scholarly journals MANAGEMENT OF PAKSHAGHATA THROUGH AYURVEDA - A CASE REPORT

2020 ◽  
Vol p4 (06) ◽  
pp. 2543-2548
Author(s):  
Nishu Raina
Keyword(s):  
Case Report ◽  
Barthel Index ◽  
Symptomatic Relief ◽  
Treatment Protocol ◽  
Medical Emergency ◽  
Patient Treatment ◽  
Loss Of Function ◽  
Chief Complaints ◽  
The Right ◽  
Tomography Scan

Stroke is a common medical emergency and is the second leading cause of death worldwide. In Ayurveda stroke is described as Pakshaghata. The present study is a case report on management of stroke of a male patient aged 65 years with chief complaints of loss of function of the right upper & lower limb. He was a diagnosed case of stroke on the basis of clinical presentation and brain computed tomography-scan. The case treated with the Ayurveda medications was found to be effective in providing relief in chief com-plaints with improvement of overall health of the patient. Treatment protocol was Snehana, Swedana, Mriduvirechana, Basti karma, Shirodhara, Nasya along with internal medications. Before treatment NIH-Stroke Scale was 16 & Barthel index scale was 12 and after the treatment NIH-Stroke Scale was 4 & Barthel index scale was 70 providing symptomatic relief too. This reveals that Ayurveda treatment modali-ties can play a significant role in treatment of Stroke (Pakshaghata).

scholarly journals A case report of unilateral conductive hearing loss as a consequence of malignant sinonasal melanoma: the importance of completing a full clinical history and examination

2020 ◽  
Vol 36 (1) ◽  
Author(s):  
Victoria Blackabey ◽  
Olivia Kenyon ◽  
Rishi Talwar
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Clinical Symptoms ◽  
Symptomatic Relief ◽  
Clinical History ◽  
Histological Diagnosis ◽  
Unusual Presentation ◽  
Sinus Surgery ◽  
Cancer Management ◽  
The Right

Abstract Background Sinonasal melanoma is a rare head and neck tumour. It is associated with a poor prognosis, high rates of loco-regional recurrence and distant metastasis. Treatment of the disease is therefore complicated, and because of limited data regarding the cancer, management is frequently tailored to the individual patient. We describe an unusual presentation of sinonasal melanoma with relevant histology, radiology and clinical photography. Case presentation The case report describes the presentation of a 64-year-old man to the Ear, Nose and Throat department with progressive right-sided hearing loss. A thorough history highlighted other clinical symptoms including unilateral nasal obstruction and epistaxis. Clinical examination showed a right middle ear effusion with a polypoidal lesion in the right nasal cavity. Relevant imaging demonstrated a destructive process that required further assessment. An endoscopic sinus procedure was performed to obtain histological diagnosis as well as providing symptomatic relief. Histology confirmed malignant mucosal melanoma. The patient underwent maxillectomy and orbital exenteration (due to further progression of disease) at a tertiary centre with a plan for subsequent immunotherapy. This however has been delayed due to further surgery to excise a metastatic lesion to the right femur. Conclusions This case report highlights the importance of a thorough clinical history and examination. An unusual presentation of a sinonasal tumour can easily be missed leading to a significant delay in treatment. The case report also describes the use of functional endoscopic sinus surgery in order to obtain histological diagnosis and to debulk the tumour, providing symptomatic relief. The current literature regarding management will be discussed as well as current developments guiding future treatment.

scholarly journals A forgotten life-threatening medical emergency: myxedema coma

2016 ◽  
Vol 12 (2) ◽  
Author(s):  
Elisa Pizzolato ◽  
Alberto Peano ◽  
Letizia Barutta ◽  
Emanuele Bernardi ◽  
Elena Maggio ◽  
...  
Keyword(s):  
Life Support ◽  
Neurological Status ◽  
Medical Emergency ◽  
Myxedema Coma ◽  
Emergency Department Stay ◽  
Life Threatening ◽  
Appropriate Therapy ◽  
Alithiasic Cholecystitis ◽  
The Right ◽  
Tomography Scan

Nowadays myxedema coma is a rare medical emergency but, sometimes, it still remains a fatal condition even if appropriate therapy is soon administered. Although physical presentation is very non-specific and diversified, physicians should pay attention when patients present with low body temperature and alteration of neurological status; the presence of precipitating events in past medical history can help in making a diagnosis. Here we discuss one such case: an 83-year-old female presented with abdominal pain since few days. Laboratory tests and abdomen computed tomography scan demonstrated alithiasic cholecystitis; she was properly treated but, during the Emergency Department stay she experienced a cardiac arrest. Physicians immediately started advance cardiovascular life support algorithm and she survived. Later on, she was admitted to the Intensive Care Unit where doctors discovered she was affected by severe hypothyroidism. Straightway they started the right therapy but, unfortunately, the patient died in a few hours.

scholarly journals Pushing behavior and hemiparesis: which is critical for functional recovery in pusher patients ? Case report

2007 ◽  
Vol 65 (2b) ◽  
pp. 536-539 ◽  
Author(s):  
Taiza E.G. Santos-Pontelli ◽  
Octávio M. Pontes-Neto ◽  
José Fernando Colafêmina ◽  
Dráulio B. de Araújo ◽  
Antônio Carlos Santos ◽  
...  
Keyword(s):  
Case Report ◽  
Barthel Index ◽  
Functional Improvement ◽  
Chronic Hypertension ◽  
Acute Hemorrhage ◽  
Lateral Posterior ◽  
History Of ◽  
Lateral Posterior Nucleus ◽  
Neuroimaging Study ◽  
The Right

We report a sequential neuroimaging study in a 48-years-old man with a history of chronic hypertension and lacunar strokes involving the ventral lateral posterior nucleus of the thalamus. The patient developed mild hemiparesis and severe contraversive pushing behavior after an acute hemorrhage affecting the right thalamus. Following standard motor physiotherapy, the pusher behavior completely resolved 3 months after the onset and, at that time, he had a Barthel Index of 85, although mild left hemiparesis was still present. This case report illustrates that pushing behavior itself may be severely incapacitating, may occur with only mild hemiparesis and affected patients may have dramatic functional improvement (Barthel Index 0 to 85) after resolution pushing behavior without recovery of hemiparesis.

An unexpected cause of upper airway obstruction

1995 ◽  
Vol 109 (3) ◽  
pp. 252-254 ◽  
Author(s):  
A. A. W. M. Meulenbroeks ◽  
G. D. Vos ◽  
J. M. H. Van der Beek ◽  
P. J. E. H. M. Kirslaar
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Upper Airway ◽  
Computed Tomography Scan ◽  
Parapharyngeal Abscess ◽  
The Right ◽  
Tomography Scan

AbstractA three-year old bot wiht a swelling on the right side of his neck was suspected of having parapharyngeal abscess after clinical examination and CT scan(computed tomography scan) of this region. Later it became clear, that the swelling was caused by an aneurysm of the internal carotid artery. This case report describes the pitfalls and difficulties encountered in the diagnostic course and treatment planning.

scholarly journals Astroblastoma: a rare case report

2015 ◽  
Vol 15 (1) ◽  
pp. 107-110
Author(s):  
Siddanna R. Palled ◽  
Naveen Thimmaya ◽  
Sugashwaran Jagadheesan ◽  
Ibrahim Khaleel
Keyword(s):  
Young Adults ◽  
Case Report ◽  
Rare Case ◽  
Postoperative Radiotherapy ◽  
Case Description ◽  
Total Excision ◽  
Rare Case Report ◽  
Chief Complaints ◽  
History Of ◽  
The Right

AbstractBackgroundAn astroblastoma is a rare primary glial tumour occurring preferentially in young adults. It is characterised by a perivascular arrangement of tumour cells forming perivascular pseudorosettes mimicking ependymomas. The histogenesis of astroblastoma is unclear.Case descriptionWe present the history of a 13-year-old girl with chief complaints of headache associated with vomiting, blurring of vision on the left eye and a history of diplopia on the right eye. She underwent left parietal parasagittal craniotomy and near-total excision of tumour. She was planned for postoperative radiotherapy 5,940 cGy in 28 fractions along with concurrent temozolamide100 mg. She had no neurological deficit or complaints during her last visit.ConclusionAstroblastomas are a distinct clinic pathologic entity, with well-described radiologic, pathologic and cytogenetic features. Its recurrence is high, and efforts must be made to elucidate the role and usefulness of radiotherapy and chemotherapy in these tumours.

scholarly journals Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease

2006 ◽  
Vol 124 (4) ◽  
pp. 234-236 ◽  
Author(s):  
Ruy Jorge Cruz Junior ◽  
Jorge Nahas ◽  
Luiz Francisco Poli de Figueiredo
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Abdominal Wall ◽  
Rare Complication ◽  
Gallbladder Disease ◽  
Computed Tomography Scan ◽  
The Past ◽  
The Right ◽  
High Degree ◽  
Tomography Scan

CONTEXT: Spontaneous cholecystocutaneous abscess or fistula is an extremely uncommon complication secondary to cholecystitis. Over the past 50 years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We here report a case of subcutaneous gallstone as a rare clinical presentation of the already uncommon cholecystocutaneous fistula. CASE REPORT: An 81-year-old man presented with a large subcutaneous abscess in the right subcostal area with surrounding cellulitis and crepitus. An abdominal computed tomography scan showed two subcutaneous gallstones and communication between the abscess and the gallbladder. Cholecystectomy was performed and the abdominal wall abscess was drained externally. This case report demonstrates that maintaining a high degree of suspicion of this rare entity is helpful in achieving correct preoperative diagnosis, and that computed tomography scan should be performed in all cases of unexplained abdominal wall suppuration or cellulitis.

scholarly journals Transmigrant impacted mandibular canine: a case report

2017 ◽  
Vol 20 (2) ◽  
pp. 132
Author(s):  
Tila Fortuna ◽  
Deyvid Da Silva Rebouças ◽  
Wilton Costa Neto ◽  
Lucas Souza Cerqueira ◽  
Lívia Prates Soares Zerbinati ◽  
...  
Keyword(s):  
Case Report ◽  
Treatment Options ◽  
Treatment Protocol ◽  
Ectopic Eruption ◽  
Surgical Extraction ◽  
Pathologic Lesions ◽  
Mandibular Canine ◽  
The Right ◽  
Anterior Mandible ◽  
Tooth Removal

<p>Transmigration of canines across mandibular midline is a rare and elusive phenomenon described in the dental literature. Etiology of this phenomenon is obscure, but in some cases supernumerary teeth may be one of the causes. Surgical extraction is indicated due to pathologic lesions, infection, trauma to the adjacent teeth, pain, ectopic eruption, and interference with prosthesis. The aim of this case report is to describe the treatment of transmigrant impacted mandibular canine near to the mandibular symphysis and to review the literature about its incidence, prevalence, and treatment options. In the anterior mandible, labial access was performed followed by osteotomy and odontosection, for tooth removal. Canine impaction is more prevalent in the maxilla than in the mandible, but canine transmigration is more frequent in the mandible. Females seem to be more affected than males, and the left side is more prevalent than the right. Although the literature is controversial about treatment protocol for transmigrant teeth, several authors indicate its extraction to prevent lesions that are associated with impacted teeth, especially when orthodontic traction is contraindicated due to the position of those teeth.</p>

scholarly journals Bilateral Osteochondritis Dissecans of the Talar Posterior Calcaneal Articular Surface in a Professional Soccer Player: A Case Report

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Yohei Yanagisawa ◽  
Tomoo Ishii ◽  
Masashi Yamazaki
Keyword(s):  
Case Report ◽  
Osteochondritis Dissecans ◽  
Soccer Player ◽  
Articular Surface ◽  
Osteochondral Lesion ◽  
Treatment Protocol ◽  
Loose Bodies ◽  
Professional Soccer ◽  
The Right ◽  
Professional Soccer Player

Introduction: Preferred sites of osteochondritis dissecans (OCD) are the distal femur and humerus, and the dome of the talus. We report a rare case of a professional soccer player with bilateral OCD of the talar posterior calcaneal articular surface. Case Report: The left talus showed a loose but not displaced fragment, and pain was relieved with 3 months of conservative treatment. The right had two loose fragments that were displaced from their beds in the talar posterior calcaneal articular surface. The loose bodies were surgically excised. The player remains symptom free 4 years after the operation and participates in professional games. Thus, although OCD of the talar posterior calcaneal articular surface remains a relatively uncommon injury, we suggest that treatment methods tailored to the OCD stage as per Berndt and Harty classification may be successful. The exact causes and establishment of a treatment protocol in these cases will depend on the investigation of future cases. Conclusion: Since this case of OCD of the talar posterior calcaneal articular surface was bilateral, we hypothesized that it may have been caused by microtrauma in the sense of repetitive, excessive compression of the subchondral bone, or by a vascular etiology. Keywords: Case report, lateral hindfoot pain, osteochondral lesion, subtalar articular facet, subtalar joint.

scholarly journals A Case Report of the Reconstruction of a Bone Defect Following Resection of a Comminuted Fracture of the Lateral Clavicle Using a Titanium Prosthesis

2021 ◽  
Vol 8 ◽  
Author(s):  
Sahar Ahmed Abdalbary ◽  
Sherif M. Amr ◽  
Khaled Abdelghany ◽  
Amr A. Nssef ◽  
Ehab A. A. El-Shaarawy
Keyword(s):  
Case Report ◽  
Bone Defect ◽  
Radiographic Evaluation ◽  
Loss Of Function ◽  
Limb Weakness ◽  
Element Analysis ◽  
Lateral Clavicle ◽  
Comminuted Fracture ◽  
The Right

Introduction: This case report describes the reconstruction of a severe comminuted fracture and bone defect in the lateral half of the clavicle using a novel titanium prosthesis. This unique prosthesis has been specifically designed and three dimensionally printed for the clavicle, as opposed to the Oklahoma cemented composite prosthesis used in common practice. The aims of this study were to: (1) describe the prosthesis, its stress analysis, and its surgical fixation and (2) to demonstrate the results of the 2-year follow-up of the patient with the lateral clavicle prosthesis.Patient's Main Concerns: A 20-year-old, right-handed woman complaining of severe pain in the right shoulder was admitted to our hospital following a traffic accident. Physical examination revealed pain, swelling, tenderness, limb weakness, asymmetric posturing, and loss of function in the right shoulder.Diagnosis, Intervention, and Outcomes: Radiographic evaluation in the emergency room showed complete destruction with a comminuted fracture of the lateral half of the right clavicle and a comminuted fracture of the coracoid. We designed a new prosthesis for the lateral half of the clavicle, which was then tested by finite element analysis and implanted. Use of the new prosthesis was effective in the reconstruction of the comminuted fracture in the lateral half of the clavicle. After 2 years of follow-up, the patient had an aesthetically acceptable curve and was able to perform her activities of daily living. Her pain was relieved, and the disabilities of the arm, shoulder, and hand score improved. Active range of motion of the shoulder joint and muscle strength were also improved.Conclusion: This novel prosthesis is recommended for reconstruction of the lateral half of the clavicle following development of bony defects due to fracture. Our patient achieved functional and aesthetic satisfaction with this prosthesis.

scholarly journals Primary Angiosarcoma of Humerus – A Case Report and Literature Review

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Madhan Jeyaraman ◽  
Sathish Muthu ◽  
Manoj Prabhakar ◽  
Naveen Jeyaraman ◽  
Garima Agarwal ◽  
...  
Keyword(s):  
Case Report ◽  
Proximal Humerus ◽  
Multimodality Imaging ◽  
Plain Radiograph ◽  
Treatment Protocol ◽  
Lytic Lesion ◽  
Vascular Tumors ◽  
Tissue Mass ◽  
History Of ◽  
The Right

Introduction: Osseous angiosarcoma is a very rare tumor of bone with aggressive behavior, propensity for recurrences, and distant metastasis. The etiology of osseous angiosarcoma is uncertain; however, specific risk factors have been recognized. The diagnosis of angiosarcoma of bone demands multimodality imaging in conjunction with histopathological and vascular marker evaluation to aptly differentiate them from other vascular tumors. Treatment of osseous angiosarcoma remains controversial. Case Report: A 53-year-old male presented with pain and swelling of the right upper 1/3rd of the arm following heaviness while lifting weight for 3 months. He had a history of significant weight loss and appetite with no history of inciting trauma or irradiation in the past. On examination, a diffuse swelling was noted in the right shoulder and right scapular aspect with varied consistency and ill-defined borders and margins. The skin over the swelling was stretched and shiny with dilated engorged veins over it. The plain radiograph of the right shoulder with humerus revealed a large expansile lytic soft-tissue mass in the right proximal humerus with a wide zone of transition without sclerotic margins. Magnetic resonance imaging showed T1 hypointense, T2/PDFS hyperintense large well-defined expansile lytic lesion with multi-loculated cysts, and multiple blood-fluid levels involving right proximal humerus. The patient underwent an incisional biopsy which exhibited angiosarcoma of the humerus. The patient was treated with six cycles of chemotherapy with a mesna, doxorubicin, ifosfamide, and dacarbazine regimen. The patient was still under follow-up. Conclusion: Being a rare clinical entity, controversy exists in angiosarcoma of humerus regarding its etiology and recommended management protocols. Histopathology and immunohistochemistry remain the gold standard in differentiating osseous angiosarcoma from other osseous vascular tumors. The treatment protocol has to be standardized to

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