Pub Date : 2020-01-01DOI: 10.15406/mojcr.2020.10.00346
Abhiman Cheeyandira
Laparoscopic cholecystectomy is one of the most common procedures performed in the world today Acute calculus cholecystitis is the most frequent complication of cholelithiasis. Laparoscopic cholecystectomy is the best treatment for acute calculus cholecystitis when performed within 72 hours. Acute cholecystitis tends to be one of the highest risks for conversion to open surgery-due to unclear anatomy, excessive bleeding or technical complications. Here we present 2 cases with severe acute cholecystitis that required placement of laparoscopic cholecystostomy (LC) tube. Patient subsequently underwent interval cholecystectomy, when the inflammation had subsided. LC tube placement can be a safe alternative in such situations to avoid complications and conversion to open procedure.
{"title":"Laparoscopic cholecystostomy tube placement","authors":" Abhiman Cheeyandira","doi":"10.15406/mojcr.2020.10.00346","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00346","url":null,"abstract":"Laparoscopic cholecystectomy is one of the most common procedures performed in the world today Acute calculus cholecystitis is the most frequent complication of cholelithiasis. Laparoscopic cholecystectomy is the best treatment for acute calculus cholecystitis when performed within 72 hours. Acute cholecystitis tends to be one of the highest risks for conversion to open surgery-due to unclear anatomy, excessive bleeding or technical complications. Here we present 2 cases with severe acute cholecystitis that required placement of laparoscopic cholecystostomy (LC) tube. Patient subsequently underwent interval cholecystectomy, when the inflammation had subsided. LC tube placement can be a safe alternative in such situations to avoid complications and conversion to open procedure.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/mojcr.2020.10.00348
C. D. Riva
Transient global amnesia (TGA) is a clinical syndrome featured with the sudden onset of primarily short-term loss of anterograde as well as a milder decline of retrograde memory. The etiology is still unclear. Various risk factors relate with TGA and it is thought the vulnerability of CA1 neurons to metabolic stress plays an important role in the pathophysiological cascade. During the quarantine period of the coronavirus (COVID-19) pandemic, a 53-year-old Asian woman with 30 years of migraine history presented the emergency department for the first time to evaluate a sudden onset confusion and forgetfulness with repetitive questioning during migraine attack. Neurologic examination showed preserved orientations for time and person and no abnormalities in motor, speech, sensory, coordination, or cranial nerves. No focal Neurologic finding. Her memory gradually improved and restored to normal baseline over the course of a 24-hour in-patient stay. However, are trograde memory gap still existed a month after the TGA attack. The pathogenesis of TGA is unknown and many risk factors are associated with it, but among them migraine is considered a major risk factor, particularly in female patients aged 40-60 years. The anxiety stressor is a significant trigger for TGA. The pathophysiology argues that the vulnerability of CA1 neurons to metabolic stress plays an important role in TGA.
{"title":"Checkpoint inhibitor develops histological autoimmune pancreatitis like type 1 diabetes. A case report","authors":"C. D. Riva","doi":"10.15406/mojcr.2020.10.00348","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00348","url":null,"abstract":"Transient global amnesia (TGA) is a clinical syndrome featured with the sudden onset of primarily short-term loss of anterograde as well as a milder decline of retrograde memory. The etiology is still unclear. Various risk factors relate with TGA and it is thought the vulnerability of CA1 neurons to metabolic stress plays an important role in the pathophysiological cascade. During the quarantine period of the coronavirus (COVID-19) pandemic, a 53-year-old Asian woman with 30 years of migraine history presented the emergency department for the first time to evaluate a sudden onset confusion and forgetfulness with repetitive questioning during migraine attack. Neurologic examination showed preserved orientations for time and person and no abnormalities in motor, speech, sensory, coordination, or cranial nerves. No focal Neurologic finding. Her memory gradually improved and restored to normal baseline over the course of a 24-hour in-patient stay. However, are trograde memory gap still existed a month after the TGA attack. The pathogenesis of TGA is unknown and many risk factors are associated with it, but among them migraine is considered a major risk factor, particularly in female patients aged 40-60 years. The anxiety stressor is a significant trigger for TGA. The pathophysiology argues that the vulnerability of CA1 neurons to metabolic stress plays an important role in TGA.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/mojcr.2020.10.00351
Mariani Valeria
Fallot tetralogy is the most prevalent cyanogenic congenital heart disease. After one year of age, representing 10% of congenital heart defects and 75% of cyanotic heart defects. It is characterized by misalignment (anterior, superior, and right of the infundibular septum), causing the four known elements of pulmonary artery infundibular stenosis, aortic thrust, and ventricular septal defect, and hypertrophy of the right ventricle. Pregnancy in non- operated women has an associated maternal mortality rate of 3% to 12%, a perinatal loss rate (up to 30%). Women who become pregnant are exposed to hemodynamic stress and a gradual increase in the severity of pulmonary stenosis, exacerbating symptoms, and increased cyanosis. Below we present the case of a patient diagnosed with tetralogy of Fallot diagnosed in adolescence without surgical correction, due to lack of financial resources who reaches the end of pregnancy, without adequate prenatal control, and exacerbation of symptoms in the last trimester, due to which interrupts pregnancy via the abdomen, with a favorable evolution during the puerperium.
{"title":"Fallot tetralogy course not corrected during pregnancy. about a case","authors":"Mariani Valeria","doi":"10.15406/mojcr.2020.10.00351","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00351","url":null,"abstract":"Fallot tetralogy is the most prevalent cyanogenic congenital heart disease. After one year of age, representing 10% of congenital heart defects and 75% of cyanotic heart defects. It is characterized by misalignment (anterior, superior, and right of the infundibular septum), causing the four known elements of pulmonary artery infundibular stenosis, aortic thrust, and ventricular septal defect, and hypertrophy of the right ventricle. Pregnancy in non- operated women has an associated maternal mortality rate of 3% to 12%, a perinatal loss rate (up to 30%). Women who become pregnant are exposed to hemodynamic stress and a gradual increase in the severity of pulmonary stenosis, exacerbating symptoms, and increased cyanosis. Below we present the case of a patient diagnosed with tetralogy of Fallot diagnosed in adolescence without surgical correction, due to lack of financial resources who reaches the end of pregnancy, without adequate prenatal control, and exacerbation of symptoms in the last trimester, due to which interrupts pregnancy via the abdomen, with a favorable evolution during the puerperium.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/MOJCR.2020.10.00338
H. Jacobs
We are reporting a case series describing clinical, laboratory, MRI and CT myelogram imaging and treatment results for 4 patients with spontaneous cerebral spinal fluid (CSF) leak with subsequent intracranial hypotension; all of which resolved via blood patches. A 33-year-old woman (case 1) presented abrupt onset severe pain in the back and head; without preceding trauma or procedure. MRI brain revealed leptomeningeal enhancement, after CT myelogram identifying a CSF leak she received a 20ml epidural blood patch in the lumbar area. By the next day her symptoms had completely resolved. A 36year old woman (case 2) with 1 year-long history of positional headaches. Her CT Myelogram showed frequent multilevel Tarlov Cysts; one of which displayed leakage. Her orthostatic headaches disappeared after repeated EBP. A middle aged male (case 3) had an acute onset headache which persisted with orthostatic features since 6 weeks. He had complete remission after one epidural patching. A 47 year old man (case 4) presented with 5 days of typical orthostatic headaches, CT Myelogramm demonstrated a leaking thoracolumbar cyst. He required 2 EBP within 3 days to completely recover. Our cases support the notion that blood patching is a fast, effective and safe treatment for an increasingly recognized diagnosis of orthostatic headache caused by spontaneous intracranial hypotension.
{"title":"Fast effective treatment of spontaenous CSF leak causing intracranial hypotension and debilitating orthostatic headache","authors":"H. Jacobs","doi":"10.15406/MOJCR.2020.10.00338","DOIUrl":"https://doi.org/10.15406/MOJCR.2020.10.00338","url":null,"abstract":"We are reporting a case series describing clinical, laboratory, MRI and CT myelogram imaging and treatment results for 4 patients with spontaneous cerebral spinal fluid (CSF) leak with subsequent intracranial hypotension; all of which resolved via blood patches. A 33-year-old woman (case 1) presented abrupt onset severe pain in the back and head; without preceding trauma or procedure. MRI brain revealed leptomeningeal enhancement, after CT myelogram identifying a CSF leak she received a 20ml epidural blood patch in the lumbar area. By the next day her symptoms had completely resolved. A 36year old woman (case 2) with 1 year-long history of positional headaches. Her CT Myelogram showed frequent multilevel Tarlov Cysts; one of which displayed leakage. Her orthostatic headaches disappeared after repeated EBP. A middle aged male (case 3) had an acute onset headache which persisted with orthostatic features since 6 weeks. He had complete remission after one epidural patching. A 47 year old man (case 4) presented with 5 days of typical orthostatic headaches, CT Myelogramm demonstrated a leaking thoracolumbar cyst. He required 2 EBP within 3 days to completely recover. Our cases support the notion that blood patching is a fast, effective and safe treatment for an increasingly recognized diagnosis of orthostatic headache caused by spontaneous intracranial hypotension.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"10 1","pages":"36-39"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/mojcr.2020.10.00347
Chunhui Yang
Transient global amnesia (TGA) is a clinical syndrome featured with the sudden onset of primarily short-term loss of anterograde as well as a milder decline of retrograde memory. The etiology is still unclear. Various risk factors relate with TGA and it is thought the vulnerability of CA1 neurons to metabolic stress plays an important role in the pathophysiological cascade. During the quarantine period of the coronavirus (COVID-19) pandemic, a 53-year-old Asian woman with 30 years of migraine history presented the emergency department for the first time to evaluate a sudden onset confusion and forgetfulness with repetitive questioning during migraine attack. Neurologic examination showed preserved orientations for time and person and no abnormalities in motor, speech, sensory, coordination, or cranial nerves. No focal Neurologic finding. Her memory gradually improved and restored to normal baseline over the course of a 24-hour in-patient stay. However, are trograde memory gap still existed a month after the TGA attack. The pathogenesis of TGA is unknown and many risk factors are associated with it, but among them migraine is considered a major risk factor, particularly in female patients aged 40-60 years. The anxiety stressor is a significant trigger for TGA. The pathophysiology argues that the vulnerability of CA1 neurons to metabolic stress plays an important role in TGA.
{"title":"Transient global amnesia associated with migraine triggered by anxiety under the effects of the coronavirus (COVID-19) pandemic: A case report","authors":"Chunhui Yang","doi":"10.15406/mojcr.2020.10.00347","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00347","url":null,"abstract":"Transient global amnesia (TGA) is a clinical syndrome featured with the sudden onset of primarily short-term loss of anterograde as well as a milder decline of retrograde memory. The etiology is still unclear. Various risk factors relate with TGA and it is thought the vulnerability of CA1 neurons to metabolic stress plays an important role in the pathophysiological cascade. During the quarantine period of the coronavirus (COVID-19) pandemic, a 53-year-old Asian woman with 30 years of migraine history presented the emergency department for the first time to evaluate a sudden onset confusion and forgetfulness with repetitive questioning during migraine attack. Neurologic examination showed preserved orientations for time and person and no abnormalities in motor, speech, sensory, coordination, or cranial nerves. No focal Neurologic finding. Her memory gradually improved and restored to normal baseline over the course of a 24-hour in-patient stay. However, are trograde memory gap still existed a month after the TGA attack. The pathogenesis of TGA is unknown and many risk factors are associated with it, but among them migraine is considered a major risk factor, particularly in female patients aged 40-60 years. The anxiety stressor is a significant trigger for TGA. The pathophysiology argues that the vulnerability of CA1 neurons to metabolic stress plays an important role in TGA.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/mojcr.2020.10.00364
J. G. Londono
Aortic valve regurgitation is a rare complication of blunt chest trauma, and when it ocurrs, it usually has a severe and acute onset. We report the case of a 52 year old healthy male who was involved in a high velocity motorcycle accident that caused cranial and thoracic injuries from which he recovered uneventfully after a two week admission in the ICU (Intensive Care Unit); cardiac lesions had been ruled out. Once weaning from mechanical ventilation was attempted the patient presented clear signs of acute heart failure and he was finally diagnosed with an aortic valve rupture that caused massive aortic valve regurgitation. After a surgical replacement of the aortic valve, the patient made a full recovery and was discharged two weeks later. Conclusion: Late presentation of traumatic aortic regurgitation should be considered in patients with a history of chest trauma even if valvular lesions were initially ruled out.
{"title":"Late onset of traumatic aortic regurgitation following a blunt chest trauma","authors":"J. G. Londono","doi":"10.15406/mojcr.2020.10.00364","DOIUrl":"https://doi.org/10.15406/mojcr.2020.10.00364","url":null,"abstract":"Aortic valve regurgitation is a rare complication of blunt chest trauma, and when it ocurrs, it usually has a severe and acute onset. We report the case of a 52 year old healthy male who was involved in a high velocity motorcycle accident that caused cranial and thoracic injuries from which he recovered uneventfully after a two week admission in the ICU (Intensive Care Unit); cardiac lesions had been ruled out. Once weaning from mechanical ventilation was attempted the patient presented clear signs of acute heart failure and he was finally diagnosed with an aortic valve rupture that caused massive aortic valve regurgitation. After a surgical replacement of the aortic valve, the patient made a full recovery and was discharged two weeks later. Conclusion: Late presentation of traumatic aortic regurgitation should be considered in patients with a history of chest trauma even if valvular lesions were initially ruled out.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/MOJCR.2020.10.00363
K. Vichairuangthum
Retained fractured coronary guide wire fragments are rarely encountered during percutaneous coronary intervention, but may cause fatal complication such as thrombosis, emboli, dissection and perforation. Management of retained fractured coronary guide wire depends upon the clinical situation of the patient and the position and length of the fractured guide wire remnant. This article present a case of remnant guide wire filaments that remained in aorta without complications.
{"title":"Guide wire fracture with remnant filament in left circumflex artery and ascending aorta","authors":"K. Vichairuangthum","doi":"10.15406/MOJCR.2020.10.00363","DOIUrl":"https://doi.org/10.15406/MOJCR.2020.10.00363","url":null,"abstract":"Retained fractured coronary guide wire fragments are rarely encountered during percutaneous coronary intervention, but may cause fatal complication such as thrombosis, emboli, dissection and perforation. Management of retained fractured coronary guide wire depends upon the clinical situation of the patient and the position and length of the fractured guide wire remnant. This article present a case of remnant guide wire filaments that remained in aorta without complications.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/MOJCR.2020.10.00332
D. Pizzol
{"title":"Successful management of a rare case of giant extra-abdominal fibromatosis","authors":"D. Pizzol","doi":"10.15406/MOJCR.2020.10.00332","DOIUrl":"https://doi.org/10.15406/MOJCR.2020.10.00332","url":null,"abstract":"","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"10 1","pages":"9-10"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67082640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/MOJCR.2020.10.00333
I. Velez
Cerebral venous and sinus thrombosis (CVT) is an uncommon disease and accounts for <1% of all strokes1,2 Multiple predisposing factors have been associated with CVT, among which only a few are reversible. Some of the transient conditions associated with CVT include pregnancy, dehydration, and infection.1 Cerebral venous thrombosis varies widely in its presentation, predisposition, neuroimaging, outcomes, and prognosis.3 The exact incidence and prevalence of CVT are unknown due to a lack of population based data. Although no age is exempt from cerebral venous thrombosis, in the pediatric population, neonates are most affected, and in adults, the highest incidence is in the third decade, with female preponderance.2
脑静脉窦血栓形成(Cerebral venous and sinus thrombosis, CVT)是一种罕见的疾病，占所有卒中的1%以下1,2多种易感因素与CVT相关，其中只有少数易感因素是可逆的。与CVT相关的短暂性情况包括妊娠、脱水和感染脑静脉血栓的表现、易感性、神经影像学、结果和预后差异很大由于缺乏基于人群的数据，CVT的确切发病率和流行率尚不清楚。虽然没有年龄可以免除脑静脉血栓形成，但在儿科人群中，新生儿受影响最大，而在成人中，发病率最高的是在第三个十年，以女性为主
{"title":"Septic venous thrombosis as an unexpected complication of acute suppurative otitis media: a case report","authors":"I. Velez","doi":"10.15406/MOJCR.2020.10.00333","DOIUrl":"https://doi.org/10.15406/MOJCR.2020.10.00333","url":null,"abstract":"Cerebral venous and sinus thrombosis (CVT) is an uncommon disease and accounts for <1% of all strokes1,2 Multiple predisposing factors have been associated with CVT, among which only a few are reversible. Some of the transient conditions associated with CVT include pregnancy, dehydration, and infection.1 Cerebral venous thrombosis varies widely in its presentation, predisposition, neuroimaging, outcomes, and prognosis.3 The exact incidence and prevalence of CVT are unknown due to a lack of population based data. Although no age is exempt from cerebral venous thrombosis, in the pediatric population, neonates are most affected, and in adults, the highest incidence is in the third decade, with female preponderance.2","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"10 1","pages":"12-15"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67082644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.15406/MOJCR.2020.10.00335
Aamir Jalal Al-Mosawi
The less severely affected boy was first seen at the age of about four years during April, 2018 at the Children Teaching Hospital of Baghdad Medical City. The parents were relatives. They noted that he can not run as fast as his peer. He walked at the clinic and no obvious abnormality with his gait could be noticed (Figure-1A). Sensory examination was normal. Gower sign was negative and he didn’t have obvious difficulty in squatting and standing from the squat position.
{"title":"The use of cerebrolysin in pediatric Wohlfart Kugelberg Welander syndrome","authors":"Aamir Jalal Al-Mosawi","doi":"10.15406/MOJCR.2020.10.00335","DOIUrl":"https://doi.org/10.15406/MOJCR.2020.10.00335","url":null,"abstract":"The less severely affected boy was first seen at the age of about four years during April, 2018 at the Children Teaching Hospital of Baghdad Medical City. The parents were relatives. They noted that he can not run as fast as his peer. He walked at the clinic and no obvious abnormality with his gait could be noticed (Figure-1A). Sensory examination was normal. Gower sign was negative and he didn’t have obvious difficulty in squatting and standing from the squat position.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"10 1","pages":"20-23"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：