes ◽  
Scott K Heysell ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Cranial Nerves ◽  
Hiv And Aids ◽  
Vacuolar Degeneration ◽  
Central Nervous System Dysfunction ◽  
Vacuolar Myelopathy ◽  
The Brain

Abstract We report a case of HIV-associated vacuolar encephalomyelopathy with progressive central nervous system dysfunction and corresponding vacuolar degeneration of the spinal cord, cranial nerves, and brain, the anatomic extent of which has not previously been described. Vacuolar myelopathy classically presents as a spinal syndrome with progressive, painless gait disturbance in the setting of advanced HIV and AIDS. Vacuolar involvement of the brain and cranial nerves, as illustrated in this case report, is a newly described variant of this condition that we term vacuolar encephalomyelopathy.

scholarly journals Trigeminal Ophthalmic Branch Schwannoma: Case Report and Literature Review

2020 ◽  
Author(s):  
Luiza Rech Köhler ◽  
Paulo Moacir Mesquita Filho ◽  
Fabio Pires Santos ◽  
Renato Sawasaki ◽  
Richard Giacomelli ◽  
...  
Keyword(s):  
Case Report ◽  
Facial Pain ◽  
Cranial Nerves ◽  
Sensory Nerve ◽  
Intracranial Tumors ◽  
Nerve Roots ◽  
Primary Neoplasms ◽  
Ophthalmic Branch ◽  
The Brain ◽  
Central Lesions

AbstractSchwannomas are the fourth most common primary neoplasms affecting the brain and cranial nerves. Central lesions commonly arise from sensory nerve roots, and a common intracranial site is the vestibular branch of the 8th nerve (>85%). We present the case report of a patient who has a schwannoma extending from the pterygopalatine fossa to the orbit, complaining about facial pain in the trajectory of the trigeminal ophthalmic branch. Schwannomas represent 1 to 2% of all neoplasms of the orbit, and trigeminal schwannomas are extremely rare, accounting for less than 0.5% of all intracranial tumors.

Essence of Evidence-Based Medicine: A Case Report

1999 ◽  
Vol 17 (7) ◽  
pp. 1969-1969 ◽  
Author(s):  
George P. Browman
Keyword(s):  
Case Report ◽  
Clinical Judgment ◽  
Indirect Evidence ◽  
Clinical Problem ◽  
Clinical Decision ◽  
Individual Case ◽  
Evidence Based ◽  
Individual Case Report ◽  
Oncology Practice ◽  
The Individual

PURPOSE: To illustrate the complexities of the evidence-based approach in clinical oncology practice and the implications for guidelines and evaluation of processes of care. PATIENT AND METHODS: A case report is presented in which a limited systematic review of the literature was used to address a specific clinical problem in an individual patient. Experts' opinions were also sought. RESULTS: A reasonable clinical decision was made by a participating patient based on indirect evidence of benefit that would be insufficient to support the same decision as a health policy in some jurisdictions. CONCLUSION: The practice of evidence-based oncology requires clinical judgment about the validity and applicability of research evidence. The factors that influence an evidence-based decision in the clinical context differ from those in the broader policy context, which could lead to legitimate differences in recommendations based on the same information. Used properly, the individual case report can be a powerful tool to illustrate complex clinical decision phenomena.

Discourse Representation in the Two Cerebral Hemispheres

2002 ◽  
Vol 14 (2) ◽  
pp. 228-242 ◽  
Author(s):  
Debra L. Long ◽  
Kathleen Baynes
Keyword(s):  
Left Hemisphere ◽  
Right Hemisphere ◽  
Cerebral Hemispheres ◽  
Discourse Model ◽  
Ambiguous Words ◽  
Priming Paradigm ◽  
Propositional Representation ◽  
The Individual ◽  
The Right ◽  
The Brain

Readers construct at least two interrelated representations when they comprehend a text: (a) a propositional representation containing the individual ideas that are derived from each sentence and the relations among them and (b) a discourse model, a representation of the context or situation to which the text refers. We used a paradigm called “item priming in recognition” to examine how these representations are stored in the cerebral hemispheres. In Experiment 1, the priming paradigm was used in combination with a lateralized visual field (VF) procedure. We found evidence that readers' representations were structured according to propositional relations, but only in the left hemisphere. Item recognition was facilitated when a concept was preceded by another concept from the same proposition when targets were presented to the left, but not to the right, hemisphere. We found priming in both hemispheres, however, when targets were context-appropriate senses of ambiguous words or topics of passages. In Experiment 2, we replicated the priming effects in three callosotomy patients. We argue that the distinction between a propositional representation and a discourse model is important with respect to how discourse is represented in the brain. The propositional representation appears to reside in the left hemisphere, whereas aspects of the discourse model appear to be represented in both hemispheres.

scholarly journals Long Term Post Traumatic High Flow Carotid Cavernous Fistula with Patent Collateral Vessel : A Case Report

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Luthfy Farhan ◽  
Ridha Dharmajaya
Keyword(s):  
Case Report ◽  
Left Hemisphere ◽  
Cavernous Sinus ◽  
Craniocerebral Trauma ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Left Brain ◽  
History Of ◽  
Carotid Cavernous Sinus Fistula ◽  
The Right

Introduction : A carotid-cavernous sinus fistula (CCF) is an abnormal communication between arteries and veins within the cavernous sinus. Carotid cavernous fistula (CCF) is a very rare case it's difficult to diagnose. because most CCF patients rarely come for treatment. Case Report : A 33-year-old male presented with history of protrusion of Left eye ball, and double vision for the last 2 years. visual disturbances were found in the right eye for 2 years, blurry vision is increasingly. Bruit was audible in orbital region on the left side. DSA showed that there was a fistula in the left sinus cavernous region, the arteries in the left area showed inadequate to direct the left hemisphere, but in the right arety showed that the right artery was adversely affected right and left brain. Discussion : Traumatic CCFs are the most common type, accounting for up to 75% of all CCFs.87 They have been reported to occur in 0.2% of patients with craniocerebral trauma and in up to 4% of patients who sustain a basilar skull fractur.2 The symptoms and signs of CCF always include eyelid swelling, proptosis, chemosis, and hyperaemia, dilated of vessel and the condition is commonly misdiagnosed as Graves’ophthal-mopathy or inflammatory conjunctivitis.3Cerebral angiography is the gold standard for the definitive diagnosis, classification, and planning of endovascular intervention in CCFs. Angiographic results in this patient showed a fistula in the left cavernous sinus and inadequate supply of the left artery to the left hemisphere. Conclusion : This case is very unique because the left brain gets blood supply from the right carotid system, with the left carotid artery system inadequate to direct the left hemisphere because of the carotid cavernous fistula on the left side

scholarly journals Multiple Recurrent Acute Ischemic Strokes Treated by Thrombectomy in a Patient with Acute Pulmonary Embolism

2019 ◽  
Vol 7 (5) ◽  
pp. 801-804
Author(s):  
Ton Mai Duy ◽  
Luu Vu Dang ◽  
Phuong Dao Viet ◽  
Chi Nguyen Van ◽  
Quang Anh Nguyen ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Ischemic Stroke ◽  
Case Report ◽  
Acute Ischemic Stroke ◽  
Treatment Plan ◽  
Cerebral Arteries ◽  
Pulmonary Arteries ◽  
Vessel Occlusion ◽  
Brain Vessels ◽  
The Brain

BACKGROUND: Thrombectomy is recommended to treat for an acute ischemic stroke (AIS) patient with anterior large vessel occlusion. However, there were neither detailed guidelines nor systematic reviews of acute ischemic stroke patients having multiple times or re-occluded arteries. CASE REPORT: In our case report, we struggled a multiple (4-times) AIS patient underwent by one intravenous r-tpA and 3 remaining of endovascular treatment of thrombectomy. Especially, the finding of both pulmonary embolism and cerebral arteries occlusion in this patient made us difficult to decide the appropriate treatment plan. The patient was considered having multiple cardiac thrombi pumping out to the brain and pulmonary vessels even in treatment with NOAC (New Oral Anticoagulant). Our priority, normally, was to recanalize the brain vessels compared to the pulmonary arteries. CONCLUSION: In conclusion, based on this noticed case study, we want to share our experiences on the diagnosis of ischemic stroke, the strategy in treatment and prevention with anticoagulant therapy.

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