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Sudden vision loss in pregnancy: Wernicke's encephalopathy in a patient with hyperemesis gravidarum.
BMJ Case Rep
December 2024
Ophthalmology, Kasturba Medical College Mangalore, Mangalore, Karnataka, India.
Wernicke's encephalopathy, the acute phase of Wernicke-Korsakoff syndrome, is characterised as a triad of altered mental status, ocular signs and ataxia. Our patient presented with hyperemesis gravidarum, which is a rare aetiology of Wernicke's encephalopathy. The patient did not have any oculomotor abnormalities, which are more common and classically described in Wernicke's triad.
View Article and Find Full Text PDFUnveiling the Uncommon: A Case of Eosinophilic Granulomatosis With Polyangiitis Featuring Atypical Presentation and Diagnostic Challenges.
Cureus
October 2024
Internal Medicine, Unidade Local de Saúde Gaia Espinho, Vila Nova de Gaia, PRT.
Eosinophilic granulomatosis with polyangiitis (EGPA) is a rare necrotizing vasculitis affecting small- to medium-sized vessels that can manifest in a multisystemic manner. While the classic triad of rhinosinusitis, asthma, and eosinophilia is commonly associated, it is essential to recognize that these features are not mandatory for diagnosis. We present a case of a 61-year-old woman with a unique EGPA manifestation who was hospitalized because of a seven-month history of weight loss, asthenia, epigastric abdominal pain, peripheral eosinophilia, and paresthesia in the left feet and hand.
View Article and Find Full Text PDFSmall Complex Rearrangement in -Related Axonal Neuropathy.
Genes (Basel)
November 2024
Department of Neuroscience, IRCCS Stella Maris Foundation, 56128 Pisa, Italy.
Background: Autosomal recessive inherited pathogenetic variants in the histidine triad nucleotide-binding protein 1 () gene are responsible for an axonal Charcot-Marie-Tooth neuropathy associated with neuromyotonia, a phenomenon resulting from peripheral nerve hyperexcitability that causes a spontaneous muscle activity such as persistent muscle contraction, impaired relaxation and myokymias.
Methods: Herein, we describe two brothers in whom biallelic variants were identified following a multidisciplinary approach.
Results: The younger brother came to our attention for clinical evaluation of moderate intellectual disability, language developmental delay, and some behavioral issues.
Ulnar Nerve Management in Complex Elbow Dislocations: A Retrospective Monocentric Study.
J Pers Med
October 2024
Hand Surgery and Reconstructive Microsurgery Department, CTO Hospital, A.O.U. Città della Salute e della Scienza, 10126 Turin, Italy.
Article Synopsis
- The ulnar nerve is often affected by complex elbow dislocations due to its unique anatomy, leading to variable treatment outcomes and pain among patients.
- A study involving 44 patients revealed that those who had ulnar nerve transposition during surgery experienced more incidents of neuropathy, although their symptoms were less severe but lasted longer compared to those who did not have the procedure.
- The findings suggest that routine transposition of the ulnar nerve may not be necessary in these cases, but further research with larger sample sizes is needed to confirm these conclusions.
Terrible Triad Injuries around the Elbow: It is Still a Puzzle? Prospective Study.
J Orthop Case Rep
October 2024
Department of Orthopedics, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
Article Synopsis
- The "terrible triad" is a serious elbow injury involving broken bones and dislocated joints, which used to have bad recovery results.
- Doctors now believe it’s important to also fix the soft-tissues around the elbow, not just the broken bones, to help patients heal better.
- A study looked at 27 patients who had surgery for this injury, and the results showed that their elbow function got a lot better after treatment.
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