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The Neuroanatomical Basis of Unfamiliar Presentations of Herpes Zoster: A Review and A Case Report 带状疱疹不熟悉表现的神经解剖学基础:回顾和一例报告
Pub Date : 2023-03-31 DOI: 10.23937/2378-3656/1410421
Ghabriel Maher N, Ghabriel Mounir N
Herpes zoster (HZ, shingles) is caused by reactivated varicella zoster virus, that travels along the peripheral branches from its dormant location in neurons of spinal and cranial sensory ganglia. HZ is well known for its skin vesicular eruptions and severe sensory neuropathy. Over the years, reports have described the occurrence of segmental paresis of skeletal muscles and the involvement of the large and small intestine, clinically resembling intestinal obstruction. The spread of the virus to the motor and autonomic nervous systems is discussed here based on the neuroanatomical pathways and with reference to the unfamiliar manifestations observed in a recently hospitalised HZ case. A 66-year-old male of Egyptian descent, initially developed muscle aches in the right loin, altered touch sensation in the overlying skin and bouts of stabbing pain. These were followed on day two by the appearance of an abdominal wall swelling, 10 × 12 cm, in the right lumbar region. On day four, he complained of nausea, bloating, abdominal distension, and constipation. Examination revealed reduced intestinal sounds, and CT scans showed distended intestine with gas and fluid levels. On day five, vesicular skin rash characteristic of HZ appeared along dermatomes of the right spinal nerves T10 to L1. Surgeons and medical practitioners should be made aware of these unfamiliar presentations of HZ, especially as these may precede the archetypal skin rash, to evade unnecessary surgical intervention.
带状疱疹(HZ,带状疱疹)是由水痘带状疱疹病毒重新激活引起的,该病毒从脊髓和颅感觉神经节神经元的休眠位置沿着外周分支传播。赫兹是众所周知的皮肤水疱疹和严重的感觉神经病变。多年来,已有报道描述了骨骼肌节段性麻痹的发生,并累及大肠和小肠,临床上类似于肠梗阻。本文根据神经解剖通路并参考最近住院的HZ病例观察到的不熟悉的表现,讨论病毒向运动和自主神经系统的传播。一名66岁的埃及裔男性,最初出现右腰肌肉疼痛,上覆皮肤触觉改变,刺痛发作。第2天,右腰椎出现10 × 12 cm的腹壁肿胀。第四天,他主诉恶心、腹胀、腹胀和便秘。检查显示肠道声音减弱,CT扫描显示肠道膨胀,有气体和液体水平。第5天,沿右侧脊神经T10 ~ L1皮节出现HZ特征的水疱性皮疹。外科医生和医疗从业人员应该意识到这些不熟悉的HZ表现,特别是因为它们可能先于原型皮疹,以避免不必要的手术干预。
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引用次数: 0
Displaced Laryngeal Fracture on Blunt Traumatism: About One Case 钝性外伤致喉移位骨折1例
Pub Date : 2023-03-31 DOI: 10.23937/2378-3656/1410422
Arkoubi Zakaria, Bencheikh Razika, B. Anas, Oujilal Abdelilah, Essakalli Leila
The blunt laryngotracheal traumatism can be frequently ignored by the patient itself due to the scarcity of symptoms related to this form of injury within the first hours. The importance of the damage can be not proportional to the rarity of clinical signs. In this article we are about to present a serious form of laryngeal damage in a patient with no vital signs
钝性喉气管创伤通常会被患者忽视,因为在最初的几个小时内,这种形式的损伤缺乏相关症状。损伤的重要性可能与临床症状的罕见程度不成比例。在这篇文章中,我们即将提出一个严重形式的喉损伤的病人没有生命体征
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引用次数: 0
Gorlin Goltz Syndrome: A Clinical Case Report Gorlin Goltz综合征1例临床报告
Pub Date : 2023-03-31 DOI: 10.23937/2378-3656/1410423
Arkoubi Zakaria, Bencheikh Razika, B. Anas, Oujilal Abdelilah, Essakalli Leila
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引用次数: 0
The Perceived Effect of Cannabis Use on Penile Growth in Humans 大麻使用对人类阴茎生长的影响
Pub Date : 2023-02-28 DOI: 10.23937/2378-3656/1410420
Tamayo C., Martínez D., Thawani M., Adell C., A. A., Vidal N., Gerbil W.T., G. R.T., Daime C.D.S., Cervera F.
The use of cannabis has become increasingly popular in recent years, and there is ongoing debate and research on its potential effects on human health. While some studies have suggested that cannabis use can have negative effects on sexual function and fertility, there has been little research on its potential effects on penile growth. The aim of this study is to investigate the perceived relationship between cannabis use and penile growth in human males. Methods: This study used a survey approach, with a sample of 10,000 men aged 18-35 who self-reported their cannabis use and their perceptions of changes in penile growth. Participants were asked to provide information on their cannabis use habits, including frequency, duration, and method of consumption, as well as their perceptions of any changes in penile growth since they began using cannabis. Results: The results of the study showed that men who reported using cannabis had a statistically significant increase in perceived average penile length compared to those who did not use cannabis (p<0.05). The effect was found to be more pronounced in men who reported using cannabis regularly, with a mean increase in perceived penile length of 2.54 cm among daily users. Conclusion: It seems that regular cannabis use does not have a negative impact on public health in a manner detectable using health indicators, and could help to the growth of the penis in adult male humans.
近年来,大麻的使用越来越普遍,关于其对人类健康的潜在影响的辩论和研究正在进行。虽然一些研究表明,使用大麻会对性功能和生育能力产生负面影响,但很少有研究表明它对阴茎生长的潜在影响。本研究的目的是调查大麻使用和人类男性阴茎生长之间的关系。方法:本研究采用调查方法,对1万名年龄在18-35岁之间的男性进行抽样调查,这些男性自我报告了他们使用大麻的情况以及他们对阴茎生长变化的看法。参与者被要求提供有关其大麻使用习惯的信息,包括频率、持续时间和消费方法,以及他们对自开始使用大麻以来阴茎生长的任何变化的看法。结果:研究结果表明,与不使用大麻的男性相比,报告使用大麻的男性感知到的平均阴茎长度有统计学意义上的显著增加(p<0.05)。研究发现,这种影响在经常吸食大麻的男性身上更为明显,每天吸食大麻的男性阴茎长度平均增加2.54厘米。结论:经常使用大麻似乎不会以使用健康指标可检测到的方式对公众健康产生负面影响,而且可能有助于成年男性阴茎的生长。
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引用次数: 0
A Case of Extramammary Inguinal Paget's Disease in a Male Patient 腹股沟乳外佩吉特病1例
Pub Date : 2023-02-28 DOI: 10.23937/2378-3656/1410419
Ammar Najoua, Zeggwagh Zineb, Meziane Mariame, Senouci Karima
Extramammary Paget’s disease (EMPD) is a rare intraepithelial cancer. It is more common in women and usually develops in apocrine gland-bearing areas, Less frequenly, EMPD can affect males in the anogenital area. EMPD may present with a focal, multifocal, or an ectopic lesion. We report a case of a 56-year-old male with extra-mammary Paget’s disease.
乳腺外佩吉特病(EMPD)是一种罕见的上皮内癌。它在女性中更常见,通常在大汗腺携带区域发展,不太常见的是,EMPD可以影响男性的肛门生殖器区域。EMPD可能表现为局灶性、多灶性或异位病变。我们报告一例56岁男性乳房外佩吉特病。
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引用次数: 0
Yellow Ligament Ossification of Cervical Spine-Must Know for a Clinician 颈椎黄韧带骨化——临床医师必须了解的问题
Pub Date : 2023-01-31 DOI: 10.23937/2378-3656/1410416
Agarwal Sharat
In the cervical spine, the combination of ossified ligamentum flavum (OLF) and ossified posterior longitudinal ligament (OPLL) has rarely been seen [915]. I read with great interest, the case report entitled “Unusual site of yellow ligament ossification-cervical spine” with citation details as Mahmoodkhani M, Askariardehjani N (2022) Unusual site of yellow ligament ossification cervical spine. Clin Med Rev Case Rep 9:397. doi.org/10.23937/2378-3656/1410397, published in your esteemed journal recently.
在颈椎中,黄韧带骨化(OLF)和后纵韧带骨化(OPLL)合并的情况并不多见[915]。我饶有兴趣地阅读了题为“颈椎黄韧带骨化异常部位”的病例报告,引用细节为Mahmoodkhani M, Askariardehjani N(2022)颈椎黄韧带骨化异常部位。临床医学报告,病例报告,9:397。Doi.org/10.23937/2378-3656/1410397,最近发表在贵杂志上。
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引用次数: 0
Importance of Test Battery Approach for the Diagnosis of Auditory Neuropathy Spectrum Disorder during Corona Pandemic: A Case Study 测试电池方法在冠状病毒大流行期间诊断听神经病变谱系障碍的重要性:一个案例研究
Pub Date : 2023-01-31 DOI: 10.23937/2378-3656/1410417
PV Ayishath Ruwaidha, Nair Aswathy R, Gogiyan Apoorva, Raslan Ansila, Menon Vikas, Jain Chandni
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引用次数: 0
Suspected Mycotic Aneurysm of the Aortic Arch in the Setting of Group B Strep Bacteremia B组链球菌菌血症背景下疑似主动脉弓真菌性动脉瘤
Pub Date : 2023-01-31 DOI: 10.23937/2378-3656/1410418
Liddy Angelina, D. Sanjay, Jordan Brian, Pace William, Jablonski Lindsay, Durante Kameron
Mycotic Aneurysms are aneurysms (or pseudoaneurysms) which result from an infectious etiology. Group-B Strep (GBS) associated mycotic aneurysms are exceedingly rare and current literature varies on presentation and diagnostic criteria. This case is a rare presentation of a likely mycotic aortic arch pseudoaneurysm induced from GBS Bacteremia and cervical osteomyelitis in a 60-year-old male.
霉菌性动脉瘤是由感染性病因引起的动脉瘤(或假性动脉瘤)。b组链球菌(GBS)相关的真菌性动脉瘤非常罕见,目前的文献在表现和诊断标准上各不相同。本病例是一位罕见的60岁男性,由GBS菌血症和颈椎骨髓炎引起的疑似真菌性主动脉弓假性动脉瘤。
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引用次数: 0
Misdiagnosed Diplopia in a Patient with Neurosyphilis 神经梅毒患者复视误诊1例
Pub Date : 2022-12-31 DOI: 10.33425/2768-6647.1027
Thersilla Oberbarnscheidt, E. Khurana
Background: Syphilis is a sexually transmitted disease caused by the bacterium Treponema pallidum that affects in later stages the central nervous system. Case Presentation: 37-year-old male with history of stimulant use disorder and depression with misdiagnosed blurred vision for one year duration. Syphilis serologies positive, cerebrospinal fluid positive for IgG and IgM Syphilis. Treated with Penicillin G for 14 days. Discussion: Neurosyphilis cases are currently on the rise and need to be considered as differential when presenting with atypical psychiatric or neurological symptoms. The diagnosis is based on serological markers in the blood and cerebrospinal fluids. Cerebral imaging studies are encouraged for early detection as well.
背景:梅毒是一种由梅毒螺旋体引起的性传播疾病,在后期影响中枢神经系统。病例介绍:37岁男性,有兴奋剂使用障碍和抑郁症病史,误诊视力模糊1年。梅毒血清学阳性,脑脊液IgG和IgM梅毒阳性。用青霉素G治疗14天。讨论:神经梅毒病例目前呈上升趋势,当出现非典型精神或神经症状时,需要加以区分。诊断是基于血液和脑脊液中的血清学标志物。大脑成像研究也被鼓励用于早期发现。
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引用次数: 0
Anesthesia for Excision of Laryngeal and Tracheal Papillomatosis in a Pediatric Patient: A Case Report 麻醉下喉、气管乳头状瘤切除1例
Pub Date : 2022-12-31 DOI: 10.33425/2768-6647.1026
Lucas José Resende, Lucas Rodrigues Motta, João Paulo Lopes Carvalho Pereira, G. V. de Freitas, Talita de Freitas Souza, Marina Delgado
Laryngeal papillomatosis is a rare disease of viral etiology that can obstruct the airway. Symptomatic treatment is essentially surgical. Anesthetic management needs special attention due to a narrow airway that will be shared with the surgical team. We discuss the perioperative management of a child with recurrent papillomatosis and possible strategies to manage similar cases.
摘要喉乳头状瘤病是一种罕见的病毒性疾病,可引起呼吸道阻塞。对症治疗基本上是手术治疗。麻醉管理需要特别注意,因为狭窄的气道将与外科团队共享。我们讨论儿童复发性乳头状瘤病的围手术期处理和可能的策略来处理类似的情况。
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Clinical Medical Reviews and Case Reports
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