Diagnostic Challenges and Surgical Strategies in Ossification of the Posterior Longitudinal Ligament. Case Study

2021 ◽  
Vol 23 (2) ◽  
pp. 129-137
Author(s):  
Mateusz Pawłowski ◽  
Andrzej Bojda ◽  
Piotr Morasiewicz ◽  
Bogdan Czapiga
Keyword(s):  
Female Patient ◽  
Cervical Myelopathy ◽  
Clinical Case ◽  
Treatment Options ◽  
Posterior Longitudinal Ligament ◽  
European Population ◽  
Diagnostic Methods ◽  
Surgical Strategies

This article presents the case of a female patient suffering from cervical myelopathy due to ossification of the posterior longitudinal ligament (OPLL) which was undiagnosed for a number of years. Besides presenting the clinical case, we describe the pathophysiology, symptoms, diagnostic methods and treatment options related to this condition, which is unusual in the European population.

scholarly journals EFFECT OF PATHYA PALAN/ DIET, PANCHAKARMA AND AYURVEDA MEDICINE IN AAMVATA- A CASE STUDY

2021 ◽  
Vol 9 (8) ◽  
pp. 1908-1912
Author(s):  
Neerja R. Sharma ◽  
Preeti Preeti ◽  
Parvesh Kumari
Keyword(s):  
Female Patient ◽  
Lifestyle Modification ◽  
Treatment Options ◽  
Dietary Guidelines ◽  
Psychological Disturbances

The menopausal stage is the condition where a female wants to be at ease but if other ailments occur where she has to face continuous pain and agony make is more uncomfortable along with the psychological disturbances. The present case is a female patient who came with the symptoms of Aamavata (R.A.) in her menopausal age and was diagnosed with the same (Aamvata). She received Dietary guidelines along with lifestyle modification (Pathya Palan), Panchakarma therapy i.e. Vaitran Basti (medicated enema) for 7 days, Ruksha Swedana (dry sudation), Aamvatari Rasa, Trivrata Avleha, Ajmodadi churna, Giloy Satva for 1 month, later only Ajmodadi Churna and dietary guidelines for 2 months. The application of the Ayurvedic principle shows remarkable results in this case where other treatment options are limited. Keywords: Aamvata, R.A., Pathya Palan

scholarly journals Relato de Caso: Hérnia de Spiegel / Case Report: Spigelian Hernia

2021 ◽  
Vol 15 (57) ◽  
pp. 864-871
Author(s):  
Andrezza Gomes da Rocha ◽  
George Wallisson Severo de Sá ◽  
Ana Beatriz Callou Sampaio Neves ◽  
Estela Máris Amorim Cruz ◽  
Antonio Marlos Duarte de Melo ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Ventral Hernia ◽  
Clinical Case ◽  
Diagnostic Methods ◽  
Abdominal Hernia ◽  
Abdominal Pressure ◽  
Single Patient ◽  
The Face ◽  
Hernia Abdominal

Resumo: A hérnia de Spiegel é uma entidade cirúrgica benigna que se mostra pelo defeito da aponeurose spigeliana, cuja apresentação pode ser congênita devido à fraqueza da parede muscular ou adquirida pelo aumento da pressão intra-abdominal. Essa hérnia ventral lateral representa apenas 0,1 a 2% de todas as hérnias da parede abdominal, com incidência predominante em adulto, podendo se manifestar em ambos os sexos, contudo, alguns estudos mostram, preferencialmente, o sexo feminino. Objetivo: Relatar o caso clínico de uma paciente portadora de Hérnia de Spiegel, bem como métodos diagnósticos e tratamento cirúrgico definitivo empregado. Metodologia: Trata-se de um estudo de caso do tipo retrospectivo, descritivo e documental. A amostra foi composta por uma única paciente. Resultados: descrever e enfatizar a existência desse tipo de hérnia incomum e, assim, abranger a visão dos cirurgiões diante de diagnóstico diferencial de dor abdominal a esclarecer. Assim como oferecer estudo com ênfase em perspectiva morfológica, epidemiológica, diagnóstica, terapêutica e pós-operatória da Hérnia de Spiegel. Palavras-chave: Cirurgia; Hérnia ventral; Hérnia abdominal Abstract:Spiegel hernia is a benign surgical entity that is manifested by the defect of the spigelian aponeurosis, whose presentation can be congenital due to muscle wall weakness or acquired by increased intra-abdominal pressure. This ventral lateral hernia represents only 0.1 to 2% of all hernias in the abdominal wall, with a predominant incidence in adults, and may manifest in both sexes, however, some studies show preferentially the female sex. Objective: To report the clinical case of a patient with Spiegel's hernia, as well as diagnostic methods and definitive surgical treatment employed. Methodology: This is a retrospective, descriptive and documentary case study. The sample consisted of a single patient. Results: to describe and emphasize the existence of this type of uncommon hernia and, thus, cover the view of surgeons in the face of a differential diagnosis of abdominal pain to be clarified. As well as offering a study with an emphasis on the morphological, epidemiological, diagnostic, therapeutic and postoperative perspective of Spiegel's hernia Keywords: surgery, ventral hernia, abdominal hernia 

scholarly journals Limits and Possibilities of Orthodontic Treatment of Patients with Skeletal Forms of Sagittal Anomalies

2020 ◽  
Vol 5 (9) ◽  
Keyword(s):  
Orthodontic Treatment ◽  
Clinical Case ◽  
Treatment Plan ◽  
Treatment Options ◽  
Diagnostic Methods ◽  
Comprehensive Treatment ◽  
Dental Anomalies ◽  
Treatment Results ◽  
Case Patient ◽  
Upper Jaw

The need to develop and improve methods of diagnos is and treatment of patients with deformities of the jaws is determined primarily by the frequency of it prevalence. Dental anomalies occur in 33.7 - 49% of those examined. To improve the effectiveness of orthodontic treatment of patients with skeletal forms of sagittal anomalies of occlusion of the dentition, it is necessary to conduct additional methods of examination, computer modeling of treatment results, drawing up a comprehensive treatment plan. Clinical case. Patient 33 years old. Skeletal III class, Mesial occlusion of dental arches, Narrow upper jaw, Tooth crowding, periodontal problems, gingival loss. After additional diagnostic methods, computer simulation of treatment was performed, various treatment options were considered.

scholarly journals Patient with anemia (clinical case study)

2021 ◽  
Vol 2 (2) ◽  
pp. 28-31
Author(s):  
Leonid I. Dvoretsky ◽  
Keyword(s):  
Differential Diagnosis ◽  
Laboratory Test ◽  
Female Patient ◽  
Clinical Case ◽  
Clinical Problem ◽  
Test Results ◽  
Clinical Case Study ◽  
Laboratory Test Results ◽  
Future Direction

For physicians, every new case of anemia is a clinical problem with multiple unknowns. The case of female patient K. aged 40 with clinical and laboratory manifestations of anemia is reported. Pathogenetic variants of anemia have been studied; each variant characterized by specific laboratory test results determines future direction of diagnosis aimed at search for the cause of anemia (nosological diagnosis). Differential diagnosis has been developed.

The Variable Nature of Stuttering: A Clinical Case Study

1995 ◽  
Vol 22 ◽  
pp. 29-35
Author(s):  
Jennifer Gutierrez ◽  
Anthony Caruso
Keyword(s):  
Clinical Case ◽  
Clinical Case Study ◽  
Variable Nature

Acute mesenteric ischemia with necrosis of entire small intestine

2019 ◽  
Vol 98 (4) ◽  
pp. 174-177
Keyword(s):  
Small Intestine ◽  
Mesenteric Ischemia ◽  
Severe Disease ◽  
Acute Mesenteric Ischemia ◽  
Diagnostic Methods ◽  
Entire Small Intestine ◽  
Common Etiology

The case study describes a case of a patient with acute mesenteric ischemia with necrosis of entire small intestine. In following text there is an overview of the incidence of acute mesenteric ischemia, its most common etiology, diagnostic methods and treatment of this severe disease.

Rehabilitation treatment associating maxillary atresia and missing superior incisors – clinical case study report

2017 ◽  
Vol 10 (38) ◽  
pp. 78-83
Author(s):  
João Batista de Paiva ◽  
Daniele Sigal Linhares ◽  
José Rino ◽  
Lindalva Gutierrez
Keyword(s):  
Clinical Case ◽  
Rehabilitation Treatment ◽  
Clinical Case Study ◽  
Study Report ◽  
Case Study Report

An Ayurvedic Visual Rehabilitation In Lebers Congenital Amaurosis - Prospective Case Study

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Vidhyasri M ◽  
Dr. S. M. Pasha
Keyword(s):  
Marked Improvement ◽  
Clinical Case ◽  
Treatment Plan ◽  
Visual Disability ◽  
Visual Rehabilitation ◽  
Potential Risks ◽  
The Subject ◽  
Slow Frequency

Introduction: This is the case report of child who was diagnosed with LCA reported with complaints of large-amplitude, slow-frequency, roving nystagmus, frequent tendency to press on his eyes, enopthalmos, with completely normal ophthalmoscopic examination with normal appearing optic nerve and retina and has a non recordable ERG; considering this condition under the lines of Vataja Nanatmaja Vyadhi treatment was structured to render effective visual rehabilitation which showed marked results. Methods: 4 years old male child who was diagnosed with lebers congenital amaurosis was brought by his parents to Eye OPD, GAMC, Bengaluru. The presentation of this case includes bibliographic review of the subject, presentation of a clinical case and description of the importance of Ayurvedic prespective of handling of these patients. Results: The child showed improvement in fixing for light and also nystagmus showed marked improvement and there were considerable behavioural changes observed. Discussion: It is important to deepen the environment of the disease to know the possible implications in Ayurvedic management, recognize the magnitude of visual disability that our patient presents for the establishment of the treatment plan and provide an integral care of excellence in an interdisciplinary way in favor of visual rehabilitation of our patients and also help to restore quality of life with no potential risks of side effects.

scholarly journals The ‘wave sign’ in hip arthroscopy: a systematic review of epidemiological factors, current diagnostic methods and treatment options

2020 ◽  
Author(s):  
Jason Derry Onggo ◽  
James Randolph Onggo ◽  
Mithun Nambiar ◽  
Andrew Duong ◽  
Olufemi R Ayeni ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Protective Factor ◽  
Treatment Options ◽  
Arthroscopic Surgery ◽  
Classification Systems ◽  
Diagnostic Methods ◽  
Suture Repair ◽  
Significant Heterogeneity ◽  
Epidemiological Factors

ABSTRACT This study aims to present a systematic review and synthesized evidence on the epidemiological factors, diagnostic methods and treatment options available for this phenomenon. A multi-database search (OVID Medline, EMBASE and PubMed) was performed according to PRISMA guidelines on 18 June 2019. All studies of any study design discussing on the epidemiological factors, diagnostic methods, classification systems and treatment options of the wave sign were included. The Newcastle–Ottawa quality assessment tool was used to appraise articles. No quantitative analysis could be performed due to heterogeneous data reported; 11 studies with a total of 501 patients with the wave sign were included. Three studies examined risk factors for wave sign and concluded that cam lesions were most common. Other risk factors include alpha angle >65° (OR=4.00, 95% CI: 1.26–12.71, P=0.02), male gender (OR 2.24, 95% CI: 1.09–4.62, P=0.03) and older age (OR=1.04, 95% CI: 1.01–1.07, P=0.03). Increased acetabular coverage in setting of concurrent cam lesions may be a protective factor. Wave signs most commonly occur at the anterior, superior and anterosuperior acetabulum. In terms of staging accuracy, the Haddad classification had the highest coefficients in intraclass correlation (k=0.81, 95% CI: 0.23–0.95, P=0.011), inter-observer reliability (k=0.88, 95% CI: 0.72–0.97, P<0.001) and internal validity (k=0.89). One study investigated the utility of quantitative magnetic imaging for wave sign, concluding that significant heterogeneity in T1ρ and T2 values (P<0.05) of acetabular cartilage is indicative of acetabular debonding. Four studies reported treatment techniques, including bridging suture repair, reverse microfracture with bubble decompression and microfracture with fibrin adhesive glue, with the latter reporting statistically significant improvements in modified Harris hip scores at 6-months (MD=19.2, P<0.05), 12-months (MD=22.0, P<0.05) and 28-months (MD=17.5, P<0.001). No clinical studies were available for other treatment options. There is a scarcity of literature on the wave sign. Identifying at risk symptomatic patients is important to provide prompt diagnosis and treatment. Diagnostic techniques and operative options are still in early developmental stages. More research is needed to understand the natural history of wave sign lesions after arthroscopic surgery and whether intervention can improve long-term outcomes. Level IV, Systematic review of non-homogeneous studies.

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