Thrombosis of the Cavernous Sinus Complicated by Aneurism of the Cavernous Segment of the Internal Carotid Artery: Case Report
Ewodo Touna Hilaire Dominique,
Chislain De Chacus,
Brandon Ekanmian,
Mylene Tonga,
Fanta Aida Ndieguene,
Amadou Gallo Diop
Issue:
Volume 6, Issue 3, September 2022
Pages:
37-40
Received:
21 June 2022
Accepted:
11 July 2022
Published:
28 July 2022
DOI:
10.11648/j.cnn.20220603.11
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Abstract: Introduction Cavernous sinus thrombosis is a rare pathology. It usually follows locoregional infections or can also occur after facial surgery. Aneurysms of the cavernous segment of the internal carotid artery can be one of the complications of this condition which is a severe pathology that can be life-threatening. Case presentation Here is the case of a 32-year-old woman who has been maintained on oral contraceptive pills. She sought medical advice for an unusual headache that has been started three months after labor. Headaches were associated with paralysis of the left cranial nerve III related to partial cerebral venous thrombosis of the cavernous sinus on the ipsilateral side. The evolution of the condition while receiving oral anticoagulation drugs, was marked two weeks later by sudden onset, of motor deficit of the right side of the body associated with secondary generalized focal motor seizures. The etiology of this new symptomatology is the rupture of an aneurysm of the left Internal Carotid, causing a subarachnoid hemorrhage. Conclusion The cavernous sinus thrombosis complicates by an aneurysm of the Internal carotid artery is a rare association of pathology with severe prognostic. This report discusses the diagnostic approach, management, and prognosis of Cavernous Sinus Thrombosis.
Abstract: Introduction Cavernous sinus thrombosis is a rare pathology. It usually follows locoregional infections or can also occur after facial surgery. Aneurysms of the cavernous segment of the internal carotid artery can be one of the complications of this condition which is a severe pathology that can be life-threatening. Case presentation Here is the ca...
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Epilepsy Revealing a Infiltrating Glioma of the Brainstem: A Case Report and Review of the Literature
Dore Male,
Barry Souleymane Djigue,
Conde Kaba,
Toure Mohamed Lamine,
Conde Mohamed Lamine,
Igue Kadija,
Bogon Victor,
Diawara Karinka,
Doumbouya Idrissa,
Camara Idrissa,
Camara Mohamed Salif,
Camara Mamady,
Bangoura Asmaou,
Sidibe Gnouma,
Gouled Houssein,
Cisse Fode Abass
Issue:
Volume 6, Issue 3, September 2022
Pages:
41-44
Received:
3 July 2022
Accepted:
15 July 2022
Published:
28 July 2022
DOI:
10.11648/j.cnn.20220603.12
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Abstract: Introduction: Invasive brainstem glioma (IBG) is a rare, very aggressive pontine glial tumour. It remains one of the most devastating diagnoses among childhood cancers. We report the observation of an infiltrating brainstem glioma. Observation: This is a 7-year-old girl, with no notable medical and surgical history, who presented in a rapidly progressive context, headaches, vomiting, weakness of the left hemibody, aphasia, tonic-clonic seizures, neurological examination had as particularity, a pyramidal syndrome, a syndrome of intracranial hypertension, and a syndrome of cortical irritation, on the biology one noted a hypercalcemia, encephalic MRI revealed a hyper signal in T2 at the expense of the brainstem, she received corticosteroid therapy, followed by antiepileptic treatment. Evolution resulted in the death of the patient 3 months after the diagnosis. Discussion: Invasive brainstem glioma accounts for about 15% of pediatric brain tumors, presumed diagnosis of invasive brainstem glioma has been progressively made based on clinical and radiological aspects only. For lesions with typical clinical presentation and imaging. Surgery and radiotherapy currently remains the standard treatment, Conclusion: The management of infiltrating gliomas of the brainstem remains delicate, and the prognosis always remains gloomy, our study is an illustrative case, it is one of the very first case of brainstem gliomas described in children in the republic of guinea. Large-scale studies would be necessary to determine the prevalence of the pathology on a national level.
Abstract: Introduction: Invasive brainstem glioma (IBG) is a rare, very aggressive pontine glial tumour. It remains one of the most devastating diagnoses among childhood cancers. We report the observation of an infiltrating brainstem glioma. Observation: This is a 7-year-old girl, with no notable medical and surgical history, who presented in a rapidly progr...
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Virtual Reality Rehabilitation for Optimizing Function Following Radial Nerve Injury: A Case Report
Thajus Asirvatham,
Ajay Boppana,
Prem Raj Isaac Chandran,
Ibin Kariyathankavil,
Sultan Salim Hammam Al Abdulla
Issue:
Volume 6, Issue 3, September 2022
Pages:
45-49
Received:
27 July 2022
Accepted:
11 August 2022
Published:
24 August 2022
DOI:
10.11648/j.cnn.20220603.13
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Abstract: Background: Radial nerve injury can cause severe impairment due to paralysis of the wrist and finger extensors. Wrist drop is a hallmark feature of radial nerve injury. Various interventions are used for optimizing function. This case report uses virtual reality (PABLO tyro motion) to prove that such sensor-based rehabilitation can bring about better outcomes in current day clinical practice. Because radial nerve palsies improve over time with excellent prognosis, the current intervention used in the study was to facilitate and speed up the rehabilitation process due to decreased length of stay and time constraints of the subject staying long in the hospital. Objective: (1) To analyze the functional gain achieved from admission until discharge from hospital, thereby understanding the effect of virtual reality; (2) to understand the effectiveness of advanced technology such as virtual reality which can be used to facilitate function following nerve injuries. Method: We present a case of a 30-year old working male, who sustained radial nerve injury after a right humeral fracture, resulting from road traffic accident. A complete wrist drop was seen in the right hand, which was his dominant hand. This significantly affected his ability to independently perform activities of daily living (ADL) and engage in any other work-related activities. Results: Progressive recovery was seen following active rehabilitation, after an 8-week hospital stay. Improvements were seen in his abilities to perform ADL on the functional independence measure (FIM), improved muscle strength and active range of motion of the right hand, particularly wrist extensors, improved arm and hand function and decreased pain as measured by the outcome measures. Conclusion: Virtual reality can be used as an advanced treatment option for those with nerve injuries, even though there is spontaneous recovery over a period. This can be used to speed up the rehabilitation process to reduce length of stay and constraints in staying in the hospital.
Abstract: Background: Radial nerve injury can cause severe impairment due to paralysis of the wrist and finger extensors. Wrist drop is a hallmark feature of radial nerve injury. Various interventions are used for optimizing function. This case report uses virtual reality (PABLO tyro motion) to prove that such sensor-based rehabilitation can bring about bett...
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