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POST-MEASLES ACUTE VELOPHARYNGEAL INCOMPETENCE: A RARE CASE REPORT AND REVIEW OF LITERATURE.
West Afr J Med
November 2024
Paediatric Infectious Diseases Unit, Department of Paediatrics, Jos University Teaching Hospital/University of Jos, Jos, Plateau State, Nigeria.
Summary/introduction: Velopharyngeal incompetence(VPI) is the failure of closure of the velopharyngeal sphincter, which consists of the muscles of the soft palate and the superior pharyngeal constrictor, and functions to separate the nasopharynx and oropharynx during phonation and swallowing. VPI is most frequently congenital/syndromic (with structural deficit) but can be acquired. A subset of acquired VPI, occurring in structurally intact velopharynx, has been described in children, and these are isolated and acute-onset, with a substantial proportion thought to have an infectious origin.
View Article and Find Full Text PDFGullian Barre syndrome secondary to heat stroke: a case report.
Intern Emerg Med
October 2024
FCPS Neurology, Diplomate American Board of Neurophysiology, Assistant Professor, Section of Neurology, Department of Medicine, Clinical Neurophysiology Lab, Aga Khan University Hospital, Karachi, Pakistan.
Article Synopsis
- Heat waves in countries like Pakistan are leading to increased cases of heat stroke, which can cause severe health issues like multi-organ dysfunction.
- A case study describes a previously healthy 49-year-old man who developed neurological symptoms and kidney injury after intense exercise in a heat wave, initially misdiagnosed as heat stroke.
- Further tests revealed the man had Guillain-Barré Syndrome as a rare complication of heat stroke, and he showed significant improvement following treatment with plasmapheresis, marking a unique instance in Pakistan.
Is tetrodotoxin intoxication the cause of "zombi voice" in Haiti?
Eur Arch Otorhinolaryngol
December 2024
School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), 2 Av. de la Source de la Bièvre, 78 180, Montigny-le-Bretonneux, France.
Objective: Zombification, a magical and religious process in Haiti, has been scientifically studied and remains relevant. Originating from the convergence of African, Caribbean, and Christian rites, it involves a comatose trance, transforming individuals into living dead through Voodoo practices. Haitian zombies consistently exhibit a preserved expression marked by a nasal voice, a result of nasalization-using nasal cavities as resonators during phonation.
View Article and Find Full Text PDFImmediate effects of simple palatal augmentation prosthesis in maximum tongue pressure and swallowing functions for acute stroke patients: An observational study.
J Prosthodont Res
January 2025
Department of Rehabilitation Medicine, Wakayama Medical University, Wakayama, Japan.
Purpose: Acute stroke often leads to dysphagia. In the oral stage of dysphagia, there is a potential for immediate benefit from using a palatal augmentation prosthesis (PAP). We investigated whether our quickly fabricated, simple, and expedited version of PAP would result in an immediate improvement in swallowing function after an acute stroke.
View Article and Find Full Text PDFAnaesthesia management of a patient with Bethlem Myopathy for elective tonsillectomy: a case report.
BMC Anesthesiol
May 2024
Our Lady of Lourdes Hospital, Drogheda, Ireland.
Background: Bethlem Myopathy is a collagen VI-related myopathy presenting as a rare hereditary muscular disorder with progressive muscular weakness and joint contractures. Despite its milder clinical course relative to other myopathies, anaesthetic management can be challenging. High arched palates and fixed flexion deformities may contribute to a difficult airway.
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