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International Journal of

PhysiatryISSN: 2572-4215

Early Online

 Open Access DOI:10.23937/2572-4215.1510033

An Atypical Presentation of Guillain-Barre Syndrome with Descending Paralysis: A Case Report

Sergio Mosquera Limas, Jesse Blount, Rebecca Riekki and Suhana Singh

Article Type: CASE REPORT | Indexed Archive: Volume 11

The patient had an atypical presentation of Guillain- Barre syndrome (GBS) with descending muscle weakness and paralysis that started at the upper extremities and progressed to the lower extremities in contrast to a typical ascending infection that usually starts at the lower extremities. Hyporeflexia of deep tendon reflexes of the affected extremities was also present....

 Open Access DOI:10.23937/2572-4215.1510032

The Analgesic Effect of Locating a Tibial External Fixation Device through Acupoint St 36

Martonovich Noa, Lerner Alexander, Avraham Yaniv, Barzel Oren and BehrbalkEyal

Article Type: Original Research Article, Retrospective Study | Indexed Archive: Volume 10

The application of external fixation devices consists of wires insertion through the skin and soft tissue to the bone. We examined the possible analgesic effect of stimulating an acupoint by the fixation wires which mimics the acupunctures treatment....

 Open Access DOI:10.23937/2572-4215.1510031

Electrodiagnostic Confirmation of Lumbar Radiculopathy and its Association with Lumbarcentral Canal Stenosis and Neuroforaminal Stenosis

David H. Rustom, Arthur Yan, Anuj Shah, Donovan Wilcox, Barent Bradt, Scott Millis and Geoffrey Seidel

Article Type: Retrospective Study | Indexed Archive: Volume 10

Lumbar central canal spinal stenosis (LSS) and lumbar neuroforaminal stenosis (LNS) are common diagnoses that plague patients with low back pain. Symptoms can also include neurogenic claudication. Costly magnetic resonance imaging (MRI) and electrodiagnostic testing (EDX) are used as adjuncts to validate diagnosis. However, there are only limited studies discussing the association of these diagnostic tools with radiculopathy. We investigate the association between EDX confirmed radiculopathy and...

 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 | Indexed Archive: Volume 9

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...

 Open Access DOI:10.23937/2572-4215.1510026

Pure Motor Paraplegia Following Repair of a Thoracic Aortic Aneurysm: A Case Report

Peyton Miles and Jeffrey S Hecht, MD

Article Type: Case Report | Indexed Archive: Volume 8

Paraplegia is common following thoracoabdominal aortic aneurysm (TAA) repair. It results from ischemia of the anterior spinal cord in the distribution of the anterior spinal artery and causes anterior spinal cord syndrome. However, this young patient with asymptomatic idiopathic TAA developed pure motor incomplete paraplegia with elevated creatinine phosphokinase levels following repair....

 Open Access DOI:10.23937/2572-4215.1510025

COVID-19 in Acute Inpatient Rehabilitation (CARE): Factors Affecting Recovering Patient Outcomes

Christopher Amen, DO, Claudia Echaide, MS, Bestin Kuriakose, DO, Mariyam Wasay, DO, Benjamin Birney, MD, Todd MacKenzie, PhD and Jennifer Gray, DO

Article Type: Research Article | Indexed Archive: Volume 8

Retrospective chart review which included patients admitted to an acute inpatient rehabilitation service at a single center from April 2020 to July 2021. Rehabilitation outcomes assessed included discharge disposition, functional efficiency, change in self-care and mobility, and length of stay (LOS)....

 Open Access DOI:10.23937/2572-4215.1510024

Spontaneous Spinal Epidural Hematoma: Importance of Neurological Examination

Sumer E Mohamed, DO, Dhara J Rana, MS and James W Bailey, DO

Article Type: Case Study | Indexed Archive: Volume 8

Spontaneous spinal epidural hematoma is a rare spinal pathology, which can result in serious morbidity and disability if not diagnosed promptly. The authors present a unique case of acute plegia in a patient with spontaneous spinal epidural hematoma secondary to herniated disc hemorrhage. A 66-year-old male with a five-month history of progressive weakness in the upper and lower extremities with associated radiculopathy and numbness presented to the ED with physical exam significant for signs of...

 Open Access DOI:10.23937/2572-4215.1510023

The “Giant” Median Nerve, a Rare Diagnosis Presenting as Routine Carpal Tunnel Syndrome: Case Series and Literature Review

Jennifer Tram, BS and Kenneth Vitale, MD

Article Type: Case Study | Indexed Archive: Volume 8

Carpal tunnel syndrome is one of the most common entrapment neuropathies and is caused by median nerve compression as it traverses the carpal tunnel. Marked enlargement of the median nerve in the setting of carpal tunnel syndrome, occasionally termed “giant” median nerve, is rare in the literature and typically seen only in conditions of tumorous growth or arteritis. Here we report two cases of a giant median nerve in the setting of carpal tunnel syndrome. One patient reported classic sensor...

Volume 8
Issue 1