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All Journal Journal of Case Reports in Dental Medicine
Wuysang, Audry D.
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Dentistry Health Professions

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Localize lesion of horner’s syndrome based on anhydrotic pattern Basri, Muhammad I.; Wardani, Emy; Basir, Hasmawaty; Wuysang, Audry D.
Journal of Case Reports in Dental Medicine Vol 1, No 2 (2019)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v1i2.94

Abstract

Objective: The current case series will discuss about two horner syndrome cases with a different pattern of anhydrotic.Methods:Male 54 years old came with punctured and burned pain sensation at left hand for the last one year which radiated along the shoulder toward the tip of left fingers. There were 10 kgs of weight loss. Neurological examination showed unequal pupil size 2.5mm/1.5mm, left ptosis, left hemifacial and left arm anhidrosis. Cervical MRI showed burstfracture involved CV T1 pedicle.Results: CaseIMSCT Thorax showed suspicious of neurogenic tumor which resulted in CV T1 destructionandcaseIIMSCT thorax showed left lung collapse due to pleural effusionConclusion: Anhidrotic pattern will be an essential factor in making a topical diagnosis for patients with Horner syndrome, which also can be a fundamental basis in choosing the next additional examinations required to find the etiology.Keywords:Anhidrotic pattern, Horner’s syndrome, Sympathetic nerve
Brain abscess due to spingomonas paucimobilis infection preceded by non-traumatic intracerebral hemorrhage in the same site Akbar, Muhammad; Eka, Wiyasih W.; Wuysang, Audry D.
Journal of Case Reports in Dental Medicine Vol 5, No 1 (2023)
Publisher : Hasanuddin University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jcrdm.v5i1.196

Abstract

AbstractObjective: This case report aims to describe a case of cerebral abscess due to a Spingomonas paucimobilis infection preceded by intracerebral hemorrhage at the same location.Methods: Approach and management of a 48-year-old man with worsening consciousness and fever with a history of intracerebral hemorrhage that occurred eight weeks agoResults:A previous 8-week head CT scan showed a well-defined, oval-shaped, hyperdense lesion in the right frontotemporoparietal region, along with perifocal edema, left lateral ventricular compression, and midline shift to the left of 1.3 cm, with an impression of right temporoparietal lobe intracerebral hemorrhage. A head CT scan at the time of initial admission showed a well-defined, round hypodense lesion with ring enhancement, perifocal edema, left lateral ventricular compression, and a midline shift to the left of 1.4 cm at the same site with previous intracerebral hemorrhage, with the impression of a cerebral abscess. Spingomonas paucimobilis was discovered in the brain matter culture. The diagnosis of cerebral abscess can be established.Conclusion: Cerebral abscess may be preceded by a previous intracerebral hemorrhage. A cerebral abscess can be caused by a Spingomonas paucimobilis infection, especially in immunodeficiency conditions. With additional monitoring, switching from intravenous to oral antibiotic therapy can be considered if there is a clinical and radiographic improvement.
Co-Authors Basir, Hasmawaty Basri, Muhammad I. Eka, Wiyasih W. Muhammad Akbar Wardani, Emy