scholarly journals Focal dystonia, tremor and myokymic discharges secondary to electrical injury

2009 ◽  
Vol 1 (1) ◽  
pp. 2
Author(s):  
Konstantina G. Yiannopoulou ◽  
Theodoros Avramidis ◽  
Roxani Divari ◽  
Alexandros Papadimitriou
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Upper Limb ◽  
Lower Limb ◽  
Rare Complication ◽  
Focal Dystonia ◽  
Electrical Injury ◽  
First Case ◽  
Limb Muscles ◽  
Secondary Complication

We describe the case of a male patient who developed electromyographically confirmed myokymia, dystonia and tremor and clinically confirmed focal dystonia and tremor, secondary to electrical injury. Dystonia is a rare complication of electrical injury. Myokymic discharges secondary to electrical injury are previously unreported. Dystonia and tremor EMG findings were present not only at the clinically affected muscles of the lower limb but also at the clinically unaffected upper limb muscles. This is the first case report to link myokymia as a secondary complication of an electrical injury.

Validity of Skeletal Muscle Ultrasound in Assessment of Suspected Limb Girdle Muscular Dystrophy Patients

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Rasha M Ibrahim ◽  
Haitham M Hamdy ◽  
Amr A Mohammed ◽  
Ahmed M Elsadek ◽  
Ahmed M Bassiouny ◽  
...  
Keyword(s):  
Muscular Dystrophy ◽  
Upper Limb ◽  
Lower Limb ◽  
Limb Girdle Muscular Dystrophy ◽  
Ultrasound Images ◽  
General Electric ◽  
Cross Sectional ◽  
Lower Limb Muscles ◽  
Limb Muscles ◽  
Muscle Ultrasound

Abstract Background Limb-girdle muscular dystrophies (LGMDs) are a clinically and genetically heterogeneous group of disorders characterized by progressive muscle weakness and degenerative muscle changes. Studies have shown that ultrasound can be useful both for diagnosis and follow-up of LGMDs patients. Objectives This study aims to measure the sensitivity and the specificity of muscle ultrasound in assessment of suspected limb girdle muscular dystrophy patients. Subjects and Methods This cross-sectional descriptive study was conducted on Fifty-five patients with suspected LGMD from neuromuscular unit, myology clinic, Ain Shams University hospitals and eight healthy subjects. Age was above 2 years. Both sexes were included in the study. They underwent real-time B-mode ultrasonography performed with using Logiq p9 General Electric ultrasound machine and General Electric 7-11.5 MHZ linear array ultrasound probe. All ultrasound images have been obtained and scored by a single examiner and muscle echo intensity was visually graded semiquantitative according to Heckmatt's scale. The examiner was blinded to the muscle biopsy results and clinical evaluations. Results Statistical analysis revealed that the diagnostic performance of muscle US (Heckmatt’s score) in LGMD is most sensitive when calculated in all examined upper limb and lower limb muscles, followed by lower limb muscles alone. US of upper limb was found to be the least sensitive. Conclusions Muscle ultrasound is a practical and reproducible and valid tool that can be used in assessment of suspected LGMD patients.

scholarly journals Gilbert Syndrome in a Young Ethiopian Man: First Case Report

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Amir Sultan ◽  
Kibrewossen Kiflu
Keyword(s):  
Case Report ◽  
Liver Function ◽  
Male Patient ◽  
Liver Function Tests ◽  
Prolonged Fasting ◽  
Unconjugated Hyperbilirubinemia ◽  
Gilbert Syndrome ◽  
Function Tests ◽  
First Case

BACKGROUND፡ Gilbert syndrome is a well-recognized condition causing unconjugated hyperbilirubinemia with otherwise normal transaminases and liver function tests. CASE: A 21 year old male patient presented with recurrent episodes of jaundice over four years. The episodes were preceded by stressful conditions and intercurrent illnesses. All laboratory prameters were normal except an unconjugated hyperbilirubinemia. A diagnosis of Gilbert syndrome was made after careful clinical evaluation.CONCLUSION: Recognizing Gilbert syndrome has important clinical implicaitions by avoiding uncessary and expensive workup of patients with jaundice. Mangement entails avoiding stressful conditions and prolonged fasting. 

Escharotomies

2019 ◽  
pp. 95-108
Author(s):  
William B. Norbury
Keyword(s):  
Upper Limb ◽  
Clinical Judgment ◽  
Lower Limb ◽  
Vascular Supply ◽  
Interstitial Space ◽  
Fluid Loss ◽  
Final Decision ◽  
Electrical Injury ◽  
Burned Skin ◽  
Extravascular Fluid

Following a significant thermal or electrical injury, tissues beneath the skin swell through fluid loss into the interstitial space. The increase in extravascular fluid together with the inelastic nature of the overlying burned skin compound to increase pressure within the affected limb. This increase in pressure can compromise the vascular supply distally in an affected limb or increase ventilatory pressures in those with circumferential burns of the chest and abdomen. This chapter will give guidance on when and how to perform escharotomies; however, the final decision is usually based on experience and clinical judgment. Figures illustrate detail markings and techniques for escharotomies and fasciotomies of the upper limb, lower limb, chest and abdomen.

scholarly journals Benign monomelic amyotrophy with proximal upper limb involvement: case report

2007 ◽  
Vol 65 (2b) ◽  
pp. 524-527 ◽  
Author(s):  
Marco Antonio Orsini Neves ◽  
Marcos R.G. de Freitas ◽  
Mariana Pimentel de Mello ◽  
Carlos Henrique Dumard ◽  
Gabriel R. de Freitas ◽  
...  
Keyword(s):  
Case Report ◽  
Upper Limb ◽  
Lower Limb ◽  
Clinical Manifestations ◽  
Rare Condition ◽  
Insidious Onset ◽  
Rare Location ◽  
Muscle Groups ◽  
Clinical Stabilization ◽  
The Right

Monomelic amyotrophy (MA) is a rare condition in which neurogenic amyotrophy is restricted to an upper or lower limb. Usually sporadic, it usually has an insidious onset with a mean evolution of 2 to 4 years following first clinical manifestations, which is, in turned, followed by stabilization. We report a case of 20-years-old man who presented slowly progressive amyotrophy associated with proximal paresis of the right upper limb, which was followed by clinical stabilization 4 years later. Eletroneuromyography revealed denervation along with myofasciculations in various muscle groups of the right upper limb. We call atention to this rare location of MA, as well as describe some theories concerning its pathophysiology .

scholarly journals Acute Parotitis after Lower Limb Amputation: A Case Report of a Rare Complication

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Konstantinos Ioannis Avgerinos ◽  
Nikolaos Degermetzoglou ◽  
Sofia Theofanidou ◽  
Georgia Kritikou ◽  
Ioannis Bountouris
Keyword(s):  
Risk Factors ◽  
Case Report ◽  
General Anesthesia ◽  
Lower Limb ◽  
Rare Complication ◽  
Head Tilt ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
The Right ◽  
Type Of Surgery

Background. Postoperative parotitis is a rare complication that occurs usually after abdominal surgery. Parotitis has never been described as a complication of vascular operations, in literature. In the present article, we describe a case of a postamputation parotitis along with its management and its possible pathogenesis. Case Report. An 83-year-old diabetic man was emergently admitted to hospital because of gangrene below the right ankle and sepsis. The patient underwent a lower limb amputation above the knee. On the 5th postoperative day, he was diagnosed with right parotitis probably because of dehydration, general anesthesia, and immunocompromisation. A CT scan confirmed the diagnosis. He received treatment with antibiotics and fluids. His condition gradually improved, and he was finally discharged on 15th postoperative day. Conclusions. Postoperative parotitis can possibly occur after any type of surgery including vascular. Clinicians should be aware of this complication although it is rare. Several risk factors such as dehydration, general anesthesia, drugs, immunocompromisation, head tilt during surgery, and stones in Stensen’s duct may predispose to postoperative parotitis. Treatment consists of antibiotics and hydration.

Cortical Control of Human Motoneuron Firing During Isometric Contraction

1997 ◽  
Vol 77 (6) ◽  
pp. 3401-3405 ◽  
Author(s):  
Stephan Salenius ◽  
Karin Portin ◽  
Matti Kajola ◽  
Riitta Salmelin ◽  
Riitta Hari
Keyword(s):  
Motor Cortex ◽  
Upper Limb ◽  
Isometric Contraction ◽  
Lower Limb ◽  
Biceps Brachii ◽  
Cortical Control ◽  
Lower Limb Muscles ◽  
Cortical Rhythms ◽  
Motor Unit Firing ◽  
Limb Muscles

Salenius, Stephan, Karin Portin, Matti Kajola, Riitta Salmelin, and Riitta Hari. Cortical control of human motoneuron firing during isometric contraction. J. Neurophysiol. 77: 3401–3405, 1997. We recorded whole scalp magnetoencephalographic (MEG) signals simultaneously with the surface electromyogram from upper and lower limb muscles of six healthy right-handed adults during voluntary isometric contraction. The 15- to 33-Hz MEG signals, originating from the anterior bank of the central sulcus, i.e., the primary motor cortex, were coherent with motor unit firing in all subjects and for all muscles. The coherent cortical rhythms originated in the hand motor area for upper limb muscles (1st dorsal interosseus, extensor indicis proprius, and biceps brachii) and close to the foot area for lower limb muscles (flexor hallucis brevis). The sites of origin corresponding to different upper limb muscles did not differ significantly. The cortical signals preceded motor unit firing by 12–53 ms. The lags were shortest for the biceps brachii and increased systematically with increasing corticomuscular distance. We suggest that the motor cortex drives the spinal motoneuronal pool during sustained contractions, with the observed cortical rhythmic activity influencing the timing of efferent commands. The cortical rhythms could be related to motor binding, but the rhythmic output may also serve to optimize motor cortex output during isometric contractions.

scholarly journals Rare Presentation of Unilateral Weakness, Involuntary Movements and Ataxia with Subcortical T2 Hypointensity in a Diabetic Patient: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Venkatraman Indiran ◽  
Prabakaran Maduraimuthu
Keyword(s):  
Case Report ◽  
Diabetic Patient ◽  
Upper Limb ◽  
Lower Limb ◽  
Early Identification ◽  
Common Finding ◽  
Rare Presentation ◽  
Involuntary Movements ◽  
Left Lower Limb ◽  
Unilateral Weakness

Subcortical T2 hypointensity on MRI is not a common finding. We present a case of subcortical T2 hypointensity in a diabetic patient, who was referred with weakness of left lower limb and involuntary movements and ataxia of the left upper limb. Lab reports confirmed the diagnosis of nonketotic hyperglycemia. It is rather important to identify subcortical T2 hypointensity which has only been recently found to be associated with nonketotic hyperglycemia. Early identification and prompt correction of blood sugar would help in alleviating the neurological symptoms.

scholarly journals Muscle perfusion of posterior trunk and lower-limb muscles at rest and during upper-limb exercise in spinal cord-injured and able-bodied individuals

Spinal Cord ◽  
2012 ◽  
Vol 50 (11) ◽  
pp. 822-826 ◽  
Author(s):  
A Zafeiridis ◽  
A V Vasiliadis ◽  
A Doumas ◽  
N Galanis ◽  
T Christoforidis ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Upper Limb ◽  
Lower Limb ◽  
Muscle Perfusion ◽  
Lower Limb Muscles ◽  
Limb Muscles ◽  
Posterior Trunk ◽  
Spinal Cord Injured ◽  
Limb Exercise

scholarly journals A RARE CASE OF EMPHYSEMATOUS PANCREATITIS: A CASE REPORT

2020 ◽  
Vol 4 (12) ◽  
Author(s):  
Hemant L Leuva ◽  
Jainam K Shah ◽  
Jigar Vitthalbhai Paghadar ◽  
Parli Kanak Kothari ◽  
Shubham Garg ◽  
...  
Keyword(s):  
Case Report ◽  
Male Patient ◽  
High Mortality ◽  
Rare Case ◽  
Epigastric Pain ◽  
Rare Complication ◽  
Necrotizing Infection ◽  
Surgical Emergency

High mortality is noted with a rare complication of pancreatitis also known as emphysematous pancreatitis. Here we present a rare case of a 40 years old male patient presented with complain of epigastric pain. It is considered as a surgical emergency. Keywords: mortality, surgery, emphysematous pancreatitis, necrotizing infection

scholarly journals COVID vaccine related lower limb gangrene: the first case report

2021 ◽  
Vol 8 (10) ◽  
pp. 3204
Author(s):  
Nishant Lal ◽  
Shafy Ali Khan ◽  
Aiswarya R. Pillai ◽  
Shafy Ali Khan
Keyword(s):  
Case Report ◽  
Lower Limb ◽  
Arterial Thrombosis ◽  
Clinical Symptoms ◽  
Limb Ischemia ◽  
Lower Limb Ischemia ◽  
First Case ◽  
Symptoms And Signs

Though there have been multiple cases of arterial thrombosis and gangrene of limbs reported following COVID-19 infections, there has not been any case reported following COVID-19 vaccinations. Here we reported a case of acute lower limb ischemia following COVID-19 vaccination in a 32 year male with no co-morbidities. The clinical symptoms and signs related to lower limb ischemia started 2 weeks after COVID-19 vaccination. Despite anticoagulation, thrombo embolectomy and intraluminal catheter guided thrombolysis, patient’s left forefoot became gangrenous and had to be amputated.

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