OpenMed/multicare-articles huggingface dataset:
Laparoscopic repair of postoperative perineal hernia
Authors: Stephen Ryan, Dara O Kavanagh, Paul C Neary
Journal: Case Rep Med (2010)
MeSH terms: Case Reports

Perineal hernias are infrequent complications following abdominoperineal operations. Various approaches have been described for repair of perineal hernias including open transabdominal, transperineal or combined abdominoperineal repairs. The use of laparoscopic transabdominal repair of perineal hernias is not well-described. We present a case report demonstrating the benefits of laparoscopic repair of perineal hernia following previous laparoscopic abdominoperineal resection (APR) using a nonabsorbable mesh to repair the defect. We have demonstrated that the use of laparoscopy with repair of the pelvic floor defect using a non absorbable synthetic mesh offers an excellent alternative with many potential advantages over open transabdominal and transperineal repairs.
A rare case of nephrotic syndrome revealing mycosis fungoide managed successfully with chemotherapy
Authors: Mouna Kairouani, Sakina Sekkate, Nabil Ismaili, Halima Abahssain, Hassan Errihani
Journal: Pan Afr Med J (2012)
Keywords: nephrotic syndrome, chemotherapy, multidisciplinary, mycosis fungoide
MeSH terms: Mycosis Fungoides / diagnosis, Nephrotic Syndrome / etiology, Skin Neoplasms / diagnosis, Case Reports, Adult, Antineoplastic Combined Chemotherapy Protocols / therapeutic use, Cyclophosphamide / therapeutic use, Doxorubicin / therapeutic use, Edema / etiology, Humans, Intensive Care Units, Lung Neoplasms / secondary, Male, Mycosis Fungoides / drug therapy, Neoplasm Staging, Nephrotic Syndrome / diagnosis, Prednisone / therapeutic use, Skin Neoplasms / drug therapy, Tomography, X-Ray Computed, Treatment Outcome, Vincristine / therapeutic use, Whole Body Imaging, Vincristine, Doxorubicin, Cyclophosphamide, Prednisone, CHOP protocol

The occurrence of the nephrotic syndrome during mycosis fungoide is very unusual. We report a rare case of mycosis fungoide revealed by hydrops related to nephrotic syndrom in a 37-year old male patient. He has been admitted to intensive care unit because of a breathing distress and a hydrophobs. Whole body computed tomography scan revealed bilateral axillary, cervical lymph nodes, tumoral infiltration of the subcutaneous tissue in the cervicothoracic and abdominal regions, multiples bilateral pulmonary metastasis, bilateral pleural effusion, and abdominal effusion; the kidneys were normal. The patient was staged IVb (T3N3M1). He was treated with CHOP (cyclophosphamide, Doxorubicin, Vincristin and prednisone). Evolution after eight cycles of chemotherapy was spectacular. The development of nephrotic syndrom secondary to mycosis fungoide is rare. It requires a multidisciplinary approach with nephrologists and oncologists.
A Contactless Method for Measuring Full-Day, Naturalistic Motor Behavior Using Wearable Inertial Sensors
Authors: John M Franchak, Vanessa Scott, Chuan Luo
Journal: Front Psychol (2021)
Keywords: body position, human activity recognition, machine learning, motor development, posture, wearable sensors

How can researchers best measure infants' motor experiences in the home? Body position-whether infants are held, supine, prone, sitting, or upright-is an important developmental experience. However, the standard way of measuring infant body position, video recording by an experimenter in the home, can only capture short instances, may bias measurements, and conflicts with physical distancing guidelines resulting from the COVID-19 pandemic. Here, we introduce and validate an alternative method that uses machine learning algorithms to classify infants' body position from a set of wearable inertial sensors. A laboratory study of 15 infants demonstrated that the method was sufficiently accurate to measure individual differences in the time that infants spent in each body position. Two case studies showed the feasibility of applying this method to testing infants in the home using a contactless equipment drop-off procedure.
Two Unexpected Tumors in a Laparoscopic Nephrectomy Specimen, Including a Rare Tubulocystic Renal-Cell Carcinoma: A Case Report
Authors: Jacob Jipp, Daniel Sadowski, Chad Defrain, Bradley Schwartz
Journal: J Endourol Case Rep (2015)
MeSH terms: Case Reports

We present a case of a 52-year-old Caucasian male who underwent a laparoscopic nephrectomy for an atrophic kidney and was found to have two unexpected, synchronous kidney cancers. He had a remote history of testicular cancer complicated by lymphadenopathy and external ureteral compression. Over time, he developed an atrophic left kidney from obstructive uropathy. Years later, due to flank pain and renal scintigraphy showing minimal function, a laparoscopic nephrectomy was performed. Final pathology demonstrated papillary renal-cell carcinoma (RCC) and tubulocystic RCC. Tubulocystic RCC is a rare neoplasm thought to be an indolent subset of collecting duct carcinoma, but was identified as a unique entity in 2004. Currently, there are ∼100 cases of this neoplasm in the literature.
Pervasive Refusal Syndrome in Autistic Spectrum Disorder
Authors: Emily Claire Bond, Rosalind Yvonne Kirton Oliphant
Journal: Case Rep Psychiatry (2018)
MeSH terms: Case Reports

Pervasive Refusal Syndrome (PRS) is a rare child psychiatric condition. We describe a case of PRS in a 9-year-old boy with a diagnosis of Autism Spectrum Disorder (ASD) presenting with severe weight loss due to extreme restriction of food and fluids. Other prominent symptoms included total mutism, school refusal, and self-neglect. He was admitted to a specialist Child and Adolescent Mental Health Unit. We discuss the symptoms present in this case and the differential diagnosis of ASD in PRS. Although this differential has briefly been considered one in previous case, there have been no reported cases of PRS with a prior diagnosis of ASD. We explore comorbidity and interaction of the two diagnoses. We discuss the possible impact of ASD as a predisposing factor upon the progression and prognosis of PRS.
Infected Dentigerous Cyst of Maxillary Sinus Mimicking Intraoral Abscess in a Pediatric Patient: Management of Misdiagnosis and Inaccurate Treatment
Authors: Damian Chybicki, Alicja Popielarczyk, Wojciech Markowski, Gaja Torbicka, Anna Janas-Naze
Journal: Case Rep Dent (2022)
MeSH terms: Case Reports

The article presents the case of a 12-year-old male patient who was suffering from exacerbated (infected) dentigerous cyst of maxillary sinus, associated with impacted canine whose symptoms were deceptively similar to intraoral abscess. The first-aid treatment performed by general dental practitioner consisted of intraoral incision and resulted in oroantral fistula formation. Eventually, the patient's ailments were not resolved, and we had to deal with serious local complications and difficulties. The treatment was performed under general anesthesia in one-day surgery system and included enucleation of the lesion, excision, and closure of oroantral fistula. Dislocated canine was not removed, and its subsequent eruption was observed.
Cutaneous Ciliated Cyst in an Unusual Location: Between Two Scapulas
Authors: Gül Doğan, Hülya İpek, Mehmet Metin, Özgür Özkayar, Çağatay E Afşarlar
Journal: Case Rep Surg (2018)
MeSH terms: Case Reports

Cutaneous ciliated cyst is defined as a rare, painless lesion frequently encountered on the lower extremities of young girls after puberty. The cyst is surrounded by the columnar ciliary epithelium. Apart from the lower extremities of girls, they may be localized on the scalp, scapula, thumb, abdomen, umbilicus, thigh, heel, knee, and gluteal region. There are two theories to explain this localization. The first is that they are mullerian heterotrophy, while the other is that they are ciliated metaplasia of eccrine glands. In this paper, we described a cutaneous ciliated cyst, which was observed with a previously undescribed localization on the back of a 13-year-old female patient.
A case of Gerstmann-Straussler-Scheinker (GSS) disease with supranuclear gaze palsy
Authors: Nicole A Ufkes, Craig Woodard, Marian L Dale
Journal: J Clin Mov Disord (2019)
Keywords: gait disorders/ataxia, gerstman-straussler-scheinker disease, prion disease, supranuclear palsy
MeSH terms: Case Reports

Background:
Gerstmann-Straussler-Scheinker disease (GSS), an autosomal dominant prion disorder, usually presents as a slowly progressive cerebellar ataxia followed by later cognitive decline. We present a member of the GSS Indiana Kindred with supranuclear palsy, a less common feature in GSS.
Case presentation:
A 42-year-old man presented with 12 months of progressive gait and balance difficulty. Exam was notable for ataxia and cerebellar eye movement abnormalities. Genetic testing revealed a F198S variant in the prion protein (PRNP) gene, the pathological variant of GSS associated with his family, the Indiana kindred. Eighteen months after initial presentation supranuclear palsy developed.
Conclusions:
GSS is a neurodegenerative prion disease with diverse clinical presentations, and exhibits greater variability in disease phenotype compared to other inherited spongiform encephalopathies. GSS should be on the differential for patients with ataxia and supranuclear palsy, and it is important to assess both horizontal and vertical saccades and optokinetic nystagmus in patients with ataxia.
Meta-linguistic awareness skills in Chinese-speaking children with hyperlexia: A single-case study
Authors: Lirong Luo, I-Fan Su
Journal: Front Psychol (2023)
Keywords: asd, hyperlexia, meta-linguistic awareness, reading, reading in chinese

Purpose:
The aim of the study is to examine the meta-linguistic awareness skills contributing to reading aloud in a Chinese-speaking child with hyperlexia.
Methods:
Case study approach was used with one case of hyperlexia (TYH) and two control groups: typically developing (TD) children matched for chronological age (CA) and TD children matched for mental ability (MA). A battery of phonological, morphological, and orthographic awareness skill tests were administered.
Results:
Results from the modified t-test found that the hyperlexic child did not demonstrate advanced meta-linguistic awareness skills in comparison with the two control groups. On the contrary, TYH's morphological awareness skills were even lower than the CA control group. Also, in the orthographic awareness test, TYH demonstrated weaker knowledge of character structure and components than the two control groups although his ability in the recognition of real words is intact. In addition, the predictability of orthographic awareness skill was comparable to the CA group with predicted score showed no difference to his obtained score, while TYH achieved a significantly higher reading score than what his morphological awareness skills should predict with reference to TD children of similar age; as well as what his phonological awareness skill predict with reference to the MA group.
Conclusion:
The findings suggest that TYH can achieve advanced reading ability with comparable phonological and orthographic awareness skill, despite his weakness in morphological awareness. It is concluded that the hyperlexic reading in Chinese might be achieved through the direct mapping between the whole character and the sound.
Intrascrotal Collection in an Acute Pancreatitis: A Case Report and Review of the Literature
Authors: L Moens, P Yengue Yengue, C Assenmacher
Journal: Case Rep Urol (2016)

Context. An inguinoscrotal swelling occurring during an acute pancreatitis is very rare. Case Report. We report a case of right inguinoscrotal swelling appearing in connection with an interstitial edematous acute pancreatitis. We have noticed a spontaneous complete reduction of the right inguinoscrotal swelling after 10 days. Conclusion. The management of a scrotal swelling should be the least invasive possible method but also the most complete possible method to avoid unnecessary interventions. The exclusion of a pathology that could affect the vital prognosis of the testis remains the absolute priority. An acute scrotum swelling must be carried out by the clinical management by a professional and must be completed with an ultrasonography of the scrotum. Despite all that, if the original etiology of the acute scrotum remains unknown, an abdominopelvic CT scan could provide more details and so could offer a different diagnosis of exclusion, different from the diagnosis of acute idiopathic scrotal edema (AISE). This rare complication of acute pancreatitis reported could be mistaken for a more common pathology. If that complication is identified, it will not require a surgical intervention if there is a correct management of the acute pancreatitis which could justify a broader CT scan.
A successful case of anti-NMDAR encephalitis without tumor treated with a prolonged regimen of plasmapheresis
Authors: Mateus Mistieri Simabukuro, Rafael Gustavo Sato Watanabe, Lécio Figueira Pinto, Carla Guariglia, Daniella Costa de Menezes E Gonçalves, Renato Anghinah
Journal: Dement Neuropsychol (2014)
Keywords: anti-nmda receptor, autoimmune disease, encephalitis, plasmapheresis, psychiatric symptoms
MeSH terms: Case Reports

Anti-NMDA receptor encephalitis is a severe but treatable autoimmune disease of the CNS. However, the use of immunotherapy and long-term outcomes have yet to be defined for this disease. We describe a case of an 18-year-old male diagnosed with anti-NMDAR encephalitis not associated with tumor, which did not respond to initial treatment with immunoglobulin, followed by corticosteroids, cyclophosphamide and evolved with significant clinical improvement after a prolonged course of plasmapheresis. Although it is not possible to affirm the good outcome was due solely to the prolonged plasmapheresis regimen, recently published data shows that improvement may take weeks or months to occur. This case discloses another therapeutic possibility for patients with refractory disease who fail to respond to recommended first-line and second-line therapy.
Ramsay Hunt syndrome and mandibular alveolar bone necrosis following herpes zoster: A case report and literature review
Authors: Maojia Yin, Panchuan Huang, Sen Yang, Wuchao Wang
Journal: Front Neurol (2022)
Keywords: ramsay hunt syndrome, herpes zoster, jaw osteonecrosis, pain, teeth exfoliation, trigeminal nerve
MeSH terms: Case Reports

Background:
Reactivation of latent varicella-zoster virus (VZV) can induce herpes zoster (HZ). Ramsay Hunt syndrome (RHS) occurs through the reactivation and proliferation of VZV in the geniculate ganglion, which can lead to vesicular rash in the ear or oral mucosa, accompanied by neurological disorders.
Materials and methods:
A 50-year-old man sought a remedy for pain in the right ear and face. Within 1 week, all his lower right teeth fell out, and in the following 3 months, his lower right mandibular alveolar bone gradually became necrotic. In the past 20 days, he experienced blister rash, hearing and taste loss, and slight facial paralysis.
Results:
After ruling out tumors and other infectious diseases, he was diagnosed with trigeminal HZ and RHS.
Conclusion:
Ramsay Hunt syndrome with tooth loss and alveolar osteonecrosis is rare. It requires long-term treatment of pain, and prevention and treatment of tooth loss and alveolar bone necrosis are difficult and warrant further study.
A rare case of odontogenic keratocyst extending into the sphenoid bone from the maxilla
Authors: Mitsuo Goto, Sei Ueda, Satoru Miyabe, Satoshi Watanabe, Yoshihiko Sugita, Toru Nagao
Journal: Int J Surg Case Rep (2020)
Keywords: case report, maxillary sinus, odontogenic keratocyst, recurrence, skull base, sphenoid bone
MeSH terms: Case Reports

Background:
Odontogenic keratocyst (OKC) is the third most common odontogenic cyst which arises from cell rests of dental lamina, and usually observed in the jaws. Because OKC is noted for its high rate of recurrence, there are various treatment strategies. Here, we present a rare case of OKC which occupied the entire maxillary sinus and pterygoid process of the sphenoid bone extending nearly to the skull base.
Case presentation:
The patient was a 21-year-old male and underwent surgical removal of the cyst using the Caldwell-Luc procedure which in this case extended the surgical approach to the pterygoid process of the sphenoid bone via the pterygomaxillary junction. However, we found a recurrent lesion in the posterior wall of the maxillary sinus 20 months after the surgery and subsequently performed a secondary cystectomy. Surgical specimens showed positive bcl-2 staining of OKC and negative cytokeratin-10 on immunohistochemistry for both primary and recurrent lesions.
Conclusion:
OKC rarely occurs in the maxillary sinus and extends to the deep maxillary structure and the skull base. In order to prevent recurrence, it is necessary to recognize the exact location of the entire lesion. Careful examination of preoperative CT images is needed to make a complete surgical planning and to perform a reliable surgical procedure.
Prone Position Airway Management of a Child following Penetrating Trauma to the Back
Authors: Mae Richelle S Magbitang, Corinna J Ongaigui
Journal: Case Rep Anesthesiol (2022)
MeSH terms: Case Reports

Traumatic penetrating injuries to the back are uncommon in children. This type of injury presents many considerations for airway management to the anesthesiologist, including having to secure the airway in a prone position. Although there have been several reports about intubation in the prone position for adult patients in emergency conditions, such studies on pediatric patients are rare. We present the case of a male child with an impaled steel shaft connected to a toy car wheel in his lower back, requiring an emergent operation under general anesthesia. Due to resource limitations, the patient was intubated using an adult-sized video laryngoscope in the prone position. The patient remained stable during the operation and was discharged without complications. A postoperative discussion was held later to review the case and gain insights from the rest of the anesthesiology team. Prone intubation in pediatric patients can be safely accomplished using various techniques, depending on the urgency of the need, the availability of resources, and the knowledge and skills of the provider. The authors hope that their colleagues can learn from sharing this experience.
Extracorporeal Membrane Oxygenation Supported Transbronchial Cryobiopsy in the Diagnosis of Severe Organizing Pneumonia: A Case Report
Authors: Xiaoyan Zhang, Yuqiong Wang, Yingying Feng, Ling Zhao, Yunxia Zhang, Hanbo Yang, Bin Xing, Wenlin Guo, Ting Sun, Qingyuan Zhan, Ye Tian
Journal: Front Med (Lausanne) (2022)
Keywords: case report, extracorporeal membrane oxygenation, mechanical ventilation, organizing pneumonia, transbronchial cryobiopsy
MeSH terms: Case Reports

This case report describes a 58-year-old, never-smoking housewife with chief complaints of progressively worsening cough, dyspnea, and intermittent fever, who was initially misdiagnosed with community-acquired pneumonia (CAP). However, her pulse oximetry oxygen saturation continued to decline, and eventually, she underwent an endotracheal intubation. Fortunately, transbronchial cryobiopsy (TBCB) assisted by extracorporeal membrane oxygenation (ECMO) was performed in the most critical situation, and it revealed an organizing pneumonia (OP) pattern. OP describes a histological pattern of acute or subacute pulmonary damage, which may be idiopathic or associated with a known or unknown underlying disease. A definitive diagnosis of OP usually obtained from pathology, and surgical lung biopsy with large lung tissue is recommended. However, since the surgical lung biopsy was not convenient for this patient after mechanical ventilation, bedside TBCB supported by ECMO was selected. To our knowledge, we are the first to report the pathological diagnosis of ECMO assisted TBCB in acute respiratory failure. When oxygenation cannot be maintained after endotracheal intubation and surgical lung biopsy is not feasible, ECMO-supported TBCB may be a good choice to obtain lung tissue for histopathological diagnosis in patients with acute lung injury of unknown etiology.
Understanding a videogame home intervention for children with hemiplegia: a mixed methods multi-case study
Authors: Daniela Chan-Víquez, Ajmal Khan, Sarah Munce, Darcy Fehlings, F Virginia Wright, Elaine Biddiss
Journal: Front Med Technol (2023)
Keywords: augmented reality, cerebral palsy, exergaming, hemiplegia, mixed methods, motivation, telerehabilitation

Introduction:
Access to rehabilitation therapies is a salient and growing issue for children with cerebral palsy (CP) and their families, motivating interest in home-based interventions. Bootle Blast is a low-cost, movement-tracking videogame that can be used at home to encourage upper limb (UL) functional exercise tailored to each child's abilities and therapy goals. The study objectives were to: 1) Establish the extent to which children achieve their self-directed play-time goal over a 12-week intervention, 2) Measure changes in UL motor outcomes, and 3) Explore participants' experiences of using Bootle Blast at home.
Methods:
Mixed methods case series study of four children with hemiplegic cerebral palsy (HCP), each with a participating parent. Participants played Bootle Blast at home for 12 weeks. Study assessments occurred at baseline, post-intervention and four week follow up. A post-intervention interview explored participants' experiences. Game-logs provided play time and progress data.
Results:
Three of four participants (8-13 yrs., Manual Ability Classification Level I-II) completed the intervention. One dropped out at week 6. Play-time goals were achieved in most weeks, with two of four children surpassing their overall intervention goals. Outcomes varied across the three participants, however consistent improvements were observed on the Canadian Occupational Performance Measure and the Box and Blocks Test. Inductive analysis generated four main themes: 1) Intrinsic motivators fostered play engagement, 2) Virtual play for real-world gains, 3) Therapy on demand (at home), and 4) Shifting the onus from the parent to the game. Integration of qualitative and quantitative data was important for interpreting play patterns/usage and clinical outcomes.
Discussion:
This mixed methods study describes a novel videogaming intervention designed for home-rehabilitation for children with HCP and provides preliminary evidence to guide future study design and research.
Clinical trial registration:
[https://clinicaltrials.gov/ct2/show/NCT04009031?recrs=h&cond=Cerebral+Palsy&cntry=CA&city=Toronto&draw=2&rank=1], identifier [NCT04009031].