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Case Report: Isolated Vertigo as the Sole Manifestation of Left Lateral Medullary Infarction Following Contralateral Varicella-Zoster Virus Infection. 病例报告：孤立性眩晕是对侧水痘-带状疱疹病毒感染后左侧延髓梗死的唯一表现。
IF 1
Clinical Medicine Insights. Case Reports Pub Date : 2024-06-17 eCollection Date: 2024-01-01 DOI: 10.1177/11795476241262213
Ning Zhao, Yong Zhao, Mingze Chang, Gejuan Zhang, Ying Lu, Shilin Li, Juan Ma, QianQian Qi
{"title":"Case Report: Isolated Vertigo as the Sole Manifestation of Left Lateral Medullary Infarction Following Contralateral Varicella-Zoster Virus Infection.","authors":"Ning Zhao, Yong Zhao, Mingze Chang, Gejuan Zhang, Ying Lu, Shilin Li, Juan Ma, QianQian Qi","doi":"10.1177/11795476241262213","DOIUrl":"10.1177/11795476241262213","url":null,"abstract":"<p><strong>Background: </strong>Cerebral infarct associated with varicella-zoster virus (VZV) has been reported in the literature, while isolated central dizziness due to lateral medullary infarct (LMI) following VZV infection is rarely reported.</p><p><strong>Case report: </strong>We report the case of a 65-year-old man who presented to the neurology department because of herpes zoster on the right trigeminal nerve distribution. At 12 hours after admission, he developed transient vertigo along with nausea and unsteady walking and left-sided spontaneous horizontal nystagmus, gaze-evoked nystagmus, and upbeat nystagmus. The other usual signs of LMI including Horner syndrome, dysarthria, swallowing difficulty, and hemibody sensory change were absent. Video head impulse indicated decreased head impulse gain of the vestibulo-ocular reflex for the bilateral horizontal, anterior, and posterior semicircular canals with abnormal saccade waves. Suppression head impulse paradigm showed few downward saccades reflecting anti-compensatory saccades after the end of the head impulse back to the head-fixed target and decreased vestibulo-ocular reflex gain values of bilateral semicircular canals. Brain magnetic resonance imaging (MRI) showed a small infarct in the far dorsolateral portion of the left rostral medulla. The cerebrospinal fluid was positive for VZV DNA.</p><p><strong>Conclusions: </strong>In patients with VZV infection who develop dizziness, the possibility of cerebral infarct should be considered. Patients with facial herpes zoster and neurological symptoms always be screened for stroke using MRI and lumbar puncture should be performed and acyclovir administered empirically.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"17 ","pages":"11795476241262213"},"PeriodicalIF":1.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418188","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}
引用次数: 0
A Novel Complication in COVID-19 Patients: Case Report of Rectus Sheath Hematoma. COVID-19 患者的新并发症：直肠鞘血肿病例报告
IF 1
Clinical Medicine Insights. Case Reports Pub Date : 2024-06-04 eCollection Date: 2024-01-01 DOI: 10.1177/11795476241258888
Somaye Rezaian, Mohamad Rezaian, Ali Hosseinpour
{"title":"A Novel Complication in COVID-19 Patients: Case Report of Rectus Sheath Hematoma.","authors":"Somaye Rezaian, Mohamad Rezaian, Ali Hosseinpour","doi":"10.1177/11795476241258888","DOIUrl":"10.1177/11795476241258888","url":null,"abstract":"<p><p>The COVID-19 pandemic has had an enormous impact on the healthcare systems. Along with its common complications, novel complications such as Rectus Sheath Hematoma (RSH) have been reported. We present 2 cases of RSH. (A) A 63-year-old woman with a known case of COVID-19 with severe cough presented sudden tachycardia and hypogastric pain; on physical examination, a huge lower abdominal tender mass was noticed. All the differential diagnoses were ruled out. (B) A 57-year-old woman with COVID-19 started complaining of tachycardia, pain, and a mass in the lower abdomen. On the physical examination, a lower abdominal tender mass was noticed. Both of the patients underwent an abdomen CT scan which confirmed a huge RSH. Conservative treatment and cessation of anticoagulant medications were continued. Both of them recovered and no evidence of further expansion was seen after 4 weeks of follow-up.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"17 ","pages":"11795476241258888"},"PeriodicalIF":1.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141247784","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}
引用次数: 0
Unilateral Periorbital Swelling in a Pediatric Patient. 一名儿科患者的单侧眶周肿胀
IF 1
Clinical Medicine Insights. Case Reports Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI: 10.1177/11795476241255563
Ana Rosas Herrera, Ashley B Parker, Mark Chaskes, Frederic Askin, Aurelia S Monk, John R Stephens, Brian D Thorp, Charles S Ebert, Brent A Senior, Adam J Kimple, Keonho A Kong
{"title":"Unilateral Periorbital Swelling in a Pediatric Patient.","authors":"Ana Rosas Herrera, Ashley B Parker, Mark Chaskes, Frederic Askin, Aurelia S Monk, John R Stephens, Brian D Thorp, Charles S Ebert, Brent A Senior, Adam J Kimple, Keonho A Kong","doi":"10.1177/11795476241255563","DOIUrl":"10.1177/11795476241255563","url":null,"abstract":"<p><p>Infratemporal fossa (ITF) tumors are rare in children and may present with a variety of symptoms. Teratomas are neoplasms derived from the 3 germ layers and approximately 6% to 10% are within the head and neck. Our study discusses one of the first reported cases of teratoma in the ITF in a pediatric patient. A 3-year-old girl presents with 2 years of recurrent monthly left periorbital swelling accompanied by fevers, skin discoloration, and pain. Prior episodes were treated with antibiotics with incomplete resolution. Imaging revealed a cystic lesion centered in the ITF. She was taken for endoscopic endonasal biopsy of the lesion and had no complications. Pathology revealed a mature teratoma composed primarily of pancreatic tissue. Providers should consider masses such as teratoma in the differential for ITF tumors and periorbital edema unresponsive to typical treatment.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"17 ","pages":"11795476241255563"},"PeriodicalIF":1.0,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11143867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199560","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}
引用次数: 0
Corrigendum to "Blue Rubber Bleb Nevus Syndrome Presenting as Anemia, Hemorrhage, and Hemangiomas: A Rare Case Report". 以贫血、出血和血管瘤为表现的蓝色橡胶痣综合征：罕见病例报告 "的更正。
IF 1
Clinical Medicine Insights. Case Reports Pub Date : 2024-05-24 eCollection Date: 2024-01-01 DOI: 10.1177/11795476241256213
{"title":"Corrigendum to \"Blue Rubber Bleb Nevus Syndrome Presenting as Anemia, Hemorrhage, and Hemangiomas: A Rare Case Report\".","authors":"","doi":"10.1177/11795476241256213","DOIUrl":"https://doi.org/10.1177/11795476241256213","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/11795476231173503.].</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"17 ","pages":"11795476241256213"},"PeriodicalIF":1.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11127569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154455","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}
引用次数: 0
Superior Mesenteric Artery Syndrome in an 11-Year-Old Boy: A Case Report. 一名 11 岁男孩的肠系膜上动脉综合征：病例报告。
IF 1
Clinical Medicine Insights. Case Reports Pub Date : 2024-05-23 eCollection Date: 2024-01-01 DOI: 10.1177/11795476241257036
Sakar Babu Gharti, Nischal Shrestha, Kaushal Samsher Thapa, Rajat Shah, Priti Khanal, Rajnish Kumar Shah, Sanjeeb Babu Gharti, Umesh Tiwari
{"title":"Superior Mesenteric Artery Syndrome in an 11-Year-Old Boy: A Case Report.","authors":"Sakar Babu Gharti, Nischal Shrestha, Kaushal Samsher Thapa, Rajat Shah, Priti Khanal, Rajnish Kumar Shah, Sanjeeb Babu Gharti, Umesh Tiwari","doi":"10.1177/11795476241257036","DOIUrl":"10.1177/11795476241257036","url":null,"abstract":"<p><p>Superior Mesenteric Artery Syndrome (SMAS) is a rare but potentially life-threatening condition caused by the compression of the duodenum by the superior mesenteric artery. We report a case of an 11-year-old male who complaint of abdominal pain and intermittent vomiting for last 3 weeks. Diagnosis of SMAS was made with the help of radiological findings. The patient was managed conservatively with nutritional support, prokinetic agents, and stomach decompression. After 2 weeks of treatment, the patient's symptoms improved, and he was discharged from the hospital.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"17 ","pages":"11795476241257036"},"PeriodicalIF":1.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11119349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154490","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}
引用次数: 0
Polyneuropathy as an initial manifestation of Hereditary Transtyretin Amyloidosis (ATTRV) in a young patient: Case report of a diagnostic challenge. 一名年轻患者的多发性神经病是遗传性经丝体淀粉样变性（ATTRV）的最初表现：诊断难题的病例报告。
IF 1
Clinical Medicine Insights. Case Reports Pub Date : 2024-05-15 eCollection Date: 2024-01-01 DOI: 10.1177/11795476241253106
Julieth Vivian Sarmiento Palma, Santiago Sambracos Parrado, Maria Camila Echeverria, Paula Ruiz Talero
{"title":"Polyneuropathy as an initial manifestation of Hereditary Transtyretin Amyloidosis (ATTRV) in a young patient: Case report of a diagnostic challenge.","authors":"Julieth Vivian Sarmiento Palma, Santiago Sambracos Parrado, Maria Camila Echeverria, Paula Ruiz Talero","doi":"10.1177/11795476241253106","DOIUrl":"https://doi.org/10.1177/11795476241253106","url":null,"abstract":"<p><p>We report the case of a 27-year-old man with transthyretin amyloidosis secondary to the p.Val142Ile mutation with an atypical clinical presentation of predominantly lower limb polyneuropathy without cardiac involvement. p.Val142Ile is mainly associated with cardiopathy, whereas the neuropathic phenotype is mainly associated with p.Val50Met. Our patient belongs to a non-endemic region and due to his lack of support network a possible familial component is unknown. His case represents a diagnostic challenge given the wide heterogeneity of clinical manifestations associated with the disease, with other possible diagnoses of polyneuropathy being reasonably excluded according to prevalence and frequency. The particularly unusual genotype-phenotype association distinguishes this case from the classic description of transthyretin amyloidosis secondary to p.Val142Ile.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"17 ","pages":"11795476241253106"},"PeriodicalIF":1.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11097722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140956213","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}
引用次数: 0
Surgical Myectomy and Myotomy for Refractory Blepharospasm in Meige Syndrome Patients: A Case Report. 梅杰综合征患者难治性眼睑痉挛的肌层切除术和肌切开术：病例报告。
IF 1
Clinical Medicine Insights. Case Reports Pub Date : 2024-05-14 eCollection Date: 2024-01-01 DOI: 10.1177/11795476241254266
Ming-Ming Li, Zhi-Min Cen, Huang Zhang, Zhong-Ling Luo
{"title":"Surgical Myectomy and Myotomy for Refractory Blepharospasm in Meige Syndrome Patients: A Case Report.","authors":"Ming-Ming Li, Zhi-Min Cen, Huang Zhang, Zhong-Ling Luo","doi":"10.1177/11795476241254266","DOIUrl":"10.1177/11795476241254266","url":null,"abstract":"<p><p>Meige syndrome is a rare neurological disease characterized by segmental dystonia, specifically blepharospasm and oromandibular dystonia. These symptoms are often accompanied by complex movements of the eyelids, lower facial muscles, mandible, and neck muscles. Bilateral blepharospasm is the most common feature of this disease. In this case report, we present the successful treatment of refractory blepharospasm in a 72-year-old woman with Meige syndrome via 2 incisions resulting from myectomy and in situ surgery.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"17 ","pages":"11795476241254266"},"PeriodicalIF":1.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11095178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140943167","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}
引用次数: 0
A Case Report of Asthma Exacerbation Induced by Excessive Drinking Water. 过量饮水诱发哮喘加重的病例报告
IF 1
Clinical Medicine Insights. Case Reports Pub Date : 2024-05-12 eCollection Date: 2024-01-01 DOI: 10.1177/11795476241253107
Shunxin Lv, Huachen Jiao, Ying Qu, Mengdi Zhang, Rui Wang, Yan Li, Feng Jiang, Laiyun Xin
{"title":"A Case Report of Asthma Exacerbation Induced by Excessive Drinking Water.","authors":"Shunxin Lv, Huachen Jiao, Ying Qu, Mengdi Zhang, Rui Wang, Yan Li, Feng Jiang, Laiyun Xin","doi":"10.1177/11795476241253107","DOIUrl":"10.1177/11795476241253107","url":null,"abstract":"<p><p>Excessive water consumption is an extremely rare and potential asthma risk factor with very few cases reported in the literature. Common triggers of asthma include genetic factors, smoking, allergens, and viral respiratory infections. The adult patient with asthma reportedly drank too much water and was unable to get relief from his asthma while hospitalized. The patient's asthma was better controlled with the use of diuretics and control of the patient's fluid intake and output. This case explores asthma induced by excessive drinking of water.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"17 ","pages":"11795476241253107"},"PeriodicalIF":1.0,"publicationDate":"2024-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11092540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140921604","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}
引用次数: 0
Idiopathic Granulomatous Vulvitis: A Case Report on a Rare Disease. 特发性肉芽肿性外阴炎：罕见疾病的病例报告
IF 1
Clinical Medicine Insights. Case Reports Pub Date : 2024-05-08 eCollection Date: 2024-01-01 DOI: 10.1177/11795476241253109
Jihan M Muhaidat, Enas A Alhaje, Firas A Al-Qarqaz, Diala M Alshiyab, Almutazballlah Bassam Qablan
{"title":"Idiopathic Granulomatous Vulvitis: A Case Report on a Rare Disease.","authors":"Jihan M Muhaidat, Enas A Alhaje, Firas A Al-Qarqaz, Diala M Alshiyab, Almutazballlah Bassam Qablan","doi":"10.1177/11795476241253109","DOIUrl":"10.1177/11795476241253109","url":null,"abstract":"<p><p>Idiopathic granulomatous vulvitis is an uncommon anogenital area disease described in the last few decades. It causes an inflammatory reaction that culminates in swelling and possibly distortion of the female anogenital area. Many reported cases consider this non-infectious entity the genital counterpart to granulomatous cheilitis. We here present a 64 years old female patient with idiopathic granulomatous vulvitis co-existing with lipodermatosclerosis, with the excellent response of the former condition to hydroxychloroquine and potent topical steroids.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"17 ","pages":"11795476241253109"},"PeriodicalIF":1.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11080743/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897447","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}
引用次数: 0
Primary Tuberculosis of the Pharynx in an HIV Context: A Case Report. 艾滋病毒背景下的原发性咽部结核病：病例报告。
IF 1
Clinical Medicine Insights. Case Reports Pub Date : 2024-05-05 eCollection Date: 2024-01-01 DOI: 10.1177/11795476241251945
Cristian Morán-Mariños, Felix Llanos-Tejada, Renzo Villanueva-Villegas, Kanneth G Vargas-Ponce, Juan Salas-López
{"title":"Primary Tuberculosis of the Pharynx in an HIV Context: A Case Report.","authors":"Cristian Morán-Mariños, Felix Llanos-Tejada, Renzo Villanueva-Villegas, Kanneth G Vargas-Ponce, Juan Salas-López","doi":"10.1177/11795476241251945","DOIUrl":"10.1177/11795476241251945","url":null,"abstract":"<p><p>Pharyngeal tuberculosis without pulmonary involvement is very rare and may be confused with malignant lesions. We present a 45-year-old female patient with a history of HIV presenting with a history of cough, sore throat, and oral ulcers with chronic use of antibiotics. The evolution would indicate a probable malignant tumor, but the biopsy was consistent with Pharyngeal TB. The patient initiated anti-tuberculosis therapy and demonstrated improved conditions and remission of ulcers. In the context of HIV, this treatment could be a major contributor to the underdiagnosis of the disease and may lead to alternative diagnoses. Therefore, it is vital to consider this condition in patients who do not respond to antibiotics.</p>","PeriodicalId":10357,"journal":{"name":"Clinical Medicine Insights. Case Reports","volume":"17 ","pages":"11795476241251945"},"PeriodicalIF":1.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11072070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862291","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}
引用次数: 0
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