Possible “Premotor” Multiple System Atrophy-Cerebellar Form

2020 ◽  
Vol 83 (1) ◽  
pp. 80-86 ◽  
Author(s):  
Ryuji Sakakibara ◽  
Jalesh N. Panicker ◽  
Yosuke Aiba ◽  
Fuyuki Tateno ◽  
Tsuyoshi Ogata ◽  
...  
Keyword(s):  
Case Report ◽  
Multiple System Atrophy ◽  
Cerebellar Atrophy ◽  
Motor Disorder ◽  
Prostate Hyperplasia ◽  
Present Case Report ◽  
Sphincter Electromyography ◽  
Old Japanese ◽  
Detrusor Hyperactivity

We report the case of a 52-year-old Japanese man who, while he had no cerebellar ataxia or parkinsonism, was revealed to have silent cerebellar hypoperfusion/mild cerebellar atrophy and sacral autonomic disorder. His sacral autonomic disorder was urinary retention without marked prostate hyperplasia. Urodynamics-sphincter electromyography revealed detrusor hyperactivity with impaired contraction and neurogenic changes of the sphincter motor unit potentials. Although he did not have a motor disorder, these features suggested possible multiple system atrophy-cerebellar (MSA-C) form. The present case report suggests that neuroimaging helps in diagnosing “premotor” MSA-C form in situ.

Sebaceous carcinoma in situ as a diagnostic entity. Case report and review of the literature.

2018 ◽  
Vol 2 (2) ◽  
pp. 136-141
Author(s):  
Leart Berdica ◽  
Teona Bushati ◽  
Alfred Aga ◽  
Erisa Kola ◽  
Rustem Celami ◽  
...  
Keyword(s):  
Case Report ◽  
Carcinoma In Situ ◽  
Sebaceous Carcinoma ◽  
Review Of The Literature

scholarly journals Duplication in the formation of median nerve - a case report

2015 ◽  
Vol 04 (01) ◽  
pp. 043-045
Author(s):  
Gyata Mehta ◽  
Varsha Mokhasi
Keyword(s):  
Case Report ◽  
Median Nerve ◽  
Lateral Root ◽  
Axillary Artery ◽  
Anatomical Variations ◽  
Upper Arm ◽  
Present Case Report ◽  
Lateral Cord ◽  
Two Stages ◽  
Different Levels

AbstractThe median nerve is formed in the axilla by fusion of the two roots from the lateral and medial cords. The present case report describes an anomalous presentation of double formation of median nerve and its relation with axillary and brachial arteries. The median nerve was formed in two stages at different levels, first in the axilla and then in the upper arm by receiving double contribution from the lateral root of the lateral cord, which fuse with the medial root of the medial cord to form the median nerve. The formation took place medial to the axillary artery in the axilla and antero-medial to the brachial artery in the arm. Such anatomical variations and their relation with the arteries are important for the surgeons and anesthesiologists and of great academic interest to the anatomists.

scholarly journals Full Thickness Tear of Quadriceps Tendon Associated with Closed Intra-Articular Distal Femur Fracture: A Case Report

2021 ◽  
pp. 131-137
Author(s):  
Santanu Kar ◽  
Hemant Bansal ◽  
Vijay Sharma ◽  
Kamran Farooque
Keyword(s):  
Case Report ◽  
Distal Femur ◽  
Femur Fracture ◽  
Femoral Fractures ◽  
Quadriceps Tendon ◽  
Successful Outcome ◽  
Postoperative Rehabilitation ◽  
Present Case Report ◽  
Distal Femur Fracture ◽  
Rare Association

Fractures of the supracondylar and intercondylar region of the distal femur usually result from high velocity injury that is uncommonly associated with violation of the integrity of the extensor mechanism. The consequences of missed quadriceps injury associated with a distal femur fracture are devastating. The present case report illustrates the importance of recognizing the rare association of quadriceps tear with distal femoral fractures, an appropriate surgical approach to repair the tear as well as fixation of fracture, and a protocol of postoperative rehabilitation to achieve a successful outcome.

Cerebellar atrophy supporting diagnosis of alcohol dependence: A case report

2016 ◽  
Vol 33 (S1) ◽  
pp. S311-S311
Author(s):  
F. Pavez Reyes ◽  
M. Sánchez ◽  
E. Moral ◽  
M. Terradillos ◽  
N. López ◽  
...  
Keyword(s):  
Case Report ◽  
Alcohol Dependence ◽  
Cerebellar Atrophy ◽  
Clinical Suspicion ◽  
Gamma Glutamyl Transferase ◽  
The Family ◽  
Other Information ◽  
Diagnostic Hypothesis ◽  
Competing Interest ◽  
Glutamyl Transferase

Chronic use of alcohol is a known cause of cerebellar atrophy. This finding could be a valuable diagnosis support when there are not other information sources. In this case report, we describe a 65-year-old male patient who was referred from primary care to specialized consultation because a depressive syndrome it was unresponsive to treatment with desvenlafaxine and lorazepam. In psychopathological exploration we found overvalued ideas of suffering some kind of injury and damage by the family, which oriented the diagnostic hypothesis of delusional disorder with secondary mood symptoms, although the clinical suspicion of abuse of alcohol was proposed as a differential diagnosis. The continuing minimization and denial of consumption by the patient as well as their reluctance to incorporate an external informant made that the workup was a key element to elucidate the diagnosis. We found a discrete increase in transaminases, gamma glutamyl transferase and alkaline phosphatase. Magnetic resonance imaging showed cerebellar atrophy (vermian and, in a lesser extent, in both hemispheres). Once the patient was confronted with these results, he agreed to disclose his problem, which fulfilled alcohol dependence criteria. After that, he accepted to initiate treatment and detoxification in a specialized unity.ConclusionsAlthough psychiatric diagnosis is based on the clinical features and the exclusion of associated medical conditions, in this case the workup provided support to our clinical suspicion, favouring recognition of the problem and willingness to treatment by the patient.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals In situ carcinoma developed over oral lichen planus: a case report with analysis of BUB3, p16, p53, Ki67 and SOX4 expression

2015 ◽  
Vol 23 (4) ◽  
pp. 442-447 ◽  
Author(s):  
Eduardo Augusto ROSA ◽  
Erica Negrini LIA ◽  
Sergio Bruzadelli MACEDO ◽  
Rivadavio Fernandes Batista de AMORIM
Keyword(s):  
Case Report ◽  
Lichen Planus ◽  
Oral Lichen Planus ◽  
In Situ Carcinoma ◽  
Oral Lichen
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