Cryolipolysis has become available for the noninvasive reduction of adipose tissue. A 33-year-old woman presented with wrist drop of the right arm that had first appeared 7 days previously. She had undergone cryolipolysis on both upper arms immediately prior to the onset of symptoms. A nerve conduction study showed radial neuropathy proximal to the elbow, and ultrasonography revealed focal swelling of the radial nerve at the spiral groove. Although cryolipolysis has been known as a safe method, nerve injury can result from compression and/or hypothermia during the procedure.
A 64-year-old man presented with facial diplegia occurring 2 weeks after scrub typhus diagnosis. The serum scrub typhus antibody titer was elevated to 1:5120. Brain magnetic resonance imaging revealed contrast-enhancement of the signal for both facial nerves. He was administered prednisolone. After two weeks, the symptoms improved, and after one month, he completely recovered from facial diplegia. This is the first case in the literature in which the patient exhibited facial diplegia, a delayed complication, in scrub typhus. Facial diplegia should be considered a type of cranial nerve palsy that may occur as a delayed complication of scrub typhus.Facial diplegia is very rare, and most cases of unilateral facial palsy are idiopathic. However, facial diplegia may often be accompanied by systemic diseases. 1 scrub typhus refers to a systemic disease transmitted by Orientia tsutsugamushi, and may cause neurological complications, including cranial nerve palsy, opsoclonus, Guillain-Barré syndrome (GBs), meningitis, and Parkinson's syndrome, but there is no report on whether it causes facial diplegia. 2,3 Case A 64-year-old man presented with facial diplegia. He had visited a primary healthcare center owing to fever, myalgia, and a skin rash that had appeared two weeks earlier. An eschar was found in the thigh area, and thus, he was diagnosed with scrub typhus. He was prescribed oral doxycycline (200 mg), and showed an improvement in symptoms over the 10 days of treatment. However, he suddenly developed facial diplegia 11 days after being diagnosed with scrub typhus. He did not have any other medical history; moreover, at the time of admission, he did not have a headache, and all his vital signs, including body tem-ORCID
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.