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Full-Text Articles in Medicine and Health Sciences
Serotonin Syndrome In Acute Transverse Myelitis: A Casereport, Pei-Chun Hsieh, Jo-Tong Chen, Ta-Shen Kuan, Shu-Min Chen
Serotonin Syndrome In Acute Transverse Myelitis: A Casereport, Pei-Chun Hsieh, Jo-Tong Chen, Ta-Shen Kuan, Shu-Min Chen
Rehabilitation Practice and Science
Numerous serotonergic drugs have been increasingly used in recent years to treat depression, pain, insomnia and obesity. However, concomitant use of these drugs may cause serotonin syndrome. The three main clinical features of serotonin syndrome are neuromuscular abnormalities, autonomic hyperactivity, and mental status changes. A wide variety of the clinical presentations range from: very mild symptoms such as tremor, diarrhea, muscle rigidity, or clonus, and hyperreflexia; to fatal consequences such as disseminated intravascular coagulation or multiple-organ failure. Symptoms resolve spontaneously after prompt discontinuation of the precipitating medication. The diagnosis is based on clinical presentation, history of medication, and resolution after …
Clinical Outcomes Of Rehabilitation On An 11-Year-Old Girl With Devic's Syndrome: A Casereport, Cheng-Cheng Hsu, Wen-Chih Lin, Tan-Hwui Lau, Ming-Chi Lai, Rong-Bin Hong, Wei-Ni Chou
Clinical Outcomes Of Rehabilitation On An 11-Year-Old Girl With Devic's Syndrome: A Casereport, Cheng-Cheng Hsu, Wen-Chih Lin, Tan-Hwui Lau, Ming-Chi Lai, Rong-Bin Hong, Wei-Ni Chou
Rehabilitation Practice and Science
Devic's syndrome-neuromyelitis optica (NMO), a rare demyelinating central nervous system diseases, must be clinically differentiated from multiple sclerosis (MS). The diagnostic criteria of Devic's syndrome include optic neuritis, acute myelitis, and at least two of the three symptoms below: brain MRI different from MS, three or more consecutive spinal segments invaded on MRI, and NMO-IgG seropositive.The case prevails over females aged 30-40 years. The courses of Devic's syndrome could be categorized in two types: single invasion and recurrence. The latter has poorer prognosis. The medical treatment mainly lies in immune modulation and the rehabilitative intervention including retaining life functions, preventing …
Occurrence Of Segmental Zoster Paresis In The Right Arm Of An Adult With Multiple Sclerosis: A Casereport, Shih-Han Lin, Wen-Shiang Chen
Occurrence Of Segmental Zoster Paresis In The Right Arm Of An Adult With Multiple Sclerosis: A Casereport, Shih-Han Lin, Wen-Shiang Chen
Rehabilitation Practice and Science
Segmental zoster paresis is a rare complication of cutaneous herpes zoster. Clinical diagnosis of segmental zoster paresis depends upon a history of painful vesicular eruptions in a dermatomal distribution, followed by muscle weakness in the related myotomes. We report the case of a 45-year-old woman with opticospinal type multiple sclerosis with recent cutaneous herpes zoster and right shoulder girdle weakness. Differential diagnosis included multiple sclerosis relapse, zoster myelitis, segmental zoster shoulder paresis, cervical radiculopathy, and shoulder joint or soft-tissue disorders. MRI with gadolinium enhancement of the spinal cord 1 week after the onset of symptoms showed neither new multiple sclerosis …