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Preoperative bilateral recurrent laryngeal nerve palsy in Graves' disease.
IF 0.6
BMJ Case Reports Pub Date : 2024-12-15 DOI: 10.1136/bcr-2024-262363
Takeshi Kusunoki, Ryo Wada
{"title":"Preoperative bilateral recurrent laryngeal nerve palsy in Graves' disease.","authors":"Takeshi Kusunoki, Ryo Wada","doi":"10.1136/bcr-2024-262363","DOIUrl":"10.1136/bcr-2024-262363","url":null,"abstract":"","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 12","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827420","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
Bilateral Urrets-Zavalia syndrome after uneventful Descemet membrane endothelial keratoplasty. 顺利进行 Descemet 膜内皮角膜移植术后的双侧 Urrets-Zavalia 综合征。
IF 0.6
BMJ Case Reports Pub Date : 2024-12-15 DOI: 10.1136/bcr-2024-261684
Ziqiao Qi, Ritika Mukhija, Mayank A Nanavaty
{"title":"Bilateral Urrets-Zavalia syndrome after uneventful Descemet membrane endothelial keratoplasty.","authors":"Ziqiao Qi, Ritika Mukhija, Mayank A Nanavaty","doi":"10.1136/bcr-2024-261684","DOIUrl":"10.1136/bcr-2024-261684","url":null,"abstract":"<p><p>Urrets-Zavalia syndrome (UZS) stands out as a rare yet clinically consequential complication associated with ophthalmic surgery, marked by the emergence of a fixed and dilated pupil. While it was originally described post-penetrating keratoplasty (PKP) in patients with keratoconus and its prevalence is notably higher following PKP, instances of UZS have been documented in the context of other procedures, including intraocular lens implantation, Descemet-stripping endothelial keratoplasty and Descemet membrane endothelial keratoplasty (DMEK). We report a unique case of bilateral UZS after uneventful DMEK surgeries, highlighting a rare but potential complication after DMEK.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 12","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interdisciplinary rehabilitation for the transition out of homelessness with a traumatic brain injury. 脑外伤患者摆脱无家可归状态的跨学科康复。
IF 0.6
BMJ Case Reports Pub Date : 2024-12-15 DOI: 10.1136/bcr-2024-262462
Julia Lam, Max Hurwitz, Deklerk Ngankam, Natalie Leland
{"title":"Interdisciplinary rehabilitation for the transition out of homelessness with a traumatic brain injury.","authors":"Julia Lam, Max Hurwitz, Deklerk Ngankam, Natalie Leland","doi":"10.1136/bcr-2024-262462","DOIUrl":"10.1136/bcr-2024-262462","url":null,"abstract":"<p><p>People experiencing homelessness (PEH) face higher rates of traumatic brain injury (TBI), which is associated with greater unmet healthcare and social needs and increased difficulty transitioning out of homelessness. While efforts have emerged to address this TBI disparity via screening, staff training and case management, gaps exist in the delivery of evidence-based TBI rehabilitation to PEH. This case report describes the delivery of interdisciplinary TBI rehabilitation to a male patient experiencing homelessness within a US context. Physical medicine and rehabilitation and occupational therapy focused on managing cognitive and chronic pain symptoms to improve daily life function across community settings (ie, outdoors, shelter, the transition to stable housing). After 4 months, the patient demonstrated improved daily life function with changes in objective measurements and housing status from unsheltered homelessness to housed. This case demonstrates the feasibility of delivering equitable TBI rehabilitation to PEH to mitigate health and housing disparities.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 12","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Page kidney in a solid-organ transplant recipient with acute renal failure and arterial hypertension.
IF 0.6
BMJ Case Reports Pub Date : 2024-12-15 DOI: 10.1136/bcr-2024-262498
Malissa Bentham, Nerissa Jurawan, Lisa Belle, Margaret O'Shea
{"title":"Page kidney in a solid-organ transplant recipient with acute renal failure and arterial hypertension.","authors":"Malissa Bentham, Nerissa Jurawan, Lisa Belle, Margaret O'Shea","doi":"10.1136/bcr-2024-262498","DOIUrl":"10.1136/bcr-2024-262498","url":null,"abstract":"<p><p>Page kidney (Page phenomenon) is a rare and treatable cause of hypertension which can occur if a haematoma, leading to extrinsic compression, occurs after renal transplant biopsy. The renin-angiotensin-aldosterone system is activated leading to hypertension. This case report is that of a male in his 70s who had a renal transplant biopsy of his transplanted kidney and subsequently developed Page phenomenon as a result of an expanding haematoma. He developed elevated blood pressure (BP) along with a decrease in his renal function. Surgical intervention was used to salvage his transplanted kidney. The index case highlights the importance of being aware of the signs of Page kidney to ensure early recognition and intervention. To our knowledge, this is the first case of a Page kidney in a renal allograft documented in the Caribbean region.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 12","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827417","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
Regional ischaemic immune myopathy: unraveling a rare subtype of dermatomyopathy. 区域性缺血性免疫性肌病：揭示皮肌病的一种罕见亚型。
IF 0.6
BMJ Case Reports Pub Date : 2024-12-15 DOI: 10.1136/bcr-2024-260865
Elvina Ingrid, Catriona McLean, Maninder Mundae, Keith Lim
{"title":"Regional ischaemic immune myopathy: unraveling a rare subtype of dermatomyopathy.","authors":"Elvina Ingrid, Catriona McLean, Maninder Mundae, Keith Lim","doi":"10.1136/bcr-2024-260865","DOIUrl":"10.1136/bcr-2024-260865","url":null,"abstract":"<p><p>Regional ischaemic immune myopathy (RIIM) is a subtype of dermatomyopathy which has distinct histopathology features of regional muscle fibre necrosis and regeneration. This case report aims to provide an in-depth exploration of RIIM, emphasising its clinical features and the crucial role of muscle biopsy as a diagnostic investigation, as well as the potential role of immunomodulatory therapies.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 12","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Phaeochromocytoma mimicking acute ST-elevation myocardial infarction. 模仿急性 ST 段抬高型心肌梗死的辉细胞瘤。
IF 0.6
BMJ Case Reports Pub Date : 2024-12-15 DOI: 10.1136/bcr-2024-263311
Theresa Ackfeld, Hadrien Beuret, Francesca Mosar, Stephane Cook
{"title":"Phaeochromocytoma mimicking acute ST-elevation myocardial infarction.","authors":"Theresa Ackfeld, Hadrien Beuret, Francesca Mosar, Stephane Cook","doi":"10.1136/bcr-2024-263311","DOIUrl":"10.1136/bcr-2024-263311","url":null,"abstract":"<p><p>Phaeochromocytomas are rare catecholamine-secreting tumours, usually benign, originating from chromaffin cells of the adrenal glands. Their typical presentation includes the triad of headaches, sweating and tachycardia due to excessive catecholamine release. However, many patients do not exhibit all three symptoms, making diagnosis challenging. A significant proportion of cases (around 40%) are linked to genetic disorders. Cardiac complications, including life-threatening events, are common.This report details the case of a 43-year-old woman presenting with chest pain, headaches and diaphoresis. Initial ECG showed an anterolateral ST-elevation myocardial infarction pattern, but coronary angiography revealed no arterial disease. The left ventricular angiogram indicated apical ballooning. Elevated blood pressure prompted suspicion of phaeochromocytoma, which was confirmed through positive metanephrine tests.The tumour, located in the right adrenal gland, was successfully removed laparoscopically, and pathological examination confirmed the diagnosis.Phaeochromocytoma should be suspected in patients with unexplained myocardial infarction, labile hypertension and normal coronary arteries, as beta-blockers can be harmful if used in untreated cases.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 12","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827418","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 posterior scleral defect was not associated with altered ocular biomechanics. 单侧后巩膜缺损与眼部生物力学改变无关。
IF 0.6
BMJ Case Reports Pub Date : 2024-12-15 DOI: 10.1136/bcr-2024-263262
Joshua Oskam, Jesse Gale
{"title":"Unilateral posterior scleral defect was not associated with altered ocular biomechanics.","authors":"Joshua Oskam, Jesse Gale","doi":"10.1136/bcr-2024-263262","DOIUrl":"10.1136/bcr-2024-263262","url":null,"abstract":"<p><p>Technologies that describe the biomechanics of the eye are of emerging importance in glaucoma and keratoconus. A defect in the wall of the eye would be expected to affect biomechanics, resulting in the dispersion of mechanical energy and more viscous rather than elastic behaviour. Here, a mildly myopic man in his 50s was noted to have a deep conduit beside the right optic disc which appeared to pass posteriorly to the optic nerve sheath or orbit. We assessed the intraocular pressure and ocular biomechanics with several methods, and compared them with the normal fellow eye. Corneal hysteresis, ocular pulse amplitude, deformation amplitude, changes in pressure with standing and lying and response to water-drinking test were all very similar between the two eyes. In this case with a unilateral posterior scleral defect, current clinical techniques to assess ocular biomechanics did not detect an asymmetry.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 12","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges in the management of a secondary retrosternal goitre with superior vena cava syndrome. 继发性胸骨后甲状腺肿伴上腔静脉综合征的治疗难题。
IF 0.6
BMJ Case Reports Pub Date : 2024-12-15 DOI: 10.1136/bcr-2024-262059
Jevis Rich, Bhupendra Mehra, Soumya Ghoshal, Siddharth P Dubhashi
{"title":"Challenges in the management of a secondary retrosternal goitre with superior vena cava syndrome.","authors":"Jevis Rich, Bhupendra Mehra, Soumya Ghoshal, Siddharth P Dubhashi","doi":"10.1136/bcr-2024-262059","DOIUrl":"10.1136/bcr-2024-262059","url":null,"abstract":"<p><p>Retrosternal or substernal goitre is a clinical entity defined when a significant proportion of the thyroid gland extends inferiorly through the thoracic inlet into the mediastinum. It has an incidence of 5.1-15.7%, with a female predominance. The clinical course can be indolent without any symptoms or may present as an emergency with compression features of breathlessness, hoarseness of voice, facial oedema, dysphagia and stridor. Definitive management is surgery. We report a case of an elderly woman who presented in the emergency at our tertiary care hospital with superior vena cava syndrome due to a large retrosternal goitre, along with concomitant comorbidities such as obesity, hypertension, atrial fibrillation and severe pulmonary hypertension with pericardial effusion, which posed a significant risk and added complexity to her management.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 12","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regenerative endodontic treatment for the management of immature permanent teeth with focal fibrous hyperplasia.
IF 0.6
BMJ Case Reports Pub Date : 2024-12-15 DOI: 10.1136/bcr-2024-262660
Monika Kumari, Ramesh Bharti, Pragya Pandey, Promila Verma
{"title":"Regenerative endodontic treatment for the management of immature permanent teeth with focal fibrous hyperplasia.","authors":"Monika Kumari, Ramesh Bharti, Pragya Pandey, Promila Verma","doi":"10.1136/bcr-2024-262660","DOIUrl":"10.1136/bcr-2024-262660","url":null,"abstract":"<p><p>Frequent irritation in the oral cavity can result in a benign condition called focal fibrous hyperplasia. This condition is rarely associated with an open apex in the teeth. This case report details the treatment of a patient with an open apex in teeth 11 and 12, worsened by localised fibrous hyperplasia. Regenerative endodontic therapy (RET) was employed for this patient. Remarkably, after initiating RET, the fibrous hyperplasia gradually resolved without the need for surgical excision. Following this observation, two hypotheses were proposed: (1) focal fibrous hyperplasia may have an endodontic origin and (2) hyperplastic development coupled with endodontic involvement might diminish with endodontic therapy alone. Excision of the growth is not always necessary. This case report highlights the potential connection between regenerative endodontic therapy and the resolution of focal fibrous hyperplasia, providing new insights into managing such rare conditions.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 12","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pupil sparing oculomotor nerve palsy with concomitant Horner syndrome as a presentation of mantle cell lymphoma relapse. 瞳孔疏松性眼运动神经麻痹并发霍纳综合征，是套细胞淋巴瘤复发的一种表现。
IF 0.6
BMJ Case Reports Pub Date : 2024-12-15 DOI: 10.1136/bcr-2023-258174
Fayad Mustafa Elhadi Salih, Andrew G Lee, Robert Ayto, Nansi Fashtali
{"title":"Pupil sparing oculomotor nerve palsy with concomitant Horner syndrome as a presentation of mantle cell lymphoma relapse.","authors":"Fayad Mustafa Elhadi Salih, Andrew G Lee, Robert Ayto, Nansi Fashtali","doi":"10.1136/bcr-2023-258174","DOIUrl":"10.1136/bcr-2023-258174","url":null,"abstract":"<p><p>A woman in her 70s, with a background of mantle cell lymphoma (MCL), presented with headache and diplopia. Neuro-ophthalmic examination revealed a combination of Horner syndrome and ipsilateral pupil sparing oculomotor nerve palsy (ONP). Cerebrospinal fluid immunophenotyping demonstrated CD5 positive clonal B lymphocytes, consistent with neurological involvement by MCL. Imaging of the brain and orbits was normal, but a cervical mass was seen along the course of the sympathetic chain accounting for the Horner syndrome. She was treated with intrathecal chemotherapy with improvement in symptoms and resolution of ophthalmoplegia but was left with residual anisocoria and mild ptosis. This presentation (concomitant Horner and ipsilateral ONP) is rare and typically localises to the ipsilateral cavernous sinus, which appeared radiologically normal in this case.</p>","PeriodicalId":9080,"journal":{"name":"BMJ Case Reports","volume":"17 12","pages":""},"PeriodicalIF":0.6,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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