Endovascular Management of Post Traumatic Lower Extremity Pseudoaneurysm: An Evidence Based Case Report

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.

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CT Demonstration of the Extensive Extension of the Emphysematous Gangrene of the Lower Extremity Extending tothe Body: A Case Report

Journal of the Korean Radiological Society ◽

10.3348/jkrs.1996.35.2.241 ◽

1996 ◽

Vol 35 (2) ◽

pp. 241

Author(s):

Hak Soo Lee ◽

Hyun Chul Rhim ◽

Yong Soo Kim ◽

Soon Young Song ◽

Byung Hee Koh ◽

...

Keyword(s):

Case Report ◽

Lower Extremity

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Post-traumatic hypopituitarism - a case report

Endocrine Abstracts ◽

10.1530/endoabs.56.p718 ◽

2018 ◽

Author(s):

Elena Lazar ◽

Alexandra Marin ◽

Ruxandra Dobrescu ◽

Corin Badiu

Keyword(s):

Case Report ◽

Post Traumatic

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Endovascular Solutions for Iliac and Lower Extremity Junctional Injuries

Journal of Endovascular Resuscitation and Trauma Management ◽

10.26676/jevtm.v1i1.6 ◽

2017 ◽

Vol 1 (1) ◽

pp. 22-27

Author(s):

Edwin R Faulconer ◽

Rachel M Russo ◽

Anders J Davidson ◽

Meryl A Simon ◽

Erik S DeSoucy ◽

...

Keyword(s):

Lower Extremity ◽

Open Surgery ◽

Management Strategies ◽

Balloon Occlusion ◽

Vascular Injuries ◽

Endovascular Management ◽

Review Of The Literature ◽

Junctional Zone ◽

Endovascular Interventions ◽

Direct Pressure

Hemorrhage is the second leading cause of death in trauma and non-compressible torso hemorrhage is the leading cause of preventable death within this population. Vascular injuries to the pelvis and lower extremity junctional zone may be difficult to control with direct pressure and complex to approach with open surgery. Endovascular interventions such as balloon occlusion, stenting and embolization are potential alternatives or adjuncts to traditional open surgery in patients with blunt or penetrating vascular injuries to the pelvis. This review of the literature will outline contemporary endovascular management strategies for iliac and junctional zone injuries.

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Isolated Dysphagia in a Patient with Medial Medullary Infarction – Effects of Evidence-Based Dysphagia Therapy: A Case Report

Case Reports in Neurology ◽

10.1159/000513676 ◽

2021 ◽

pp. 190-199

Author(s):

Samra Hamzic ◽

Patrick Schramm ◽

Hassan Khilan ◽

Tibo Gerriets ◽

Martin Juenemann

Keyword(s):

Case Report ◽

Vascular Occlusion ◽

Evidence Based ◽

Severe Dysphagia ◽

First Case ◽

Jaw Opening ◽

Medial Medullary Infarction ◽

Dysphagia Therapy ◽

Evidence Based Therapy ◽

Medullary Infarction

Medial medullary infarction (MMI) is a vascular occlusion in the medulla oblongata leading to certain constellations of neurological symptoms and seriously affecting the patient. Effective evidence-based treatment of severe dysphagia as sole symptom of MMI has not yet been reported. This case study aims to report successful effects of evidence-based therapy based on findings of dysphagia symptoms and pathophysiology of swallowing by flexible endoscopic evaluation of swallowing (FEES) in severe isolated dysphagia after MMI. FEES was performed to evaluate swallowing pathophysiology and dysphagia symptoms in a 57-year-old male with severe dysphagia after MMI. On the basis of FEES findings, simple and high-frequent evidence-based exercises for improvement of swallowing were implemented: thermal stimulation of faucial arches, Jaw Opening Exercise, and Jaw Opening Against Resistance. After 7 weeks of high-frequent evidence-based therapy and regular FEES evaluation the patient was set on full oral diet with no evidence of aspiration risk. In a first case report of isolated dysphagia in MMI our case illustrates that high-frequent evidence-based dysphagia therapy in combination with FEES as the method to evaluate and monitor swallowing pathophysiology can lead to successful and quick rehabilitation of severely affected dysphagic patients.

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