scholarly journals A Case Report Role of Mustadi Yapana Basti and Shashtishali Pindasweda in Sub Acute Combined Degeneration (S.A.C.D.)

2020 ◽  
Vol 8 (03) ◽  
Author(s):  
Shivani Gade
Keyword(s):  
Case Report ◽  
Peripheral Nerve ◽  
Power Loss ◽  
Muscle Tone ◽  
Neurological Damage ◽  
Lateral Column ◽  
Peripheral Nerve Involvement ◽  
Function Loss

S.A.C.D. is a nutritional deficiency disorder mainly caused by deficiency of Vit. B12. Its deficiency causes demyelination of posterior, lateral, column and peripheral nerve involvement. So that in this condition we see neurological symptoms such as loss of muscle tone, loss of power, loss of sensation for temperature, touch, pain. If this condition is not treated then it causes severe systemic function loss. Supplement of Vitamin B12 and physiotherapy is the only treatment for this disorder. And it may take 6 to 12 months to get recover. And in long term patients neurological damage may not improve. According to Ayurveda, if we don’t know the name of the disease but we can treat it according to vitiated Dosha and Dushya, Hetu etc. So S.A.C.D. can be treated as Dhatukshyajanya Vatavyadhi. According to this patient was treated with Mustadi Yapana Basti and Shashtishali Pindasweda and considerable relief from symptoms was observed in the patient within 15 days.    

scholarly journals Constraint-Induced Movement Therapy After Injection of Botulinum Toxin Type A for a Patient With Chronic Stroke: One-Year Follow-up Case Report

2015 ◽  
Vol 95 (7) ◽  
pp. 1039-1045 ◽  
Author(s):  
Satoru Amano ◽  
Takashi Takebayashi ◽  
Keisuke Hanada ◽  
Atsushi Umeji ◽  
Kohei Marumoto ◽  
...  
Keyword(s):  
Case Report ◽  
Botulinum Toxin ◽  
Muscle Tone ◽  
Botulinum Toxin Type A ◽  
Type A ◽  
Movement Therapy ◽  
Chronic Stroke ◽  
Constraint Induced Movement Therapy ◽  
Arm Function

Background and Purpose Spasticity, an aspect of upper motor neuron syndrome, is a widespread problem in patients with stroke. To date, no study has reported the long-term (up to 1 year) outcomes of botulinum toxin (BTX) injection in combination with constraint-induced movement therapy in patients with chronic stroke. In this case report, the long-term (1 year) effects of the combination of BTX type A injection and constraint-induced movement therapy on spasticity and arm function in a patient with chronic stroke and arm paresis are described. Case Description The patient was a 66-year-old man who had had an infarction in the right posterior limb of the internal capsule 4 years before the intervention. At screening, the patient was not able to voluntarily extend his interphalangeal or metacarpophalangeal joints beyond the 10 degrees required for constraint-induced movement therapy. From 12 days after BTX type A injection, the patient received 5 hours of constraint-induced movement therapy for 10 weekdays. Outcomes All outcome measures (Modified Ashworth Scale, Fugl-Meyer Assessment, Action Research Arm Test, and amount of use scale of the Motor Activity Log) improved substantially over the 1-year period (before intervention to 1 year after intervention). Repeat BTX type A injections were not necessary because muscle tone and arm function did not worsen during the observation period. Discussion The improved arm function may have reflected improvements in volitional movements and coordination or speed of movements in the paretic arm as a result of a reduction in spasticity, a reduction of learned nonuse behaviors, or use-dependent plasticity after the combination of BTX type A injection and constraint-induced movement therapy. In addition, the possibility of an influence of the passage of time or the Hawthorne effect cannot be ruled out. If this approach proves useful in future controlled studies, it may reduce the rising medical costs of the treatment of stroke.

scholarly journals Small fibre neuropathy in sarcoidosis

2019 ◽  
Vol 2 (1) ◽  
pp. 1-6
Author(s):  
Jenna-Lynn Senger ◽  
Ashley W.M. Chan ◽  
Simon Wu ◽  
Mary Cheuk ◽  
Rajive Jassal
Keyword(s):  
Case Report ◽  
Peripheral Nerve ◽  
Medical Intervention ◽  
Small Fibre Neuropathy ◽  
Nerve Involvement ◽  
Small Fibre ◽  
Peripheral Nerve Involvement ◽  
Peripheral Polyneuropathy ◽  
Uncommon Case ◽  
Granulomatous Formation

Sarcoidosis is characterized by multisystem granulomatous formation particularly in the chest. In this case report, we present an uncommon case highlighting significant peripheral nerve involvement, a phenomenon that is not well recognized  in sarcoidosis. The patient presented with severe incapacitating pain. Sarcoidosis as being the underlying cause was only established after extensive investigations. This case highlights the importance of recognizing small fibre peripheral polyneuropathy as a possible presentation of sarcoidosis. This could help to direct appropriate  medical intervention.

scholarly journals Effect of Early Initiation of Combination Therapy of Anti-Inflammatory and Anti-Fibrotic Drugs on Post COVID-19 Interstitial Lung Disease: A Case Report

2021 ◽  
Vol 7 (3) ◽  
Keyword(s):  
Case Report ◽  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Oral Prednisone ◽  
Evidence Based ◽  
Limited Evidence ◽  
Anti Inflammatory ◽  
Short Time

The persistence of lung parenchymal changes Post COVID-19 is increasingly recognized as a vital outcome observed on some patients recovering from SARS-CoV2 infection with limited evidence-based management so far. Here we present a 64-year-old male developed extensive interstitial lung changes post SARS-CoV2 infection and was successfully managed with oral prednisone, pirfenidone, and azithromycin maintenance regimen with significant improvement in his clinical and radiographic parameters noted within a relatively short time. The role of a combined therapeutic approach with anti-inflammatory and anti-fibrotic drugs might be provocative action in patients with COVID-19 related interstitial lung disease, especially those at risk for persistent long-term abnormalities and pulmonary fibrosis development.

scholarly journals Adjunctive Physiotherapy – A Case Report on the Management and Effective Treatment of Diabetic Neuropathic Foot Ulcer Using Adjunctive Physiotherapy

2021 ◽  
Vol 20 (5) ◽  
pp. 81-84
Author(s):  
M. Colpin
Keyword(s):  
Case Report ◽  
Historical Context ◽  
Foot Ulcer ◽  
Intervention Context ◽  
Rehabilitation Facilities ◽  
Foundational Work ◽  
Neuropathic Foot ◽  
Primary Management

Physiotherapy must be considered and reprioritized as an adjunctive medical service for long term health and rehabilitation. Comprehensive physiotherapy has the potential to be administered in out-patient rehabilitation facilities, hospitals, and Thermal Health Centers. A review of select adjunctive physiotherapy methods will be presented along with a case report of the successful treatment, with rationally selected physiotherapeutic agents, of a Diabetic Neuropathic Foot Ulcer scheduled for surgical amputation. By highlighting this case, the author is attempting to bring attention to familiar and time-tested therapies that have fallen out of use in a primary intervention context. This case report aims to exemplify that the role for rational physiotherapeutic methods stretches beyond current mainstream applications. Historical Context. Will supply the historical and foundational work in the field of physiotherapy that contextualizes the rational basis for the applications described in the case. Therapies. Lists the physiotherapy methods highlighted in this case, reviews the mechanism of action, discusses the therapeutic application, and provides modern citation for the rationalization of the therapy. Case Report. Reviews a detailed narrative of the case in review. Covers intake, case history, progression of case, as well as clinical applications for physiotherapy as they arise in the course of case management. Conclusion. Reviews the emphasis for reconsidering the role of Physiotherapy in the primary management of acute and chronic illness.

scholarly journals The Role of Peripheral Nerve Catheters in Buprenorphine/Naloxone Management in Elective Orthopedic Surgery: A Case Report

2018 ◽  
Vol 15 (1) ◽  
pp. 93-95
Author(s):  
Michael N. Singleton ◽  
Jo A. Hannafin ◽  
Gregory A. Liguori ◽  
Ellen M. Soffin
Keyword(s):  
Case Report ◽  
Peripheral Nerve ◽  
Orthopedic Surgery

scholarly journals Postnatal Corticosteroids for Prevention and Treatment of Chronic Lung Disease in the Preterm Newborn

2012 ◽  
Vol 2012 ◽  
pp. 1-12 ◽  
Author(s):  
Sachin Gupta ◽  
Kaninghat Prasanth ◽  
Chung-Ming Chen ◽  
Tsu F. Yeh
Keyword(s):  
Muscle Tone ◽  
Neonatal Morbidity ◽  
Airway Disease ◽  
Preterm Neonates ◽  
Childhood And Adolescence ◽  
Reactive Airway Disease ◽  
Prevention And Treatment ◽  
Harmful Effects

Despite significant progress in the treatment of preterm neonates, bronchopulmonary dysplasia (BPD) continues to be a major cause of neonatal morbidity. Affected infants suffered from long-term pulmonary and nonpulmonary sequel. The pulmonary sequels include reactive airway disease and asthma during childhood and adolescence. Nonpulmonary sequels include poor coordination and muscle tone, difficulty in walking, vision and hearing problems, delayed cognitive development, and poor academic achievement. As inflammation seems to be a primary mediator of injury in pathogenesis of BPD, role of steroids as antiinflammatory agent has been extensively studied and proven to be efficacious in management. However, evidence is insufficient to make a recommendation regarding other glucocorticoid doses and preparations. Numerous studies have been performed to investigate the effects of steroid. The purpose of this paper is to evaluate these studies in order to elucidate the beneficial and harmful effects of steroid on the prevention and treatment of BPD.

Role of intra-operative neurophysiologic monitoring during decompression and neurolysis after peripheral nerve injury: Case report

2012 ◽  
Vol 29 (4) ◽  
pp. 117-121
Author(s):  
Vittoria Nazzi ◽  
Roberto Cordella ◽  
Giuseppe Messina ◽  
Ivano Dones ◽  
Angelo Franzini
Keyword(s):  
Case Report ◽  
Peripheral Nerve ◽  
Nerve Injury ◽  
Peripheral Nerve Injury ◽  
Neurophysiologic Monitoring
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