Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_387»
«MEDICAL WRITING: CASE ABSTRACT_387»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Facial nerve compression by
the posterior inferior cerebellar artery causing facial pain and swelling: a
We report an unusual case of
facial pain and swelling caused by compression of the facial and
vestibulocochlear cranial nerves due to the tortuous course of a branch of the
posterior inferior cerebellar artery. Although anterior inferior cerebellar
artery compression has been well documented in the literature, compression
caused by the posterior inferior cerebellar artery is rare. This case provided
a diagnostic dilemma, requiring expertise from a number of specialties, and
proved to be a learning point to clinicians from a variety of backgrounds. We
describe the case in detail and discuss the differential diagnoses.
A 57-year-old Caucasian woman with
a background of mild connective tissue disease presented to our rheumatologist
with intermittent left-sided facial pain and swelling, accompanied by hearing
loss in her left ear. An autoimmune screen was negative and a Schirmer’s test
was normal. Her erythrocyte sedimentation rate was 6mm/h (normal range: 1 to
20mm/h) and her immunoglobulin G and A levels were mildly elevated. A vascular
loop protocol magnetic resonance imaging scan showed a loop of her posterior
inferior cerebellar artery taking a long course around the seventh and eighth
cranial nerves into the meatus and back, resulting in compression of her
seventh and eighth cranial nerves. Our patient underwent microvascular
decompression, after which her symptoms completely resolved.
Hemifacial spasm is characterized
by unilateral clonic twitching, although our patient presented with more
unusual symptoms of pain and swelling. Onset of symptoms is mostly in middle
age and women are more commonly affected. Differential diagnoses include
trigeminal neuralgia, temporomandibular joint dysfunction, salivary gland
pathology and migrainous headache. Botulinum toxin injection is recognized as
an effective treatment option for primary hemifacial spasm. Microvascular
decompression is a relatively safe procedure with a high success rate. Although
a rare pathology, posterior inferior cerebellar artery compression causing
facial pain, swelling and hearing loss should be considered as a differential
diagnosis in similar cases.
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·Needs to be reported
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1.Is this the first report of this kind in the literature?
2.What are brief details of what the patient(s) presented with?
3.What the reader should learn from the case report?
4.What the clinical impact will be?
5.Is it an original case report of interest to a particular clinical
specialty of medicine?
6.Will it have a broader clinical impact across medicine?
7.Are any teaching points identified?
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