scholarly journals Delay in Diagnosis of Cerebral Venous and Sinus Thrombosis: Successful Use of Mechanical Thrombectomy and Thrombolysis

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Christopher T. Shah ◽  
Jason J. Rizqallah ◽  
Oladoyin Oluwole ◽  
Aleksandrs Kalnins ◽  
John N. Sheagren
Keyword(s):  
Differential Diagnosis ◽  
Mechanical Thrombectomy ◽  
Sinus Thrombosis ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Jugular Veins ◽  
Delay In Diagnosis ◽  
Dural Sinuses ◽  
Poor Outcomes ◽  
Variable Presentation

Cerebral venous and sinus thrombosis is a relatively rare condition with a variable presentation that can translate into a difficult workup and a delay in diagnosis and treatment. We describe the successful use of mechanical thrombectomy and thrombolysis in the case of an eighteen-year-old woman that presented with progressive thrombosis of the jugular veins and dural sinuses despite adequate anticoagulation. Our case highlights the need for clinicians to include CVST in the initial differential diagnosis of patients in order to prevent delays and poor outcomes.

scholarly journals Diagnostic approach to light-chain cardiac amyloidosis and its differential diagnosis

2018 ◽  
Vol 49 (1) ◽  
pp. 9-14
Author(s):  
Monika Adamska ◽  
Anna Komosa ◽  
Tatiana Mularek ◽  
Joanna Rupa-Matysek ◽  
Lidia Gil
Keyword(s):  
Differential Diagnosis ◽  
Light Chain ◽  
Cardiac Amyloidosis ◽  
Cardiac Involvement ◽  
Diagnosis And Treatment ◽  
Diagnostic Approach ◽  
Al Amyloidosis ◽  
Delay In Diagnosis ◽  
Light Chain Amyloidosis ◽  
Novel Approaches

AbstractCardiac amyloidosis is a rare and often-misdiagnosed disorder. Among other forms of deposits affecting the heart, immunoglobulin-derived light-chain amyloidosis (AL amyloidosis) is the most serious form of the disease. Delay in diagnosis and treatment may have a major impact on the prognosis and outcomes of patients. This review focuses on the presentation of the disorder and current novel approaches to the diagnosis of cardiac involvement in AL amyloidosis.

Sporothrix brasiliensis meningitis in an immunocompetent patient

2021 ◽  
pp. practneurol-2020-002915
Author(s):  
Marco A Lima ◽  
Renan Vallier ◽  
Marcos M Silva
Keyword(s):  
Differential Diagnosis ◽  
Lymph Nodes ◽  
Subcutaneous Tissue ◽  
Rare Condition ◽  
Immunocompetent Patient ◽  
Diagnosis And Treatment ◽  
Chronic Meningitis ◽  
Regional Lymph Nodes ◽  
Sporothrix Brasiliensis ◽  
Immunosuppressed Patients

Sporothrix brasiliensis usually causes infection limited to the skin, subcutaneous tissue and regional lymph nodes. Contamination occurs through inhalation or accidental inoculation from animal scratches and bites. Meningitis is rare and mostly occurs in immunosuppressed patients. Here, we describe an immunocompetent person who developed chronic meningitis and discuss the diagnosis, differential diagnosis and treatment of this rare condition.

scholarly journals Isolated Cataplexy in the Differential Diagnosis of Drop Attacks: A Case of Successful Clinical Diagnosis and Treatment

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Robert T. Egel ◽  
Anthony Lee ◽  
Thomas Bump ◽  
Alexander Javois
Keyword(s):  
Differential Diagnosis ◽  
Diagnostic Test ◽  
Clinical Diagnosis ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Test Results ◽  
Drop Attacks ◽  
Immediate Recovery ◽  
Alteration Of Consciousness

Drop attacks are sudden spontaneous falls that are not accompanied by alteration of consciousness and are followed by immediate recovery. Cataplexy, which is usually associated with narcolepsy, is one of the causes of drop attacks. We report a patient with the rare condition of cataplexy without associated narcolepsy (isolated cataplexy). Isolated cataplexy should be included in the differential diagnosis when a patient presents with recurrent drop attacks and normal diagnostic test results.

scholarly journals Isolated rupture of the superficial vein of the penis

2014 ◽  
Vol 8 (5-6) ◽  
pp. 371
Author(s):  
Alper Eken ◽  
Meltem Acil ◽  
Taner Arpaci
Keyword(s):  
Differential Diagnosis ◽  
Sexual Intercourse ◽  
Male Genitalia ◽  
Rare Condition ◽  
The Other ◽  
Diagnosis And Treatment ◽  
Superficial Vein ◽  
Dorsal Vein ◽  
Prompt Diagnosis ◽  
Erect Penis

Penile emergencies are rare but when they do occur, prompt diagnosis and treatment are warranted. Emergent conditions of the male genitalia are mainly traumatic, vascular or infectious. Penile emergencies are usually caused by trauma to the penis, during sexual intercourse or manipulation of an erect penis during masturbation. One of the traumatic vascular penile emergencies is superficial penile dorsal vein rupture. This is a rare condition, with just a few reported cases. It is usually taken into differential diagnosis with the other acute penile injuries that present, such as acute penile edema or ecchymosis. We report a case of 59-year-old male with a superficial penile dorsal vein rupture which occurred during manipulation of the erect penis.

scholarly journals Diagnosis and treatment of headache probably attributed to cerebral venous sinus thrombosis

2014 ◽  
Vol 8 (4) ◽  
pp. 97-101
Author(s):  
Rosario Iannacchero ◽  
Amerigo Costa ◽  
Antonio Sergi ◽  
Aida Squillace ◽  
Giuseppe Vescio ◽  
...  
Keyword(s):  
Chronic Migraine ◽  
Sinus Thrombosis ◽  
Rare Condition ◽  
Transverse Sinus ◽  
Cerebral Venous Sinus Thrombosis ◽  
Warning Signs ◽  
Venous Sinus ◽  
Diagnosis And Treatment ◽  
Secondary Headache ◽  
Venous Sinus Thrombosis

Cerebral venous sinus thrombosis (CVST) is a rare condition whose most common and sometimes only symptom is headache. Alas, diagnosis and treatment of CVST is often delayed or overlooked because of its high clinical variability. Using guidelines advices in detecting warning signs or symptoms of secondary headaches might ease the diagnosis of CVST.The article presents the case of a woman who is in treatment for chronic migraine and assessed for secondary headache in a multidisciplinary outpatient headache program. Alert symptoms like sudden worsening headache presentation, along with anamnestic cues, prompted neuroimaging that detected left transverse sinus thrombosis whose onset was difficult to date.

The Atypical “Diving” Lesion: Congenital Dilated Imperforate Submandibular Duct

Neurographics ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 88-91
Author(s):  
T.R. Geisbush ◽  
K. Yeom ◽  
V. Yedavalli
Keyword(s):  
Differential Diagnosis ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Floor Of The Mouth ◽  
Submandibular Duct ◽  
Imaging Characteristics

A congenital dilated imperforate submandibular duct is a rare condition that presents early in neonates. Treatment can vary considerably from other lesions more commonly found in the floor of the mouth. Here we describe the case of a 1-week-old neonate with a fluctuant lesion in the floor of the mouth, ultimately diagnosed as a congenital dilated imperforate submandibular duct. We then discuss the imaging characteristics, differential diagnosis, and treatment of the condition.

Delay in Diagnosis: Indeterminate Leprosy Presenting with Rheumatic Manifestations

2000 ◽  
Vol 4 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Parrish Sadeghi ◽  
Marsha Dupree ◽  
J. Andrew Carlson
Keyword(s):  
Differential Diagnosis ◽  
Delayed Diagnosis ◽  
Lepromatous Leprosy ◽  
Clinical Suspicion ◽  
Accurate Diagnosis ◽  
Diagnosis And Treatment ◽  
Cutaneous Manifestations ◽  
Hansen's Disease ◽  
Delay In Diagnosis ◽  
Rheumatic Manifestations

Background: Rheumatic complications are common in leprosy (Hansen's disease) and can be the primary complaint delaying accurate diagnosis. Objective: Such a case is reported here: a 61-year-old woman with indeterminate leprosy presented with symmetric arthritis and purpura. Despite biopsy and evaluation by several physicians, leprosy was not suspected. After 2 years of progressive symptoms, a second biopsy revealed lepromatous leprosy. Conclusion: In this case, lack of clinical suspicion and unfamiliarity with the histology of indeterminate leprosy delayed diagnosis and treatment. Leprosy should be considered in the differential diagnosis of patients presenting with unusual rheumatic and persistent cutaneous manifestations.

Endovascular Interventional Management of Cerebral Venous Sinus Thrombosis

2018 ◽  
Vol 1 (1) ◽  
pp. 28-33
Author(s):  
Sunil K. Narayan ◽  
Arunmozhimaran Elavarasi
Keyword(s):  
Risk Factors ◽  
Mechanical Thrombectomy ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Endovascular Management ◽  
Venous Sinus Thrombosis ◽  
Endovascular Interventions ◽  
Poor Outcomes

Cerebral venous sinus thrombosis (CVST) is relatively a rare cause of stroke and can have protean manifestations ranging from headache, seizures, diplopia, focal deficits or coma. It is usually managed with anticoagulation. However, various studies have shown a mortality of 13% to 30% and have elucidated certain risk factors such as poor sensorium at presentation and rapid deterioration in spite of anticoagulation, for poor outcomes. In these situations, it has been postulated that endovascular management using thrombolysis or mechanical thrombectomy can give better outcomes. This review tries to address the role of endovascular interventions in CVST.

scholarly journals Delayed diagnosis of postcardiac injury syndrome

2019 ◽  
Vol 12 (2) ◽  
pp. bcr-2018-228877 ◽  
Author(s):  
Mitsushige Nishimura ◽  
Naho Goda ◽  
Keiko Hatazawa ◽  
Kazuhiko Sakaguchi
Keyword(s):  
Differential Diagnosis ◽  
Pleural Effusion ◽  
Pericardial Effusion ◽  
Constrictive Pericarditis ◽  
Case Reports ◽  
Delayed Diagnosis ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Delay In Diagnosis ◽  
Autoimmune Mechanism

Postcardiac injury syndrome (PCIS) is a rare condition that is considered to have a trauma-induced autoimmune mechanism triggered by damage to pericardial and/or pleural tissues. We report a case of PCIS accompanied by systemic oedema after thymectomy. A 73-year-old woman was referred to our hospital for dyspnoea and oedema, 9 months after thymectomy. Evaluation revealed the presence of pericardial effusion, pleural effusion and systemic oedema. Differential diagnosis included constrictive pericarditis (secondary to tuberculosis), serositis caused by collagen disease and malignancy. Detailed investigations led to the diagnosis of PCIS, which was successfully treated with prednisolone. This report focuses on the diagnostic approach to PCIS. Since it took time to make a final diagnosis in our patient, we analysed several past case reports and series to determine the cause of the delay in diagnosis.

Sign in / Sign up

Export Citation Format

Share Document