International Journal of

PhysiatryISSN: 2572-4215


 Open Access DOI:10.23937/2572-4215.1510030

New Onset of Multiple Sclerosis Following Recent COVID-19 Infection

Adrian Oppong, MD, MS, Joe H Ghorayeb, DC, MHA and Anishinder Parkash, MD

Article Type: Case Report | First Published: 2023/07/16

Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system. There is evidence to support a link between herpesvirus infections and an associated increased risk of developing MS. Over the past two years, neurological complications associated with COVID-19 infection have been reported and are speculated to be caused by direct viral invasion. A relatively low connection between COVID-19 infection and MS development has been identified in the scientific literatur...

 Open Access DOI:10.23937/2572-4215.1510029

Treatment of Refractory Chronic Gluteal Pain with Ultrasound Guided Botulinum Toxin A Injection to the Obturator Internus: A Case Report

Yeng F. Her, Jonathan Liang and Kristain E. Caldera

Article Type: Case Report | First Published: 2023/06/16

Chronic gluteal pain is challenging to treat due to the complex anatomy of the posterior hip and potential pain generators. This case report describes a noval approach of using ultrasound guided diagnostic injection targeting the most tender point on palpaiton in a 56-year-old female with chronic gluteal pain that was refractory to conservative therapies and interventional injections of the piriformis muscle, sciatic nerve branch, lumbar epidural, ischial tuberosity, sacroiliac joint, and right ...

 Open Access DOI:10.23937/2572-4215.1510028

Multimodal Approach to Manage Hemiballismus in a Newly Diagnosed Diabetic

Joe H. Ghorayeb, DC, MHA, Adrian Oppong, MD, MS, Anishinder Parkash, MD and Kelley Crozier, MD, MBA

Article Type: Case Report | First Published: 2023/05/31

A 67-year-old female with a complex medical history presented to the emergency department with severe right-sided hemiballismus after she was found on the floor by her son. Her initial blood glucose level was 727 mg/dL and her HbA1C level was 16.6. The patient was diagnosed with hemiballismus, a hyperkinetic movement disorder characterized by unilateral, rapid, and unpredictable high-amplitude movements. ...

 Open Access DOI:10.23937/2572-4215.1510027

Treatment of Severe Trismus during Locked-In Syndrome Secondary to Central Pontine Myelinolysis Using Onabotulinum Toxin-A: Case Report

Wiaam Elkhatib, MD and Whitney Pratt, MD, PhD

Article Type: Case Report | First Published: February 19, 2023

Trismus in adults has a wide range of known causes, though few cases have ever been reported secondary to central pontine myelinolysis (CPM). This report describes a case of severe trismus without clear etiology successfully treated with onabotulinum toxin-A following development of CPM. Patient was a female aged in her early thirties who presented to the hospital with ascending weakness five days following hyponatremia correction at rates within guideline recommendations. MRI revealed increased...

Volume 9
Issue 1