scholarly journals Improvement of swallowing‐related muscle mass assessed by ultrasonography in malnourished patient with Wallenberg syndrome: A case report

2021 ◽  
Author(s):  
Hidetaka Wakabayashi ◽  
Masako Kishima ◽  
Masataka Itoda
Keyword(s):  
Case Report ◽  
Muscle Mass ◽  
Wallenberg Syndrome ◽  
Malnourished Patient

Neurological Impact of Wallenberg Syndrome on the Visual-Vestibular Systems

2020 ◽  
pp. 8-14
Keyword(s):  
Case Report ◽  
Left Vertebral Artery ◽  
Clinical Correlation ◽  
Ocular Motor ◽  
Eye Care ◽  
Motor Responses ◽  
Wallenberg Syndrome ◽  
Video Recordings ◽  
Binocular Diplopia ◽  
Skew Deviation

Purpose: This case discusses the neurological impact of Wallenberg syndrome on the visual-vestibular system and provides a clinical pathologic correlation between neuro-anatomic involvements with the manifesting symptoms. Case Report: A 50-year-old male presented for consultation following a left lateral medullary infarct occlusion of the left vertebral artery (Wallenberg syndrome) with complaints of intermittent binocular diplopia, vertigo, and oscillopsia. Assessment revealed an intermittent central nystagmus, a right skew deviation, and a left Horner’s syndrome. Video recordings of the nystagmus and ocular motor responses were documented. Conclusion: Wallenberg syndrome has very defined characteristics which can be used clinically to make a definitive diagnosis.It is important for eye care professionals to understand the neuro-anatomic involvements associated with this condition and make the clinical correlation to aid in the treatment and management of these patients.

A case report of Vibrio furnissii bacteremia and cellulitis in a malnourished patient without an apparent site of entry

2018 ◽  
Vol 24 (1) ◽  
pp. 65-67 ◽  
Author(s):  
Takehiro Hashimoto ◽  
Saho Takaya ◽  
Satoshi Kutsuna ◽  
Kayoko Hayakawa ◽  
Daisuke Shiojiri ◽  
...  
Keyword(s):  
Case Report ◽  
Malnourished Patient ◽  
Vibrio Furnissii

scholarly journals Neuromuscular Electrical Stimulation and Volitional Exercise for Individuals With Rheumatoid Arthritis: A Multiple-Patient Case Report

2007 ◽  
Vol 87 (8) ◽  
pp. 1064-1077 ◽  
Author(s):  
Sara R Piva ◽  
Edward A Goodnite ◽  
Koichiro Azuma ◽  
Jason D Woollard ◽  
Bret H Goodpaster ◽  
...  
Keyword(s):  
Case Report ◽  
Muscle Strength ◽  
Physical Function ◽  
Muscle Mass ◽  
Muscle Atrophy ◽  
Quadriceps Femoris ◽  
Patient Case ◽  
Quadriceps Femoris Muscle ◽  
Lean Muscle Mass ◽  
Femoris Muscle

Background and Purpose: Muscle atrophy is common in patients with rheumatoid arthritis (RA). Although neuromuscular electrical stimulation (NMES) is a viable treatment for muscle atrophy, there is no evidence about the use of NMES in patients with RA. The purposes of this multiple-patient case report are: (1) to describe the use of NMES applied to the quadriceps femoris muscles in conjunction with an exercise program in patients with RA; (2) to report on patient tolerance and changes in lean muscle mass, quadriceps femoris muscle strength (force-producing capacity), and physical function; and (3) to explore how changes in muscle mass relate to changes in quadriceps femoris muscle strength, measures of physical function, and patient adherence.Case Description: Seven patients with RA (median age=61 years, range=39–80 years) underwent 16 weeks of NMES and volitional exercises. Lean muscle mass and strength of the quadriceps femoris muscle and physical function were measured before and after treatment.Outcomes: One patient did not tolerate the NMES treatment, and 2 patients did not complete at least half of the proposed treatment. Patients who completed the NMES and volitional exercise program increased their lean muscle mass, muscle strength, and physical function.Discussion: Because of the small sample, whether NMES combined with exercises is better than exercise alone or NMES alone could not be determined. However, the outcomes from this multiple-patient case report indicate that NMES is a viable treatment option to address muscle atrophy and weakness in patients with RA. Strategies to increase tolerance and adherence to NMES are warranted.

scholarly journals Calcific Myonecrosis of the Leg: A Case Report

2019 ◽  
Vol 2 (1-3) ◽  
pp. 47-53
Author(s):  
Kewal Gangrade ◽  
Girish Yeotikar ◽  
Arjun Wadhwani ◽  
Vinod Naneria
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Compartment Syndrome ◽  
Muscle Mass ◽  
Rare Presentation ◽  
Complete Excision ◽  
Radiological Features ◽  
Calcific Myonecrosis ◽  
Asymptomatic Patients ◽  
History Of

Calcific myonecrosis is characterized by central liquefaction and peripheral calcification involving the entire muscle mass and is considered to be a late sequel of compartment syndrome. Being a rare presentation, considering differential diagnosis is important. Diagnosis is based on history of trauma and typical radiological features. Symptomatic patients require complete excision of the mass while asymptomatic patients can be treated nonoperatively.

scholarly journals Diagnostic particularities and multimodal therapeutic and rehabilitation approches to a complex case of post ischemic stroke with dyshphagia and dysphonia, associating Millard-Gubler and Wallenberg syndromes- case report

2019 ◽  
Vol 10 (Vol 10 No. 4) ◽  
pp. 535-540
Author(s):  
Luminița NIRLU ◽  
Laura Georgiana POPESCU ◽  
Ana Carmen ALBEȘTEANU ◽  
Ali-Osman SAGLAM ◽  
Alexandru G. STAVRICĂ ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Clinical Symptoms ◽  
Lower Limbs ◽  
Complex Case ◽  
Functional Improvement ◽  
Motor Deficit ◽  
Emergency Hospital ◽  
Wallenberg Syndrome ◽  
Lateral Medullary Syndrome

Introduction. Millard-Gubler syndrome (MGS), also known as the ventral pontine syndrome or hemiplegic syndrome, is one of the classical crossed syndromes characterized by a unilateral lesion of the basal portion of the caudal part of the pons. MGS manifests as ipsilateral palsy of CN VI and VII with contralateral hemiplegia. Wallenberg syndrome or lateral medullary syndrome, is characterized by the triad of Horner's syndrome, ipsilateral ataxia and contralateral hypoalgesia. Other clinical symptoms may include difficult swallowing, slurred speech, vertigo, nausea, vomiting, dyspnea, tachycardia, headaches and muscular hypertonia. Materials and Methods Having the patient’s consent and The Teaching Emergency Hospital “Bagdasar-Arseni” Ethics Committee N.O 20270 from the 26th of June 2019, the current case report presents a 67-year-old male patient from rural area with left hemiplegia (complete brachial and crural motor deficit), right eye abduction paresis, dysphagia, dysphonia, central facial palsy - all post acute ischemic stroke. The patient was also diagnosed with ischemic cardiomyopathy, atherosclerosis, alcoholism, type 2 diabetes with Insulin therapy and oral antidiabetic agent. The patient was admitted in the Neurorehabilitation Clinic of the Teaching Emergency Hospital „Bagdasar-Arseni” (TEHBA) Bucharest, Romania, associating severe alteration in self-care abilities, locomotor dysfunction, memory disorders, slurred speech, for specialized rehabilitation treatment and nursing. Results. A case of rare pathology for which, unfortunately, there is a discrepancy between functional improvement and the poor motor control in the in the lower limbs (muscle force was 0-1 out of 5 on the Medicale Research Council scale), within an overall favorable evolution, including elements of the clinical status afferent to the two above mentioned syndromes. Conclusions. Approaching such a clinical case has been a complex and extensive challenge for the entire neuromuscular recovery team and remains similar for any other squad. This pathology remains an issue that demands our earnest attention. Key words: Millard-Gubler syndrome (MGS), Wallenberg syndrome, crossed syndromes, hemiplegia, neurorehabilitation, stroke

scholarly journals Solitary Orbital Metastasis Presenting as Extraocular Muscle Mass in Lung Cancer Patient: A Case Report

2017 ◽  
Vol 77 (3) ◽  
pp. 143
Author(s):  
Hae Won Kim ◽  
Jee Young Kim ◽  
Soo Ah Im ◽  
Joo Wan Park ◽  
Chan Kwon Park ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Case Report ◽  
Cancer Patient ◽  
Muscle Mass ◽  
Extraocular Muscle ◽  
Lung Cancer Patient ◽  
Orbital Metastasis

scholarly journals Central Pain Mimicking Trigeminal Neuralgia as a Result of Lateral Medullary Ischemic Stroke

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Abinayaa Ravichandran ◽  
Kareem S. Elsayed ◽  
Hussam A. Yacoub
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Trigeminal Neuralgia ◽  
Trigeminal Nerve ◽  
Facial Pain ◽  
Central Pain ◽  
Lateral Medullary Infarction ◽  
Wallenberg Syndrome ◽  
Work Up ◽  
Medullary Infarction

Background. Central pain mimicking trigeminal neuralgia (TN) as a result of lateral medullary infarction or Wallenberg syndrome has been rarely reported. Case Report. We discuss a patient who presented with a lateral medullary infarct and shortly after developed facial pain mimicking TN. We also elaborate on the anatomical pathway of the trigeminal nerve explaining facial pain as a result of a lateral medullary lesion. Discussion. Clinicians should be aware of this typical complication of lateral medullary infarct in order to attain proper management and work-up.

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