Bing-Neel Syndrome: A Case Report and Systematic Review of Clinical Manifestations, Diagnosis, and Treatment Options

2009 ◽  
Vol 9 (6) ◽  
pp. 462-466 ◽  
Author(s):  
Jaspreet S. Grewal ◽  
Preetkanwal K. Brar ◽  
Walter M. Sahijdak ◽  
Joseph A. Tworek ◽  
Elaine G. Chottiner
2011 ◽  
Vol 23 (5) ◽  
pp. 201-209 ◽  
Author(s):  
Abdulkader Alam ◽  
Kadiamada Nanaiah Roy Chengappa

Alam A, Chengappa KNR. Obstructive sleep apnoea and schizophrenia: a primer for psychiatristsObjective:The main objective of this review is to improve psychiatric clinician awareness of obstructive sleep apnoea (OSA) and its potential consequences in patients with schizophrenia. This article will also discuss the diagnosis and treatment options for OSA while considering the significant role psychiatrists can play in facilitating the diagnosis and treatment of OSA.Data sources:Ovid, Medline and PsychInfo databases were searched for articles between 1960 and 2010. Search terms used wereSleep apnoeaorapnoeaandschizophreniaorpsychosis. The number of articles retrieved was 38. Articles were carefully reviewed for any data pertinent to OSA in patients with schizophrenia.Conclusions:OSA is a common disorder that is frequently unrecognised. As a chronic breathing condition, OSA is associated with adverse health outcomes and high mortality. OSA may co-occur with schizophrenia or evolve over time, especially with weight gain. The diagnosis should be considered whenever a patient presents with risk factors or clinical manifestations that are highly suggestive of OSA. Those who report snoring, daytime sleepiness and are obese or have a large neck circumference should be considered for an OSA diagnosis. Appropriate diagnosis and treatment of OSA can reduce daytime sleepiness, improve cardiovascular and other medical conditions, as well as reduce mortality. Psychiatrists can play very important role in suspecting OSA in their patients and making the initial referral. Furthermore, behavioural management, especially promoting weight loss and smoking cessation, are effective components of OSA treatment that psychiatrists are positioned to facilitate with their patients.


2019 ◽  
Vol 9 (4) ◽  
pp. 28-33
Author(s):  
AL-BASSAM RANA ABDULAZEEM ◽  
AL AFARI BASMAH SALEM ◽  
ALSHARIF SADEEM SAAD ◽  
SALEM MANAL HASSAN MOHAMED

Vestnik ◽  
2021 ◽  
pp. 73-77
Author(s):  
Г.Ж. Бодыков ◽  
Г.Н. Балмагамбетова ◽  
С.А. Лисогор ◽  
В.М. Шмонин

Синдром Казабаха - Мерритта в детской практике встречается крайне редко. Клинические проявления многообразны, что затрудняет своевременную диагностику и лечение данного заболевания. Цель: привлечь внимание неонатологов и педиатров к своевременной диагностике редких гематологических синдромов. Материалы и методы. Проведено расширенное обследование ребенка и тщательная дифференциальная диагностика с другими сосудистыми аномалиями. Результаты. На основании оценки анамнеза, клинико - лабораторных и инструментальных методов обследования установлен диагноз СКМ. Выводы. Постановка диагноза СКМ требует проведения расширенного обследования ребенка и тщательной дифференцировки с другими сосудистыми аномалиями. Kazabach-Merritt syndrome is extremely rare in pediatric practice. Clinical manifestations are diverse- and this fact complicates the early diagnosis and treatment of the disease.Purpose: to draw the attention of neonatologists and pediatricians to the early diagnosis of rare hematological syndromes.Materials and methods. An extended examination of the child and a thorough differential diagnosis with other vascular anomalies were carried out. Results. The KMS was diagnosed on the base of: the assessment of the anamnesis, clinical - laboratory and instrumental examination methods.Conclusion. The diagnosis of KMS requires an extended examination of the child and careful differentiation of other vascular anomalies.


2014 ◽  
Vol 6 (3) ◽  
pp. 120-137
Author(s):  
Mirjana Paravina ◽  
Predrag Cvetanović ◽  
Miloš Kostov ◽  
Slađana Živković ◽  
Ivana Dimovski ◽  
...  

Abstract Keratosis lichenoides chronica represents a distinct entity, a rare disease of unknown etiology and pathogenesis, with clinical manifestations which, although typical, require extensive differential diagnosis. The course of the disease is chronic, progressive, and it is resistant to various treatment options, so despite variations in the clinical picture it is really easier to diagnose than to treat. This is a case report of a male patient in whom the diagnosis of keratosis lichenoides chronica was based on typical clinical picture, repeated biopsies and histopathological findings, course of the disease and poor response to any therapy.


Author(s):  
Randy L. Calisoff ◽  
David R. Walega

Chronic knee pain affects 27 million people in the United States and is a leading cause of disability. Seventy percent of the population 65 years or older will have knee pain with radiographic evidence of osteoarthritis, and 12% will have clinical symptoms of osteoarthritis. Chronic knee pain after total knee replacement ranges from 10% to 20%. Patellofemoral pain syndrome (PFPS) refers to anterior knee pain exacerbated with knee joint loading activities (squatting, kneeling, prolonged sitting, ascending/descending stairs). PFPS is a clinical diagnosis, and treatment is directed toward pain alleviation and restoration of proper biomechanics. Pes anserine syndrome is common in runners, athletes, and individuals with osteoarthritis of the knee. Other risk factors include: female sex and a history of diabetes mellitus, obesity, or arthritis. Knowledge of the common knee pain etiologies, as well as key clinical manifestations, physical exam findings, differential diagnosis, and treatment options for each is important for pain specialists.


2020 ◽  
Vol 8 (7) ◽  
pp. 232596712093210
Author(s):  
Michael T. Freehill ◽  
Sandeep Mannava ◽  
Laurence D. Higgins ◽  
Alexandre Lädermann ◽  
Austin V. Stone

Background: A variety of thrower’s exostoses are grouped under the term Bennett lesion, which makes understanding diagnosis and treatment difficult. Purpose: To identify all types of reported thrower’s and overhead athlete’s exostoses and categorize them into a classification system to allow a morphology-based classification. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review of all articles pertaining to Bennett lesions and thrower’s exostosis was performed. The classification and treatments were evaluated to describe the types, proposed causes, diagnosis, and treatment options. Results: A total of 27 studies were included in the systematic review. The anatomic locations referenced in the study demonstrated posteroinferior, posterior, and posterosuperior glenoid lesions. Aggregate radiographic data demonstrated 158 of 306 patients (52%) with a thrower’s exostosis of any type and location. Of these 158 patients with a radiographic lesion, 119 (75%) patients were symptomatic. The locations were posteroinferior in 110 patients (70%), directly posterior in 2 patients (1.3%), posterosuperior in 44 patients (28%), and unknown in 2 patients (1.3%). Avulsed lesions were present in 9 (5.7%) posteroinferior lesions, 0 direct posterior lesions, and 2 (1.3%) posterosuperior lesions. Treatment plans included both nonoperative and operative strategies, but operative intervention was more commonly reported for detached lesions. After operative intervention, only 61% of reported athletes returned to preinjury performance. Conclusion: Based on a comprehensive review of the literature, we identified several anatomic locations for a thrower’s exostosis beyond the classic Bennett lesion. We categorized the reported exostoses into a new classification system for description of location and type (subperiosteal or free fragment) of the thrower’s exostosis, which may be used to study future treatments. Current treatment strategies recommend that surgical treatment of thrower’s exostosis is considered only after exhausting nonoperative management because reported return to sport is variable after surgery. The effectiveness of excision or repair for both subperiosteal and detached lesions has not been established.


Neurosurgery ◽  
1989 ◽  
Vol 24 (6) ◽  
pp. 905-909 ◽  
Author(s):  
Brett E. Stompro ◽  
John F. Alksne ◽  
Gary A. Press

ABSTRACT Fibrous dysplasia of the cervical spine is rare. No prior reports have discussed odontoid fractures in the setting of fibrous dysplasia. We describe a 26-year-old man who suffered a traumatic odontoid fracture in an area of preexisting fibrous dysplasia. The patient was treated conservatively in a sterno-occipito-mandibular immobilizer brace with a good result. A review of fibrous dysplasia is presented. Alternative methods of diagnosis and treatment options in our patient are discussed.


2020 ◽  
Vol 8 (9) ◽  
Author(s):  
Bruno Firmino de Oliveira ◽  
José Henrique de Araújo Cruz ◽  
Raquel Lira Braga da Silva ◽  
Douglas Benício Barros Henrique

Introdução: A anquiloglossia é uma anormalidade de desenvolvimento, dificultando a amplitude de movimentos da língua e impede que esta cumpra a sua função, traduz-se pela inserção anormal do frênulo lingual na região de ápice lingual. Objetivo: Relatar um caso clínico de anquiloglossia parcial sob tratamento de frenectomia lingual convencional para reabilitação. Relato do Caso: Após exame clínico realizou-se antessepsia intraoral com através do bochecho com solução de clorexidina a 0,2% e extraoral com clorexidina a 2%. Posteriormente, sob efeito de anestesia bilateral com Cloridrato de Lidocaína a 2% associado à Epinefrina 1:100.000, laçou-se com fio de sutura seda 3.0 para estabilização pinçou-se com pinça hemostática, então efetuou-se a incisão com lâmina de bisturi nº 15. Em seguida, divulsionou-se com tesoura metzenbaum e a sutura foi feita com fio de sutura seda 4.0. Conclusão: O tratamento é realizado por profissionais como cirurgiões dentistas o qual pode ser realizado por meio de intervenções cirúrgicas, como a frenectomia lingual, que consiste na liberação do frênulo lingual por meio de uma incisão quando parcial. O pós operatório deste procedimento demonstra rápida recuperação e previsibilidade positiva quando associada a tratamento fonoaudiológico para uma reeducação.Descritores: Anquiloglossia; Freio Lingual; Odontologia.ReferênciasVargas BC, Monnerat, LHP, Favilla EE, Pinto LAPF, Gandelmann IHA, Cavalcante MAA. Anquiloglossia: quando indicar a frenectomia lingual? Rev Uningá. 2008;18(1):195-204.Silva MC, Costa MLVCM, Nemr K, Marchesan IQ. Frênulo de língua alterado e interferência na mastigação. Rev CEFAC. 2009;11(Suppl3):363-69.Melo NSFO, Lima AAS, Fernandes A, Silva RPGVC. Anquiloglossia: Relato de caso. Rev Sul-Bras Odontol. 2011;8(1):102-7.Marchesan IQ. Frênulo lingual: proposta de avaliação quantitativa. Rev CEFAC. 2004;6(3):288-93.Marchesan IQ, Teixeira AN, Cattoni DM. Correlações entre diferentes frênulos linguais e alterações na fala. Disturb Comun. 2010;22(3):195-200.Segal LM, Stephenson R, Dawes M, Feldman P. Prevalence, diagnosis and treatment of ankyloglossia: methodologic review. Can Fam Physician. 2007;53(6):1027-33.Geddes DT, Langton DB, Gollow I, Jacobs LA, Hartmann PE, Simmer K. Frenutolomy for breastfeeding infants with ankyloglossia: effect on milk removal and sucking mechanism as imaged by ultrasound. Pediatrics. 2008;122(1):e188-94.Brito SF, Marchesan IQ, Bosco CM. Frênulo lingual: classificação e conduta segundo ótica fonoaudiológica, odontológica e otorrinolaringológica. Rev CEFAC. 2008;10(3):343-51.Manfro ARG, Manfro R, Bortoluzzi MC. Surgical treatment of ankyloglossia in babies – case report. Int J Oral Maxillofac Surg. 2010;39(11):1130-32.Feres MA. Componentes do aparelho estomatognático. In: Petrelli E (ed.). Ortodontia para fonoaudiologia. São Paulo: Lovise; 1994.Saconato M, Guedes ZCF. Estudo da mastigação e da deglutição em crianças e adolescentes com seqüência de Möbius. Rev Soc Bras Fonoaudiol. 2009;14(2):165-71.Beutnmuller G, Camera V. Reequilíbrio da musculatura orofacial. Rio de Janeiro: Enelivros; 1989.Kotlow L. Ankyloglossia (tongue-tie): a diagnostic and treatment quandary. Quintessence Int. 1999;30(4):259-62.Webb AN, Hao W, Hong P. The effect of tongue-tie division on breastfeeding and speech articulation: a systematic review. Int J Pediatr Otorhinolaryngol. 2013;77(5):635-46.Messner AH, Lalakea ML. The effect of ankyloglossia on speech in children. Otolaryngol Head Neck Surg. 2002;127(6):539-45.Berry J, Griffiths M, Westcot C. A double-blind, randomized, controlled trial of tongue-tie division and its immediate effect on breastfeeding. Breastfeed Med. 2012; 7(3):189-93.Marchesan IQ. Frênulo da língua: classificação e interferência na fala. Rev CEFAC. 2003;5(3):341-45.Marchesan IQ, Martinelli RLC, Gusmão RJ. Frênulo lingual: modificações após frenectomia. J Soc Bras Fonoaudiol. 2012;24(4):409-12.Gomes E, Araújo FB, Rodrigues JA. Freio lingual: abordagem clínica interdisciplinar da Fonoaudiologia e Odontopediatria. Rev Assoc Paul Cir Dent 2015;69(1):20-4.Ferreira LSR, Rosalvo JBN, Abreu LMS, Lacerda MCFV, Silva MFBC, Ribeiro EL. anquiloglossia: revisão de literatura. Ciênc Biol Saúde - UNIT. 2018;3(3):93-8.


2020 ◽  
Vol 46 (3) ◽  
Author(s):  
V. A. Kashirin ◽  
A. N. Shcherbina ◽  
N. V. Rudik

Abstract Sinonasal neuroblastoma is a rare malignant tumor with a wide variability of clinical manifestations, which may cause diagnostic difficulty and have hindered the progress in understanding the clinical course and improving outcomes of treatment. Patients often present with nasal obstruction, rhinorrhea, recurrent epistaxis, hyposmia, or anosmia. Treatment options consist of surgical resection and before or followed radiation and chemotherapy. We present a case report and short literature review about diagnostic, clinical and histological classification and treatment of this tumor. Keywords: neuroblastoma, nasal cavity, diagnostic, classification, treatment.


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