Case Presentation
Permanent URI for this collectionhttps://hdl.handle.net/20.500.12503/31269
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Browsing Case Presentation by Author "Long, Alia"
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Item ACUTE DISSEMINATED ENCEPHALOMYELITIS IN A PEDIATRIC PATIENT: A CASE STUDY(2013-04-12) Long, AliaPurpose: The purpose of this study is to present a unique case of a pediatric patient with acute disseminated encephalomyelitis (ADEM) who was treated with corticosteroids. Methods: The pathogenesis of ADEM is primarily unknown. The significance of this case study is to present the clinical findings, neurologic changes during the patient's hospital stay, and describe radiological imaging that ultimately led to the diagnosis of ADEM. Results: A case of ADEM in a patient with a past medical history of mental retardation, ADHD, and Bipolar disease was presented. The combination of high-dose methylprednisolone, occupational therapy, and physical therapy resulted in improvement of the patient's level of pain, neurologic findings, and range of motion in her upper and lower extremities. The treatment modalities, possible long-term adverse sequelae as a result of ADEM, review of literature, and discussion and management of ADEM were reviewed. Conclusions: ADEM is an uncommon phenomenon that can be frustrating for patients and physicians as a result of the difficulty in establishing the diagnosis, unknown etiology, and wide variability in morbidity and neurologic deficits that can result. While evidence has shown that ADEM can be the result of a pathological process or may be associated with vaccinations, high-dose steroids combined with physical therapy and occupational therapy may be an effective treatment modality.Item OMT IN THE MANAGEMENT OF CERVICAL RADICULOPATHY IN A PATIENT WITH CERVICAL SPONDYLOSIS(2013-04-12) Long, AliaPurpose: The purpose of this study is to present a unique case of a patient with cervical spondylosis and cervical fusion in whom osteopathic manipulative treatment was used in the management of the patient. Methods: The authors report the case of a 46-year-old man with cervical radiculopathy who received 6 trigger point steroid injections, in addition to a 20-minute session of osteopathic manipulative treatment that focused primarily on the cervical, upper thoracic spine and rib somatic dysfunctions. After treatment, the patient reported immediate improvement of symptoms. Results: A case of cervical radiculopathy in a patient with a past medical history of cervical spondylosis and cervical fusion was presented. The combination of OMT and trigger point steroid injections resulted in improvement of the patient's level of pain, cervical radiculopathy, and nausea. The treatment modalities, possible adverse sequelae as a result of manipulative treatment, review of literature, and discussion of cervical radiculopathy and management of cervical spondylosis are reviewed. Conclusions: Cervical radiculopathy is a common clinical entity that can be frustrating for patients and physicians as a result on the lack of effective treatment options. Because evidence has shown that cervical radiculopathy can be the result of a pathological process or may result from a somatic dysfunction of the spine or ribs, OMT may be an effective treatment modality - alone or combined with other methods.