{"title":"Spinal Epidural Hematoma After Accidental Epidural Catheter Removal in a Patient With Sepsis","authors":"Keisuke Omiya, Takashi Matsukawa","doi":"10.1002/ccr3.71158","DOIUrl":"https://doi.org/10.1002/ccr3.71158","url":null,"abstract":"<p>We present a case of spinal epidural hematoma after accidental epidural catheter removal. The findings highlight that a blood clot might have formed at the tip of the epidural catheter left without continuous administration. When accidental epidural catheter removal occurred, pulling of the blood clot might induce spinal epidural hematoma.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.71158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Successful Closure of Postoperative Bronchopleural Fistula With Granulation After Submucosal Injection and Spreading of Fibrin Glue","authors":"Satoshi Tanaka, Junji Uchida, Yasunobu Funakoshi, Kiyonobu Ueno","doi":"10.1002/ccr3.71103","DOIUrl":"https://doi.org/10.1002/ccr3.71103","url":null,"abstract":"<p>In the treatment of bronchopleural fistulas, it is necessary to consider bronchoscopic intervention and surgery depending on the patient's condition and fistula size. Submucosal injection and spreading of fibrin glue under bronchoscopy may be useful methods for the closure of small, pinhole-like fistulas that are several millimeters in size.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.71103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elham Nazar, Aida Tarighi, Elaheh Farmani, Behnoud Vesali, Aysan Nozheh
{"title":"Cervical Spinal Cord Metastasis of Germ Cell Tumor: A Rare Case Report","authors":"Elham Nazar, Aida Tarighi, Elaheh Farmani, Behnoud Vesali, Aysan Nozheh","doi":"10.1002/ccr3.71081","DOIUrl":"https://doi.org/10.1002/ccr3.71081","url":null,"abstract":"<p>Malignant germ cell tumors (GCTs) spreading to the central nervous system (CNS) are uncommon, particularly when it comes to spinal cord metastases, which are extremely rare. This report details a case involving a metastatic cervical spinal cord GCT in a patient who had previously been diagnosed with a primary malignant GCT of the right testicle 3 years earlier. The patient experienced progressive cervical pain, and imaging revealed a mass in the cervical spinal cord area. Histopathological analysis confirmed that the mass was a malignant GCT, indicating it was a metastatic spread from the original testicular tumor. This case underscores the rarity of spinal cord metastases resulting from GCTs and emphasizes the necessity of considering metastatic disease in patients with a history of GCTs when they present with neurological symptoms (as often the earliest and most common presenting features).</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.71081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas Kelly, Angela Saponaro, James Longenbach, Tomer Finkelberg, Christine Giesa, Eric Kleiman, Hyra Syed, Pierre Frederique, Richard J. Hamilton
{"title":"Severe Hyponatremia and Syndrome of Inappropriate Antidiuretic Hormone Secretion After Kambô Ritual","authors":"Thomas Kelly, Angela Saponaro, James Longenbach, Tomer Finkelberg, Christine Giesa, Eric Kleiman, Hyra Syed, Pierre Frederique, Richard J. Hamilton","doi":"10.1002/ccr3.71069","DOIUrl":"https://doi.org/10.1002/ccr3.71069","url":null,"abstract":"<p>Kambô poisoning can cause severe hyponatremia, neurologic effects, and gastrointestinal symptoms. Clinicians need to determine whether the derangements are the result of ritualistic consumption of water or toxin-induced syndrome of inappropriate antidiuretic hormone secretion (SIADH). An appropriate workup for SIADH guides electrolyte correction and leads to resolution of neurologic and systemic effects.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.71069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tyler Ye, Dinuke De Silva, Leonardo D. Santos, Felicia Roncolato, Stanley Levy, Auerilius Erastus Ricardo Hamilton
{"title":"Microscopic Primary Tubal Serous Carcinoma With Colon Metastasis and Paraneoplastic Neurological Syndrome: A Case Report","authors":"Tyler Ye, Dinuke De Silva, Leonardo D. Santos, Felicia Roncolato, Stanley Levy, Auerilius Erastus Ricardo Hamilton","doi":"10.1002/ccr3.71131","DOIUrl":"https://doi.org/10.1002/ccr3.71131","url":null,"abstract":"<p>This case report discusses a rare instance of a 69-year-old woman presenting with lower limb paresthesia, whose imaging showed suspicious nodules in the sigmoid colon and no other obvious sites of malignancy. Laparoscopic anterior resection was performed and subsequent immunohistochemical examination revealed an unexpected diagnosis of colonic metastasis from a carcinoma of tubo-ovarian origin, which necessitated a second surgery. Metastatic lesions of the colon from other organs are uncommon, and accurate diagnosis without clear evidence of the primary tumor poses a challenge. This case emphasizes the consideration for re-biopsy when initial samples lack sufficient tissue for thorough immunohistochemical examination, highlighting the importance of detailed histopathology in guiding diagnosis and treatment in metastatic cases. We also discuss the utility of identifying paraneoplastic neurological syndromes and onconeural antibodies in determining the tubo-ovarian origin of cancer.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.71131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Misdiagnosed Histiocytic Sarcoma: A Case Report","authors":"Ling Zhang, Jing Qin, Peiwu Li","doi":"10.1002/ccr3.71104","DOIUrl":"https://doi.org/10.1002/ccr3.71104","url":null,"abstract":"<p>We report a 31-year-old male patient repeatedly hospitalized for mimicking infectious symptoms. Following standardized anti-infective and anti-inflammatory treatment, clinical evolution was discordant, characterized by treatment non-response and symptom exacerbation. Ultimately, the multidisciplinary team and repeated histopathological examinations diagnosed histiocytic sarcoma (HS). Unfortunately, the treatment opportunity was lost due to HS's high aggressiveness and rapid progression.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.71104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sajjad Ahmed Khan, Naphibanroi Lamar, Ishan Shrestha, Sagar Bhagat
{"title":"Diagnosing and Managing Pelizaeus-Merzbacher Disease: A Pediatric Struggle","authors":"Sajjad Ahmed Khan, Naphibanroi Lamar, Ishan Shrestha, Sagar Bhagat","doi":"10.1002/ccr3.71153","DOIUrl":"https://doi.org/10.1002/ccr3.71153","url":null,"abstract":"<p>Prompt diagnosis of rare genetic conditions like Pelizaeus-Merzbacher Disease enables timely care. Coordinated, multidisciplinary support and proactive prevention, particularly of issues like aspiration pneumonia, are vital to enhancing quality of life and outcomes, even as the disease continues to progress.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.71153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Qutaiba Qafisheh, Roaa Aljunaidi, Abdalhakim Shubietah, Mohammed AbuBaha, Hossam Salameh, Muath Baniowda, Mohanad Qwaider, Mohammad Alqadi, Imad Hariri
{"title":"Steroid-Induced Takotsubo Cardiomyopathy in a Patient With Immune Thrombocytopenic Purpura","authors":"Qutaiba Qafisheh, Roaa Aljunaidi, Abdalhakim Shubietah, Mohammed AbuBaha, Hossam Salameh, Muath Baniowda, Mohanad Qwaider, Mohammad Alqadi, Imad Hariri","doi":"10.1002/ccr3.71047","DOIUrl":"https://doi.org/10.1002/ccr3.71047","url":null,"abstract":"<p>This case report highlights a temporal relationship between dexamethasone administration and the onset of Takotsubo cardiomyopathy, underscoring the importance of recognizing pharmacologic agents as potential non-traditional triggers, particularly in patients with underlying cardiovascular disease and no identifiable emotional or physical stressors. Diagnosis favored a dexamethasone-triggered Takotsubo phenotype based on non-obstructive coronaries, regional wall-motion abnormalities extending beyond a single arterial territory, absence of alternate stressors, and biologic plausibility of steroid-mediated catecholaminergic upregulation.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.71047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thermal Injury of the Motor Branch of Ulnar Nerve Following Electrocauterization of Ulnar Artery—A Rare Complication After Open Carpal Tunnel Release","authors":"Ellada Papadogeorgou, Byron E. Chalidis","doi":"10.1002/ccr3.71120","DOIUrl":"https://doi.org/10.1002/ccr3.71120","url":null,"abstract":"<p>We present a rare complication of open carpal tunnel release involving severe thermal injury to the motor branch of the ulnar nerve after a misplaced incision and blind electrocauterization of the lacerated ulnar artery. Accurate and precise anatomical knowledge is very important to safely perform this procedure.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.71120","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andreas Posa, Andreas Schlüter, Malte E. Kornhuber
{"title":"Ganglioside Antibody-Mediated Autoimmune Unilateral Sciatic Neuritis","authors":"Andreas Posa, Andreas Schlüter, Malte E. Kornhuber","doi":"10.1002/ccr3.71145","DOIUrl":"https://doi.org/10.1002/ccr3.71145","url":null,"abstract":"<p>Autoimmune-mediated neuropathies may cause lumbar pain. Therefore, an extended diffusion-weighted MRI scan and autoimmune ganglioside antibody diagnostics should be performed to detect rare autoimmune-mediated inflammatory and demyelinating peripheral neuropathies and to treat them with immunomodulatory therapies, especially in cases of long-standing and therapy-resistant symptoms.</p>","PeriodicalId":10327,"journal":{"name":"Clinical Case Reports","volume":"13 10","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ccr3.71145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}