stroke history

  • 文章类型: Case Reports
    骨化性肌炎(MO)是一种良性疾病,由于关节周围组织的活动增加,骨骼在肌肉内形成。创伤是最常见的原因。非创伤性MO非常罕见。我们介绍了一名32岁患者的罕见非创伤性MO影响髋关节的情况。该患者已知有癫痫发作,并且有脑血管意外(CVA)的病史。尽管没有创伤或已知的诱发因素,病人的左髋部有相当大的肿块,引起疼痛和活动范围受限(ROM)。手术切除肿块成功,导致完全去除和术后恢复期间髋关节功能和疼痛缓解的后续改善。组织病理学检查证实了MO的诊断。病人的ROM正常化,在一年的随访中没有复发的迹象。此病例强调了在无创伤的髋部疼痛病例中识别MO的重要性。通过所描述的方法及时手术有效地去除肿块,在不损害重要结构的情况下防止复发。它展示了一种针对罕见肌肉骨骼疾病的成功多学科方法,为类似案例提供有价值的见解。
    Myositis ossificans (MO) is a benign condition where bone forms within muscles due to increased activity of the periarticular tissues. Trauma is the most common cause. Nontraumatic MO is exceedingly rare. We present a rare instance of nontraumatic MO affecting the hip in a 32-year-old patient. The patient had a known case of seizure disorder and also had a history of a cerebrovascular accident (CVA). Despite the absence of trauma or known predisposing factors, the patient developed a sizable mass in the left hip, causing pain and restricted range of motion (ROM). Surgical excision of the mass was successful, resulting in complete removal and subsequent improvement in hip function and pain relief during postoperative recovery. Histopathological examination confirmed the diagnosis of MO. The patient\'s ROM normalized, and there were no signs of recurrence at the one-year follow-up. This case highlights the importance of recognizing MO in hip pain cases without trauma. Timely surgery through the approach described effectively removes the mass, preventing recurrence without compromising vital structures. It showcases a successful multidisciplinary approach for rare musculoskeletal conditions, offering valuable insights into similar cases.
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  • 文章类型: Journal Article
    Stroke is a disease related to high mortality and morbidity, particularly in developing countries. Some studies have linked self-reported indoor and outdoor pollution to stroke and mini-stroke, while some others showed no association. Our objective was to assess this association in Lebanon, a Middle Eastern developing country. A national cross-sectional study was conducted all over Lebanon. In addition to self-reported items of pollution exposure, we assessed potential predictors of stroke and mini-stroke, including sociodemographic characteristics, self-reported health information, and biological measurements. Moreover, we assessed dose-effect relationship of pollution items in relation with stroke. Self-reported indoor pollution exposure was associated with stroke and mini-stroke, with or without taking biological values into account. Moreover, we found a dose-effect relationship of exposure with risk of disease, but this effect did not reach statistical significance after adjustment for sociodemographics and biological characteristics. No association was found for any outdoor pollution item. Although additional studies would be necessary to confirm these findings, sensitizing the population about the effect of pollution on chronic diseases, working on reducing pollution, and improving air quality should be implemented to decrease the burden of the disease on the population and health system.
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  • 文章类型: Historical Article
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