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Invasive aspergillosis leading to fatal cerebral hemorrhage: a case report and comprehensive literature review.
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Department of Prevention Health, Section of Legal Medicine, Ospedale San Bortolo, Viale Ferdinando Rodolfi 37, Vicenza, 36100, Italy.
Aspergillus fumigatus significantly threatens immunocompromised individuals by causing potentially fatal diseases, primarily invasive aspergillosis (IA). IA, mostly affecting the lungs, can disseminate to other organs, including the central nervous system (CNS), leading to high mortality rates. We present the case of an 84-year-old immunocompetent male with a history of significant comorbidities, who developed a lethal subarachnoid and tetraventricular hemorrhage.
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Botulinum toxin is considered first-line treatment for focal hand dystonia in musicians. Mild, temporary weakness is a common accompaniment of effective injection. We present a unique case of delayed-onset, severe, prolonged weakness and atrophy in a patient with musician's dystonia, successfully treated with botulinum toxin for over 10 years, following injection of his usual muscles at his well-established dose.
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PM R
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Department of Rehabilitation Medicine, Tokai University School of Medicine, Isehara, Japan.
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Department of Occupational Therapy, Grand Valley State University, Grand Rapids, USA.
Parsonage-Turner syndrome (PTS) is a rare brachial plexus neuropathy with a sudden onset of upper extremity pain, weakness, and loss of range of motion (ROM). Studies on occupational therapy (OT) interventions are limited. The aim of this case report was to explore the OT experiences, interventions, and outcomes of a patient with PTS.
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Department of Physical Medicine and Rehabilitation, Dongnam Institute of Radiological and Medical Sciences, Busan 46033, South Korea.
Article Synopsis
- - Neuralgic amyotrophy (NA) is a rare condition characterized by sudden shoulder pain followed by weakness in the arm, primarily affecting the upper brachial plexus, and can often mimic cervical radiculopathy due to its similar symptoms.
- - A 76-year-old male developed NA after hip surgery, experiencing shoulder pain and arm weakness; diagnostic imaging confirmed brachial plexopathy and unique signs of NA including a focal constriction at the suprascapular nerve.
- - Treatment for NA involved corticosteroids and physical therapy, leading to significant recovery in shoulder muscle strength within a month, highlighting the importance of recognizing NA's distinct features for accurate diagnosis.
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