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Touro College and University System

Touro College of Osteopathic Medicine (New York) Publications and Research

Tracheostomy

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Conversion Disorder (Functional Neurological Symptom Disorder) Masquerading As Multiple Sclerosis: A Case Report., Derman Ozdemir, Sonu Sahni Jun 2019

Conversion Disorder (Functional Neurological Symptom Disorder) Masquerading As Multiple Sclerosis: A Case Report., Derman Ozdemir, Sonu Sahni

Touro College of Osteopathic Medicine (New York) Publications and Research

Conversion disorder, also referred to as functional neurological symptom disorder, is a DSM-5 identified somatic disorder that presents with one or more neurological symptoms that does not clinically correlate with recognized neurological or medical conditions brought on by intense stress, emotions, or an associated psychiatric disorder. Multiple sclerosis (MS) is the most common immune-mediated inflammatory demyelinating disease of the central nervous system and usually presents in young adults with clinical manifestations that range from cognitive abnormalities, eye movement problems, motor and sensory impairments such as weakness and numbness, bowel/bladder dysfunction, fatigue, and/or pain. This case report presents a patient with …


A Case Of Pneumomediastinum And Pneumoperitoneum With Concurrent Massive Subcutaneous Emphysema Due To Repositioning Of A Tracheostomy Tube., Karim O Elkholy, Hamza Akhtar, Eric Landa, Yury Malyshev, Sonu Sahni Jan 2019

A Case Of Pneumomediastinum And Pneumoperitoneum With Concurrent Massive Subcutaneous Emphysema Due To Repositioning Of A Tracheostomy Tube., Karim O Elkholy, Hamza Akhtar, Eric Landa, Yury Malyshev, Sonu Sahni

Touro College of Osteopathic Medicine (New York) Publications and Research

Tracheostomy is a common procedure seen in critically ill patients that require long term ventilatory support. As with all airway access procedures, tracheotomy with prolonged tracheal tube placement comes with possible risks such as tracheal scarring, tracheal rupture, pneumothorax, tracheoesophageal fistula among others. Another possible complication, though rare, is escape of free air into the surrounding tissue, as well as pneumomediastinum (PM). This may occur due to various reasons, some of them being tracheal rupture, barotrauma or tracheal tube mispositioning. Pneumomediastinum may present with concurrent free air in other body cavities such as the peritoneum, thorax or subcutaneous tissue. Though …