Clinical Practice and Cases in Emergency Medicine最新文献_第9页

Reversible Cerebral Vasoconstriction Syndrome Following a Steroid Burst: A Case Report. 类固醇发作后可逆性脑血管收缩综合征1例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-05-01 DOI: 10.5811/cpcem.53083

Jacob Lenning, Caleb Halfill, Justin Rountree

{"title":"Reversible Cerebral Vasoconstriction Syndrome Following a Steroid Burst: A Case Report.","authors":"Jacob Lenning, Caleb Halfill, Justin Rountree","doi":"10.5811/cpcem.53083","DOIUrl":"10.5811/cpcem.53083","url":null,"abstract":"Introduction: Reversible cerebral vasoconstriction syndrome is a recently defined disease entity classically presenting with recurrent thunderclap headache. The pathology involves triggered cerebral arterial vasoconstriction, which can lead to complications including seizure, ischemic stroke, and intracranial hemorrhage. Diagnosis requires angiography, and treatment consists of vasodilatory therapy.Case report: We describe a case of reversible cerebral vasoconstriction syndrome following glucocorticoid burst therapy in a patient on multiple vasoactive medications, suggesting the possibility of compounding risk factors and triggers. As is common with this syndrome, the patient in our case required multiple hospital visits for diagnosis but ultimately experienced a positive outcome upon treatment.Conclusion: The presentation of reversible cerebral vasoconstriction syndrome can vary. Diagnosis requires a high degree of suspicion in patients with potential triggers to ensure early treatment and avoidance of poor outcomes.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 2","pages":"178-181"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353975","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}

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In Reply: Letter to the Editor on "A Case Report of Delayed, Severe, Paroxysmal Muscle Cramping after Chilean Rose Tarantula (Grammostola rosea) Envenomation". 回复：致编辑关于“智利玫瑰狼蛛（Grammostola rosea）中毒后延迟，严重，阵发性肌肉痉挛的病例报告”的信。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-05-01 DOI: 10.5811/cpcem.48543

Jon B Cole, Brian T Gooley, Kirk A Hughes, Mark P Gooley, Daniel E Keyler, Richard S Vetter

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Case Report: Isolated Radial Collateral Ligament Thumb Tear in a Teenage Cheerleader Base: A Rare Injury from an Overhead Stunt. 病例报告：孤立的径向副韧带拇指撕裂在青少年啦啦队基地：一个罕见的伤害从头顶特技。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-05-01 DOI: 10.5811/cpcem.50606

Russell Baker

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Central Retinal Artery Occlusion Diagnosed via Ocular Point-of-care Ultrasound: Case Report. 眼点超声诊断视网膜中央动脉闭塞：1例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-05-01 DOI: 10.5811/cpcem.50741

Rochelle Kofman, Addison B Smartt, Reginald J Myles, Patrick Kishi, Douglas Rappaport, Kevin Drechsel

{"title":"Central Retinal Artery Occlusion Diagnosed via Ocular Point-of-care Ultrasound: Case Report.","authors":"Rochelle Kofman, Addison B Smartt, Reginald J Myles, Patrick Kishi, Douglas Rappaport, Kevin Drechsel","doi":"10.5811/cpcem.50741","DOIUrl":"10.5811/cpcem.50741","url":null,"abstract":"Introduction: Central retinal artery occlusion (CRAO) is a neurological and ophthalmologic emergency that presents as sudden, painless, monocular vision loss. Central retinal artery occlusion can be classified as arteritic or non-arteritic. Most cases of non-arteritic CRAO are due to embolism, commonly from atherosclerosis of the ipsilateral carotid artery. More proximal sources of embolism are uncommon but can occur. Prompt recognition of CRAO is critical for vision preservation therapy and initiation of ischemic stroke diagnosis protocols.Case report: We present the case of a 66-year-old female who presented to the emergency department eight hours after sudden, painless, monocular vision loss. Her past medical history included type II diabetes, hypertension, and hyperlipidemia. She had previously undergone bilateral lens replacement for cataracts three years prior and had a history of intermittent floaters, which had been worsening over the previous six months. She denied any associated pain, headache, speech difficulty, focal weakness, and ocular trauma. Point-of-care ultrasound (POCUS) of the affected eye revealed the presence of a retrobulbar spot sign, which is associated with CRAO with a non-arteritic embolic etiology.Conclusion: Point-of-care ultrasound is an efficient diagnostic tool for the assessment of acute, painless, monocular vision loss. The presence of a retrobulbar spot sign indicates central retinal artery occlusion, providing both diagnostic and prognostic information. Although not a definitive diagnostic tool, POCUS can expedite treatment for patients with central retinal artery occlusion, a diagnosis with a time-sensitive treatment window.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 2","pages":"154-158"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353958","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}

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19-month-old Girl with Seizure. 19个月大的女孩癫痫发作。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-05-01 DOI: 10.5811/cpcem.48773

Julie Kurek, Cheyenne Falat, Laura J Bontempo, J David Gatz

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Unexpected Cardiac Asystole Caused by Vasovagal Reaction During Venipuncture: A Case Report. 静脉穿刺时血管迷走神经反应引起心脏意外停止1例。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-05-01 DOI: 10.5811/cpcem.50946

Tomoki Nagano, Ryo Sakuma, Wataru Horiguchi, Soi Jeong, Takaki Tanamoto, Yumi Yokota, Matthew Fowler, Jin Kim

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Carotidynia-A Rare Cause of Anterior Neck Pain: Case Report. 颈动脉痛-一种罕见的前颈部疼痛的原因：1例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-02-01 DOI: 10.5811/cpcem.48896

Faith Ibu, Olivia Keller-Baruch, Jessica Pelletier

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Acute Hypercapnic Respiratory Failure from Foreign Body Aspiration in a 16-Month-Old: A Case Report. 16个月大新生儿异物吸入致急性高碳酸血症性呼吸衰竭1例。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-02-01 DOI: 10.5811/cpcem.47015

Sabrina Lee, Richard D Shin, Kallie Combs

{"title":"Acute Hypercapnic Respiratory Failure from Foreign Body Aspiration in a 16-Month-Old: A Case Report.","authors":"Sabrina Lee, Richard D Shin, Kallie Combs","doi":"10.5811/cpcem.47015","DOIUrl":"10.5811/cpcem.47015","url":null,"abstract":"Introduction: Acute hypercapnic respiratory failure secondary to foreign body aspiration is a rare but severe complication seen in pediatric patients. Foreign body aspiration is one of the leading causes of death in children and requires prompt intervention and stabilization when definitive bronchoscopy is not readily available.Case report: We describe the case of a 16-month-old male who developed acute hypercapnic respiratory failure following the aspiration of a foreign body. On presentation to the emergency department, the child was in respiratory distress, appeared cyanotic, and had severely impaired oxygenation, all indicating respiratory failure. Initial management involved stabilization, advanced airway management, and ventilatory adjustments. Efficient communication with multiple specialists coordinated the appropriate transfer of the patient to a tertiary pediatric facility for bronchoscopy and ultimate successful foreign body removal without complications.Conclusion: The report highlights challenges in the management of pediatric foreign body aspiration leading to severe hypercapnia, the importance of interdisciplinary coordination, and the management techniques used to stabilize the patient for safe transfer to a tertiary care center.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 1","pages":"50-54"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158598","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}

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Acute Aortic Dissection Masquerading as Testicular Torsion: A Case Report. 急性主动脉夹层伪装成睾丸扭转：1例报告。

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-02-01 DOI: 10.5811/cpcem.49096

Bruce M Lo, Megyn K Christensen, Coral E Byrns, Benjamin Chidester

{"title":"Acute Aortic Dissection Masquerading as Testicular Torsion: A Case Report.","authors":"Bruce M Lo, Megyn K Christensen, Coral E Byrns, Benjamin Chidester","doi":"10.5811/cpcem.49096","DOIUrl":"10.5811/cpcem.49096","url":null,"abstract":"Introduction: Aortic dissection is a rare but life-threatening condition with a high mortality rate if diagnosis is delayed. Aortic dissection classically presents with sudden-onset, sharp pain in the chest or back. However, atypical presentations can also occur, which could lead to a delay in diagnosis.Case report: A patient initially presented to the emergency department (ED) with left testicular pain ongoing for several hours. On examination, he had tenderness in the left lower quadrant abdomen and left testicle. A testicular ultrasound revealed decreased blood flow to the left testicle, raising concern for testicular torsion. The patient was taken to the operating room, where no torsion was found, and he was subsequently discharged home. Several days later, the patient returned to the ED with worsening pain radiating to the back. A computed tomography revealed an acute type A aortic dissection extending to the iliac arteries. He was transferred for surgical repair and discharged 12 days later.Conclusion: While acute aortic dissection (AAD) typically presents with chest or back pain, atypical presentations can occur. When initial findings do not fully explain a patient's symptoms, AAD should remain on the differential. This case highlights an uncommon presentation of AAD initially mimicking a testicular torsion.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 1","pages":"55-58"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158600","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}

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Diagnosing Temporal Lobe Epilepsy in the Emergency Department: A Case Report. 急诊科诊断颞叶癫痫1例

Clinical Practice and Cases in Emergency Medicine Pub Date : 2026-02-01 DOI: 10.5811/cpcem.43526

Ashlynn Felker, Jason Tanner

{"title":"Diagnosing Temporal Lobe Epilepsy in the Emergency Department: A Case Report.","authors":"Ashlynn Felker, Jason Tanner","doi":"10.5811/cpcem.43526","DOIUrl":"10.5811/cpcem.43526","url":null,"abstract":"Introduction: Temporal lobe epilepsy is a form of focal epilepsy that originates in the temporal lobes, often presenting with a variety of symptoms including altered consciousness, automatisms, and focal seizures with or without impaired awareness. Given such a diversity of manifesting symptoms, recognizing temporal lobe epilepsy in the emergency department (ED) can be challenging. Early identification is crucial for appropriate management, including timely initiation of antiepileptic therapy and differentiation from other neurological emergencies.Case report: A 50-year-old male with no prior history of seizures or neurological conditions presented to the ED after experiencing unusual sensations that had begun three days earlier. The patient described an intermittent sensation of warmth rising from his pelvis to his head, accompanied by an experiential déjà vu-like feeling he described as \"dream reenactment.\" His episodes had become progressively more frequent, occurring approximately once every 90 minutes within the first 24 hours, with two instances of brief loss of consciousness. Diagnostic workup, including neurology consultation and an electroencephalogram in the ED, revealed a 19-second, non-motor focal seizure originating from the left anterior temporal region, consistent with temporal lobe epilepsy. Magnetic resonance imaging showed no acute structural abnormalities. The patient was diagnosed with temporal lobe epilepsy, started on lacosamide, and discharged from the ED.Conclusion: This case underscores the importance of recognizing temporal lobe epilepsy in the ED, particularly in patients with recurrent episodes of altered consciousness or unusual sensory experiences. Prompt diagnosis and treatment are critical to preventing further seizures and improving quality of life.","PeriodicalId":31975,"journal":{"name":"Clinical Practice and Cases in Emergency Medicine","volume":"10 1","pages":"20-23"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12890336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158649","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