{"title":"Successful treatment of pediatric patient with Dravet syndrome with cenobamate: Case report.","authors":"Oleg V Lobanov, Mary Bertrand","doi":"10.1177/2050313X251324079","DOIUrl":"https://doi.org/10.1177/2050313X251324079","url":null,"abstract":"<p><p>Dravet syndrome, also known as severe myoclonic epilepsy of infancy, is an epileptic encephalopathy characterized by severe epilepsy accompanied by impaired psychomotor and neurologic development. Onset is in the first year of life in apparently healthy infants. Seizures in Dravet syndrome are highly pharmacoresistant, and the SUDEP mortality rate is high. Here, we present the first case of the successful use of cenobamate in a pediatric patient (9-year-old female) with Dravet syndrome and pharmacoresistant epilepsy despite the prior use and failure of typical medications for Dravet syndrome, including fenfluramine, valproate, and clobazam, among others. At 6-month follow-up, the frequency of generalized tonic-clonic seizures decreased from 8 per month to 1 per month upon reaching a daily dose of 50 mg (1.9 mg/kg/day), which represents an 87.5% reduction. No side effects were reported. Given the single-patient case report nature of this study, further investigations are needed to extrapolate the usefulness of cenobamate across different age groups and genetic variants.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251324079"},"PeriodicalIF":0.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543375","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}
Kerman Sekhon, Yvette Miller-Monthrope, Christian Murray, Michael Weinberg
{"title":"Atypical giant proliferating cystic pilomatrixoma: A case review.","authors":"Kerman Sekhon, Yvette Miller-Monthrope, Christian Murray, Michael Weinberg","doi":"10.1177/2050313X251320195","DOIUrl":"10.1177/2050313X251320195","url":null,"abstract":"<p><p>Pilomatrixoma, or calcifying epithelioma of Malherbe, is a rare and benign tumour. Typical presentation of pilomatrixoma is solitary, firm lesions found in the head and neck regions. Pilomatrixoma are often misdiagnosed due to their clinical presentation, which is synonymous with other cutaneous pathology. The reported and true incidence of pilomatrixoma are 1% and 16%, respectively. Cystic pilomatrixoma is a unique variant that presents without the pathognomonic feature of a firm lesion. This study presents the case of a 52-year-old man with a post-auricular pilomatrixoma. It is erythematous, soft, mobile, and 4 cm in diameter. Its size categorizes the lesion as a giant pilomatrixoma. These pilomatrixoma pose a diagnostic challenge as they mimic malignant lesions. It was highly erythematous and mimicked Merkel cell carcinoma in on initial presentation. It was a sebum-filled lesion, which is quite atypical for pilomatrixoma. A previous study finds that only three cases of cystic pilomatrixoma have been reported in the literature previously. This case study presents the case of an atypical variant of a rare tumour. There is a paucity in the literature on cystic pilomatrixoma. Giant proliferating cystic pilomatrixoma has not previously been described in a case report in the literature, as to our knowledge. This study highlights the diversity in the clinical presentations of pilomatrixoma to improve our clinical sensitivity to pilomatrixoma.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251320195"},"PeriodicalIF":0.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524276","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}
Aanchal Amit Shah, Jorge Salazar, Prabhava Bagla, Aparna Das
{"title":"A case of altruistic suicide by severe carbon monoxide poisoning.","authors":"Aanchal Amit Shah, Jorge Salazar, Prabhava Bagla, Aparna Das","doi":"10.1177/2050313X251321064","DOIUrl":"10.1177/2050313X251321064","url":null,"abstract":"<p><p>Carbon monoxide poisoning (CO) is a lethal form of suicide. We present a case of a 52-year-old otherwise healthy male who attempted suicide by CO poisoning due to altruistic intentions. The patient survived and was doing well on follow-up over 2 months after discharge. The aims of this case report are to discuss the psychiatric and medical sequelae of CO poisoning and to revisit the sociological concept of suicide, focusing on altruistic suicides.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251321064"},"PeriodicalIF":0.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524274","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}
Rémy Hamdan, Cyrielle Chea, Maxime Brisson, Jules Coeur, Carmen Cortes Espejo, Camille Leleu
{"title":"Neck cellulitis complicating spectacle frames' contact dermatitis: A case report.","authors":"Rémy Hamdan, Cyrielle Chea, Maxime Brisson, Jules Coeur, Carmen Cortes Espejo, Camille Leleu","doi":"10.1177/2050313X251324310","DOIUrl":"10.1177/2050313X251324310","url":null,"abstract":"<p><p>Neck cellulitis occurs as a result of dental, pharyngeal or ear infections or following trauma, but rarely via a cutaneous entry point. A 34-year-old female patient consulted with a left-sided, painful cervical swelling with limited head rotation and trismus, accompanied by a painful, oozing, retroauricular contact dermatitis (CD). Clinical examination confirmed the left cervical cellulitis with superinfected retroauricular CD. A computed tomography scan of the neck revealed no abscess. Systemic antibiotic therapy against streptococci and staphylococci for 8 days, combined with hygiene care for the CD lesions and the avoidance of glasses with metal frames, resulted in complete recovery without recurrence. Patch tests revealed sensitization to several metals, particularly nickel. Eyeglasses may cause allergic CD, an inflammatory skin disease caused by a delayed-type hypersensitivity reaction. Metal spectacle frames are particularly prone to causing CD, mainly due to the presence of nickel. Because of the skin breakdown it entails, spectacle frames' CD may lead to skin infections and neck cellulitis. Spectacle frame CD should be investigated in patients presenting with retroauricular eczema. To our knowledge, the case of neck cellulitis induced by spectacle frame-allergic CD has never been reported.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251324310"},"PeriodicalIF":0.6,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524278","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":"Laparoscopic partial cystectomy using stapling system for inflammatory myofibroblastic tumor of urinary bladder: A case report.","authors":"Hiroki Nishiyama, Kozue Ito, Go Hasegawa, Yohei Ikeda, Kyohei Ishida, Noboru Hara, Tsutomu Nishiyama","doi":"10.1177/2050313X251323788","DOIUrl":"10.1177/2050313X251323788","url":null,"abstract":"<p><p>A 70-year-old female suffered from gross hematuria and bladder tamponade. She had a solitary non-papillary tumor at the dome of the urinary bladder, underwent transurethral resection of the bladder tumor, and was diagnosed with an inflammatory myofibroblastic tumor positive for anaplastic lymphoma kinase proteins in immunohistochemistry. Subsequently, she underwent laparoscopic partial cystectomy using the Signia Stapling System due to the low-grade malignancy of the tumor. The patient has been under outpatient observation with no recurrence for 12 months post-surgery.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251323788"},"PeriodicalIF":0.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516625","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":"Low-dose isotretinoin for the treatment of Morbihan's disease in a 69-year-old Asian male: A case report.","authors":"Orhan Yilmaz, Reetesh Bose, Sophia Colantonio","doi":"10.1177/2050313X251320214","DOIUrl":"10.1177/2050313X251320214","url":null,"abstract":"<p><p>Morbihan's disease is a rare form of facial lymphedema often associated with chronic rosacea and other skin diseases such as acne. It presents as indurated erythematous plaques in the upper face, which can be challenging to treat. We report a 69-year-old male of Asian background with a 4-year history of facial swelling and redness, unresponsive to prior treatments. After a clinical diagnosis of Morbihan's disease, the patient was treated with oral isotretinoin 10 mg daily, leading to an 80% reduction in symptoms after 9 months. Mild side effects, including cheilitis and xerosis, were well managed. This case highlights low-dose isotretinoin's potential as a therapeutic option for Morbihan's disease. Previous studies have demonstrated the efficacy of treating Morbihan's disease with isotretinoin at high doses between 40 and 80 mg po daily for 12-24 months.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251320214"},"PeriodicalIF":0.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11863241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516626","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":"Mini-loop technique for idiopathic isolated tricuspid valve prolapse: A case report.","authors":"Yutaro Matsuno, Shigeru Ikenaga","doi":"10.1177/2050313X251323297","DOIUrl":"10.1177/2050313X251323297","url":null,"abstract":"<p><p>We recently performed the mini-loop technique on a 69-year-old woman with idiopathic isolated tricuspid valve prolapse. Although the tricuspid valve leaflets showed no abnormalities, we noted a severely enlarged annulus and posterior leaflet prolapse due to rupture of the posterior papillary muscle. The procedure included four pairs of artificial chordal reconstruction using the loop technique with GORE-TEX® suture CV-4 and the insertion of the 28-mm CE Physio Tricuspid ring. Postoperatively, tricuspid regurgitation was well-controlled below trivial levels. Although the loop technique is typically used in mitral valve plasty, it may also be beneficial for tricuspid valve plasty.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251323297"},"PeriodicalIF":0.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483959","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}
Isabel Besozzi, Andrea Goldmann, Daniel Button, Stefanie Senn, Caveh Madjdpour
{"title":"Transient unilateral brachial plexus block following landmark-guided superficial cervical plexus block: A case report.","authors":"Isabel Besozzi, Andrea Goldmann, Daniel Button, Stefanie Senn, Caveh Madjdpour","doi":"10.1177/2050313X251321658","DOIUrl":"10.1177/2050313X251321658","url":null,"abstract":"<p><p>We report a case of a 61-year-old male patient with impaired function of the contralateral brachial plexus after right parathyroidectomy. The symptoms appeared directly after emerging from general anaesthesia and disappeared completely within 24 h after surgery. The follow-up check after 6 weeks was unremarkable. The patient suffered from asthma, osteoporotic degenerative changes of the spine and a chronic impingement of the left shoulder. He showed no signs of pain or limitations while reclining his neck during pre-operative airway assessment. Before surgery, a bilateral superficial cervical plexus block was performed by the surgeon using the landmark technique. We discuss the positioning of the neck and cervical spine in preparation for surgery and pre-operative superficial cervical plexus block as possible causes for the impaired function of the brachial plexus observed in this patient. We conclude that the latter was the most likely cause in this patient and recommend considering ultrasound guidance for the performance of superficial cervical plexus block.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251321658"},"PeriodicalIF":0.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483962","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":"Sinus node dysfunction following bariatric surgery: A case report.","authors":"Kristoffer Dahl, Knut Tore Lappegard","doi":"10.1177/2050313X251321063","DOIUrl":"10.1177/2050313X251321063","url":null,"abstract":"<p><p>Sinus node dysfunction is often due to degeneration of the heart's impulse-generating system. We report a case of a 40-year-old woman with a recent gastric sleeve surgery, who presented with symptomatic sinus bradycardia following significant post-surgical weight loss. Extensive workup excluded common causes such as electrolyte disturbances, hypothyroidism, or cardiomyopathy. We hypothesize that alterations in leptin metabolism due to weight loss triggered increased vagal stimulation, leading to her bradycardia. The patient was treated with theophylline as a noninvasive alternative to pacemaker implantation. Long-term monitoring showed partial improvement in heart rate. This case highlights the need for vigilance in managing bradycardia as a potential side effect of bariatric surgery-induced weight loss, emphasizing the importance of follow-up and the potential role of leptin in heart rate regulation.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251321063"},"PeriodicalIF":0.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459391","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":"Corrigendum to \"Facial vein thrombophlebitis post facial skin infection: a case report and review of the literature\".","authors":"","doi":"10.1177/2050313X251321227","DOIUrl":"https://doi.org/10.1177/2050313X251321227","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/2050313X241283265.].</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251321227"},"PeriodicalIF":0.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468941","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}