OpenMed/multicare-articles huggingface dataset:
Hip joint osteochondroma: systematic review of the literature and report of three further cases
Authors: Asim M Makhdom, Fan Jiang, Reggie C Hamdy, Thierry E Benaroch, Martin Lavigne, Neil Saran
Journal: Adv Orthop (2014)
MeSH terms: Review

The aim of this study is to systematically review the literature with regards to surgical treatment of patients with hip joint osteochondromas, and to report our surgical management of three paediatric patients who had femoral neck or acetabular osteochondromas in association with acetabular dysplasia. We performed a systematic review using PubMed and Embase databases for all studies that reported surgical treatments for patients with peritrochanteric or acetabular osteochondroma with or without acetabular dysplasia. We also retrospectively reviewed three patients who were diagnosed with a hip osteochondroma in association with actetabular dysplasia. These patients were known to have hereditary multiple exostoses (HME). The systematic review revealed 21 studies that met our inclusion criteria. All studies were case reports and retrospective in nature and failed to conclude a uniform treatment plan. The three reported cases illustrate successful excision of hip osteochondromas and treatment of acetabular dysplasia. Early excision of hip osteochondromas might prevent acetabular dysplasia in HME patients. Routine radiographic pelvic survey at the time of diagnosis of HME is recommended for early detection of hip osteochondromas and acetabular dysplasia in these children.
An Unusual Case of Kidney Injury in a Young Woman with a Connective Tissue Disease
Authors: Roberto Rivera, Salvador Vila
Journal: Case Rep Nephrol (2022)
MeSH terms: Case Reports

A 32-year-old female was admitted to our institution with thrombocytopenia, fever, serositis, hepatosplenomegaly, diffuse lymphadenopathy, and renal insufficiency. A diagnosis of systemic lupus erythematosus was made. Due to recalcitrant thrombocytopenia, serositis, and renal insufficiency methylprednisolone was prescribed in high doses. In addition to proteinuria and hematuria, she was found to have uric acid crystals in her urinalysis. A serum uric acid was found elevated at 18 mg/dL. Rasburicase infusions were started. Within 5 days of commencing rasburicase and continuing high-dose methylprednisolone, her serum creatinine normalized and proteinuria resolved. The microhematuria disappeared within 2 weeks of beginning rasburicase. The rapid reversal of renal insufficiency and all urinary abnormalities after the start of rasburicase infusions suggests that the renal injury was most likely due to uric acid-mediated renal injury and not lupus nephritis. Our case illustrates the co-occurrence of 2 distinct clinical entities, one common for the patient's age, sex, and foremost clinical findings, while the other uncommon and unexpected, but both associated to kidney injury. Clinicians must be aware that careful evaluation of symptoms and laboratory tests is needed to make a thorough differential diagnosis and provide the right treatment at the most opportune moment.
Eosinophilic Angiocentric Fibrosis as a Stenosing Lesion in the Subglottis
Authors: Ivan Keogh, Rohana O'Connell, Sean Hynes, John Lang
Journal: Case Rep Otolaryngol (2017)
MeSH terms: Case Reports

Subglottic Eosinophilic Angiocentric Fibrosis (EAF) is an extremely rare disease of an elusive aetiology. It is chronically progressive benign condition that causes narrowing of the subglottic region leading to dysphonia and airway compromise. The diagnosis is historical and imaging is nonspecific. We report a case xc of 56-year-old lady referred to our institution with globus sensation, hoarseness, and mild stridor. Incidental subglottic mass was found at time of diagnostic microlaryngoscopy and biopsy confirmed subglottic EAF. All laboratory investigations were unremarkable. Lesion was removed with laryngeal microdebrider and three courses of intravenous dexamethasone were administered. Patient's postoperative period was uneventful and had remained disease free for 1 year. To date, no consensus has been reached on the optimal treatment of subglottic EAF. We recommend regular follow-up to detect early recurrence.
Medical treatment for burn patients with eating disorders: a case report
Authors: Minekatsu Akimoto, Akira Takeda, Kazutaka Nagashima, Rie Uehara, Mitsuru Nemoto, Eiju Uchinuma
Journal: Plast Surg Int (2011)
MeSH terms: Case Reports

There have been many cases of burn patients who also suffer from psychiatric problems, including eating disorders. We present a case of a 38-year-old female with an eating disorder and depression who became light-headed and fell, spilling boiling water from a kettle on herself at home sustaining partial thickness and full thickness burns over 5% of her total body surface area: left buttock and right thigh and calf. Eating disorders (in the present case, anorexia nervosa) cause emaciation and malnutrition, and consent for hospitalization from the patient and/or family is often difficult. During the medical treatment of burns for these patients, consideration not only of physical symptoms caused by malnutrition but also the psychiatric issues is required. Therefore, multifaceted and complex care must be given to burn patients with eating disorders.
Solitary fibrous tumour presenting with a single bone metastasis: report of six cases and literature review
Authors: Vittoria Colia, Salvatore Provenzano, Carlo Morosi, Paola Collini, Salvatore Lorenzo Renne, Paolo G Dagrada, Claudia Sangalli, Angelo Paolo Dei Tos, Andrea Marrari, Paolo G Casali, Silvia Stacchiotti
Journal: Clin Sarcoma Res (2016)
Keywords: bone, hemangiopericytoma, metastasis, prognosis, sarcoma, solitary fibrous tumour
MeSH terms: Case Reports

Background:
Solitary fibrous tumour (SFT) is a rare soft tissue sarcoma with a low metastatic potential. A higher metastatic rate is observed in the high-grade/dedifferentiated variant. The most common expected site of distant spread are the lungs and the liver. Bone involvement is generally viewed as a late stage of disease spread. We report on a retrospective series of SFT patients relapsing with a single distant bone recurrence as first metastatic event, without evidence of other organ involvement.
Case presentation:
All patients affected by a single distant bone metastasis from SFT as first distant event, without any evidence of other site of metastasis, observed at our Institution, were considered. Bone involvement from SFT was pathologically assessed in all cases and confirmed by expert pathologists. A total of six patients were retrospectively identified. Primary tumour arose from the meninges in four patients, from soft tissues in two. Bone metastases were located to the vertebrae, the hip, the acetabulum and the rib. In all cases, bone relapse was the first event, with one patient presenting a local relapse. Median time from the primary tumour and the evidence of bone relapse was 40 months (range 0-58). In 2/6 patients bone metastasis was treated with radiotherapy (RT), in 2/6 with surgery, in 2/6 with surgery plus RT. At a median follow-up of 55 months (range 23-88), 5/6 patients are alive (2/5 without disease, 3/5 with multicentric metastatic disease) and one is dead of disease. 2/6 patients did not relapse after the treatment of the bone metastasis.
Conclusions:
This small series in a relatively rare histology suggests that isolated, possibly late, bone metastases are a plausible scenario, in particular in meningeal SFT. Notably, new bone lesions in a patient with a history of SFT should be always investigated. Exclusive local treatments may be an option, though collection of such series would be needed to define the best treatment strategy.
Inverted temporal internal limiting membrane flap technique for chronic large traumatic macular hole
Authors: Archana Kumari, Lalit Agarwal, Nisha Agrawal, Sabin Sahu, Indranath Prasad, Deepti Pradhan
Journal: GMS Ophthalmol Cases (2020)
Keywords: chronic large traumatic macular hole, inverted temporal internal limiting membrane flap technique, traumatic macular hole
MeSH terms: Case Reports

Various modifications of surgical techniques and surgical adjuncts are adopted with standard pars plana vitrectomy (PPV) to improve the outcome of traumatic macular hole (TMH) surgeries. We describe a successful closure of a chronic large TMH of three years duration with inverted temporal internal limiting membrane (ILM) flap technique. A 36-year-old male patient had an optical coherence tomography (OCT) documented chronic macular hole (MH) for three years following blunt trauma. Fundus examination also showed choroidal rupture scar temporal to fovea. The minimum MH diameter was 769 µ and the basal diameter 1431 µ in OCT. Standard PPV with inverted temporal ILM flap and gas tamponade was done. The postoperative period was uneventful. The best corrected visual acuity improved from 6/60 preoperatively to 6/18 six months postoperatively, and OCT showed a closed MH with anatomical type 1 closure. This case highlights that the inverted temporal ILM flap technique is a safe and effective technique for patients with even chronic and large TMH.
A case of secondary syphilis manifesting as a pulmonary pseudo-tumour with nephrotic syndrome
Authors: C B I Coccia, E Makambwa, C N Jackson, D R Chetty, Q Said-Hartley, G Symons
Journal: Afr J Thorac Crit Care Med (2021)
Keywords: nephrotic syndrome, pulmonary syphilis, syphilis
MeSH terms: Case Reports

The global incidence of primary and secondary syphilis is increasing in high-risk groups. However, pulmonary syphilis remains exceedingly rare with less than 30 cases recorded since 1967. Of these cases, none have recorded the presence of both pulmonary and renal involvement with nephrotic syndrome. Diagnosis of pulmonary syphilis remains a challenge, and there is no consensus on treatment. We report a case of a 46-year-old male with secondary pulmonary syphilis and concomitant nephrotic syndrome.
Eye movements and verbal report in a single case of visual neglect
Authors: Valerie Benson, Magdalena Ietswaart, David Milner
Journal: PLoS One (2012)
MeSH terms: Attention / physiology, Eye Movements / physiology, Perceptual Disorders / physiopathology, Visual Perception / physiology, Case Reports, Research Support, Non-U.S. Gov't, Functional Laterality / physiology, Humans, Intracranial Hemorrhages / complications, Intracranial Hemorrhages / physiopathology, Male, Perceptual Disorders / etiology, Stroke / complications, Stroke / physiopathology

In this single case study, visuospatial neglect patient P1 demonstrated a dissociation between an intact ability to make appropriate reflexive eye movements to targets in the neglected field with latencies of <400 ms, while failing to report targets presented at such durations in a separate verbal detection task. In contrast, there was a failure to evoke the usually robust Remote Distractor Effect in P1, even though distractors in the neglected field were presented at above threshold durations. Together those data indicate that the tight coupling that is normally shown between attention and eye movements appears to be disrupted for low-level orienting in P1. A comparable disruption was also found for high-level cognitive processing tasks, namely reading and scene scanning. The findings are discussed in relation to sampling, attention and awareness in neglect.
Short-term spinal cord stimulation in treating disorders of consciousness monitored by resting-state fMRI and qEEG: The first case report
Authors: Yi Yang, Qiheng He, Jianghong He
Journal: Front Neurol (2022)
Keywords: eeg, disorders of consciousness, fmri, spinal cord stimulation, treatment
MeSH terms: Case Reports

Disorders of consciousness (DOC) are one of the most frequent complications in patients after severe brain injury, mainly caused by trauma, stroke, and anoxia. With the development of neuromodulation techniques, novel therapies including deep brain stimulation (DBS) and spinal cord stimulation (SCS) have been employed to treat DOC. Here, we report the case of a DOC patient receiving short-term SCS (st-SCS) treatment and showing improvement monitored by resting-state fMRI (rs-fMRI) and quantitative EEG (qEEG). A 35-year-old male with severe traumatic brain injury remained comatose for 3 months. The patient was evaluated using JFK coma recovery scale-revised (CRS-R) and showed no improvement within 1 month. He received st-SCS surgery 93 days after the injury and the stimulation was applied the day after surgery. He regained communication according to instructions on day 21 after surgery and improved from a vegetative state/unwakefulness syndrome to an emergence from a minimally conscious state. To our knowledge, this report is the first published case of st-SCS in a patient with DOC. These results shed light that st-SCS may be effective in treating certain patients with DOC, which may reduce patients' suffering during treatment and lessen financial burden.
Effects of Four-Week Kayak Training on Three-Dimensional Paddling Kinetics, Body Kinematics, and Electromyography Activity in a Novice Paddler: A Case Study
Authors: Ryuta Kinugasa, Shimpei Kubo, Keiko Endo
Journal: Front Sports Act Living (2021)
Keywords: average impulse, beginner, biomechanics, kayak ergometer, paddling, surfski
MeSH terms: Case Reports

From a biomechanical viewpoint, no longitudinal quantitative studies have been conducted on inexperienced paddlers. The present study aimed to investigate changes in three-dimensional paddling kinetics and kinematics, whole-body kinematics, and muscle activity with four-week on-water kayak training in a novice paddler. The participant practiced kayak paddling on river for four weeks. Before and after training, paddling kinetics and kinematics, body kinematics, and electromyography (EMG) activity were measured using a kayak ergometer. After the four-week training, the time required for on-water paddling for 270 m was reduced by 7.3% from pre to post training, while the average impulse in the x-direction significantly (P < 0.001, partial eta squared [η2] = 0.82) increased from 71.9 ± 1.9 to 91.1 ± 5.4 N kg-1 s-1. Furthermore, with training, the stroke rate and stroke length in the x-direction significantly (P < 0.001, partial η2 = 0.80 and 0.79, respectively) increased from 62.8 ± 1.2 to 81.0 ± 2.9 spm and from 1.53 ± 0.04 to 1.71 ± 0.02 m, respectively. After training, the transition time significantly (P < 0.001, partial η2 = 0.32) decreased (from 0.04 ± 0.01 to 0.01 ± 0.01 s), and there was an increase in paddle catch position (from -0.88 ± 0.01 to -1.04 ± 0.03 m). The pull time was not significantly changed (P = 0.077, partial η2 = 0.08) because of the increasing stroke length after training, meaning that substantial pull time, which defined as pull time relative to the stroke displacement, was shorter in post-training than in pre-training. The relative change in average impulse in the x-direction with training was significantly (r = 0.857, P = 0.014) correlated with that of vastus lateralis EMG. These results indicated that after four-week kayak training of the novice paddler, the key mechanism underlying time reduction to perform on-water paddling for 270 m was associated with (1) increased average impulse along the propulsive direction caused by an increase in vastus lateralis EMG and (2) a higher stroke rate, which was attributed to a reduction in the pull and transition times.
Metacognitive Therapy for Social Anxiety Disorder: An A-B Replication Series Across Social Anxiety Subtypes
Authors: Henrik Nordahl, Adrian Wells
Journal: Front Psychol (2018)
Keywords: case-series, metacognition, metacognitive therapy, social anxiety disorder, social phobia

Cognitive behavioural therapy (CBT) is the treatment of choice for Social anxiety disorder (SAD). However, factors additional to those emphasised in CBT are the primary cause of psychological disorder according to the metacognitive model. Metacognitive Therapy (MCT) aims to target a perseverative thinking style named the cognitive attentional syndrome and its underlying metacognitive beliefs (beliefs about cognition). The present study aimed to explore the effects of generic MCT for SAD. Treatment related effects were evaluated using direct replication single case (A-B) methodology across three patients with different subtypes of SAD; performance type, generalised and generalised plus avoidant personality disorder, representing increasing SAD severity/complexity. All patients responded during treatment and achieved substantial symptom reductions which were largely maintained at 6 months' follow-up. Metacognitive therapy appears to be a suitable treatment and was associated with positive outcomes for patients with different presentations of SAD.
Duodenal perforation: an unusual complication of sickle cell anemia
Authors: Can Acıpayam, Güliz Aldıç, Bülent Akçora, Mehmet Emin Çelikkaya, Hasan Aşkar, Bayram Ali Dorum
Journal: Pan Afr Med J (2014)
Keywords: sickle cell anemia, abdominal pain, duodenal perforation
MeSH terms: Anemia, Sickle Cell / complications, Duodenal Diseases / etiology, Intestinal Perforation / etiology, Case Reports, Adolescent, Duodenal Diseases / diagnosis, Duodenal Diseases / surgery, Humans, Intestinal Perforation / diagnosis, Intestinal Perforation / surgery, Male

Duodenal perforation in childhood is a rare condition with a high mortality rate if not treated surgically. Primary gastroduodenal perforation is frequently associated with peptic ulcer and exhibits a positive family history. Helicobacter pylorus is the most significant agent. Secondary gastroduodenal perforation may be a finding of specific diseases, such as Crohn disease, or more rarely may be associated with diseases such as cystic fibrosis or sickle cell anemia. A 14-year-old boy presented with abdominal and back pain. The patient was operated on for acute abdomen and diagnosed with duodenal perforation. Helicobacter pylorus was negative. There was no risk factor to account for duodenal perforation other than sickle cell anemia. Surgical intervention was successful and without significant sequelae. Duodenal perforation is a rare entity described in patients with sickle cell anemia. To our knowledge, this is the first report of duodenal perforation in a patient sickle cell anemia.
Prostatic utricle cyst: a clinical dilemma
Authors: Vinod Priyadarshi, Jitendra Pratap Singh, Shwetank Mishra, Mukesh Kumar Vijay, Dilip Kumar Pal, Anup Kumar Kundu
Journal: APSP J Case Rep (2013)
Keywords: prostatic utricle, stricture, urethra
MeSH terms: Case Reports

Prostatic utricle cyst is a rare midline cystic lesion between the urinary bladder and the rectum, commonly associated with hypospadias. Along with its rarity, it presents a challenge in its diagnosis and proper management. We report a case of large prostatic utricle cyst that was managed conservatively.
Case report: Refractory cardiac arrest supported with veno-arterial-venous extracorporeal membrane oxygenation and left-ventricular Impella CP®-Physiological insights and pitfalls of ECMELLA
Authors: Tharusan Thevathasan, Lisa Füreder, Dirk W Donker, Christoph Nix, Thomas H Wurster, Wulf Knie, Georg Girke, Abdulla S Al Harbi, Ulf Landmesser, Carsten Skurk
Journal: Front Cardiovasc Med (2022)
Keywords: ecmella, impella®, acute coronary syndrome, cardiac arrest, extracorporeal cardiopulmonary resuscitation, extracorporeal membrane oxygenation, unloading
MeSH terms: Case Reports

Introduction:
To the best of our knowledge, this is the first case report which provides insights into patient-specific hemodynamics during veno-arterio-venous-extracorporeal membrane oxygenation (VAV ECMO) combined with a left-ventricular (LV) Impella® micro-axial pump for therapy-refractory cardiac arrest due to acute myocardial infarction, complicated by acute lung injury (ALI).
Patient presentation:
A 54-year-old male patient presented with ST-segment elevation acute coronary syndrome complicated by out-of-hospital cardiac arrest with ventricular fibrillation upon arrival of the emergency medical service. As cardiac arrest was refractory to advanced cardiac life support, the patient was transferred to the Cardiac Arrest Center for immediate initiation of extracorporeal cardiopulmonary resuscitation (ECPR) with peripheral VA ECMO and emergency percutaneous coronary intervention using drug eluting stents in the right coronary artery. Due to LV distension and persistent asystole after coronary revascularization, an Impella® pump was inserted for LV unloading and additional hemodynamic support (i.e., "ECMELLA"). Despite successful unloading by ECMELLA, post-cardiac arrest treatment was further complicated by sudden differential hypoxemia of the upper body. This so called "Harlequin phenomenon" was explained by a new onset of ALI, necessitating escalation of VA ECMO to VAV ECMO, while maintaining Impella® support. Comprehensive monitoring as derived from the Impella® console allowed to illustrate patient-specific hemodynamics of cardiac unloading. Ultimately, the patient recovered and was discharged from the hospital 28 days after admission. 12 months after the index event the patient was enrolled in the ECPR Outpatient Care Program which revealed good recovery of neurologic functions while physical exercise capacities were impaired.
Conclusion:
A combined mechanical circulatory support strategy may successfully be deployed in complex cases of severe cardio-circulatory and respiratory failure as occasionally encountered in clinical practice. While appreciating potential clinical benefits, it seems of utmost importance to closely monitor the physiological effects and related complications of such a multimodal approach to reach the most favorable outcome as illustrated in this case.