scholarly journals Primary Aneurysm of the Medial Marginal Vein of the Foot

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
D. Casian ◽  
V. Culiuc
Keyword(s):  
Duplex Ultrasound ◽  
Clinical Findings ◽  
Lower Limbs ◽  
Venous Aneurysm ◽  
Marginal Vein ◽  
Second Trimester ◽  
Surgical Department ◽  
Previous Trauma ◽  
History Of ◽  
One Year

The primary superficial venous aneurysms of the foot are very rare. A 34-year-old female patient developed a dorsal foot mass during the second trimester of pregnancy with no history of previous trauma, puncture, or infection. One year later, she was referred to the surgical department for excision of “foot hygroma.” Based on the clinical findings, the venous aneurysm was suspected and duplex ultrasound confirmed the diagnosis of the aneurysm of the medial marginal vein of the foot. Excision of aneurysm with bipolar ligation of marginal vein was performed under local anesthesia. The postoperative evolution was uneventful. The authors hope that the presented case report will increase the awareness of general practitioners, dermatologists, and surgeons regarding the superficial venous aneurysms of lower limbs.

scholarly journals Clavicle Pseudarthrosis: A Rare Cause of Thoracic Outlet Syndrome

2010 ◽  
Vol 37 (6) ◽  
pp. 863-865 ◽  
Author(s):  
Kathleen Joy Khu ◽  
Rajiv Midha
Keyword(s):  
Physical Examination ◽  
Shoulder Pain ◽  
Thoracic Outlet Syndrome ◽  
Clinical Findings ◽  
Radial Pulse ◽  
History Of ◽  
Arm Elevation ◽  
One Year ◽  
The Right ◽  
Intrinsic Muscles

A 22-year-old man presented with a one year history of rightsided shoulder pain, hand weakness and tingling, and purplish discoloration of the upper extremity upon abduction. He had congenital pseudarthrosis of the right clavicle since childhood. Aside from an obvious deformity characterized by asymmetry of the shoulders and a palpable bony depression over the right clavicle, the patient had been previously asymptomatic. Physical examination revealed the musculoskeletal deformities as described, as well as prominent veins over his right shoulder, arm, and chest. With arm elevation, his right arm became dusky and his radial pulse diminished. Neurologically, the patient had no deficits except for mild weakness (Grade 4+/5) of the ulnarinnervated intrinsic muscles of the right hand. The clinical findings were consistent with a combined neurogenic and vascular form of thoracic outlet syndrome.

scholarly journals Atypical clinical presentation of distal renal tubular acidosis: a case report registered in Amazonas, Brazil

2020 ◽  
Vol 42 (3) ◽  
pp. 380-383
Author(s):  
Daniel Monteiro Queiroz ◽  
Rolando Guillermo Vermehren Valenzuela ◽  
Ana Wanda Guerra Barreto Marinho ◽  
Samanta Samara Bicharra dos Santos ◽  
Danielle Ochoa da Silva ◽  
...  
Keyword(s):  
Renal Tubular Acidosis ◽  
Skin Lesions ◽  
Clinical Findings ◽  
Distal Renal Tubular Acidosis ◽  
Lower Limbs ◽  
Hypokalemic Paralysis ◽  
Immunological Tests ◽  
History Of ◽  
Similar Report ◽  
Renal Tubular

ABSTRACT We report an unusual case of a 24-year-old girl with a history of recurrent hypokalemic paralysis episodes and skin lesions on the lower limbs and buttocks, both of which had an acute evolution. In subsequent investigations, the patient also had nephrocalcinosis, nephrolithiasis, hyperchloremic metabolic acidosis and persistent alkaline urinary pH. The findings were consistent with distal renal tubular acidosis as the cause of hypokalemic paralysis. Clinical findings, immunological tests and the result of skin biopsy suggested primary Sjögren's syndrome as an underlying cause. The patient developed azotemia due to obstructive nephrolithiasis. All the features presented in this case are an unusual manifestation of distal renal tubular acidosis; so far, we are not aware of a similar report in the literature.

scholarly journals A Case of Manifesting Carrier with DMD Phenotype

2009 ◽  
Vol 52 (4) ◽  
pp. 167-170 ◽  
Author(s):  
Akshay Anand ◽  
Monika Vinish ◽  
Sudesh Prabhakar
Keyword(s):  
Polymerase Chain Reaction ◽  
Direct Sequencing ◽  
Point Mutations ◽  
Single Strand Conformation Polymorphism ◽  
Clinical Findings ◽  
Lower Limbs ◽  
Chain Reaction ◽  
History Of ◽  
Polymerase Chain ◽  
Conformation Polymorphism

A case of a 35-year old female with a history of proximal weakness in lower limbs and bulkiness of both calves manifesting before ten years of age was reported. Clinical findings were suggestive of muscular dystrophy. Genetic analysis using polymerase chain reaction (PCR), single strand conformation polymorphism (SSCP) and direct sequencing revealed several point mutations, which account for dystrophin dysfunction and DMD type pathogenesis.

Intradural Dorsolumbar Disc Herniation: Case Report and Literature Review

2021 ◽  
Vol 07 (02) ◽  
pp. 01-04
Author(s):  
Norbery Paz
Keyword(s):  
Magnetic Resonance ◽  
Disc Herniation ◽  
Lower Limbs ◽  
Herniated Disc ◽  
Magnetic Resonance Study ◽  
Intradural Disc Herniation ◽  
History Of ◽  
Intradural Extramedullary ◽  
One Year ◽  
Imaging Signs

Intradural disc herniation is a rare entity, representing between 0.26% and 0.30% of all herniated discs. 92% of cases occur in the lumbar spine, more frequent at the L4-L5 level. The diagnostic and therapeutic conduct performed in a 61-year-old male patient who came to the office with a one-year and six-month history of dorsolumbar pain is described, accompanied by sensory alterations in the lower limbs. In view of the exacerbation of symptoms, a simple magnetic resonance study was performed, observing an intraspinal, intradural, extramedullary lesion at the D12-L1 space. An intradural disc herniation is suspected.After being evaluated the case in the group of Neurosurgeons (Group of Spinal Surgery) of the Institute of Neurology and Neurosurgery of Havana, it is proposed to carry out surgical treatment, which consisted of the extraction with microsurgical technique of the Herniated disc, preserving the vertebral anatomy through the laminoplasty technique, an open book variant. The patient evolved satisfactorily after three months of follow-up. It is concluded that intradural disc herniation should be included among intradural, extraxial lesions of the spine. By means of the magnetic resonance study, a group of imaging signs that support the preoperative diagnosis of this lesion can be described. Surgery is the definitive therapeutic method and allows an accurate diagnosis of spinal herniation to be established.

scholarly journals Dysplastic L5-S1 Spondyloptosis in a 3-Year-Old Child: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Vikas Tandon ◽  
Rahul Kaul ◽  
Harvinder Singh Chhabra ◽  
Ankur Nanda
Keyword(s):  
Interbody Fusion ◽  
Pedicle Screws ◽  
Lower Limbs ◽  
Daily Routine ◽  
Surgery Patient ◽  
Initial Stage ◽  
History Of ◽  
Definitive Surgery ◽  
One Year

A three-year-old girl presented with primary complaint of severe low back pain with radiation to both lower limbs below the knees since 2 months following history of fall and marked restriction of her daily routine activities. After clinicoradiological evaluation she was diagnosed of having dysplastic L5-S1 spondyloptosis. A staged procedure was planned after thorough discussion with her parents. During initial stage she underwent posterior decompression along L5-S1 segment including exposure of bilateral L5 and S1 nerve roots followed by instrumented reduction (L3-S2 5.5 mm pedicle screws) utilizing a rotational-translational technique. No interbody fusion was done at L5-S1 level and inner nuts of bilateral L3, L4, and S2 screws were intentionally kept loose. Subsequently after about symptom-free three-year follow up, she presented with recurrence of symptoms and underwent revision surgery as per initial plan discussed with her parents. Removals of posterior implants were done followed by stabilization with larger diameter pedicle screws (6.5 mm) at L5 and S1 level. During the same stage through anterior transperitoneal approach L5-S1 interbody fusion was done. At one-year follow-up after second-stage definitive surgery, patient remains symptom-free and fully active without any radiological evidence of reduction loss or implant failure.

scholarly journals Lingual Thyroid Gland: A Case Report

2020 ◽  
Vol 14 (2) ◽  
pp. 107-109
Author(s):  
Md Shahriar Islam ◽  
Lipika Sanjowal ◽  
SM Abdul Awual ◽  
Mohd Rafiul Alam ◽  
Md Rafiqul Islam ◽  
...  
Keyword(s):  
Thyroid Tissue ◽  
Upper Airway ◽  
Oral Intake ◽  
Surgical Excision ◽  
Initial Therapy ◽  
Clinical Findings ◽  
Lingual Thyroid ◽  
Recent Onset ◽  
History Of ◽  
One Year

Ectopic thyroid tissue can be found anywhere between the foramen cecum and the normal position of the thyroidgland. Although very uncommon, it is most often found in the region of the foramen cecum, in patients in whom thegland fails to descend. It may present with symptoms of dysphagia, upper airway obstruction, or even hemorrhage atany time from infancy through adulthood. We present the case of a twelve-year-old male child with a midline cervicalmass clinically presented with high dysphagia suffering for one year. Dysphagia worsened over the past two monthsand was accompanied by increasing in nocturnal dyspnoea and recent onset of sleep apnea. Elements in the diagnosticand therapeutic evaluation are described with attention to the clinical findings, laboratory tests, and radiographicimaging studies employed in confirming the diagnosis and planning appropriate treatment. The natural history of thecondition is reviewed and a treatment strategy is outlined that focuses on the use of suppressive doses of thyroidhormone as the initial therapy. Surgical excision of the gland is reserved for more advanced cases of glandenlargement resulting in airway compromise, severe dysphagia that limits oral intake, or ongoing hemorrhage. Faridpur Med. Coll. J. Jul 2019;14(2): 107-109

scholarly journals Hereditary Spastic Paraplegia Mimicking Cerebral Palsy-Heterozygous Mutation in ALDH18A1

2021 ◽  
Author(s):  
Amit S Vatkar ◽  
Nisha Dolas ◽  
Vedashree Deshpande ◽  
Pallavi Wadhawan ◽  
Mumtaz Sharif
Keyword(s):  
Cerebral Palsy ◽  
Neurodegenerative Disorders ◽  
Birth Asphyxia ◽  
Lower Limbs ◽  
Heterozygous Mutation ◽  
Spastic Diplegia ◽  
Spastic Paraplegia ◽  
Hereditary Spastic Paraplegias ◽  
History Of ◽  
One Year

Spastic paraplegias are characterised by progressive rigidity and weakness of the lower limbs. Spastic paraplegia is a standard differential diagnosis for spastic diplegic cerebral palsy. Hereditary Spastic Paraplegias (HSP) are genetically and clinically heterogeneous group of neurodegenerative disorders causing paraplegias. Eighty forms of HSP have been noted and 64 genes have been identified. The Aldehyde Dehydrogenase 18 family member A1 (ALDH18A1) gene is located at 10q24.1 and it encodes delta-1-Pyrroline-5-Carboxylate Synthetase (P5CS), a mitochondrial bifunctional enzyme which is used for catalysing various amino acids. Mutations in this gene causes P5CS deficiency, which is responsible for neurodegenerative diseases. One should suspect neurometabolic conditions when no definite history of birth asphyxia is present in a case of cerebral palsy. Hereby, the authors report a case of a one-year-old male child with heterozygous mutation in ALDH18A1 gene resulting in spastic diplegia.

Heterotopic ossification of small saphenous vein and panniculitis ossificans of chronic venous insufficiency presenting with livedo racemosa

2013 ◽  
Vol 29 (6) ◽  
pp. 401-406 ◽  
Author(s):  
Chris Lekich ◽  
Kurosh Parsi
Keyword(s):  
Venous Thrombosis ◽  
Heterotopic Ossification ◽  
Saphenous Vein ◽  
Venous Insufficiency ◽  
Duplex Ultrasound ◽  
Livedo Reticularis ◽  
Lower Limbs ◽  
Livedo Racemosa ◽  
History Of ◽  
Diagnostic Investigations

Objectives Livedo racemosa is a reticulate eruption that presents with branched and partially blanchable incomplete rings. Livedo racemosa is distinct from livedo reticularis, a similar condition that presents with a diffuse and symmetrical blanchable eruption. In contrast to livedo reticularis which may be physiological, livedo racemosa is always associated with an underlying pathology. To our knowledge, this is the first report of panniculitis ossificans and heterotopic ossification of small saphenous vein (SSV) presenting with livedo racemosa. Methods We present a 70-year-old male referred for investigation and management of progressive pigmentation and ‘lipodermatosclerosis’ of lower limbs. There was no history of deep venous thrombosis but an earlier ultrasound had detected a non-occlusive thrombus in the left SSV. Examination and investigations revealed the skin eruption to be livedo racemosa and the associated subcutaneous induration and nodularity to be due to panniculitis ossificans. Biopsy of the SSV demonstrated segmental heterotopic ossification. Duplex ultrasound demonstrated bilateral superficial and deep venous incompetence but no evidence of an acute or chronic venous thrombosis. The patient was diagnosed with heterotopic ossification secondary to venous insufficiency and managed conservatively. Conclusion Livedo racemosa may be an early sign of panniculitis ossificans and its presence should trigger further diagnostic investigations.

Factors Associated with Varicose Veins in Pregnant Women

2001 ◽  
Vol 16 (4) ◽  
pp. 167-169 ◽  
Author(s):  
L. B. Coughlin ◽  
R. Gandy ◽  
S. Rosser ◽  
L. de Cossart
Keyword(s):  
Family History ◽  
Pregnant Women ◽  
Varicose Veins ◽  
Smoking Habit ◽  
Positive Family History ◽  
Duplex Ultrasound ◽  
Lower Limbs ◽  
Factors Associated ◽  
Multiparous Women ◽  
History Of

Objective: To examine the associated features in pregnant women with superficial venous reflux, compared with those without reflux. Methods: Pregnant women were recruited at booking and underwent colour flow duplex ultrasound scanning of the lower limbs to ascertain the presence or absence of reflux in the superficial veins. Body mass index and CEAP scores were calculated. A questionnaire regarding parity, smoking habit and family history of varicose veins was administered. Statistical analysis was carried out using ARCUS. Results: Three hundred and twenty-nine women were recruited, of whom 83 were identified as having reflux (25%). No relationship was observed between reflux and obesity, smoking or family history. Multiparity was significantly correlated with varicose veins (p<0.03). CEAP scores were higher in multiparous women with varicose veins. An increase in symptoms was associated with a positive family history (especially maternal). Smoking was associated with fewer symptoms in those with reflux, as was obesity. Conclusion: Increased parity increased the likelihood of varicose veins, but obesity and family history appeared to make no difference. Symptoms were greater in multiparous women, but less inobese women. An association was made between smoking and fewer symptoms.

scholarly journals Effect of Chronic Ankle Sprain on Pain, Range of Motion, Proprioception, and Balance among Athletes

2020 ◽  
Vol 17 (15) ◽  
pp. 5318 ◽  
Author(s):  
Ahmad Alghadir ◽  
Zaheen Iqbal ◽  
Amir Iqbal ◽  
Hashim Ahmed ◽  
Swapnil Ramteke
Keyword(s):  
Range Of Motion ◽  
Ankle Sprain ◽  
Dynamic Balance ◽  
Neuromuscular Control ◽  
Lower Limbs ◽  
Control Group ◽  
Ankle Sprains ◽  
Balance Test ◽  
History Of ◽  
One Year

Background: Ankle sprains are common among physically active individuals, especially among athletes. Majority of those who suffer ankle sprains have residual symptoms including pain, episodes of giving way, compromised proprioception and neuromuscular control, and re-injury leading to chronic ankle instability. The aim of this study was to see the effect of chronic ankle sprain on pain, range of motion, proprioception, and, static and dynamic balance among athletes. Methods: A total of 80 athletes, aged 18 to 25 years, involved in track-and-field sports were invited to participate in this study. They were divided in two groups. Athletes with history of grade 1 or 2 ankle sprain on either side requiring medical care who reported at least three episodes of ankle giving way in past 12 months were included in group A. An equal number of healthy athletes without any history of ankle sprain or injury in the lower limbs in the past one year matched by sex, age, height, weight, and limb dominance, were included in group B (control). Outcome measures: Participant’s pain, range of motion, proprioception and balance (static and dynamic) was measured using visual analog scale, half circle goniometer, degree of foot position sense, single leg stance time and Y-balance test respectively. Results: Although there were no differences in the active ankle joint range of motion (p > 0.05) in comparison to the control group, athletes with chronic ankle sprain reported mild pain and statistically significant (p < 0.05) deficits in foot proprioception, static and dynamic balance. Conclusions: Deficits in foot proprioception, static and dynamic balance even one year after the ankle sprain could be the reason for limitations in the dynamic defense system of the joint that predisposes to recurrent injury and instability. It is essential to understand the normal clinical course and risk factors for athletes who sustain sprain before devising a long term comprehensive rehabilitation program that focuses on mechanical and functional insufficiencies in order to improve their functional performance and prevent the risk of recurrent sprain.

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