Journal of Case Reports and Medical Images

Join as a Reviewer

Journal of Case Reports and Medical Images

Short Name: J Case Rep Clin Images
ISSN: 2639-9237
Publisher: MedDocs Publishers LLC

Author Guidelines SUBMIT MANUSCRIPT

Archive 4

Neuropathic pain in chronic idiopathic axonal neuropathy: Fast pain reduction after topical phenytoin cream

Jan M keppel Hesselink

Pain in Chronic Idiopathic Axonal Neuropathy (CIAP) is often treated based on guidelines, not specifically developed for CIAP patients, and we can only extrapolate findings from for instance Painful Diabetic Neuropathy (PDN) to our CIAP patients. Clearly, the pathogenesis and pathophysiology of CIAP will be different from that of most PDN patients. Many CIAP patients complain of the intolerable side-effects of current analgesic medication. In order to help those patients, we developed a treatment-regime consisting of the supplement palmitoylethanolamide and topical formulations of analgesics.

DOI HTML PDF

Recombinant human bone morphogenetic protein-2 for correction of unilateral cleft lip and palatal: Case report

Cláudia Nakandakari; André Henrique de Almeida e Silva; Ildeu Andrade Junior; Vinícius César Barbosa de Menezes*; Fabrício Rezende do Amaral; João Roberto Gonçalves

The aim of this paper was to present a case report in which a unilateral cleft lip and palate was repaired with bone graft. The 11 years old Caucasian female patient was subjected to correction of unilateral cleft lip and palatal left (left side) with the rhBMP-2 (INFUSE® Bone Graft). Bone reconstruction and including canine repositioning was planned. A one and a half mm titanium mesh (was fixed by 4 titanium screws in the adjacent bone structures), to sustain collagen sponge with the protein stays in the fissure, allowing a framework and a conformation of the alveolar process.

DOI HTML PDF

Pain in chemotherapy-induced peripheral neuropathy: NGF and the logic of topical phenytoin cream

Jan M Keppel Hesselink

In Chemotherapy-Induced Peripheral Neuropathy (CIPN) epidermal nerves and keratinocytes are damaged due to toxic influences of oncolytical therapies. One important detrimental factor recently described is the Nerve Growth Factor (NGF). NGF is produced by irritated keratinocytes, and NGF over production leads to over active nociceptors. This mechanism of peripheral sensitization induces localized peripheral pain. Both membranes of keratinocytes and nociceptors are rich in sodium channels.

DOI HTML PDF

Oral apthous ulcer healing steps

Mina Sherif Soliman Georgy

27 years old male patient presenting to the primary health care clinic with chief complaint of painful ulcer on the lower lip of 3 days duration. There was Apthous ulcer measuring 07cm on the patient’s lower lip, which was provisionally diagnosed as an oral apthous ulcer. These photographs were taken on daily basis as a follow up and it excel in demonstrating the healing process of the apthous ulcer without the use of any topical or systemic drug.

DOI HTML PDF

Supposed otolaryngology emergency which presents late: Bilateral congenital choanal atresia

Lorna Ting, MBBS*, YT Liew, MS

Bilateral congenital choanal atresia is a life threatening emergency which always presents in new born. Cyclical respiratory distress, cyanosis and apnoea relieved by crying are common clinical features. We report a rare case of bilateral choanal atresia in a 5 year old girl with unremarkable neonatal history, whom presented to us with persistent bilateral nasal obstruction.

DOI HTML PDF

Bilateral hypoplastic or aplastic posterior tibial artery

Rakesh K Varma*; Andrew J Gunn; Nathan W Ertel; Ahmed Kamel Abdel Aal, MD, PhD, FSIR

The popliteal and Peroneal Arteries (PR) arise from the sciatic artery (primary limb bud artery) whereas the Anterior Tibial (AT) and Posterior Tibial (PT) arise from the femoral artery. Being a derivative of the sciatic artery, PR is constant. Usually PR terminates above the ankle and divides into anterior or posterior communicating artery which anastomoses with the AT or PT respectively...

DOI HTML PDF

An unexpected accidental ingestion of dental crown with loop: A clinical image

Yuh Baba*; Yasumasa Kato

A 23-year-old female with no significant previous medical history presented at the emergency service of our dental hospital following the accidental ingestion of a crown during routine dental treatment. Her general condition was very good, without dyspnea, nausea, vomiting or abdominal pain. Pharyngo laryngo fiberscopic analysis revealed normal, suggesting passage of the foreign body into the esophagus. Plain abdominal X-ray imaging suggested that a sharp crown...

DOI HTML PDF

Parotid salivary fistula post superficial parotidectomy

Lorna Ting, MBBS; YT Liew, MS

A 67 year old gentleman presented to our otorhinolaryngology clinic with right parotid swelling for 6 months. It gradually increased in size and was painless. It was 6 cm by 5 cm in size with intact facial nerve function. Cervical lymphadenopathy was absent. Fine needle aspiration cytology showed pleomorphic adenoma. He underwent an uneventful superficial parotidectomy via modified Blair incision and vacuum drain was inserted post-operatively...

DOI HTML PDF

Atypical scrotal trauma in a child

Mudassir Wani

Scrotal trauma is end result of blunt as well as penetrating trauma. Although very rarely reported in literature, penetrating trauma is often secondary to civilian or military violence. Except in cases of scrotal avulsion, this trauma usually manifests as scrotal swelling with intratesticular and scrotal hematoma and various degrees of scrotal wall ecchymosis. Clinical presentation is immediate in majority of cases for penetrating wounds.

DOI HTML PDF

An unusual finding of dilated stomach in the pelvic cavity secondary to gastric outlet obstruction by cholangiocarcinoma

Kyryll Chulak*; Faisal Awan

Cholangiocarcinomas is a rare malignancy, often presenting in advanced, difficult-to-treat stages because of varied locations in the biliary tree.
This case describes a 78 year-old female who presented with history of anorexia, significant loss and intractable vomiting. On imaging there was extensive gastric dilatation secondary to gastric outlet obstruction to a degree that the stomach reached the pelvic cavity.

DOI HTML PDF

Author Guidelines SUBMIT MANUSCRIPT