scholarly journals Is a Brain Stroke Caused by COVID-19 Seen Under Two Years of Age? A Case Report

Author(s):  
Mohammad Vafaee Shahi ◽  
Sedigheh Yousefzadegan ◽  
Ramin Zare Mahmoudabadi ◽  
Fatemeh Ahmadi ◽  
Aina Riahi
Keyword(s):  
1970 ◽  
Vol 6 (2) ◽  
pp. 65-72
Author(s):  
Mariana Pires de Sousa e Silva ◽  
Marília Pires de Sousa e Silva ◽  
Afonso Carlos da Silva

Introdução: A Arterite de Takayasu (AT) é uma vasculite crônica de médios e grandes vasos cuja etiologia é desconhecida. A incidência anual de AT, segundo estatísticas americanas, é de cerca de 2,6 casos por milhão de pessoas, acometendo principalmente mulheres jovens na idade reprodutiva. Essa doença possui sintomas característicos, como claudicação de membros, dor torácica, ausência de pulsos braquiais, sopro carotídeo e ausência de pressão arterial nos membros superiores. Síndromes neurológicas, como Acidente Vascular Cerebral (AVC) e Ataque Isquêmico Transitório (AIT) são apresentadas por aproximadamente 10 a 20% dos pacientes com AT. Relato de Caso: Relatou-se o caso de paciente do sexo feminino, de 42 anos, branca, que apesar de apresentar os sintomas de AT com 15 anos, como dor em região torácica e hipertensão arterial, foi diagnosticada com AT somente após 25 anos. A paciente foi admitida no Pronto Socorro do Hospital Escola de Itajubá com sintomas que sugeriam um AVC, confirmado com Tomografia computadorizada (TC) de crânio e, posteriormente, AngioTC cerebral e de artérias carótidas e vertebrais que, juntamente com os sinais clínicos observados, como pulsos radiais não palpáveis bilateralmente e sopro carotídeo diagnosticaram a AT. Discussão: A AT costuma apresentar intervalo entre início de sintomas e diagnóstico entre dois e onze anos e pode estar associada a várias manifestações características. O diagnóstico de AT tardio tendo o AVC como primeira manifestação clínica é raro. Conclusão: A importância de se conhecer a AT está no fato do diagnóstico, bem como tratamento precoce poderem evitar complicações ou retardar o seu aparecimento.Palavras-chave: Arterite de Takayasu, Acidente Vascular Cerebral, Diagnóstico.ABSTRACTIntroduction: The Takayasu arteritis (TA) is a chronic vasculitis of medium and large vessel, whose etiology is unknown. The annual incidence of TA, according to American statistics, is about 2.6 cases per one million people, mainly affects young women in reproductive age. This disease shows typical symptoms such as limb lameness, chest pain, and absence of brachial pulses, carotid bruit and no blood pressure in the upper limbs. Neurological syndromes, such as cerebral vascular accident (CVA) and transient ischemic attack (TIA) are presented in approximately 10-20% of patients with TA. Case Report: It is reported a case of a female patient, 42 years old, white who, despite having the symptoms of TA, as pain in the thoracic region and hypertension when she was 15 years old, was diagnosed with the disease only after 25 years of age. The patient was admitted to the Emergency Room of Itajubá Teaching Hospital with symptoms suggesting a stroke, which was confirmed by computed tomography (CT) and later brain and carotid and vertebral arteries CT angiography which, together with the observed clinical signs , as the intangible radial pulses bilaterally and carotid bruit, made it possible to diagnose TA. Discussion: The AT usually presents interval between the beginning of the symptoms and diagnosis between two and eleven years and it may be associated with multiple specifics manifestations. The late diagnosis of AT that has AVC, as a first clinical manifestation is rare. Conclusion: The importance of knowing the AT is in the fact that the diagnosis and early treatment can prevent complications or at least delay its appearance.Keywords: Takayasu’s Arteritis, Cerebrovascular Accidents, Diagnosis.


2015 ◽  
Vol 15 (2) ◽  
pp. 99-102
Author(s):  
Michał Starosta ◽  
◽  
Marta Niwald ◽  
Marcin Machnia ◽  
Elżbieta Miller ◽  
...  

2021 ◽  
Vol 11 (02) ◽  
pp. 122-127
Author(s):  
Fernand Nathan Imoumby ◽  
Franck Kouakou ◽  
Yao C. Hugues Dokponou ◽  
Abad Cherif El Asri ◽  
Miloud Gazzaz

2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


2011 ◽  
Vol 21 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Farzan Irani ◽  
Rodney Gabel

This case report describes the positive outcome of a therapeutic intervention that integrated an intensive, residential component with follow-up telepractice for a 21 year old male who stutters. This therapy utilized an eclectic approach to intensive therapy in conjunction with a 12-month follow-up via video telepractice. The results indicated that the client benefited from the program as demonstrated by a reduction in percent stuttered syllables, a reduction in stuttering severity, and a change in attitudes and feelings related to stuttering and speaking.


1970 ◽  
Vol 35 (2) ◽  
pp. 188-193 ◽  
Author(s):  
Maryann Peins ◽  
Bernard S. Lee ◽  
W. Edward McGough
Keyword(s):  

1971 ◽  
Vol 36 (3) ◽  
pp. 397-409 ◽  
Author(s):  
Rachel E. Stark

Real-time amplitude contour and spectral displays were used in teaching speech production skills to a profoundly deaf, nonspeaking boy. This child had a visual attention problem, a behavior problem, and a poor academic record. In individual instruction, he was first taught to produce features of speech, for example, friction, nasal, and stop, which are present in vocalizations of 6- to 9-month-old infants, and then to combine these features in syllables and words. He made progress in speech, although sign language and finger spelling were taught at the same time. Speech production skills were retained after instruction was terminated. The results suggest that deaf children are able to extract information about the features of speech from visual displays, and that a developmental sequence should be followed as far as possible in teaching speech production skills to them.


1980 ◽  
Vol 45 (3) ◽  
Author(s):  
Frank B. Wilson ◽  
D. J. Oldring ◽  
Kathleen Mueller

On page 112 of the report by Wilson, Oldring, and Mueller ("Recurrent Laryngeal Nerve Dissection: A Case Report Involving Return of Spastic Dysphonia after Initial Surgery," pp. 112-118), the paraphrase from Cooper (1971), "if the patients are carefully selected and are willing to remain in therapy for a long period of time," was inadvertantly put in quotation marks.


Sign in / Sign up

Export Citation Format

Share Document