Intratympanic Steroid Injection Complicated by Iatrogenic Perilymphatic Fistula: A Cautionary Tale

2021 ◽  
Author(s):  
Hannan A. Qureshi ◽  
Daniel M. Zeitler
Keyword(s):  
Steroid Injection ◽  
Cautionary Tale ◽  
Perilymphatic Fistula

Police Work Addiction: A Cautionary Tale.

2003 ◽  
Author(s):  
Gerard J. Solan ◽  
Jean M. Casey
Keyword(s):  
Police Work ◽  
Cautionary Tale ◽  
Work Addiction

Cervical Myelopathy as a Complication of Untreated Motor Tics: A Cautionary Tale

2020 ◽  
Author(s):  
Mariam Hull ◽  
Mered Parnes
Keyword(s):  
Cervical Myelopathy ◽  
Management Strategies ◽  
Vertebral Artery Dissection ◽  
Tic Disorders ◽  
Artery Dissection ◽  
Cautionary Tale ◽  
Eye Injuries ◽  
Tic Disorder ◽  
Aggressive Management ◽  
Motor Tics

AbstractTic disorders are common, affecting approximately 0.5 to 1% of children and adolescents. Treatment is required only when symptoms are bothersome or impairing to the patient, so many do not require intervention. However, on occasion tics may cause significant morbidity and are referred to as “malignant.” These malignant tics have resulted in cervical myelopathy, subdural hematoma secondary to head banging, biting of lips leading to infection of oral muscles, self-inflicted eye injuries leading to blindness, skeletal fractures, compressive neuropathies, and vertebral artery dissection. We describe a case of malignant tic disorder, with accompanying video segment, resulting in cervical myelopathy and quadriparesis in a child. We also discuss aggressive management strategies for neurologists to prevent potential lifelong disability. This case emphasizes that these malignant tics must be treated with all due haste to prevent such complications.

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