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stiff man syndrome

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https://www.readbyqxmd.com/read/27909498/shock-lead-dislodgement-related-to-its-small-hair-pin-curve-in-a-pocket-a-case-of-ratchet-syndrome
#1
Yuka Taguchi, Kohei Matsushita, Toshiyuki Ishikawa, Yutaka Ogino, Hirooki Matsushita, Junya Hosoda, Katsumi Matsumoto, Satoshi Umemura
There have been few reports about ratchet syndrome. We report a case of ratchet syndrome caused by small hair-pin curve of lead that triggered the lead retract itself. A 69-year-old man with a past history of inferior wall myocardial infarction, presented with progressive congestive heart failure. He underwent implantation of cardiac resynchronization therapy with an implantable cardiac defibrillator (CRTD) at our hospital. At 33 days after implantation, shock lead dislodgement was revealed. X-ray showed that the lead tip was in left subclavian vein, leaving its screw out, and a large part of the proximal portion of the lead was retracted into the pocket, while the other two leads remained in appropriate positions and the device had not rotated...
April 2016: Journal of Atrial Fibrillation
https://www.readbyqxmd.com/read/27902956/usefulness-of-cervical-computed-tomography-and-magnetic-resonance-imaging-for-rapid-diagnosis-of-crowned-dens-syndrome-a-case-report-and-review-of-the-literature
#2
Akihiro Inoue, Kanehisa Kohno, Satoko Ninomiya, Hitomi Tomita, Shinji Iwata, Shiro Ohue, Kenji Kamogawa, Kensho Okamoto, Shinya Fukumoto, Haruhisa Ichikawa, Shinji Onoue, Saya Ozaki, Bungo Okuda
INTRODUCTION: Crowned dens syndrome is a rare disease entity which radiologically shows calcification of the cruciform ligament around the odontoid process. We report a patient with crowned dens syndrome who improved dramatically in 5days following treatment with oral nonsteroidal anti-inflammatory medication. PRESENTATION OF CASE: A 61-year-old man was admitted to our hospital with a severe occipital headache and sudden onset of neck stiffness. Neurological examination on admission revealed a high fever and cervical rigidity...
November 23, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27727812/stiff-man-syndrome
#3
Vikram P, Vijayan K
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27604617/12th-winfocus-world-congress-on-ultrasound-in-emergency-and-critical-care
#4
Yahya Acar, Onur Tezel, Necati Salman, Erdem Cevik, Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-Bordomás, Mustafa Z Mahmoud, Abdelmoneim Sulieman, Abbas Ali, Alrayah Mustafa, Ihab Abdelrahman, Mustafa Bahar, Osama Ali, H Lester Kirchner, Gregor Prosen, Ajda Anzic, Paul Leeson, Maryam Bahreini, Fatemeh Rasooli, Houman Hosseinnejad, Gabriel Blecher, Robert Meek, Diana Egerton-Warburton, Edina Ćatić Ćuti, Stanko Belina, Tihomir Vančina, Idriz Kovačević, Nadan Rustemović, Ikwan Chang, Jin Hee Lee, Young Ho Kwak, Do Kyun Kim, Chi-Yung Cheng, Hsiu-Yung Pan, Chia-Te Kung, Ela Ćurčić, Ena Pritišanac, Ivo Planinc, Marijana Grgić Medić, Radovan Radonić, Abiola Fasina, Anthony J Dean, Nova L Panebianco, Patricia S Henwood, Oliviero Fochi, Moreno Favarato, Ezio Bonanomi, Ivan Tomić, Youngrock Ha, Hongchuen Toh, Elizabeth Harmon, Wilma Chan, Cameron Baston, Gail Morrison, Frances Shofer, Angela Hua, Sharon Kim, James Tsung, Isa Gunaydin, Zeynep Kekec, Mehmet Oguzhan Ay, Jinjoo Kim, Jinhyun Kim, Gyoosung Choi, Dowon Shim, Ji-Han Lee, Jana Ambrozic, Katja Prokselj, Miha Lucovnik, Gabrijela Brzan Simenc, Asta Mačiulienė, Almantas Maleckas, Algimantas Kriščiukaitis, Vytautas Mačiulis, Andrius Macas, Sharad Mohite, Zoltan Narancsik, Hugon Možina, Sara Nikolić, Jan Hansel, Rok Petrovčič, Una Mršić, Simon Orlob, Markus Lerchbaumer, Niklas Schönegger, Reinhard Kaufmann, Chun-I Pan, Chien-Hung Wu, Sarah Pasquale, Stephanie J Doniger, Sharon Yellin, Gerardo Chiricolo, Maja Potisek, Borut Drnovšek, Boštjan Leskovar, Kristine Robinson, Clara Kraft, Benjamin Moser, Stephen Davis, Shelley Layman, Yusef Sayeed, Joseph Minardi, Irmina Sefic Pasic, Amra Dzananovic, Anes Pasic, Sandra Vegar Zubovic, Ana Godan Hauptman, Ana Vujaklija Brajkovic, Jaksa Babel, Marina Peklic, Vedran Radonic, Luka Bielen, Peh Wee Ming, Nur Hafiza Yezid, Fatahul Laham Mohammed, Zainal Abidin Huda, Wan Nasarudin Wan Ismail, W Yus Haniff W Isa, Hashairi Fauzi, Praveena Seeva, Mohd Zulfakar Mazlan
A1 Point-of-care ultrasound examination of cervical spine in emergency departmentYahya Acar, Onur Tezel, Necati SalmanA2 A new technique in verifying the placement of a nasogastric tube: obtaining the longitudinal view of nasogastric tube in addition to transverse view with ultrasoundYahya Acar, Necati Salman, Onur Tezel, Erdem CevikA3 Pseudoaneurysm of the femoral artery after cannulation of a central venous line. Should we always use ultrasound in these procedures?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4 Ultrasound-guided supraclavicular subclavian vein catheterization...
September 2016: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/27454281/complex-regional-pain-syndrome-caused-by-lumbar-herniated-intervertebral-disc-disease
#5
Se Hee Kim, Sang Sik Choi, Mi Kyung Lee, Jung Eun Kin
Most cases of complex regional pain syndrome (CRPS) occur after some inciting injury. There are a few cases of CRPS after an operation for disc disease. CRPS from a mild herniated intervertebral disc (HIVD) without surgical intervention is even rarer than CRPS after an operation for disc disease.A 22-year-old man was transferred to a pain clinic. He had continuously complained about back and right leg pain. He presented with a skin color change in the right lower leg, intermittent resting tremor, stiffness, and swelling in the right leg...
July 2016: Pain Physician
https://www.readbyqxmd.com/read/27112684/autoimmune-movement-disorders
#6
Andrew Mckeon, Angela Vincent
Autoimmune movement disorders encapsulate a large and diverse group of neurologic disorders occurring either in isolation or accompanying more diffuse autoimmune encephalitic illnesses. The full range of movement phenomena has been described and, as they often occur in adults, many of the presentations can mimic neurodegenerative disorders, such as Huntington disease. Disorders may be ataxic, hypokinetic (parkinsonism), or hyperkinetic (myoclonus, chorea, tics, and other dyskinetic disorders). The autoantibody targets are diverse and include neuronal surface proteins such as leucine-rich, glioma-inactivated 1 (LGI1) and glycine receptors, as well as antibodies (such as intracellular antigens) that are markers of a central nervous system process mediated by CD8+ cytotoxic T cells...
2016: Handbook of Clinical Neurology
https://www.readbyqxmd.com/read/26839040/association-of-remitting-seronegative-symmetrical-synovitis-with-pitting-edema-polymyalgia-rheumatica-and-adenocarcinoma-of-the-prostate
#7
Amir Emamifar, Soeren Hess, Rannveig Gildberg-Mortensen, Inger Marie Jensen Hansen
BACKGROUND: Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is a rare condition that occurs in elderly individuals. It can present alone or in association with various rheumatic or malignant diseases. CASE REPORT: An 83-year-old man presented with anemia, hyper-sedimentation, and pitting edema of the back of the hands. The patient complained of pain and stiffness of the shoulder and hip girdles, especially in the morning. He was previously diagnosed with adenocarcinoma of the prostate...
2016: American Journal of Case Reports
https://www.readbyqxmd.com/read/26620260/the-risk-of-vocal-fold-atrophy-after-serial-corticosteroid-injections-of-the-vocal-fold
#8
Lucy L Shi, Laureano A Giraldez-Rodriguez, Michael M Johns
OBJECTIVE: The aim of this study was to illustrate the risk of vocal fold atrophy in patients who receive serial subepithelial steroid injections for vocal fold scar. METHODS: This study is a retrospective case report of two patients who underwent a series of weekly subepithelial infusions of 10 mg/mL dexamethasone for benign vocal fold lesion. Shortly after the procedures, both patients developed a weak and breathy voice. The first patient was a 53-year-old man with radiation-induced vocal fold stiffness...
November 24, 2015: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/26468871/lesson-from-a-case-of-cervical-meningioma-misdiagnosed-as-parkinsonism
#9
Chang Hyun Nam, Beomseok Jeon
INTRODUCTION: Lesion localization based on patient's manifestation is a fundamental step in making a neurological diagnosis. However, it has been reported that diagnosticians are vulnerable to the effects of various cognitive biases during diagnostic processes. CASE REPORT: A 69-year-old man with right-hand stiffness visited the Movement Disorder Clinic with the history of periodic limb movement syndrome and restless leg syndrome. His sensory and deep tendon reflex examination results were normal...
October 2015: Neurologist
https://www.readbyqxmd.com/read/26321813/status-spasticus-and-psoas-muscle-edema-due-to-anti-gad-antibody-associated-stiff-man-syndrome
#10
Boby Varkey Maramattom
Severe muscle rigidity and spasms are uncommon causes of Intensive Care Unit (ICU) admissions. Stiff-man syndrome (SMS) is a rare disorder characterized by continuous muscle spasms, axial muscle rigidity, "tin soldier gait," and continuous motor unit activity on electromyography. There are three clinical variants of SMS; stiff-limb syndrome, classical SMS, and paraneoplastic encephalomyelitis with rigidity and myoclonus. Three types of antibodies have been associated with SMS; however, anti-glutamic acid decarboxylase (GAD) antibodies are the most frequent and are seen in the idiopathic type of SMS...
August 2015: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/26250555/hoffmann-s-disease-mr-imaging-of-hypothyroid-myopathy
#11
Jeewon Chung, Kyung-Sik Ahn, Chang Ho Kang, Suk-Joo Hong, Beak Hyun Kim
Hoffmann's syndrome is a hypothyroid myopathy presenting as muscle stiffness and hypertrophy. It is a rare complication of hypothyroidism. MRI features of this syndrome have seldom been described in the literature. We present a case of Hoffmann's syndrome in a 34-year-old man who underwent lower extremity contrast-enhanced MRI. MRI can demonstrate the hypertrophic configuration, T2 hyperintensity, and enhancement of the involved muscles in Hoffmann's syndrome. Along with clinical, laboratory, and electromyography findings, MRI may be helpful in distinguishing between inflammatory myopathy, myonecrosis, subacute muscle denervation, and infectious myositis...
November 2015: Skeletal Radiology
https://www.readbyqxmd.com/read/26242511/an-additional-x-chromosome
#12
M C Madua
No abstract text is available yet for this article.
February 2015: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/26101131/-stiff-person-syndrome-is-a-rare-autoimmune-disorder
#13
Sengül Seven, Niels Fanø
Atypical symptoms raise classical diagnostic dilemmas of somatic versus functional disease. The challenge is greater when the condition is less frequent. Illustrating this issue is a case of stiff person syndrome (SPS) where a 46-year-old man was admitted with lower back and hip pain and stiffness of the musculature of the lower extremities resulting in stooped gait. Stiffness was absent while sleeping. Thorough clinical examination and tests were unable to explain the symptomology until suspicion of SPS was raised, supported by high levels of glutamic acid decarboxylase antibodies...
June 15, 2015: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/25943238/neuromyotonia-with-polyneuropathy-prominent-psychoorganic-syndrome-insomnia-and-suicidal-behavior-without-antibodies-a-case-report
#14
Edvard Ehler, Alena Meleková
INTRODUCTION: Peripheral nerve hyperexcitability disorders are characterized by constant muscle fiber activity. Acquired neuromyotonia manifests clinically in cramps, fasciculations, and stiffness. In Morvan's syndrome the signs of peripheral nerve hyperexcitability are accompanied by autonomic symptoms, sensory abnormalities, and brain disorders. CASE PRESENTATION: A 70-year-old Caucasian man developed, in the course of 3 months, polyneuropathy with unpleasant dysesthesia of lower extremities and gradually increasing fasciculations, muscle stiffness and fatigue...
2015: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/25905490/higher-estimated-net-endogenous-acid-production-may-be-associated-with-increased-prevalence-of-nonalcoholic-fatty-liver-disease-in-chinese-adults-in-hong-kong
#15
Ruth Chan, Vincent Wai-Sun Wong, Winnie Chiu-Wing Chu, Grace Lai-Hung Wong, Liz Sin Li, Jason Leung, Angel Mei-Ling Chim, David Ka-Wai Yeung, Mandy Man-Mei Sea, Jean Woo, Francis Ka-Leung Chan, Henry Lik-Yuen Chan
Nonalcoholic fatty liver disease (NAFLD) has been associated with reduced growth hormone levels and signaling. Such hormonal changes also occur in metabolic acidosis. Since mild metabolic acidosis can be diet induced, diet-induced acid load may constitute a nutritional factor with possible influence on NAFLD development. This study explored whether a higher diet-induced acid load is associated with an increased likelihood of NAFLD. Apparently healthy Chinese adults (330 male, 463 female) aged 19-72 years were recruited through population screening between 2008 and 2010 in a cross-sectional population-based study in Hong Kong...
2015: PloS One
https://www.readbyqxmd.com/read/25787354/-5-or-transient-elastography-te-of-the-liver-as-a-new-diagnostic-tool-to-discriminate-between-hellp-syndrome-and-acute-fatty-liver-of-pregnancy-aflp
#16
Johannes Duvekot, Claudia Verveer, Leonard Neven, Rob De Man, Eric A Steegers, Harry L Janssen, Robbert J de Knegt
OBJECTIVES: The diagnosis acute fatty liver of pregnancy (AFLP) is made by the clinical presentation in combination with the laboratory abnormalities. It is often difficult to distinguish AFLP from HELLP syndrome, a complication of severe preeclampsia. Transient elastography (TE, FibroScan®, EchoSense, Paris) measures tissue elasticity as an indirect parameter for tissue fibrosis, and is frequently used in hepatology for non-invasive assessment of fibrosis. To obtain reference data for TE in hypertensive disorders of pregnancy and AFLP...
January 2015: Pregnancy Hypertension
https://www.readbyqxmd.com/read/25721331/no-overlap-among-serum-gad65-nmdar-and-aqp4-antibodies-in-patients-with-neuromyelitis-optica-spectrum-disorders
#17
Longchang Xie, Youming Long, Ning Yang, Fulan Shan, Yongxiang Fan, Rong Zhong, Linzhan Wu, Jianrui Yin, Qingchun Gao, Gao Cong
OBJECTIVE: To evaluate whether serum glutamic acid decarboxylase (GAD), N-methyl-D-aspartate-receptor (NMDAR), and aquaporin-4 (AQP4) autoantibodies coexist in patients with neuromyelitis optica (NMO)/NMO spectrum disorders (NMOSD). METHODS: Serum samples were collected from 98 patients with NMO/NMOSD. Serum GAD65, NMDAR and AQP4 antibodies were measured using a cell-based assay. RESULTS: A total of 63 patients (64.3%) had myelitis and optic neuritis and satisfied the revised diagnostic criteria for NMO...
2015: Neuroimmunomodulation
https://www.readbyqxmd.com/read/25672864/-a-case-of-isaacs-syndrome-causing-various-central-nervous-symptoms-successfully-treated-with-high-dose-intravenous-methylprednisolone-therapy
#18
Mitsunori Shimmura, Norihisa Maeda, Shuji Kanetou, Nobuyoshi Takashima, Kei-ichiro Takase
A 44-year-old man with a bilateral hand tremor suffered from a decline in concentration and abnormal vision for several months. He also complained of easily falling down because of muscle stiffness and cramps in his lower limbs. On admission, he demonstrated lower limb stiffness, muscle cramps, diplopia, hyperhidrosis, left upper limb ataxia and dysesthesia in all limbs. Laboratory examination showed a marked elevation in his serum creatine kinase level (26,890 U/l), and needle electromyography demonstrated myokymic discharges in the muscles of his lower extremities...
2015: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/25525403/stiff-man-syndrome-a-diagnostic-dilemma-in-a-young-female-with-diabetes-mellitus-and-thyroiditis
#19
Hilary Enuh, Michael Park, Arjun Ghodasara, Edward Arsura, Jay Nfonoyim
Stiff Person Syndrome (SPS), is a very rare neuroimmunologic disorder characterized by progressive muscle pain, rigidity, stiffness, and spasms. It can be very debilitating if misdiagnosed or not recognized in time. Herein we discuss a case of a female in her 20s who presented with an unsteady gait, lower extremity weakness, persistent leg pain, and stiffness few weeks after uncomplicated childbirth. She has type 1 diabetes mellitus (DM) and was diagnosed with thyroiditis in the course of her illness. The triad of thyroiditis, DM, and stiffness with normal neuroimaging in a young female patient is an unusual occurrence...
2014: Clinical Medicine Insights. Case Reports
https://www.readbyqxmd.com/read/25489514/isolated-bilateral-triphalangeal-thumb-with-delta-phalanx-a-case-report
#20
Jamal Gousheh, Ehsan Arasteh
Triphalangeal thumb is characterized by the interposition of an extra-phalanx between two normal ones. In this article the authors present the case of a 24-year-old man with bilateral triphalangeal thumb of opposable type, without any other associated anomaly or genetic syndrome. The patient had triangular delta extra-phalanxes that caused ulnar deviation of both thumbs. Surgical procedure for the correction of the congenital anomaly consisted of a closing wedge osteotomy and distal interphlangeal joint arthrodesis in the left thumb, and a wedge osteotomy in the deformed distal phalanx of the right thumb...
June 2013: World Journal of Plastic Surgery
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