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Marsupialization of a Ranula in a 9-Year-Old Patient with Cerebral Palsy with Spastic Quadriplegia: A Case Report

Rahul Kumar Chaudhary*; Rojina Sedhai; Satish Kumar Thakur; Rahul Mahato

    This case report presents the successful surgical marsupialization of a ranula in a 9-year-old female patient with cerebral palsy with spastic quadriplegia, with attention to the anesthetic management and considerations required for high-risk pediatric patients with cerebral palsy and spastic Quadriplegia.


Brachial Plexus Neurolymphomatosis; The Claw Sign on FDG PET/CT

Charanjeet Singh*; Mamta Gupta; Aryan Singh

    80-year-old male presented with right arm weakness. There was anisocoria, left cranial nerve III palsy, right arm weakness and decreased sensation. MRI brain showed, no acute infarct.


Autoimmune Brainstem Encephalitis: A Rare Case with Anti-RhoGTPase-activating Protein 26 Antibody Positive

Minlu Wu#; Meng-Meng Wang#; Jia-xun Li#; Li-yan Gu; Ying Chen; Yi Han*; Jie Wei*

    The antibody against RhoGTPase-activating protein 26 (ARH-GAP26) was initially considered as a member of the pathogenic antibodies in subacute autoimmune cerebellar ataxia(ACA) [1]. It is now indicated that this antibody, besides mediating ataxia, is also associated with psychiatric disorders and cognitive impairment [2].


Immune Mediated Necrotizing Myopathy

Stephen Soloway*; Vinuri Goonesinghe

    A 70-year-old male with a two-year history of weakness and dysphagia was diagnosed with immune-mediated necrotizing myopathy (IMNM) (Figure 1) confirmed by biopsy and SRP auto-antibody positivity.


Acute Limb Pain with New Onset Abdominal Pain

M Ravi Krishna*; Srivatsa Nagachandan; Devanshi Jobanputra

    A pneumoperitoneum because of a hollow viscous perforation is a life-threatening diagnosis that is more commonly diagnosed in the ER. We present a case of acute pneumoperitoneum in a 28-year-old man who presented to the Emergency Department (ED).


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