Project description:Clinical historyA 57-year old woman presented with left hand pain, periodic leg movement during sleep, gradual onset of stiffness, clumsiness, and falls. Neurological examination showed: generalized rigidity and bradykinesia. There was left hand dystonic posturing and ideomotor apraxia, as well as mirror movements of upper limbs and stimulus-sensitive myoclonus. The patient had a high-pitched voice and hypophonia (Video S1).DiscussionExperts discuss localization and the syndromic diagnosis and predict the underlying pathology. The pathological diagnosis is then provided and clinical learning points are considered.

| S-EPMC6856468 | biostudies-literature

Left Atrial Spindle Cell Sarcoma in a 34-Year-Old Woman.

Project description: Not available

| S-EPMC6104146 | biostudies-literature

Visualization of the Thebesian veins during coronary angiography in a 57-year-old woman.

Project description:A 57-year-old woman was hospitalized due to a type 2 respiratory failure. Electrocardiogram at admission showed inverted T waves in leads V2-V4. Coronary angiogram was performed showing no relevant stenosis. However, this exam allowed visualization of the Thebesian veins outlining the left ventricle.

| S-EPMC7393943 | biostudies-literature

Clinical Reasoning: A 57-year-old woman with ataxia and oscillopsia: Varicella-zoster encephalitis.

Project description: Not available

| S-EPMC4999162 | biostudies-literature

Case 22-2020: A 62-Year-Old Woman with Early Breast Cancer during the Covid-19 Pandemic.

Project description: Not available

| S-EPMC7346678 | biostudies-literature

Guillain-Barre syndrome AMSAN variant in a 90-year-old woman after COVID-19: a case report.

Project description:BackgroundGuillain-Barré syndrome (GBS) is an inflammatory disease of the peripheral nervous system characterized by rapidly evolving polyneuropathy caused by autoimmune demyelination and/or axonal degeneration. Since SARS-CoV-2 outbreak, several GBS cases following exposure to coronavirus disease-2019 (COVID-19) have been reported in literature, raising the concern of the latter being a potential trigger event for GBS.Case presentationWe report the case of a 90-year-old Caucasian woman who was admitted to our hospital because of fatigue, worsening gait and leg strength, dysphonia, dysarthria and dysphagia, started 3 weeks after being exposed to COVID-19. Based on clinical presentation GBS was suspected, so she performed a lumbar puncture and electromyography, which confirmed the diagnosis of acute motor and sensory axonal neuropathy (AMSAN) variant. We administered high dose of intravenous immunoglobulin with slight neurological improvement. However, after 2 weeks of hospitalization with maximization of care, her physical condition worsen, manifesting severe frailty. The patient was discharged with home support services for managing parenteral nutrition and intense scheduled physiotherapy. A few days later, the patient experienced a further decline in her clinical condition and died at home.ConclusionsTo the best of our knowledge, we report the oldest woman with GBS AMSAN variant after COVID-19 described in the existing literature. Our case supports further research aimed at improving recognition, characterization and prompt management of neurological diseases related to COVID-19 in older patients.

| S-EPMC9975860 | biostudies-literature

Cardiac Hydatid Cyst in a 34-Year-Old Ethiopian Woman With Heart Failure.

Project description:Although the majority of hydatid cysts are found in the liver and lungs, cardiac hydatid cysts, particularly those in the left ventricle and interventricular septum, pose unique challenges because of their extremely rare manifestation of cystic echinococcosis, critical location, and potential for serious complications. Although uncommon, a hydatic cyst of the heart should be investigated in a patient with an intracardiac mass-particularly if it is cystic-and in a patient with symptoms of heart failure caused by a mass shown in imaging examinations. We present a case of left ventricular hydatid cyst in a 34-year-old woman who had been complaining of worsening dyspnea, shortness of breath, orthopnea, and cough for 3 weeks.

| S-EPMC11911885 | biostudies-literature

Case 6: A 27-Year-Old Woman With Dysarthria.

Project description: Not available

| S-EPMC9829511 | biostudies-literature