Case Reports in Neurological Medicine最新文献_第4页

Penetrating Head Injury by a Hit of Rake in a Child: A Case Report and Literature Review. 儿童耙击致头部穿透伤1例报告及文献复习。

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Case Reports in Neurological Medicine Pub Date : 2023-11-18 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9921985

Issa Ibrahim Assoumane, Nicaise Kpègnon Agada, Rabiou Maman Sani, Aminath Kélani

{"title":"Penetrating Head Injury by a Hit of Rake in a Child: A Case Report and Literature Review.","authors":"Issa Ibrahim Assoumane, Nicaise Kpègnon Agada, Rabiou Maman Sani, Aminath Kélani","doi":"10.1155/2023/9921985","DOIUrl":"https://doi.org/10.1155/2023/9921985","url":null,"abstract":"Background: A penetrating head injury (PHI) refers to a situation where a projectile has breached the cranium but does not exit it. It constitutes about 0.4% of all head injuries. Several nonmissile materials inserting the skull have been reported. But to our knowledge, never before has any case of PHI caused by a hit of rake been reported. We report a first case of PHI caused by a rake in a child; then, we relate our experience with its management and discuss the relevant literature. Cases Description. A 5-year-old boy has been admitted with a rake embedded in his head. That occurred during a violent play with a neighbor. At presentation, the child was alert; there was no neurological deficit. The rake was embedded in the parietal regions on each side of the midline. The head Computed Tomography (CT) scan performed showed a biparietal hyperdensity from either side of the midline with a metal artifact. In the operating room, after a transversal incision joining the 2 tips of the object, we performed successively bone flaps; object extraction; debridement; duraplasty; and closing. The outcome was uneventful.Conclusion: This is the first case of PHI by a rake. The surgical management constitutes the main challenging point.","PeriodicalId":9615,"journal":{"name":"Case Reports in Neurological Medicine","volume":"2023 ","pages":"9921985"},"PeriodicalIF":0.9,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10676273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138458121","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

Generalized Extension of Referred Trigeminal Pain due to Greater Occipital Nerve Entrapment 枕大神经卡压引起的牵涉性三叉神经痛的广泛性延伸

Case Reports in Neurological Medicine Pub Date : 2023-11-11 DOI: 10.1155/2023/1099222

Jung-woo Hyung, Byung-chul Son

{"title":"Generalized Extension of Referred Trigeminal Pain due to Greater Occipital Nerve Entrapment","authors":"Jung-woo Hyung, Byung-chul Son","doi":"10.1155/2023/1099222","DOIUrl":"https://doi.org/10.1155/2023/1099222","url":null,"abstract":"We report a very rare case of referred pain caused by greater occipital nerve (GON) entrapment, inducing spontaneous pain in the whole body as well as in the trigeminal nerve region of the face and head. It has already been reported that entrapment of the GON can induce referred pain in the ipsilateral limb as well as the ipsilateral hemiface. A 42-year-old female patient presented with chronic pain in her gums, jaw angle, submandibular region, retro-auricular suboccipital, and temporo-occipital vertex that had been ongoing for four years. As the patient’s head pain and facial pain became severe, severe spontaneous pain occurred in the arm, waist, and both lower extremities. This patient’s pain in the occipital and neck, spontaneous pain in the face, jaw, and whole body improved with decompression of the GON. Anatomical basis of pain referral to the facial trigeminal area caused by chronic GON entrapment is convergence of nociceptive inflow from high cervical C1–C3 structures and trigeminal orofacial area in the dorsal horn of the cervical spinal cord from the C2 segment up to the medullary dorsal horn (MDH). The major afferent contribution among the suboccipital and high cervical structure is mediated by spinal root C2 that is peripherally represented by the GON. Chronic noxious input from GON entrapment can cause sensitization and hypersensitivity in second order neurons in the trigeminocervical complex (TCC) and MDH in the caudal trigeminal nucleus and high cervical cord. Generalized extension of referred pain due to GON entrapment is thought to involve two possible pathophysiologies. One is the possibility that generalized pain is caused by sensitization of third-order nociceptive neurons in the thalamus. Another speculation is that spontaneous pain may occur throughout the body due to dysfunction of the descending brain stem pain-modulating pathway by sensitization and hyperexcitation of the MDH and trigeminal brainstem sensory nuclear complex (TBSNC).","PeriodicalId":9615,"journal":{"name":"Case Reports in Neurological Medicine","volume":"41 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135041972","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}

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Inadvertent Intrathecal Administration of Digoxin, with Review of the Literature. 鞘内注射地高辛不慎，文献复习。

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Case Reports in Neurological Medicine Pub Date : 2023-10-20 eCollection Date: 2023-01-01 DOI: 10.1155/2023/4034919

Burton J Tabaac, Ian O T Laughrey, Hany F Ghali

引用次数: 0

Alzheimer's Type Neuropathological Changes in a Patient with Depression and Anxiety: A Case Report and Literature Review of Neuropathological Correlates of Neuropsychiatric Symptoms in Alzheimer's Disease. 抑郁症和焦虑症患者的阿尔茨海默型神经病理学变化：阿尔茨海默病神经精神症状的神经病理学相关性的病例报告和文献综述。

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Case Reports in Neurological Medicine Pub Date : 2023-10-11 eCollection Date: 2023-01-01 DOI: 10.1155/2023/5581288

Sumit Das

{"title":"Alzheimer's Type Neuropathological Changes in a Patient with Depression and Anxiety: A Case Report and Literature Review of Neuropathological Correlates of Neuropsychiatric Symptoms in Alzheimer's Disease.","authors":"Sumit Das","doi":"10.1155/2023/5581288","DOIUrl":"https://doi.org/10.1155/2023/5581288","url":null,"abstract":"Alzheimer's disease (AD) is classified as a tauopathy and is the most common neuropathological correlate of dementia/cognitive impairment. AD is neuropathologically characterized by the presence of beta-amyloid immunoreactive senile plaques and tau positive neurofibrillary tangles. Neuropsychiatric symptoms of AD however continue to be underscored, and therefore, neuropathological correlates of these neuropsychiatric symptoms are not readily studied. Presented here is a case of 60-year-old female who initially presented with anxiety and depression, and continued to be the predominant symptoms although mild cognitive impairment was noted as per the available clinical notes. Postmortem examination of the brain revealed severe Alzheimer's type neuropathological changes, which included significant tau and beta-amyloid pathology in limbic regions, which were thought to represent correlates of the patient's depression and anxiety. This case report illustrates the possible neuropathological correlates of neuropsychiatric symptoms in patients with AD. The author hopes that such a case will promote more in-depth studies into the pathophysiology of neuropsychiatric manifestations in AD.","PeriodicalId":9615,"journal":{"name":"Case Reports in Neurological Medicine","volume":"2023 ","pages":"5581288"},"PeriodicalIF":0.9,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10584483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49674661","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

Anti-3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase Immune-Mediated Necrotizing Myopathy following mRNA SARS-CoV-2 Vaccination. mRNA SARS-CoV-2疫苗接种后抗3-羟基-3-甲基戊二酰辅酶A还原酶免疫介导的坏死性肌病

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Case Reports in Neurological Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/7061783

Marta Rodrigues de Carvalho, Myrian Mathildes Sá de Deus Rocha, Vinícius Alves Bezerra, Maciel Eduardo de Pontes, Maria Cristina Del Negro, Julio Salgado Antunes, Vinícius Viana Abreu Montanaro, Rubens Nelson Morato Fernandez

引用次数: 2

Acute Peripheral Facial Paralysis Masquerading as Bell's Palsy Is the First Presentation of COVID-19 Infection. 伪装成贝尔麻痹的急性周围性面瘫是COVID-19感染的首次表现。

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Case Reports in Neurological Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/4278146

Tabtim Chongsuvivatwong, Panitta Mueanchoo, Praewchompoo Sathirapanya, Pornchai Sathirapanya

{"title":"Acute Peripheral Facial Paralysis Masquerading as Bell's Palsy Is the First Presentation of COVID-19 Infection.","authors":"Tabtim Chongsuvivatwong, Panitta Mueanchoo, Praewchompoo Sathirapanya, Pornchai Sathirapanya","doi":"10.1155/2023/4278146","DOIUrl":"https://doi.org/10.1155/2023/4278146","url":null,"abstract":"Although Bell's palsy is a common diagnosis of acute isolated peripheral facial palsy (PFP), acute isolated PFP can be the first presentation of various illnesses, including COVID-19 disease. A female with a known history of well-controlled diabetes mellitus presented initially with acute isolated PFP mimicking Bell's palsy. A course of oral prednisolone was given to treat acute PFP. Severe fifth cervical radicular pain, which is unusual for Bell's palsy followed 3 days later. The COVID-19 infection was finally diagnosed by a real-time polymerase chain reaction (RT-PCR) test 15 days after facial paralysis when typical pulmonary infection symptoms developed. Oral favipiravir was given for the treatment of COVID-19 infection, to which the symptoms completely responded. The COVID-19 infection as a cause of acute isolated PFP should be added to the differential diagnosis of acute isolated PFP, albeit without typical pulmonary infection symptoms, particularly during the global pandemic of the infection.","PeriodicalId":9615,"journal":{"name":"Case Reports in Neurological Medicine","volume":"2023 ","pages":"4278146"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9902140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10742045","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

Chronic Lymphocytic Inflammation with Pontine Perivascular Enhancement Responsive to Steroids (CLIPPERS Syndrome): A Case Report and Literature Review. 慢性淋巴细胞炎症伴桥桥血管周围增强对类固醇反应(CLIPPERS综合征):1例报告和文献复习。

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Case Reports in Neurological Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/5811243

Nripesh Man Shrestha, Niranjan Acharya, Rabindra Desar

引用次数: 0

Postanoxia-Induced Chorea Treated with Intravenous Fentanyl. 静脉注射芬太尼治疗脓毒性舞蹈病。

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Case Reports in Neurological Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/7652013

Ashley Audi, Brittany Cunningham, Christopher Newey

引用次数: 0

Isolated Neurosarcoidosis Presenting as Chronic Progressive Pachymeningitis. 孤立性神经结节病表现为慢性进行性厚性脑膜炎。

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Case Reports in Neurological Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/2140740

Joshua Abata, Danielle Bazer, Nicholas Koroneos, Olga Syritsyna

{"title":"Isolated Neurosarcoidosis Presenting as Chronic Progressive Pachymeningitis.","authors":"Joshua Abata, Danielle Bazer, Nicholas Koroneos, Olga Syritsyna","doi":"10.1155/2023/2140740","DOIUrl":"https://doi.org/10.1155/2023/2140740","url":null,"abstract":"Neurologic manifestations of sarcoidosis are rare, and even rarer still are cases of isolated neurosarcoidosis. The clinical presentation of isolated neurosarcoidosis can be highly variable, and diagnosis is particularly challenging, the gold standard being tissue biopsy. We describe a patient with a history of atypical parkinsonian syndrome and chronic right frontal lobe infarct who developed weakness, imbalance, and gait disequilibrium in 2008, with magnetic resonance imaging at that time showing leptomeningeal and nodular enhancements in the bilateral frontal and parietal lobes. The patient had an extensive negative workup in 2010 but ultimately did not receive a definitive diagnosis with a tissue biopsy until 2020. The patient also notably failed a 3-month course of steroids after his biopsy due to a lack of symptomatic improvement. This case highlights the clinical variability and diagnostic difficulties of isolated neurosarcoidosis. We also highlight that our patient did not have any symptomatic improvement on steroids, which do typically provide some relief for patients.","PeriodicalId":9615,"journal":{"name":"Case Reports in Neurological Medicine","volume":"2023 ","pages":"2140740"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10019966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9143593","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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Encephalo-Arterio-Synangiosis with Cranioplasty after Treatment of Acute Subdural Hematoma Associated with Subcortical Hemorrhage Due to Unilateral Moyamoya Disease. 单侧烟雾病所致急性硬膜下血肿合并皮质下出血后脑动脉血管合并颅成形术治疗。

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Case Reports in Neurological Medicine Pub Date : 2023-01-01 DOI: 10.1155/2023/1787738

Naoki Kato, Shota Kakizaki, Yusuke Hirokawa, Shotaro Michishita, Takuya Ishii, Tohru Terao, Yuichi Murayama

{"title":"Encephalo-Arterio-Synangiosis with Cranioplasty after Treatment of Acute Subdural Hematoma Associated with Subcortical Hemorrhage Due to Unilateral Moyamoya Disease.","authors":"Naoki Kato, Shota Kakizaki, Yusuke Hirokawa, Shotaro Michishita, Takuya Ishii, Tohru Terao, Yuichi Murayama","doi":"10.1155/2023/1787738","DOIUrl":"https://doi.org/10.1155/2023/1787738","url":null,"abstract":"Moyamoya disease is often diagnosed after intracranial hemorrhage in adult patients. Here, we report a case of unilateral moyamoya disease treated with indirect revascularization combined with cranioplasty after treatment for acute subdural hematoma and subcortical hemorrhage. A middle-aged woman with disturbed consciousness was transferred to our hospital. Computed tomography (CT) revealed an acute subdural hematoma with left temporoparietal subcortical hemorrhage. Three-dimensional CT angiography indicated a scarcely enhanced left middle cerebral artery (MCA) that was suspected to be delayed or nonfilling due to increased intracranial pressure. Subsequently, hematoma evacuation and external decompression were performed. Postoperative digital subtraction angiography (DSA) revealed stenosis of the left MCA and moyamoya vessels, indicating unilateral moyamoya disease. Forty-five days after the initial procedure, we performed encephalo-arterio-synangiosis (EAS) using the superficial temporal artery simultaneously with cranioplasty for the skull defect. The modified Rankin Scale score of the patient one year after discharge was 1, and the repeat DSA showed good patency of the EAS. Revascularization using EAS in the second step can be an option for revascularization for hemorrhagic moyamoya disease if the patient required cranioplasty for postoperative skull defect after decompressive craniotomy.","PeriodicalId":9615,"journal":{"name":"Case Reports in Neurological Medicine","volume":"2023 ","pages":"1787738"},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9873458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10625123","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