OpenMed/multicare-articles huggingface dataset:
Magnetic Resonance Spectroscopy May Help Diagnose Sporadic Meningioangiomatosis Associated With Meningioma: A Case Report
Authors: Linfeng Liu, Feng Liang
Journal: Front Neurol (2022)
Keywords: case report, magnetic resonance spectroscopy, meningioangiomatosis, meningioangiomatosis associated with meningioma, meningioma
MeSH terms: Case Reports

Herein, we have presented the clinical features of meningioangiomatosis associated with meningioma, which is considered to be a rare neoplastic lesion. Magnetic resonance spectroscopy (MRS) demonstrated a remarkably decreased N-acetylaspartate peak and an increase in the choline peak of the lesion, suggesting neuronal injury and active cell proliferation. These findings substantially differed from those observed in the case of pure meningioangiomatosis.
Splenic Hematoma as a Rare Complication of Colonoscopy; a Case Report
Authors: Maddalena Zippi, Roberta Pica, Ingrid Febbraro, Francesco Rocco Pugliese, Francesca Liguori
Journal: Arch Acad Emerg Med (2020)
Keywords: colonoscopy, computed tomography, hematoma, spleen, splenic rupture
MeSH terms: Case Reports

Splenic injuries after colonoscopy are an uncommon complication, which can lead to potentially unfortunate outcomes. Their management depends on the type of the splenic damage (hematomas, lacerations, rupture). We describe the case of a woman who visited the Emergency Department due to abdominal pain and pre-syncopal condition, which had occurred 12 hours after she underwent a colonoscopy. An abdominal computed tomography scan showed a splenic hematoma and a hemoperitoneum. An emergency splenectomy was performed successfully. Emergency physicians, who are at the forefront of diagnosing and treating patients, should consider this post-endoscopic complication in order to implement a prompt treatment.
A case study of blast eye injury at work place
Authors: Prabhakar Srinivasapuram Krishnacharya
Journal: Burns Trauma (2013)
Keywords: corneal laceration, intra ocular foreign body, penetrating keratoplasty, scleral fixated intraocular lens
MeSH terms: Case Reports

This case report aims at investigating whether two consecutive surgical settings would be beneficial in achieving postoperative success for the patient with blast eye injury. A 45-year-old male patient admitted on 17(th) October 2011 with history of blast eye injury. Right eye examination revealed central corneal laceration with incarceration of lens matter, multiple foreign bodies also seen embedded in the eyelid margins and in the left cornea. Computed ocular tomography showed a retained intraocular foreign body (IOFB) in the right eye. Simultaneous corneal laceration repair and extraction of the ruptured lens performed as primary procedure under general anesthesia. Intraoperative posterior capsule loss was noticed with vitreous presentation. Anterior vitrectomy with removal of the IOFB was done. Foreign bodies were also removed from the left cornea. Penetrating keratoplasty (PK) with scleral fixated intraocular lens implantation executed 4 months later as secondary procedure. Visual acuity maintained at 6/24 in 2 years follow-up. In conclusion, two consecutive surgical settings has the advantage of calculating the intra ocular lens power.
Case report and literature review: fatal cerebral fat embolism following facial autologous fat graft
Authors: Yawen Cheng, Gezhi Yan, Chenyang Li, Xiangning Han, Jing Shang, Suhang Shang, Jianfeng Han, Guogang Luo, Fude Liu
Journal: Front Neurol (2023)
Keywords: autologous fat graft, facial injection, fat embolism, infarction, massive cerebral
MeSH terms: Case Reports

Background:
Severe cerebral artery embolism is a rare complication of facial autologous fat injection. However, its incidence has markedly increased with the recent rise in facial cosmetic procedures.
Case presentation:
We report a 31-year-old Chinese woman who presented with unconsciousness 6 h after having undergone a facial autologous fat injection. A neurological examination revealed stupor, bilaterally diminished pupillary light reflexes, right-sided central facial palsy, and no reaction to pain stimulation of right limbs. Diffusion-weighted imaging displayed patchy hyperintense lesions in the left frontal, parietal, and temporal lobes. Magnetic resonance angiography demonstrated fat embolism in the left internal carotid artery, anterior cerebral artery, and middle cerebral artery. We immediately performed mechanical thrombectomy under sufficient preoperative preparations but failed to achieve complete recanalization. Pathological examination of the embolus confirmed the presence of adipocytes. Although we actively administered symptomatic and supportive treatments, the patient eventually died due to the progression of cerebral herniation and systemic infection.
Conclusion:
Due to the ineffectiveness of current treatment and the inferior prognosis, fat embolism, a severe complication of autologous fat graft, should draw the attention of both plastic surgeons and neurologists so that actions may be taken for both its prevention and treatment.
Fetus in fetu: a case report
Authors: Nisreen M Khalifa, Doaa W Maximous, Alaa A Abd-Elsayed
Journal: J Med Case Rep (2008)

Introduction:
Fetus in fetu is a rare abnormality secondary to the abnormal embryogenesis in a diamniotic, monochorionic pregnancy. It is a rare pathological condition and fewer than 100 cases have been reported in the literature.
Case presentation:
A 2 month old girl with an abdominal mass since birth, was referred to the Cancer Institute with a suspected diagnosis of a Wilms' tumor. Conventional radiograph of the abdomen revealed a mass containing numerous calcifications. CT scan showed a heterogeneous retroperitoneal mass containing well-defined calcified structures. The decision was made to recommend surgical exploration and the mass was successfully excised. Physical examination of the mass with review of literature confirmed the diagnosis of fetus in fetu.
Conclusion:
Although it is a rare condition imaging may play an important role in the correct prospective diagnosis of fetus in fetu. Surgical excision is the recommended treatment.
Prenatal Diagnosis of a Segmental Small Bowel Volvulus with Threatened Premature Labor
Authors: Barbara Monard, Nicolas Mottet, Rajeev Ramanah, Didier Riethmuller
Journal: Case Rep Obstet Gynecol (2017)
MeSH terms: Case Reports

Fetal primary small bowel volvulus is extremely rare but represents a serious life-threatening condition needing emergency neonatal surgical management to avoid severe digestive consequences. We report a case of primary small bowel volvulus with meconium peritonitis prenatally diagnosed at 27 weeks and 4 days of gestation during threatened premature labor with reduced fetal movements. Ultrasound showed a small bowel mildly dilated with thickened and hyperechogenic intestinal wall, with a typical whirlpool configuration. Normal fetal development allowed continuation of pregnancy with ultrasound follow-up. Induction of labor was decided at 37 weeks and 2 days of gestation because of a significant aggravation of intestinal dilatation appearing more extensive with peritoneal calcifications leading to the suspicion of meconium peritonitis, associated with reduced fetal movements and reduced fetal heart rate variability, for neonatal surgical management with a good outcome.
Subcutaneous and lung metastases from chondrosarcoma of the thumb
Authors: R K Lalam, V N Cassar-Pullicino, N Kumar, W P Cool, G L Cribb, D C Mangham
Journal: BJR Case Rep (2015)
MeSH terms: Case Reports

We present a rare case of metacarpal chondrosarcoma with cutaneous metastases in the ipsilateral upper arm. Chondrosarcomas of the small bones of the hand rarely metastasise unlike chondrosarcomas elsewhere in the body. Excision/ray amputation rather than curettage may be preferable in the treatment of high-grade chondrosarcomas in the hand.
Asymptomatic Tumor Thrombus in the Left Atrium from Squamous Cell Carcinoma
Authors: Nick Huang, Christina DiCorato, Basel Abuzuaiter, Adriana May, Swati P Deshmane, Debanik Chaudhuri, Stephen Graziano, Harvir Singh Gambhir
Journal: Case Rep Med (2021)
MeSH terms: Case Reports

A 67-year-old female patient presented asymptomatically for further evaluation of a chest mass. Other than significant smoking history, the patient had been healthy with a recently treated case of uncomplicated pneumonia. The mass originated in the aortopulmonary window of the left mediastinum and invaded proximally into the left superior pulmonary vein and subsequently into the left atrium. The mass protrusion into the mitral valve occupied 50% of the left atrium space but showed no clinical symptoms of a valvular blockade. Poorly differentiated squamous cell carcinoma was identified upon biopsy. These findings of a primary lung tumor with atrial extension in an asymptomatic patient point to the importance of age-appropriate screening and standardization treatment modalities.
Bilateral Lung Artery Embolization Mimicking an Acute Myocardial Infarction
Authors: Maria Paparoupa, Razaz Aldemyati, Myrto Theodorakopoulou
Journal: Case Rep Med (2021)
MeSH terms: Case Reports

Electrocardiographic abnormalities in patients with massive pulmonary embolism are common and unspecific. An 80-year-old woman was admitted to our department with severe respiratory insufficiency and hemodynamic instability. Abnormal high-sensitivity cardiac troponin I and ST-segmental elevation in II, III, aVF, and V3-V6 were present on admission. Segmental motion abnormalities of the left ventricular wall were not detectable in echocardiography. Instead, the presence of a right ventricular strain raised the suspicion of a lung artery embolization. The diagnosis was confirmed by a computed tomography of the chest, and a thrombolytic therapy with 100 mg recombinant tissue plasminogen activator (rt-PA) was administered. Though respiratory and hemodynamic stability were established, electromechanical disassociation suddenly occurred 30 hours later and the patient died. Electrocardiographic changes mimicking a myocardial infarction may occur after a massive pulmonary embolism and constitute a diagnostic challenge for clinicians being active in the field of emergency medicine and intensive care.
Erdheim-Chester disease: a rare histiocytosis (case report and review of the literature)
Authors: Mahtat El Mehdi, Safae Regragui, Hicham Eddou, Selim Jennane, Hicham El Maaroufi, Kamal Doghmi, Mohamed Mikdame
Journal: Pan Afr Med J (2018)
MeSH terms: Erdheim-Chester Disease / diagnosis, Polydipsia / etiology, Polyuria / etiology, Case Reports, Review, Adult, Erdheim-Chester Disease / drug therapy, Female, Humans, Immunologic Factors / therapeutic use, Interferon-alpha / therapeutic use, Treatment Outcome, Immunologic Factors, Interferon-alpha

We report a case of Erdheim-chester disease, a rare non-langerhans histiocytosis revealed by polydipsia-polyuria syndrome in a 26 years old woman, trated by interferon with a good response.
Case Report: Isolated, unilateral oculomotor palsy with anti-GQ1b antibody following COVID-19 vaccination
Authors: Takafumi Kubota, Takafumi Hasegawa, Kensuke Ikeda, Masashi Aoki
Journal: F1000Res (2021)
Keywords: covid-19, ivig, miller fisher syndrome, anit-gq1b antibody, ganglioside, oculomotor nerve palsy, vaccination
MeSH terms: COVID-19 / complications, Miller Fisher Syndrome / diagnosis, Miller Fisher Syndrome / etiology, Case Reports, Aged, BNT162 Vaccine, COVID-19 Vaccines / adverse effects, Humans, Immunoglobulins, Intravenous / therapeutic use, Male, Paralysis / complications, Paralysis / drug therapy, Vaccination, Vaccines, Synthetic, mRNA Vaccines, COVID-19 Vaccines, Immunoglobulins, Intravenous, Vaccines, Synthetic, mRNA Vaccine, mRNA Vaccines, BNT162 Vaccine

Neurological complications following vaccinations are extremely rare, but cannot be eliminated. Here, we report the first case of unilateral oculomotor nerve palsy (ONP) with anti-GQ1b antibody after receiving the Pfizer-BioNTech COVID-19 (BNT162b2) mRNA vaccine. A 65-year-old man developed diplopia and ptosis in the right eye 17 days after vaccination, without preceding infection. Neurological examination revealed mild blepharoptosis, limitation of adduction, and vertical gaze on the right side. Increased levels of anti-GQ1b ganglioside antibody in the serum and albuminocytologic dissociation in the cerebrospinal fluid were detected. Cranial magnetic resonance imaging showed swelling and enhancement of the right oculomotor nerve. The patient was diagnosed with right ONP accompanied with anti-GQ1b antibody, and intravenous immunoglobulin (IVIG) therapy for 5 days was administered. The limitation of adduction and vertical gaze improved, and ptosis markedly resolved after IVIG treatment. Given the temporal sequence of disease progression, laboratory findings, and a favorable response to IVIG, a causal relationship cannot be ruled out between the occurrence of ONP and COVID-19 immunization. Since immunomodulatory treatments significantly hasten the recovery and minimize the residual symptoms in anti-GQ1b antibody syndrome, clinicians should be aware of this clinical condition following COVID-19 vaccination.
Case report: Post-traumatic Tourette syndrome resolving with treatment of jugular venous narrowing; reconciling organic brain dysfunction following whiplash trauma with the absence of direct brain injury
Authors: J Nicholas P Higgins, Stephen Kirker
Journal: Front Neurol (2023)
Keywords: tourette syndrome, cerebrospinal fluid leak, functional neurological disorder, jugular vein stenosis, whiplash injury
MeSH terms: Case Reports

We describe a man aged 33 years who developed multiple symptoms, personality change, and a severe tic disorder following a road traffic accident, which were undiminished for 3 years until jugular venous narrowing between the styloid process of the skull and the transverse process of the C1 vertebra was treated by surgical decompression. Immediately following surgery, his abnormal movements almost completely resolved, with no regression in 5 years of follow-up. Vigorously debated at the time was whether or not his condition represented a functional disorder. Unrecognized throughout his illness, however, was a complaint of intermittent, profuse discharge of clear fluid from his nose that began on the day of the accident and continued up to the time of surgery, after which it was substantially reduced. This outcome reinforces the idea that jugular venous narrowing can cause or perpetuate a cerebrospinal fluid leak. It suggests that the interaction between these two pathological defects may have a profound effect on brain function in the absence of any demonstrable brain lesion. It invites a reevaluation of normal head and neck venous anatomy. It should strike a cautionary note in the diagnosis of functional illness. It invites exploration of a remediable structural cause for Tourette syndrome.
Acute myocardial infarction following penetrating thoracic trauma: A case report and review of literature
Authors: Sidra B Bhuller, Sulman R Hasan, John Weaver, Mark Lieser
Journal: Int J Surg Case Rep (2019)
Keywords: acute myocardial infarction, penetrating thoracic trauma, penetrating trauma, st elevation myocardial infarction

Introduction:
Acute myocardial infarction (AMI) as a result of penetrating thoracic trauma (PTT) is rare; however, there have been a few reports of AMI from gunshot wounds.
Presentation of case:
A patient without a history of coronary artery disease (CAD) presented with stab wounds to the left chest and underwent a left anterior thoracotomy, left lung wedge resection, negative pericardial window, and negative exploratory laparotomy. Shortly after leaving the operating room (OR) in a stable condition, the patient experienced a STEMI. An acute thrombus in the proximal left anterior descending (LAD) artery was identified.
Discussion:
AMI as a result of trauma, both blunt and penetrating, is extremely rare. There have been more reports of AMI secondary to blunt trauma, but it is much less common to find reports in literature of AMI from PTT.
Conclusion:
AMI as a result of penetrating trauma is rare, but can occur secondary to an acute thrombus, even in the absence of a direct cardiac injury. MI should be a consideration in patients with penetrating trauma to the chest, regardless of the intensity of the trauma. At minimum, a 12-lead electrocardiogram (ECG) and a baseline troponin should be obtained at initial evaluation and post-operatively, if surgically managed. If ECG demonstrates findings concerning for MI, it should be followed with an echocardiogram and/or cardiac angiogram to further help guide management, with an early cardiology consultation.
Giant cell tumor of talus: a case report
Authors: Siddhartha Sharma, Iftikhar H Wani, Nital Gupta, Nirdosh Mahajan, Abdul Q Salaria
Journal: Cases J (2009)

Giant cell tumor of talus is a rare entity. In contrast to GCT of long bones, most cases occur in a younger age group and tend to be multicentric. The authors report a case of GCT in a 19 year old boy which had led to extensive destruction of the talus. In view of the extensive involvement, total talectomy along with tibio - calcaneal arthrodesis was performed. At 6 months of followup, the patient had a painless and well arthrodesed ankle. There was no evidence of recurrence at 18 months of followup.
Hand rehabilitation based on the RobHand exoskeleton in stroke patients: A case series study
Authors: Patricio Barria, Matías Riquelme, Hannah Reppich, Ana Cisnal, Juan-Carlos Fraile, Javier Pérez-Turiel, David Sierra, Rolando Aguilar, Asterio Andrade, Cristian Nuñez-Espinosa
Journal: Front Robot AI (2023)
Keywords: hand exoskeleton, manual function assessment, rehabilitation technology, stroke, user satisfaction

Introduction: The RobHand (Robot for Hand Rehabilitation) is a robotic neuromotor rehabilitation exoskeleton that assists in performing flexion and extension movements of the fingers. The present case study assesses changes in manual function and hand muscle strength of four selected stroke patients after completion of an established training program. In addition, safety and user satisfaction are also evaluated. Methods: The training program consisted of 16 sessions; two 60-minute training sessions per week for eight consecutive weeks. During each session, patients moved through six consecutive rehabilitation stages using the RobHand. Manual function assessments were applied before and after the training program and safety tests were carried out after each session. A user evaluation questionnaire was filled out after each patient completed the program. Results: The safety test showed the absence of significant adverse events, such as skin lesions or fatigue. An average score of 4 out of 5 was obtained on the Quebec User Evaluation of Satisfaction with Assistive Technology 2.0 Scale. Users were very satisfied with the weight, comfort, and quality of professional services. A Kruskal-Wallis test revealed that there were not statistically significant changes in the manual function tests between the beginning and the end of the training program. Discussion: It can be concluded that the RobHand is a safe rehabilitation technology and users were satisfied with the system. No statistically significant differences in manual function were found. This could be due to the high influence of the stroke stage on motor recovery since the study was performed with chronic patients. Hence, future studies should evaluate the rehabilitation effectiveness of the repetitive use of the RobHand exoskeleton on subacute patients. Clinical Trial Registration: https://clinicaltrials.gov/ct2/show/NCT05598892?id=NCT05598892&draw=2&rank=1, identifier NCT05598892.
Prosthodontic rehabilitation of the patient with severely worn dentition: a case report
Authors: Mahnaz Hatami, Mahmoud Sabouhi, Siamak Samanipoor, Hamid Badrian
Journal: Case Rep Dent (2012)

The management of tooth wear has been a subject of increasing interest from both preventive and restorative points of view. This paper describes the full mouth rehabilitation of a 63-year-old bruxer man with a severely worn dentition and other dental problems including unsuitable restorations and several missing teeth. The treatment entailed using cast posts and cores, metal-ceramic restorations, and a removable partial denture. As with the treatment procedure of such cases, equal-intensity centric occlusal contacts on all teeth and an anterior guidance in harmony with functional jaw movements were especially taken into account.
Case Report: A giant but silent adrenal pheochromocytoma - a rare entity
Authors: Sunil Munakomi, Saroj Rajbanshi, Prof Shailesh Adhikary
Journal: F1000Res (2016)
Keywords: giant, benign, pheochromocytoma, silent

Herein we report a rare entity of a giant adrenal pheochromocytoma in a fifty-year-old male presenting with a vague abdominal pain. A computerised tomogram of the abdomen revealed a well-defined left supraadrenal giant lesion with no evidence of invasion to surrounding structures.The patient underwent surgical excision without any untoward postoperative events. Histopathological study revealed a benign pheochromocytoma. This report highlights the importance of acknowledging the fact that sometimes a giant adrenal pheochromocytoma can present with paucity of clinical signs and symptoms.Thorough investigations and a multidisciplinary team approach may lead to a better outcome in these patients.
Ivabradine: A Potential Therapeutic for Children With Refractory SVT
Authors: Nour K Younis, Bernard Abi-Saleh, Farah Al Amin, Omar El Sedawi, Christelle Tayeh, Fadi Bitar, Mariam Arabi
Journal: Front Cardiovasc Med (2021)
Keywords: svt, ivabradine, pediatric patients, supraventicular tachycardia, tachyarhythmia

Background: In April 2015, ivabradine was approved by the Food and Drug Administration for the treatment of patients with coronary artery disease and heart failure (HF). The use of this medication has been linked with improved clinical outcomes and reduced rates of hospitalization in patients with symptomatic HF and a baseline heart rate of 70 bpm and above. Nonetheless, little is known about the use of ivabradine in pediatric patients with supraventricular tachycardia (SVT). This use is not well-studied and is only endorsed by a few case reports and case series. Aim: This study discusses the off-label utilization of ivabradine in pediatric patients with SVT, and highlights its efficacy in treating treatment-resistant (refractory) SVT. Methods: We conducted a retrospective single-center observational study involving pediatric patients with SVT treated at our center between January 2016 and October 2020. We identified the total number of patients with SVT, and the number of patients with refractory SVT treated with Ivabradine. Similarly, we performed a thorough review of the databases of PubMed, Medline and Google Scholar to compare the clinical course of our patients to those described in the literature. Results: Between January 2016 and October 2020, 79 pediatric patients with SVT were seen and treated at our center. A treatment-resistant SVT was noted only in three patients (4%). Ivabradine was used in these patients as a single or combined therapy. The rest (96%) were successfully treated with conventional anti-arrhythmics such as β-blockers, flecainide, and other approved medications. In the ivabradine group, successful reversal to sinus rhythm was achieved in two of the three patients (66%), one patient was treated with a combination therapy of amiodarone and ivabradine, and the other patient was treated only with ivabradine. Conclusion: Overall, promissory results are associated with the use of ivabradine in pediatric patients with refractory SVT. Ivabradine appears to be a safe and well-tolerated medication that can induce adequate suppression of SVT, complete reversal to sinus rhythm, and effective enhancement of left ventricular function.