scholarly journals Complex auditory impairment with peduncular hallucinosis due to pontine haemorrhage – a case report

2021 ◽  
Vol 20 (3) ◽  
pp. 397-400
Author(s):  
Anca Negrilă ◽  
◽  
Elena Oana Terecoasă ◽  
Răzvan Alexandru Radu ◽  
Bogdan Cășaru ◽  
...  

Peduncular hallucinosis is a rare syndrome that develops with upper brainstem and diencephalon lesions. Patients complain of vivid hallucinations that usually occur in hypnagogic states but maintain critical appraisal. Pathological disruption of the reticular activating systems partially explains this clinical phenomenon. We report the case of a 47-year-old man presenting with peduncular hallucinosis associated with central auditory disturbance consisting of bilateral hypoacusis and left-sided paradoxical hyperacusis, secondary to a pontine haemorrhage.

2005 ◽  
Vol 50 (2) ◽  
pp. 237-242 ◽  
Author(s):  
L.M. Paula ◽  
N.S. Melo ◽  
E.N. Silva Guerra ◽  
D.H. Mestrinho ◽  
A.C. Acevedo

1998 ◽  
Vol 116 (6) ◽  
pp. 1879-1881 ◽  
Author(s):  
Silvana Fahel da Fonseca ◽  
Maria Stella Figueiredo ◽  
Rodolfo Delfini Cançado ◽  
Fernando Nakandakare ◽  
Roberto Segreto ◽  
...  

CONTEXT: Spinal cord compression due to extramedullary hematopoiesis is a well-described but rare syndrome encountered in several clinical hematologic disorders, including <FONT FACE="Symbol">b</font>-thalassemia. CASE REPORT: We report the case of a patient with intermediate <FONT FACE="Symbol">b</font>-thalassemia and crural paraparesis due to spinal cord compression by a paravertebral extramedullary mass. She was successfully treated with low-dose radiotherapy and transfusions. After splenectomy, she was regularly followed up for over four years without transfusion or recurrence of spinal cord compression. DISCUSSION: Extramedullary hematopoiesis should be investigated in patients with hematologic disorders and spinal cord symptoms. The rapid recognition and treatment with radiotherapy can dramatically alleviate symptoms.


2012 ◽  
Vol 87 (5) ◽  
pp. 775-777 ◽  
Author(s):  
Raquel Bissacotti Steglich ◽  
Renata Elise Tonoli ◽  
Giselle Martins Pinto ◽  
Fernanda Melo Müller ◽  
Isabelle Maffei Guarenti ◽  
...  

A 33-year-old woman presented with a 3-year history of progressive alopecia of the scalp. Past treatment with hydroxicloroquine did not show improvement. Physical examination revealed multiple areas of alopecia with atrophic aspect of the scalp, and axillary and pubic hypotrichosis. Dermoscopy showed hyperkeratosis and accentuation of follicular ostia. Anatomopathological examination revealed decrease in the number of hair follicles, upper perifollicular infiltrate and areas with fibrosis. The Piccardi-Lassueur-Graham-Little syndrome is a rare disorder, characterized by the triad of multifocal scarring alopecia of the scalp, keratotic follicular eruption and hypotrichosis of axillary and pubic regions. Management is a challenge and many medications tried have controversial results. We report a case of this rare syndrome which improved with corticoids.


2020 ◽  
Vol 32 (1) ◽  
pp. 5-8
Author(s):  
David Hersey

A 39-year-old male, who attempted suicide by hanging, developed chronic myoclonus with intact cognitive function. Chronic post-hypoxic myoclonus is a rare syndrome that may develop after a respiratory arrest and it presents as late onset and persistent purposeful myoclonus with preserved or slightly impaired cognitive function. Increasing critical care nurses’ awareness of chronic post-hypoxic myoclonus will lead to earlier diagnosis of this rare syndrome.


Cephalalgia ◽  
2020 ◽  
Vol 40 (12) ◽  
pp. 1394-1397
Author(s):  
Eva Diab ◽  
Ines Masmoudi ◽  
Claire Leclercq ◽  
Clara Flores ◽  
Loïc Louin ◽  
...  

Background Eagle’s syndrome, also called stylohyoid complex syndrome, is a rare syndrome pathology characterised by latero-cervical pain radiating to the face, linked to an abnormal enlargement of the styloid or calcification of the stylo-hyoid ligament. Case We report here the case of a young man of 25 suffering from cluster headache resistant to treatments, revealing Eagle’s syndrome. Conclusion Only surgery led to a real improvement of his condition.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Sumit Thakar ◽  
Laxminadh Sivaraju ◽  
Nandita Ghosal ◽  
Saritha Aryan ◽  
Alangar S. Hegde

2019 ◽  
Vol 5 (8) ◽  
pp. 672-674
Author(s):  
Shannon Q. Detty ◽  
Molly A. Hinshaw ◽  
Michael J. Tuite ◽  
Alexander D. Means

2015 ◽  
Vol 15 (6) ◽  
pp. 638-640 ◽  
Author(s):  
Scott A. Wallace ◽  
Romeo C. Ignacio ◽  
Arnett Klugh ◽  
Gregory Gates ◽  
Marion C. W. Henry

Osteoblastoma is an uncommon primary bone tumor that usually presents as a painful lesion in a long bone or in the spine. Osteoblastoma has been reported only twice in the literature in conjunction with systemic fibromatosis. The authors report the case of an 8-year-old girl with suspected Klippel-Trenaunay-Weber syndrome, a rare syndrome of systemic fibromatosis, who presented with a painless thoracic rib lesion that was found to be an osteoblastoma.


2013 ◽  
Vol 5 (3) ◽  
pp. 13 ◽  
Author(s):  
Michael Andrew Meyer

Delayed post-hypoxic leukoencephalopathy is a rare clinical phenomenon usually observed in a small number of carbon monoxide poisoning survivors. A similar phenomenon is reported here in a patient who successfully recovered from a large overdose of diazepam and methadone, but then abruptly declined 3 weeks after the initial event. Magnetic resnance revealed confluent white matter hyperintensity on fluid-attenuated inversion recovery and T2 weighted sequences, and spectroscopy revealed elevated peaks in choline, creatinine, and lactate. Analysis and review of the literature suggests this phenomenon occurs on average about 19 days after the initial event. Although the pathophysiology remains obscure, it is noted here that the mean lucid interval coincides approximately with the replacement half-life for myelin related lipids and proteins.


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