scholarly journals Spontaneous Cervical Epidural Hematoma with Hemiparesis Mimicking Cerebral Stroke

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Mehmet Tiryaki ◽  
Recep Basaran ◽  
Serdar Onur Aydin ◽  
Mustafa Efendioglu ◽  
Ece Balkuv ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Epidural Hematoma ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Cerebral Stroke ◽  
Normal Limits ◽  
Cranial Mri ◽  
Spinal Mri ◽  
The Right ◽  
Loss Of Strength

Aim.Spontaneous cervical epidural hematoma (SCEH) is defined as an epidural hematoma that does not have an etiological explanation. The most common site for SCEH is cervicothoracic area. Early diagnosis and treatment are important for prognosis and good results. In this paper, we aimed to present a case who complains of sudden weakness on right extremities imitating cerebral stroke and that neuroimaging reveals spontaneous cervical epidural hematoma.Case.A 72-year-old woman was admitted to our hospital with acute neck pain and loss of strength on right extremities. On neurological examination, the patient had right hemiparesis. PT, aPTT, and INR results were 50.5, 42.8, and 4.8, respectively. Cranial MRI was in normal limits. Spinal MRI revealed a lesion that extends from C4 to C7 located on the right side and compatible with epidural hematoma. The patient was operated after normalization of INR values.Conclusion.Even though SCEH is a rare condition, it can cause severe morbidity and mortality. Early diagnosis and treatment are quiet important for prognosis. SCEH can easily be mistaken for stroke as with other pathologies and this diagnosis should come to mind especially in patients who have diathesis of bleeding.

scholarly journals Tubocutaneous Fistula

2015 ◽  
Vol 2015 ◽  
pp. 1-2
Author(s):  
Krishnaveni Nayini ◽  
Clive Gie
Keyword(s):  
Early Diagnosis ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Fistulous Tract ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Case Presentation ◽  
Child Birth ◽  
The Right

Introduction. Tubocutaneous fistula is a very rare condition; most cases described in the literature are secondary to endometriosis, tuberculosis, and complications of child birth and gynecological operations.Case Presentation. We report a case of 40-year-old woman who presented with tubocutaneous fistula secondary to pelvic inflammatory disease which was diagnosed in the setting of persistent discharging wound in the right groin.Conclusion. Tubocutaneous fistula is a rare condition. Salpingectomy and resection of fistulous tract is the treatment of choice as is treating the underlying cause. Early diagnosis and treatment of these patients are essential for avoiding long term complications.

scholarly journals Early diagnosis and treatment of acute or subacute spinal epidural hematoma

2007 ◽  
Vol 120 (15) ◽  
pp. 1303-1308 ◽  
Author(s):  
Hang-ping YU ◽  
Shun-wu FAN ◽  
Hui-lin YANG ◽  
Tian-si TANG ◽  
Feng ZHOU ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Epidural Hematoma ◽  
Diagnosis And Treatment ◽  
Spinal Epidural Hematoma ◽  
Spinal Epidural

scholarly journals Pulmonary interstitial emphysema: a case report and review of the literature

2013 ◽  
Vol 46 (5) ◽  
pp. 317-319 ◽  
Author(s):  
Mauricio Kauark Amoedo ◽  
Luciana Volpon Soares Souza ◽  
Antônio Soares Souza ◽  
Arthur Soares Souza Júnior ◽  
Edson Marchiori
Keyword(s):  
Mechanical Ventilation ◽  
Case Report ◽  
Early Diagnosis ◽  
Preterm Infants ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Review Of The Literature ◽  
Pulmonary Interstitial Emphysema ◽  
Interstitial Emphysema ◽  
Low Weight

Pulmonary interstitial emphysema is a rare condition that generally affects low-weight preterm infants submitted to mechanical ventilation. The prognosis is variable, depending on early diagnosis and treatment. The radiologist plays a key role in this scenario. The authors report a case of persistent pulmonary interstitial emphysema, describing the main characteristics of such entity.

scholarly journals Presentation, diagnosis, and treatment of a cerebellar tuberculoma: illustrative case

2021 ◽  
Vol 2 (18) ◽  
Author(s):  
Stephen Capone ◽  
Dokpe Emechebe ◽  
Eric G. St. Clair ◽  
Ali Sadr ◽  
Michelle Feinberg
Keyword(s):  
Diagnosis And Treatment ◽  
Cerebellar Hemisphere ◽  
Illustrative Case ◽  
Suboccipital Craniotomy ◽  
Normal Limits ◽  
Caseating Granuloma ◽  
Night Sweats ◽  
History Of ◽  
Latent Tb Infection ◽  
The Right

BACKGROUND Central nervous system (CNS) tuberculomas are a feared complication of tuberculosis (TB) infection. These lesions can present in varying manners and are associated with significant morbidity and mortality. Prompt diagnosis and treatment of the lesion and the underlying infection are critical in the care of these patients. The authors presented a case of a 45-year-old Yemeni immigrant presenting with a 3-month history of severe right temporo-occipital headaches with photophobia and night sweats. Imaging showed a rim-enhancing lesion in the right cerebellar hemisphere. OBSERVATIONS Laboratory tests were unremarkable and within normal limits. QuantiFERON testing was negative, ruling out latent TB infection. The patient received a suboccipital craniotomy, and resection of the cerebellar lesion showed caseating granuloma formation, which was positive for acid-fast bacilli and Fite stain. LESSONS CNS tuberculomas are an important differential to consider in patients with a history of primary TB, regardless of active disease or immunocompetent status. Resection of these lesions remains a viable treatment option that is safe and effective.

scholarly journals Posner-Schlossman Syndrome in Common Variable Immunodeficiency

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Madiha Huq ◽  
Neha Sanan ◽  
Phuong Daniels ◽  
Robert Hostoffer
Keyword(s):  
Intraocular Pressure ◽  
Common Variable Immunodeficiency ◽  
Anterior Uveitis ◽  
Rare Condition ◽  
Elevated Pressure ◽  
Normal Limits ◽  
First Case ◽  
Autoimmune Conditions ◽  
The Right ◽  
Common Variable

Introduction. Posner-Schlossman syndrome (PSS) is a rare glaucomatocyclitic crisis with clinical features including recurrent episodes of unilateral elevated intraocular pressure. Autoimmune and infectious causes have been proposed as potential etiologies of PSS. We report the first case of PSS in the setting of common variable immunodeficiency (CVID). Case Report. A sixty-two-year-old Caucasian female with a medical history of CVID and ulcerative colitis presented to the emergency room with complaints of acute right-sided vision changes. She reported image distortion, blurriness, and loss of central vision. Physical exam was significant for mildly injected right conjunctiva, visual acuity of 20/70 in right eye, and 20/25 in left eye. The right intraocular pressure was measured at 34 mmHg and left at 12 mmHg. The gonioscopy and dilated fundus examination were unremarkable. Cup to disc ratio was within normal limits, and no afferent pupillary defects were recorded. The patient was acutely treated with three rounds of dorzolamide/timolol and 0.2% brimonidine which decreased the right eye intraocular pressure to 24 mmHg. On follow-up exam with an ophthalmologist, anterior uveitis including an elevated pressure of 41 mmHg on the right and 18 mmHg on the left eye was noted and a PSS diagnosis was confirmed. Conclusion. PSS remains a rare condition with uncertain etiology and no associated systemic conditions. PSS has been postulated to be linked to autoimmune conditions. CVID is associated with many autoimmune disorders including Sjogren’s, rheumatoid arthritis, and colitis. There have been a few reported CVID-associated ocular diseases including granulomatous uveitis and conjunctivitis, chronic anterior uveitis, and birdshot retinopathy. We describe the first case of PSS in a patient with CVID.

scholarly journals A lateral meningocele in a 48 years lady revealed by a CSF fistula

2020 ◽  
pp. 85-88
Author(s):  
Ibrahim Assoumane ◽  
Nadhim Benmedakhene ◽  
Adakal Ousseini ◽  
Bachir Sabrina ◽  
Nadia Lagha ◽  
...  
Keyword(s):  
Rare Condition ◽  
First Year ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Csf Fistula ◽  
Associated Malformations ◽  
Spinal Mri ◽  
Preoperative Status ◽  
The Right

Background: Lateral meningocele is defined by the presence of protrusions of the arachnoid and the dura matter extending laterally through inter- or intravertebral foramina. It is an extremely rare condition; to the best of our knowledge, only a few cases are reported in the literature and most of them in childhood. Case presentation: Authors reported a case of a 48 years old lady who consulted for a lombo-sacral mass right-sided with a CSF fistula. The Spinal MRI objectified a meningocele lateralized in the right side associated with multiples malformations. The patient underwent surgery and the meningocele was closed after excision of the associated subcutaneous lipoma. The long term outcome was favourable and the follow up was assured by clinical examination monthly in the first year. Conclusion: Lateral meningocele is very rarely reported, it is usually associated with multiples malformations. Surgical treatment is a good option for treatment for avoiding complications. The prognostic depends on the preoperative status and the associated malformations.

scholarly journals Congenital Malaria due to Plasmodium Vivax Infection in a Neonate

2016 ◽  
Vol 2016 ◽  
pp. 1-2 ◽  
Author(s):  
Ravi Bhatia ◽  
Dinesh Rajwaniya ◽  
Priti Agrawal
Keyword(s):  
Differential Diagnosis ◽  
Early Diagnosis ◽  
Plasmodium Vivax ◽  
Neonatal Mortality ◽  
Neonatal Sepsis ◽  
Rare Condition ◽  
Vivax Infection ◽  
Diagnosis And Treatment ◽  
Peripheral Smear ◽  
Congenital Malaria

Although malaria is endemic in India, congenital malaria is not very common. Congenital malaria is a very rare condition in both endemic and nonendemic areas. We report a case of congenital malaria in a six-day-old neonate with fever and splenomegaly. The diagnosis was picked up accidentally on a peripheral smear examination. Congenital malaria should be kept as differential diagnosis of neonatal sepsis. Timely detection of this condition could lead to early diagnosis and treatment, thereby preventing neonatal mortality.

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