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Severe Acute Respiratory Distress Syndrome in a Patient with Sickle-Cell Anemia Requiring Veno-Venous Extracorporeal Membrane Oxygenation Therapy: Case Report and Review of the Literature 镰状细胞性贫血患者需要静脉-静脉体外膜氧合治疗的严重急性呼吸窘迫综合征:病例报告和文献回顾
Pub Date : 2022-01-01 DOI: 10.4236/crcm.2022.1112068
Kotler Offer, Dichtwald Sara, M. Avraham, Dan Gorfil, Ifrach Nisim
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引用次数: 0
Diabetic Ketoacidosis in Type 1 DM: A Novel Presentation of CML 1型糖尿病酮症酸中毒:CML的一种新表现
Pub Date : 2022-01-01 DOI: 10.4236/crcm.2022.119051
Kory S Jaggon, S. Ntelis, R. Atalay, G. M. Ayele, M. Michael
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引用次数: 0
A Case Report of 3C Syndrome and Literature Review 3C综合征1例报告并文献复习
Pub Date : 2022-01-01 DOI: 10.4236/crcm.2022.111002
D. Kanikomo, Y. Sogoba, M. Diallo, M. Diarra, O. Coulibaly, B. Sogoba, M. Dama, M. Coulibaly, M. Diallo
Ritscher-Schinzel syndrome, or 3C (cranio-cerebello-cardiac) syndrome is a developmental disorder characterized by cranio-facial, cerebellar and cardiac anomalies. It is a rare disease with an incidence of 1/1,000,000 inhabitants, and was first described by Ritscher-Schinzel in 1987. 3C syndrome is an autosomal recessive disease caused by a mutation on the long arm of chromosome 8 to 8q24.13, the KIAA0196 locus, the strumpellin protein gene. The cardiac and cerebral anomalies are most often leading cause of death at an early age and people with 3C syndrome rarely exceed 40 years. In this paper, we report a case of Ritscher-Schinzel in 3-month-old boy who was admitted to our neurosurgical department in September 2020. Clinical examination revealed a macrocrania with head circumference at 47 cm. There was a prominence of forehead and occiput, the root of the nose which was flat, hypertelorism and micrognatism. The CT scan revealed Dandy WALKER malformation with cystic dilation of the 4th ventricle, an aplasia of the cerebellar vermis associated with a tretraventricular hydrocephalus.
Ritscher-Schinzel综合征,或3C(颅-小脑-心脏)综合征是一种以颅-面部、小脑和心脏异常为特征的发育障碍。这是一种罕见的疾病,发病率为百万分之一,1987年由Ritscher-Schinzel首次描述。3C综合征是一种常染色体隐性遗传病,由8号染色体长臂至8q24.13 (KIAA0196位点)strumpellin蛋白基因突变引起。心脏和大脑异常通常是早期死亡的主要原因,3C综合征患者很少超过40岁。在本文中,我们报告了一个3个月大的男孩,他于2020年9月在我们的神经外科住院。临床检查发现大颅骨,头围为47厘米。前额、枕部突出,鼻根扁平,远视、微缩。CT扫描显示Dandy WALKER畸形伴第四脑室囊性扩张,小脑蚓部发育不全伴脑室积水。
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引用次数: 0
Motor Response of Mirror Therapy after Reconstruction of Extensor Mechanism Caused by Glass Cut Injury 玻璃割伤后伸肌机制重建后镜像治疗的运动反应
Pub Date : 2022-01-01 DOI: 10.4236/crcm.2022.118040
Maha Farhina
Treatment by mirror therapy (MT) restores motion in injured limbs without invasive procedures. This process is widely accepted for rehabilitating patients with phantom limb pain, stroke victims, or patients who need therapy after nerve damage. The procedure is specifically useful in restoring motion to the hand after surgical repairs to the extensor muscle and tendons. Mirror therapy rewires the brain by making the restored limb remember hand motions by observing the motions of a normal hand. The concept of a mirror image is that the movement of the uninjured arm forms the illusion of the same movement in the affected arm. Efforts to repeat hand movements elicit the same reaction in the affected hand in what is referred to as Hebbian learning. This case study evaluated MT’s effectiveness in motion restoration after a glass injury. This case study showed restoration of normal hand motions in a patient following surgery to repair a glass cut to the arm. Surgery repaired the lacerated extensor tendon and radial nerve. The muscle belly was repaired, and a graft fixed the nerve gap. Once the arm healed, the patient underwent rehabilitation in mirror therapy to restore normal function in his hand. After conducting mirror therapy, the pain was eliminated, and the patient restored normal function of moving the hand and finger extension. In addition, the therapy could be conducted at home without needing a professional. The effectiveness of mirror therapy was seen in the functional restoration of hand and finger movement. The process is also less complicated as it can be performed at home.
通过镜像疗法(MT)治疗可以恢复受伤肢体的运动,而无需侵入性手术。这种方法被广泛接受用于幻肢痛患者、中风患者或神经损伤后需要治疗的患者的康复。该方法在伸肌和肌腱手术修复后恢复手部运动方面特别有用。镜像疗法通过观察一只正常的手的动作,使恢复的肢体记住手的动作,从而重新连接大脑。镜像的概念是,未受伤手臂的运动形成了受伤手臂相同运动的错觉。重复手部动作的努力会在受影响的手上引起相同的反应,这被称为Hebbian学习。本案例研究评估了MT在玻璃损伤后运动恢复中的有效性。这个案例研究显示了恢复正常的手部运动的病人手术后,修复玻璃切割到手臂。手术修复了撕裂的伸肌腱和桡神经。肌肉腹部得到修复,移植物固定了神经间隙。手臂愈合后,患者接受镜像治疗以恢复手部的正常功能。经镜像治疗后,疼痛消失,患者恢复了正常的手部活动和手指伸展功能。此外,这种疗法可以在家里进行,不需要专业人员。镜像疗法在手部和手指运动功能恢复方面的有效性可见一斑。这个过程也不那么复杂,因为它可以在家里完成。
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引用次数: 0
Prevalence of Cerebral Venous Thrombosis in COVID-19 Patients: A Systematic Review COVID-19患者脑静脉血栓形成的患病率:一项系统综述
Pub Date : 2022-01-01 DOI: 10.4236/crcm.2022.116031
Ohood A. Ashahrani, M. Alfaifi
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引用次数: 0
Low Grade Appendiceal Mucinous Neoplasm Presenting as a Mucocoele of the Appendix 低级别阑尾黏液性肿瘤表现为阑尾黏液囊肿
Pub Date : 2022-01-01 DOI: 10.4236/crcm.2022.119053
M. R. Vennila, P. Goud, S. Seshasayee, S. Sundaram, R. Arcot
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引用次数: 0
A Rare Case of Atypical Recalcitrant Hailey-Hailey Disease and a Literature Review 罕见的非典型顽固性黑利-黑利病1例及文献复习
Pub Date : 2022-01-01 DOI: 10.4236/crcm.2022.119049
Udoka Ogbuneke, Emmanuel Odega, Y. Ibrahim, Mustapha Abubakar
Hailey-Hailey disease also known as familial benign chronic pemphigus is a rare bullous genodermatosis that affects intertriginous area symmetrically. It presents with flaccid blisters, erosions and maceration resulting in increased morbidity, reduced quality of life for affected patients. It is rare in occurrence with an incidence of rate of 1 in 50,000. It is diagnosed with a combination of clinical and histopathological findings. While there is no known cure, its relapsing remitting course can be managed with medication. This case describes an unusual presentation of familial benign chronic pemphigus with a late age of onset of symptoms, atypical distribution and resistant to multiple therapies.
黑利-黑利病也被称为家族性良性慢性天疱疮是一种罕见的大疱性遗传性皮肤病,影响三节间区对称。它表现为松弛的水疱,糜烂和浸渍,导致发病率增加,降低患者的生活质量。这是罕见的,发病率为五万分之一。它的诊断与临床和组织病理学结果相结合。虽然没有已知的治愈方法,但它的复发缓解过程可以通过药物治疗来控制。本病例描述了一种不寻常的家族性良性慢性天疱疮的表现,发病年龄晚,不典型分布,耐多种治疗。
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引用次数: 0
Clinical Experience of Patients with Full-Term Uterine Incarceration: Case Report 足月子宫嵌顿1例临床体会
Pub Date : 2022-01-01 DOI: 10.4236/crcm.2022.115027
J. Yao, Xin-Jian Guo, Xudong Dong
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引用次数: 0
Management Dilemma of Pulmonary Embolism Associated with Haemorrhagic Stroke in Low-Income Settings: A Case Report 低收入地区肺栓塞合并出血性脑卒中的管理困境:一例报告
Pub Date : 2022-01-01 DOI: 10.4236/crcm.2022.115024
L. Mfeukeu-Kuaté, Nadège Nganou-Gnindjio, Andy Tchouanlong Tabuguia, Honoré Kemnang Yemele, Boris Kom Wandji, A. Jingi, Oummoul Koulsoumi, Claude Ewane Essoh, Johane Bekoe, Dieudonné Danwe, A. Ménanga
Management of thromboembolic disease in an acute bleeding circumstance like haemorrhagic stroke is a real challenge in low-income settings. We report a case of a 37-year-old woman who was treated in the neurologic service for a haemorrhagic stroke that occurred one week after a caesarean section. Six weeks after her discharge, she presented signs of bilateral deep vein thrombosis and pulmonary embolism confirmed by venous Doppler ultrasound and a thoracic angiography respectively. Transthoracic cardiac ultrasound showed right ventricular dysfunction with a clot in the right atrium. Considering the high risk of complications due to anticoagulant treatment, surgical treatment and a vena cava filter were proposed. But it could not be performed because it was not accessible. After a multidisciplinary consultation meeting and informed consent of the patient, anticoagulant treatment was the preferred expectation. Three weeks after the beginning of the anticoagulant therapy, the evolution was favourable, and the patient was discharged.
管理血栓栓塞性疾病在急性出血情况下,如出血性中风是一个真正的挑战,在低收入环境。我们报告一个病例37岁的妇女谁是治疗出血性中风在神经系统服务,发生一周后剖腹产。出院后6周,患者分别经静脉多普勒超声和胸血管造影证实双侧深静脉血栓形成和肺栓塞。经胸心脏超声显示右心室功能不全,右心房有血栓。考虑到抗凝治疗并发症风险高,建议手术治疗和腔静脉过滤器。但它无法执行,因为它无法访问。在多学科会诊会议和患者知情同意后,抗凝治疗是首选。开始抗凝治疗三周后,病情发展良好,患者出院。
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引用次数: 0
Rituximab for the Treatment of Multiple Sclerosis: A Retrospective Observational Cohort in Morocco 利妥昔单抗治疗多发性硬化症:摩洛哥回顾性观察队列
Pub Date : 2022-01-01 DOI: 10.4236/crcm.2022.1110062
S. Bouchal, Nabila Lahmadi, Sara Zejli, N. Chtaou, Y. Hafidi, F. Belahsen
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引用次数: 0
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Case Reports in Clinical Medicine
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