A total of 30 patients with suspected urethral strictures underwent sonographic and roentgenographic urethrograms. Two showed a normal anterior urethra in the sonourethrogram; 29 were diagnosed remaining 28 patients, 1 patient showing at two different sites. Sonourethrography was an accurate predictor stricture length, retrograde urethrography underestimating length most cases. Periurethral structures, including wall, corpus spongiosum, corpora cavernosa, bulb, external urinary sphincter,...

Remitting seronegative symmetrical synovitis with pitting edema (RS3PE) is a rare but well-reported clinical entity. It classically described as involvement of both upper extremities. Asymmetrical had also been reported, unilateral presentation very rare. We hereby report case RS3PE in patient rheumatoid arthritis which was initially misdiagnosed cellulitis and given high dose antibiotics without any significant improvement. Later rheumatologic consultation leads to prompt diagnosis,...

Abstract Takotsubo's cardiomyopathy (TC) typically presents with acute cardiac dysfunction due to regional wall motion abnormality, but unlike other pathologies, it recovers within a short period. Here, we report the case of 23-year-old woman who presented us following severe traumatic brain injury (TBI). Her Glasgow coma scale (GCS) deteriorated rapidly in preoperative period and she developed TC surgery. Despite an uneventful surgery, needed cardiovascular support by vasopressors inotropes...

We report a case of 22-year-old woman who presented with recurrent episodes quadriparesis, often accompanied by jaundice. Neurologic examination showed symmetrical proximal predominant quadriparesis generalized hyporeflexia. The differential diagnoses included were metabolic, inflammatory, genetic (including channelopathies), and autoimmune causes. Serum creatine phosphokinase levels electrophysiologic studies helped narrow the differential. final diagnosis was one that responsive to vitamin...

Nerve blocks are the reasonable choice for cluster headache and other nerve associated pain. Blocks used in included literature Occipital block Sphenopalatine ganglion block. To our knowledge, effectiveness of zygomaticotemporal auriculotemporal with bupivacaine treatment has not been reported. Here we present a case report 74-year-old male nonresponsive to oxygen therapy, subcutaneous sumatriptan, zolmitriptan spray medications. Patient got relieved by started responding same acute pain management.

We present a case of histoplasmosis that was initially misdiagnosed as malignancy and viral infection before being incidentally diagnosed.Histoplasmosis can mimic various diseases, making its diagnosis challenging.Key clues include the patient from an endemic area, immunocompromised, or having exposure to potential sources (e.g., bats in caves).In our case, none these risk factors were present.The unique presentation cobblestone larynx further complicated diagnosis.This underscores...

The value of 99mTc-Methylene diphosphanate (99mTc-MDP) bone scan in predicting development bony destruction, swelling, new erosions and skeletal deformities small joints bones was studied by visual evaluation scans.99m Tc-MDP injected intravenously. 3 hours after the 99mTc-MDP injection, they have been underwent spot views entire skeletons with planar scintigraphy anterior posterior positions.All patients were examined under Electronics Corporation India Limited (ECIL) single head gamma...

Congenital erythropoietic porphyria (CEP), also called Gunthers is the rarest of porphyrias , with a prevalence estimated at 1 in 1,000,000 or less. Only approximately 200 cases CEP have been reported till now worldwide. affects males and females equally, occurs all ethnic groups. Clinically it subacute to chronic type porphyria, defect expressed infancy clinical features such as extreme cutaneous photosensitivity, blistering, scarring hyper- hypo pigmentation photo exposed parts. Haemolytic...

Introduction: Cranial post-herpetic neuralgia sometime becomes refractory to medications. Before increasing the medications detailed history of headache phenotype is very important. Case report: A 41-year-old male developed a herpes infection in right side first division trigeminal nerve two years back before presenting us. He complained continuous background dull aching (VAS 3 4) orbito-fronto-temporal region. Besides this he used experience sharp shooting severe pain 8 9) for one hours,...

Chronic meningitis is the inflammation of meanings having varied clinical manifestations and diverse etiologies. Among them tuberculosis continues to be an important cause chronic meningitis. To achieve etiological diagnosis, examination cerebrospinal fluid mandatory. Carcinomatous meningitis, another rare caused by infiltration leptomeninges malignant cells. Diagnostics old standard carcinomatous demonstrate cells in cerebrospinaluid. In negative cases with high degree suspicion, various...

Herpes zoster oticus or Ramsay Hunt syndrome is an uncommon neurological manifestation of herpes virus infection causing external ear rash with otalgia and facial nerve palsy. Rarely herpetic may present multiple cranial nerves palsies involving VII, VIII, IX X nerves. Here we report a case This study will help in understanding the dermatomal distribution polyneuropathy due to reactivation neurotropic virus. Some interesting reports regarding different involvement are discussed table which...

Varicella zoster virus (VZV) is well known for its neurotropism, primary infection and reactivation after variable latency periods. After from spinal or cranial nerve ganglia, viruses can affect the central nervous system vasculature via transaxonal migration followed by transmural spread adventitial layer to intima. Stroke occur following VZV (varicella) (zoster). These infectious vasculitides lead unifocal multifocal ischemic hemorrhagic stroke either dermatomal zoster. Usual difference...