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A rare complication of transurethral resection: Transient Blindness.
Ulus Travma Acil Cerrahi Derg
January 2024
Department of Urology, Burhan Nalbantoglu State Hospital, Lefkoşa-Cyprus.
Transient blindness is an extremely rare complication of transurethral resection (TUR) syndrome, which is a well-known complication recognized by urologists and anesthesiologists. TUR syndrome arises from the intravascular absorption of hypotonic fluids during the procedure. In this case report, an 80-year-old male patient experienced transient blindness after undergoing transurethral resection of the prostate.
View Article and Find Full Text PDFThe local molecular signature of human peripheral neuropathic pain.
Pain
November 2024
Nuffield Department of Clinical Neuroscience, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom.
Focal nerve injuries are often associated with neuropathic pain. Preclinical research suggests altered neuroimmune signalling underlies such neuropathic pain; however, its cause remains poorly understood in humans. In this multicentre cohort study, we describe the local cellular and molecular signature of neuropathic pain at the lesion site, using Morton's neuroma as a human model system of neuropathic pain (n = 22; 18 women) compared with nerves from participants without nerve injury (n = 11; 4 women).
View Article and Find Full Text PDFNeuromyelitis Optica Presenting as Trigeminal Autonomic Cephalgia-Trigeminal Neuralgia (Tic) Overlap.
J Assoc Physicians India
September 2024
Professor and Head, Department of Neurology, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu, India.
A 32-year-old lady presented with acute paroxysmal facial pain in the V1-V2 distribution, lower cranial nerve dysfunction, and mild long-tract neurological signs. Paroxysmal facial pain with features of trigeminal autonomic cephalgia (TAC) and trigeminal neuralgia (TN) (Tic) was the unique presentation in this case, explained by involvement of the somatotopically arranged spinal trigeminal nucleus. She had two attacks of area postrema syndrome (APS) preceding the current symptoms, evaluated as a gastroenterological disorder, causing a delay in imaging and AQP4-seropositive diagnosis of neuromyelitis optica spectrum disorder (NMOSD).
View Article and Find Full Text PDFA 32-year old lady who developed a complex generalized movement disorder in all four limbs after plasma exchange for myelitis.
Parkinsonism Relat Disord
September 2024
Department of Neurology, All India Institute of Medical Sciences, Jodhpur, India. Electronic address:
A 32-year old lady with AQP4-Antibody positive neuromyelitis optica developed a new-onset complex movement disorder after therapeutic plasma exchange, which was initially suspected to be hypocalcemic carpo-pedal spasm. However, when her bilateral, distal predominant, paroxysmal, stereotypic, wrist and finger flexor tonic contractions did not respond to serum calcium correction, other diagnoses were considered. The patient had a dramatic response to oral carbamazepine suggesting that the tonic spasms were likely a spinal movement disorder due to the primary demyelinating pathology.
View Article and Find Full Text PDF[Analysis of the efficacy and safety of pulsed radiofrequency for the treatment of thoracic postherpetic neuralgia in elderly patients with different pain phenotypes].
Zhonghua Yi Xue Za Zhi
July 2024
Department of Pain Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing 210008, China.
To analyze the efficacy and safety of pulsed radiofrequency (PRF) for the treatment of thoracic postherpetic neuralgia (PHN) in elderly patients with different pain phenotypes. A total of 201 elderly thoracic PHN patients, including 110 males and 91 females aged (72.2±6.
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