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Ugeskr Laeger
December 2024
Øre-Næse-Hals-Afdelingen, Københavns Universitetshospital - Nordsjællands Hospital, Hillerød.
This is a case report of a rare hypoglossal nerve paresis after tonsillectomy in a healthy 29-year-old woman. While she made a full recovery, she experienced 6-8 weeks of dysphagia, dysarthria and had to be readmitted because of dehydration. As direct intraoperative trauma is unlikely due to the protected course of the nerve, we discuss possible mechanisms and suggest precautions to avoid similar neuropraxia - such as avoiding overinflation of the laryngeal mask airway, regularly relieving the tongue pressure and using careful manipulation of the tongue base if necessary.
View Article and Find Full Text PDFUgeskr Laeger
December 2024
Lever-, Mave- og Tarmsygdomme, Aarhus Universitetshospital.
Immunotherapy-induced hepatitis is a well-known and relatively common side effect of immune checkpoint inhibitors. It is usually mild to moderate and responds well to corticosteroids with a full recovery. However, in rare cases, severe liver injury may develop, leading to fulminant liver failure.
View Article and Find Full Text PDFUgeskr Laeger
December 2024
Afdeling for Øjensygdomme, Københavns Universitetshospital - Rigshospitalet Glostrup.
Self-enucleation is a rare but severe self-inflicted eye injury linked to psychiatric disorders like schizophrenia and bipolar disorder as well as substance abuse. Treatment requires a multidisciplinary approach involving urgent medical and surgical care, followed by long-term psychiatric treatment. In this case report, a 32-year-old woman presented to an ophthalmic emergency department after self-enucleation and was later admitted to a psychiatric ward.
View Article and Find Full Text PDFUgeskr Laeger
December 2024
Hudafdeling I og Allergicentret, Odense Universitetshospital.
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