scholarly journals Ultrasound-guided infraclavicular and sciatic block for a patient who had surgery simultaneously for sindactili of the right hand and polydactilia of the right foot: Case report

2014 ◽  
Vol 26 (4) ◽  
pp. 184-186
Author(s):  
Yavuz Gürkan ◽  
Can Aksu ◽  
Kamil Toker ◽  
Mine Solak
Keyword(s):  
Case Report ◽  
Ultrasound Guided ◽  
Right Hand ◽  
The Right

Bilateral Opponens Replacement in Post Polio Thenar Paralysis, Using Different Techniques. A Case Report.

HAND ◽  
1983 ◽  
Vol os-15 (2) ◽  
pp. 221-222 ◽  
Author(s):  
J. G. Andersen ◽  
J. W. Brandsma
Keyword(s):  
Case Report ◽  
Ring Finger ◽  
Flexor Digitorum Superficialis ◽  
Left Hand ◽  
Right Hand ◽  
Abductor Digiti Minimi ◽  
The Right ◽  
Flexor Digitorum

A patient is presented with bilateral thenar paralysis, due to poliomyelitis. On the right hand a successful abductor digiti minimi transfer was performed. On the left hand weakness of the hypothenar muscles prevented a good result. Subsequently an opponens replacement, using flexor digitorum superficialis from the ring finger, yielded a good result.

Carpenter Syndrome – Case Report and Treatment

2016 ◽  
Vol 70 (2) ◽  
pp. 99-103
Author(s):  
Vladimir Mirchevski ◽  
Elizabeta Zogovska ◽  
Aleksandar Chaparoski ◽  
Venko Filipce ◽  
Ljuljzim Agai ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Procedure ◽  
Heart Diseases ◽  
Psychomotor Development ◽  
Operating Table ◽  
Pediatric Clinic ◽  
Right Hand ◽  
Carpenter Syndrome ◽  
The Right ◽  
The University

Abstract Introduction. Carpenter syndrome is a polymorphic disorder transmitted by autosomal recessive inheritance, caused by mutations in the RAB23 gene [1]. These genetic disorders are reflected on the biogenesis of intracranial structures. This syndrome was described for the first time in 1900 by the British doctor George Carpenter. It may include congenital heart diseases, mental retardation, hypogonadism, obesity, umbilical hernia, developmental disorder, bone anomalies and frequent respiratory infections. Carpenter syndrome has two main features: craniosynostosis and more than five fingers or toes [2-4]. Aim. To present our experience in treatment of an infant with Carpenter syndrome including trigonocephaly and polydactyly. Case report. In May 2003, an eleven-month-old male infant with Carpenter syndrome was hospitalized in the Pediatric Department of the University Clinic of Neurosurgery in Skopje, Republic of Macedonia. The infant was referred to our Department from the University Pediatric Clinic because of trigonocephaly and polydactyly with two thumbs on his right hand. The infant had already been twice hospitalized at the University Pediatric Clinic for two recurrent lung infections suggestive of Carpenter syndrome. The diagnosis of trigonocephaly and polydactyly with two thumbs on the right hand was made by physical examination, X-ray of the right infant’s hand and computed tomography of the head. According to Oi and Matsumoto classification from 1986 [5], the infant had a severe form of trigonocephaly. Surgical procedure. Under general endotracheal anesthesia, the infant was placed supine on the operating table, a bifrontal skin incision was made and the scalp flap was created. The bifrontal craniotomy was realized into one bony piece succeeded by a modified Di Rocco’s "shell" procedure including frontal translation and transposition rotating the flap for 180 degrees without /touching the orbital rims. Results. The postoperative period was uneventful except for the expected forehead swelling. The infant was discharged from the hospital on the 7th postoperative day, neurologically intact. Three months after surgery, the head had excellent esthetic appearance, with regular psychomotor development in line with the age of the patient. Six months after the first surgery the patient underwent a second plastic and reconstructive surgery in order to reduce the number of fingers. Conclusion. The early recognition and multidisciplinary approach could prevent new disabled individuals in the society. Our technique shortens the entire surgical procedure, diminishes the time under anesthesia and its complications, especially in departments where blood saving devices are not available.

Symbrachydactyly: A Case Report

2020 ◽  
Vol 34 (4) ◽  
pp. 246-247
Author(s):  
Kariman Ghazal ◽  
Mariam Rajab ◽  
Amal Naous ◽  
Loubna Sinno
Keyword(s):  
Case Report ◽  
Upper Limb ◽  
Prenatal Period ◽  
Right Hand ◽  
The Right

Symbrachydactyly is a disruption of embryonic formation and differentiation that leads to a shorter and smaller upper limb with underdeveloped digits such as short or webbed digits, nubbins, or absence of digits. We report a case of a newborn who had symbrachydactyly of multiple digits in the right hand that was not diagnosed during the prenatal period.

scholarly journals Safety of Radiofrequency Ablation of Thoracic T2 and T3 Sympathectomy in Palmar Hyperhidrosis: A Case Report

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Atef Mohammad Khalil ◽  
Joseph Makram Botros ◽  
Maged Labib Boules ◽  
Atef Kamel Salama ◽  
Safaa Gaber Ragab
Keyword(s):  
Case Report ◽  
Success Rate ◽  
Median Nerve ◽  
Severe Pain ◽  
Nerve Fibers ◽  
The Body ◽  
Palmar Hyperhidrosis ◽  
Invasive Technique ◽  
Right Hand ◽  
The Right

Introduction: Hyperhidrosis is the maladjustment of excess sweating in specific parts of the body. Radiofrequency (RF) therapy has been successfully used to treat hyperhidrosis with a success rate of 85% - 95% in patients refractory to sympathectomy. The main hypothesis was the association between reduced palmar hyperhidrosis and radiofrequency RF therapy. The RF therapy is a less invasive technique, including the utilization of electromagnetic energy that is deposited near the nerve tissue. The mechanism of action of continuous RF could be explained by the destruction of afferent nerve fibers on their way from a nociceptive focus to the central nervous system. Pulsed RF was invented to explore this possibility, with the sole purpose of finding a less destructive and equally effective technique for the application of RF to afferent pathways. Herein, we further evaluated whether the procedure was safe without any complications in routine follow-up in palmar hyperhidrosis. Case Presentation: Herein, we report the case of a male patient with an age of 22 years undergoing thermal RF sympathectomy therapy of thoracic T2 and T3 sympathetic ganglia for the palmar hyperhidrosis of his right hand observed for 3 months. The patient developed a contraction of the flexor involving the small muscles of the right hand with severe pain and congestion 17 days after the procedure without any other complications. The contraction was relieved by a sonar-guided median nerve block at the wrist with two injections of 2 mL lidocaine 2% and 2 mL dexamethasone. Conclusions: This study has been the first clinical case report complicated by the development of a contraction of the flexor muscles of the right hand with severe pain and congestion. The spasm was gradually relieved by sonar-guided median nerve injection at the level of the wrist and intended to assess the role of RF ablation with a success rate of 85% - 95% in palmar hyperhidrosis.

“Proximal-type” and Classic Epithelioid Sarcomas Represent a Clinicopathologic Continuum: Case Report

2005 ◽  
Vol 8 (1) ◽  
pp. 105-114 ◽  
Author(s):  
Dinesh Rakheja ◽  
Kathleen S. Wilson ◽  
John Meehan ◽  
Roger A. Schultz ◽  
Ana M. Gomez
Keyword(s):  
Case Report ◽  
Epithelioid Sarcoma ◽  
Right Hand ◽  
The Right

We report a case of an epithelioid sarcoma that occurred in the right hand of a 14-year-old boy and had the “proximal-type” morphology and a complex, near-tetraploid karyotype. The tumor metastasized to the lungs, where the morphology was typical for the classic epithelioid sarcoma. Based on the morphologic and cytogenetic findings in this case, we suggest that the proximal-type and the classic epithelioid sarcomas are not distinct entities but represent a continuum.

scholarly journals Subcutaneous hyalohyphomycosis caused by Acremonium recifei: case report

1995 ◽  
Vol 37 (3) ◽  
pp. 267-270 ◽  
Author(s):  
Clarisse Zaitz ◽  
Edward Porto ◽  
Elisabeth Maria Heins-Vaccari ◽  
Aya Sadahiro ◽  
Ligia Rangel Barbosa Ruiz ◽  
...  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Histopathological Examination ◽  
Traumatic Injury ◽  
The State ◽  
Right Hand ◽  
History Of ◽  
The Right ◽  
First Time ◽  
Hematoxylin Eosin

We present a case of subcutaneous hyalohyphomycosis due to Acremonium recifei, a species whose habitat is probably the soil, first identified in 1934 by Arêa Leão and Lobo in a case of podal eumycetoma with white-yellowish grains and initially named Cephalosporium recifei. A white immunocompetent female patient from the state of Bahia, Brazil, with a history of traumatic injury to the right hand is reported. The lesion was painless, with edema, inflammation and the presence of fistulae. Seropurulent secretion with the absence of grains was present. Histopathological examination of material stained with hematoxylin-eosin showed hyaline septate hyphae. A culture was positive for Acremonium recifei. Treatment with itraconazole, 200 mg/day, for two months led to a favorable course and cure of the process. We report for the first time in the literature a case of subcutaneous hyalohyphomycosis due to Acremonium recifei in a immunocompetent woman. Treatment with itraconazole 200 mg/day, for two months, resulted in cure.

scholarly journals Granular cell tumor of the breast: Case report

Mastology ◽  
2020 ◽  
Vol 30 (Suppl 1) ◽  
Author(s):  
Juliana da Costa Souza ◽  
Juliana Ferreira de Lima ◽  
Aline Bortolotto Di Pace ◽  
Sandro Luiz Sayão Prior ◽  
Luiz Henrique Gebrim
Keyword(s):  
Case Report ◽  
Black Women ◽  
Granular Cell Tumor ◽  
Neuron Specific Enolase ◽  
Granular Cell ◽  
Cell Tumor ◽  
Ultrasound Guided ◽  
Cross Sectional ◽  
Imaging Characteristics ◽  
The Right

Introduction: Granular cell tumor (GCT) is rare, usually benign, with less than a 2% chance of malignancy. It is usually located in the tongue, and affects the breast in only 6% of the reported cases, with incidence of 1:1000 cases of breast carcinoma. Its origin is related to the Schwann cells. It presents itself as a firm, painless, moveable mass, smaller than 3 cm. It can affect men and women in several age groups, and is more frequent among black women, from the 4th to the 6th decades of life. The image mimics malignant lesions. Mammography shows: dense, circumscribed, sometimes spiculated nodules, without associated microcalcifications. The ultrasound showed: solid, hypoechoic, heterogeneous, round, irregular nodule, with irregular halo in some cases. Histologically, there are large, polygonal cells, with eosinophilic, granular cytoplasm displayed in blades or trabeculae, with benign, atypical and malignant variants. Positive immunohistochemical (IHC) for markers such as: S00 protein, vimentin, neuron-specific enolase, CD-57, CF-68, inhibin alpha, SOX-10, calretinin, PGP9.5, Gap43. The treatment is the excision of the lesion with margins, with low risk of recurrence. Objective: To describe a case of GCT in Hospital Pérola Byington in January/2019. Method: Cross-sectional, descriptive case report obtained through a medical chart review. Results: S.R.P, 56-year old female, white patient, assisted in January, 2019, complaining of a nodule in the right breast for three months. She denies comorbidities, is not aware of family history of cancer. G1P1N, menacme from the age of 13 to 53, denies hormone therapies. At the first examination: nodule measuring 2.5x2.5cm, in the right SLQ, retracting the nipple; right axilla (RA) showing palpable lymph node. Mammography shows a nodule in the right breast (RB), with irregular shape, partially defined borders, measuring 3.8 cm, located in SLQ(B4)-. An ultrasound guided nodule core biopsy at 10hMD, measuring 2.24x1.52x1.97, RA without findings. Biopsy suggests GCT (without IHC). The choice was to perform an ultrasound guided mammotome with IHC, confirming the GCT (positive for S-100, CD-68, enolase and vimentin), submitted to sectorectomy for the excision of the residual lesion. Conclusions: GCT is rare, benign, in most cases; however, when clinical, epidemiological and imaging characteristics suggest cancer, it is necessary to make an anatomopathological confirmation with IHC and excision of the lesion.

scholarly journals Emergency Transfemoral Amputation in a Severely Sick and Hemodynamically Unstable Patient through Eco-Guided Peripheral Nerve Block: Case Report

2016 ◽  
Vol 6 (1) ◽  
pp. 1-3
Author(s):  
Luis Flavio Franca V Muniz ◽  
Jessica Francisco Meireles ◽  
Daissuke Kajita ◽  
Melissa Ameloti G Avelino
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Peripheral Nerve ◽  
Nerve Block ◽  
Lower Limb ◽  
Peripheral Nerve Block ◽  
Anesthetic Technique ◽  
Ultrasound Guided ◽  
Borderline Patients ◽  
The Right

Critically ill and/or anticoagulated patients remain a great challenge for anesthesiologists regarding the anesthetic procedure. Its perioperative management should focus on organ preservation and avoid further damage. In this context, ultrasound-guided regional blocks are essential tools, as they avoid neuraxial invasion and deterioration in borderline hemodynamics, conferred by spinal anesthesia and general anesthesia, respectively. In this report, we present a case of a patient with septic shock, anticoagulated, and in need of an emergency surgical approach in the right lower limb in which ultrasound-guided peripheral nerve block was essential for a favorable outcome for the patient. Case Report: Patient in septic shock in need of amputation of the right lower limb at the level of the thigh, with unstable hemodynamics and severe respiratory conditions, undergoing ultrasound-guided peripheral nerve block, of the right femoral, sciatic and lateral cutaneous nerves of the thigh, as a single anesthetic technique. Conclusion: Regional anesthesia of the peripheral nerve guided by ultrasound as a unique anesthetic technique, performed by experienced professionals or under supervision, is effective and safe for lower limb surgical procedures. We suggest this approach, especially in hemodynamically borderline patients or seriously ill with or without anticoagulation.

scholarly journals What’s the resolutive surgery for pseudo-ainhum in Vohwinkel syndrome? A case report and review of the literature

2021 ◽  
Vol 12 (4) ◽  
Author(s):  
Giuseppe Rovere ◽  
Leonardo Stramazzo ◽  
Alessio Cioffi ◽  
Nicolò Galvano ◽  
Davide Pavan ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Hearing Impairment ◽  
Review Of The Literature ◽  
Palmoplantar Keratoderma ◽  
Right Hand ◽  
The Right

Vohwinkel Syndrome, also known as Keratoderma Hereditarium Mutilans, is an extremely rare dominant autosomal keratosis. It typically presents with “starfish” keratoses on the knuckles, palmoplantar keratoderma (PPK), hearing impairment and mutilating digital constriction bands (pseudoainhum) that cause strangulation, often leading to autoamputation of the affected digit. Both medical and surgical treatment haven’t shown to date consistent results, in the treatment of pseudoainhum. In this study we present the case of a woman with Vohwinkel syndrome who showed constriction bands causing ischemic changes of the 5th digit of the right hand for which she was treated with surgery. We also present a review of the literature for the management of this disease.

scholarly journals Typical Evolution of a Cutaneous Anthrax Lesion

2020 ◽  
Vol 2 (1) ◽  
pp. 27-29
Author(s):  
Cansu Cansu Çimen
Keyword(s):  
Case Report ◽  
Clinical Practice ◽  
Infectious Diseases ◽  
Female Patient ◽  
Outpatient Clinic ◽  
Middle Finger ◽  
Disease Course ◽  
Right Hand ◽  
Cutaneous Anthrax ◽  
The Right

An illustrated case of cutaneous anthrax acquired in eastern Turkey was described in this report. A 56-year-old female patient applied to the infectious diseases outpatient clinic with a painless, dark-colored swelling over her right middle finger accompanied by edema extending to the right hand. Typical disease course of a cutaneous anthrax lesion evolved in a few days. This case report was presented in order to help clinicians to recognize the different stages of the disease in clinical practice. Keywords: anthrax , cutaneous anthrax , eschar , edema

Sign in / Sign up

Export Citation Format

Share Document