A 64-year-old man presented with clinical unilateral thyroiditis after chronic left neck trauma from his car seat belt. Thyroid function tests were normal. The initial thyroid Tc-99m pertechnetate scan demonstrated decreased uptake in the entire left lobe of the thyroid. The follow-up scan 1 month later showed a more normal uptake in the left lobe. This patient's clinical course, laboratory val...

Risk factors Increased intra-abdominal pressure eg, constipation, diarrhoea, benign prostatic hypertrophy, pregnancy, severe or chronic cough (eg, chronic obstructive pulmonary disease, cystic fibrosis, whooping cough). [4] Previous surgery. [5] Pelvic floor dysfunction. [6] Parasitic infections eg, amoebiasis, schistosomiasis. [7] Neurological disease eg, previous lower back or pelvic trauma, ...

Ataxia can be classified according to the onset into episodic, acute, intermittent and chronic ataxia. Acute ataxia in children is caused by CNS tumors, trauma, CNS infection, toxins, metabolic causes or stroke. Recurrent ataxia can be due to metabolic causes, seizures, basilar artery migraine or toxins. Chronic ataxia is usually the result of hereditary ataxia, CNS tumors, congenital anomalies...

We present the case of a 48-year-old woman with hypothenar hammer syndrome. Hypothenar hammer syndrome is caused by chronic repetitive trauma to the ulnar artery and superficial palmar arch. This syndrome was originally described in males working in occupations that involved repetitive blunt trauma including working with jackhammers. It is believed that the ulnar artery is repetitively damaged ...

Cutaneous leishmaniasis is acquired from the bite of an infected sand fly and can result in chronic skin lesions that develop within weeks to months after a bite. Local trauma has been implicated as a precipitating event in the development of skin lesions in patients who have been infected with Leishmania species. Here we report a case series and review the literature on patients who developed ...

Chronic subdural haematoma is predominantly a disease of the elderly. It usually follows a minor trauma. A history of direct trauma to the head is absent in up to half the cases. The common manifestations are altered mental state and focal neurological deficit. Neurological state at the time of diagnosis is the most important prognostic factor. Morbidity and mortality is higher in the elderly b...

A 50 year old man presented with abdominal pain and weight loss after a splenectomy performed 26 years ago for abdominal trauma. At laparotomy, a mass was found at the tail of the pancreas. Pathological examination showed this was a traumatic neuroma and revealed evidence of chronic pancreatitis. Traumatic neuroma may be a rare cause of a pancreatic mass, especially after previous surgery or tr...

Risk factors Increased intra-abdominal pressure eg, constipation, diarrhoea, benign prostatic hypertrophy, pregnancy, severe or chronic cough (eg, chronic obstructive pulmonary disease, cystic fibrosis, whooping cough). [4] Previous surgery. [5] Pelvic floor dysfunction. [6] Parasitic infections eg, amoebiasis, schistosomiasis. [7] Neurological disease eg, previous lower back or pelvic trauma, ...

Ataxia can be classified according to the onset into episodic, acute, intermittent and chronic ataxia. Acute ataxia in children is caused by CNS tumors, trauma, CNS infection, toxins, metabolic causes or stroke. Recurrent ataxia can be due to metabolic causes, seizures, basilar artery migraine or toxins. Chronic ataxia is usually the result of hereditary ataxia, CNS tumors, congenital anomalies...