scholarly journals A Rare Case of Cranial Nerve VII Neuropraxia Associated with Alveolar Nerve Blocks

2021 ◽  
Vol 2 (5) ◽  
pp. 273-274
Author(s):  
Stephen Allegra ◽  
Richard Church ◽  
Veera Sudireddy
Keyword(s):  
Cranial Nerve ◽  
Rare Case ◽  
Oral Corticosteroid ◽  
Dental Procedure ◽  
Nerve Blocks ◽  
Case Presentation ◽  
Dental Anesthesia ◽  
Antiviral Medications ◽  
Uncommon Complication

Case Presentation: A 26-year-old male presented to our emergency department for six days of right-sided facial myasthenia and parasthesias following a dental procedure using anesthetic nerve blocks. Discussion: Iatrogenic cranial nerve VII neuropraxia, a peripheral nerve injury, is an uncommon complication of alveolar nerve blocks with few documented cases specifically due to dental anesthesia. Treatment usually involves use of oral corticosteroid and/or antiviral medications along with close follow-up in clinic with a neurologist and/or otolaryngologist.

scholarly journals Corneal erforation casused by eyelid margin trichilemmal carcinoma: A case report

2019 ◽  
Author(s):  
Liying Zhang ◽  
Zhirong Lin ◽  
Huping Wu
Keyword(s):  
Rare Case ◽  
The Elderly ◽  
Corneal Perforation ◽  
Slit Lamp ◽  
Blurred Vision ◽  
Eyelid Margin ◽  
Case Presentation ◽  
Adnexal Tumor ◽  
History Of

Abstract Background: Trichilemmal carcinoma (TLC) is a rare malignant adnexal tumor predominantly affecting the scalp, eyelids, neck and face of the elderly. Here, we firstly report a rare case of corneal perforation caused by TLC grown in eyelid margin. Case presentation: A 68-year-old female presented with two months history of unprovoked redness, pain and blurred vision in the left eye. On slit-lamp examination, a 1×2mm aseptic corneal perforation embedded by iris prolapsed was noted. After excluding other causes through examinations and case history inquiry, we speculated that the severe MGD and subsequent BKC might be the cause. In order to prevent the ulcer enlargement and intraocular infection, the patient was treated with penetrating keratoplasty immediately. However, a terrible phenomenon has aroused our concern that several small nodules gradually developed on the eyelid margin, accompanied with bleeding, burst and madarosis postoperatiely. The biopsy revealed the eyelid was involved by TLC and then the lesionectomy was performed immediately. There was no evidence of local recurrence and metastasis during 1 year follow-up. Conclusions: The involvement of eyelid margin by TLC, and subsequent BKC and corneal perforation were very rare and it has not been reported yet. The concomitant BKC can be gradually healed after rectifying eyelid margin by total excision of TLC. It is very important to offer careful follow-up to all patients.

scholarly journals Spontaneous Healing and Complete Disappearance of a Giant Basilar Tip Aneurysm in a Child

2001 ◽  
Vol 7 (2) ◽  
pp. 141-145 ◽  
Author(s):  
C.B. Luo ◽  
Y.L. Chen ◽  
S.W. Hsu ◽  
H. Alvarez ◽  
G. Rodesch ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Cranial Nerve ◽  
Rare Case ◽  
Clinical Symptoms ◽  
Giant Aneurysm ◽  
Neurological Deficits ◽  
Complete Disappearance ◽  
Spontaneous Healing ◽  
Basilar Tip Aneurysm

We report a rare case of spontaneous total thrombosis of a giant basilar tip aneurysm resulting in compression of the brainstem, diagnosed in a two-year-old child who presented with neurological deficits and third cranial nerve impairment. After conservative treatment, the giant aneurysm was completely thrombosed and the clinical symptoms were remarkably improved. MRI demonstrated dramatic shrinkage and ultimately complete disappearance of the giant aneurysm at seven month follow-up.

scholarly journals Two giant connected retroperitoneal schwannomas: A rare case report

2020 ◽  
Author(s):  
Tao Yang ◽  
Lanqing Cao ◽  
Wei Li ◽  
Kai Zhang ◽  
Yuecheng Zhu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Rare Case ◽  
Low Density ◽  
Soft Tissue Density ◽  
Case Presentation ◽  
Benign Schwannoma ◽  
Rare Case Report ◽  
Retroperitoneal Schwannoma ◽  
Specific Symptoms

Abstract Background：There are few reports of large retroperitoneal schwannomas and few guidelines for the diagnosis and surgical treatment.Case presentation：A 40-year-old female came to our department due to abdominal pain for 1 day and there are no other specific symptoms. There were no abnormalities in the patient's tumor markers. Plain computer tomography (CT) scan of the whole abdomen revealed two mass soft tissue density shadows behind the peritoneum, with uneven internal density, cystic low-density shadows and patchy calcification shadows. The larger mass was about 12.0 cm × 12.3 cm in size. Then tumors were completely excised by a reasonable surgical approach while the surrounding organs closely related to the tumor were preserved. Postoperative pathology confirmed that the tumor was benign schwannoma. In the 18-month follow-up, the patient had no recurrences and was asymptomatic.Conclusion：We summarize the diagnosis and treatment of a rare giant retroperitoneal schwannoma. Laparotomy for the management of retroperitoneal giant schwannomas may be a safe and effective method.

Hiccups Induced by Aripiprazole Combined With Sertraline in An Adolescent With Olfactory Reference Disorder: A Case Report

2021 ◽  
Author(s):  
Zhe Li ◽  
Yang Li ◽  
Zhenzhen Xiong ◽  
Zhixiong Li ◽  
Yiwen Yuan ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Medication Compliance ◽  
Acute Administration ◽  
Case Presentation

Abstract Background Hiccup can cause significant distress to patients and affect medication compliance. Individuals with olfactory reference disorder (ORD) who might develop persistent hiccups when treated with a combination of antidepressant and antipsychotic, leading to significant distress and impairment. Case presentation We report a rare case of an adolescent with ORD who was treated with aripiprazole combined with sertraline and who began to hiccup persistently after 6 days on this treatment. He stopped hiccupping after the aripiprazole had been suspended for 12 h. After discharge, the patient continued on sertraline alone and reported no hiccupping at one-month follow-up. Conclusions Clinicians should consider that the combination of aripiprazole and sertraline can induce hiccups during the acute administration period in adolescents with ORD.

scholarly journals Lumbar vertebral osteoradionecrosis: a rare case report with 10-year follow-up and brief literature review

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Cong Jin ◽  
Minghua Xie ◽  
Wengqing Liang ◽  
Yu Qian
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Rare Case ◽  
Oxygen Therapy ◽  
Rare Complication ◽  
Case Presentation ◽  
Rare Case Report ◽  
New Treatment ◽  
Slow Onset

Abstract Background Osteoradionecrosis (ORN) is a complication that occurs after radiotherapy for head or neck malignancies. ORN of the spine is rare, with only few cases affecting the cervical spine reported to date. To our knowledge, no case of lumbar ORN has been reported. We report a rare case of ORN in the lumbar spine that occurred 2 years after radiotherapy and perform a literature review. Case presentation We present a case of lumbar ORN that occurred 2 years after radiotherapy for gallbladder carcinoma. The patient was successfully treated conservatively and followed up for > 10 years. Conclusions ORN of the spine is a rare complication of radiotherapy. Spinal ORN is clinically described as a chronic disease with a slow onset. The most common presenting symptom of spinal ORN is pain. However, as ORN progresses, spinal kyphosis and instability can lead to neurological compression and thus to induced myelopathy or radiculopathy. Treatment of spinal ORN is comprehensive, including orthosis, medication, hyperbaric oxygen therapy, surgery, and new treatment combinations of pentoxifylline and tocopherol. The surgical rate for spinal ORN is relatively high.

scholarly journals Incidental para-ureteral aggressive angiomyxoma: a rare case report and literature review

BMC Urology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ming Liu ◽  
Ting-Shuai Zhai ◽  
Xiao-Feng Zhao ◽  
Li-Jin Feng ◽  
Xin-Sheng Lyu ◽  
...  
Keyword(s):  
Literature Review ◽  
Rare Case ◽  
Reproductive Age ◽  
Aggressive Angiomyxoma ◽  
Case Presentation ◽  
Left Ureter ◽  
First Case ◽  
Rare Case Report

Abstract Background Aggressive angiomyxoma (AA) is a rare tumor that typically occurs in the pelvis and perineum, most commonly in women of reproductive age. However, no para-ureteral AA has been reported according to the literature. Case presentation We herein describe the first case of para-ureteral AA. A 62-year-old male presented to our institute in March 2017 with a para-ureteral mass that was 15 mm in diameter incidentally. No symptom was observed and laboratory analysis was unremarkable. Magnetic resonance and computed tomography imaging showed a non-enhancing mass abutting the left ureter without causing obstruction. Laparoscopic resection of the mass was performed without injury to the ureter. Pathologic and immunohistochemical results were consistent with AA. Till now, no recurrence was noticed. Conclusions We reported a rare case of para-ureteral AA, along with a literature review. Early diagnosis, proper surgical plan and long-term close follow-up is recommended for its high risk of recurrence and malignant potential.

scholarly journals Brucellar Pericarditis: You Can Get from Your Pet!

2020 ◽  
pp. 1-3
Author(s):  
Abeer M Shawky ◽  
Keyword(s):  
Infectious Disease ◽  
Rare Case ◽  
Clinical Presentation ◽  
Exceptional Case ◽  
Cardiac Symptom ◽  
Case Presentation ◽  
Night Sweats ◽  
Cardiac Manifestation ◽  
Mild Fever

Background: Brucellosis is a worldwide zoonotic systemic infectious disease with a diverse clinical presentation. Cardiovascular affections are not frequent, and the main cardiac manifestation of Bru-cellosis is endocarditis. Pericarditis without endocarditis is extremely rare. Case Presentation: In this case report, we present an exceptional case of pericarditis caused by Brucellosis in the absence of concomitant endocarditis in a 30-year-old woman, one-month postpar-tum, from the countryside. The lady presented with night sweats, mild fever, weight loss, dyspnea and chest pain. A diagnostic workup revealed positive titers for Brucella, indicating that the patient was suffering from systemic Brucellosis. The patient recovered completely, after receiving appropri-ate oral non-steroidal anti-inflammatory and dual antibiotics treatment, and responded well without any sign of relapse during a six month follow-up period. Conclusion: Pericarditis can occur during Brucellosis as an isolated cardiac symptom. Brucellar per-icarditis should always be kept in mind in patients with pericarditis and pericardial effusion, alt-hough the prevalence of pericarditis in Brucellosis is very low.

Endovascular Treatment of an Arteriovenous Malformation Associated with a Double Origin of the Posterior Inferior Cerebellar Artery

2021 ◽  
pp. 1-5
Author(s):  
Aaron Rodriguez-Calienes ◽  
Giancarlo Saal-Zapata ◽  
Joselyn De la Cruz
Keyword(s):  
Arteriovenous Malformations ◽  
Rare Case ◽  
Posterior Inferior Cerebellar Artery ◽  
Embolic Agent ◽  
Anatomical Variant ◽  
Case Presentation ◽  
Cerebellar Artery ◽  
Cure Rates ◽  
Double Origin

<b><i>Introduction:</i></b> A double origin of the posterior inferior cerebellar artery (DOPICA) is a rare anatomical variant. Posterior fossa arteriovenous malformations (AVMs), especially cerebellar AVMs, are also not common. Consequently, the association of a DOPICA with a cerebellar AVM is even rare. <b><i>Case Presentation:</i></b> We present a rare case of a pediatric cerebellar AVM supplied by a branch of a DOPICA which was treated endovascularly with NBCA. Total obliteration was achieved in the immediate controls and at 1-year follow-up. <b><i>Conclusion:</i></b> Navigation through tortuous and long branches from a DOPICA is technically feasible. Although NBCA cure rates are relatively low, when the microcatheter can no longer navigate through the feeding artery, a correct dilution of NBCA with lipiodol can provide adequate penetration of this embolic agent, to obliterate the AVM nidus completely.

scholarly journals Chest pain in a mid-aged woman, not simply myopericarditis: a case report of anti-Ku positive polymyositis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Weiping Tan ◽  
Bin Dong ◽  
Jincui Gu ◽  
Yang Peng ◽  
Ruicong Xue
Keyword(s):  
Chest Pain ◽  
Rare Case ◽  
Cardiac Involvement ◽  
Inflammatory Myopathy ◽  
Proximal Muscle ◽  
Comprehensive Understanding ◽  
Case Presentation ◽  
Aged Woman ◽  
Negative Findings

Abstract Background Anti-Ku is a rare antibody which can be positive in some rheumatic diseases and it might be related to cardiac involvement. Polymyositis is an inflammatory myopathy, and its cardiac involvement seldom presents as myopericarditis and anti-Ku positive. Case presentation In this case, we report a mid-aged woman with chest pain, upper limbs weakness and fever unrelated with infection. The diagnosis of this case was unquestionably myopericarditis supported by ECG, cardiac MRI and negative findings in coronary arteries. Diagnosis of polymyositis was further clarified by the evidence of persistently increased CK, degeneration of proximal muscle in MRI, muscular dystrophy with lymphocytes infiltration in muscle biopsy. In the analysis of autoantibodies, we surprisingly discovered positive anti-Ku. Glucocorticoid and mycophenolate mofetil were then prescribed for polymyositis. Patient follow-up indicated remission of both myopericarditis and polymyositis. We finally clarified this rare case as a positive anti-Ku polymyositis with myopericarditis as cardiac involvement. Conclusion This report presents a rare case with anti-Ku positive polymyositis and the cardiac involvement of polymyositis was manifested as myopericarditis. Therefore, positive anti-Ku might explain the myopericarditis as cardiac involvement in polymyositis. More cases and longer duration of follow-up is required for the comprehensive understanding of the disease.

scholarly journals Hiccups Induced by Aripiprazole Combined With Sertraline in an Adolescent With Olfactory Reference Disorder: a Case Report

2021 ◽  
Author(s):  
Zhe Li ◽  
Yang Li ◽  
Zhenzhen Xiong ◽  
Zhixiong Li ◽  
Yiwen Yuan ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Medication Compliance ◽  
Acute Administration ◽  
Case Presentation

Abstract BackgroundHiccup can cause significant distress to patients and affect medication compliance. Individuals with olfactory reference disorder (ORD) who might develop persistent hiccups when treated with a combination of antidepressant and antipsychotic, leading to significant distress and impairment. Case presentationWe report a rare case of an adolescent with ORD who was treated with aripiprazole combined with sertraline and who began to hiccup persistently after 6 days on this treatment. He stopped hiccupping after the aripiprazole had been suspended for 12 h. After discharge, the patient continued on sertraline alone and reported no hiccupping at one-month follow-up. ConclusionsClinicians should consider that the combination of aripiprazole and sertraline can induce hiccups during the acute administration period in adolescents with ORD.

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