Alternating hemiplegia (also known as crossed hemiplegia) is a form of hemiplegia that has an ipsilateral cranial nerve palsies and contralateral hemiplegia or hemiparesis of extremities of the body. The disorder is characterized by recurrent episodes of paralysis on one side of the body. There are multiple forms of alternating hemiplegia, Weber's syndrome, middle alternating hemiplegia, and. Crossed cerebellar ataxia with Ipsilateral Third nerve palsy (Claude `s Syndrome) Weber`s Syndrome - Third nerve palsy and contralateral hemiplegia Contralateral hemiplegia - Cerebral peduncle Contralateral rhythmic, ataxic action tremor ; rhythmic postural or holding tremor (rubral tremor . Although many different brainstem stroke syndromes have been classically described, the majority appear extremely rarely in the literature and are mainly for historical interest only 1.The most common brainstem stroke syndrome seems to be the lateral medullary syndrome (Wallenberg syndrome) 1.. Clinical presentatio The presence of contralateral hemiparesis and ipsilateral facial weakness is referred to as cross-hemiplegia whereas a lesion of CN VII with crossed hemiplegia (Millard-Gubler Syndrome) indicates a pontine lesion, and CN XII paralysis with crossed hemiplegia (Jackson Syndrome) indicates a lower medullary lesion. Cranial nerve integrity
Crossed-hemiplegia & Hemiplegia Symptom Checker: Possible causes include MELAS Syndrome. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search Paralysis is the inability to move a part of the body and comes in different types. One may become paralyzed after a spinal cord injury (SCI) or trauma. There are four types of paralysis — Monoplegia, Hemiplegia, Paraplegia and Quadriplegia. In childhood, you probably learned that paralysis means the complete inability to move, to sense touch. This type of hemiplegia may result in chronic muscle pain, deformities in affected limbs (in extreme cases), and difficulty walking or maintaining motor control. This condition is closely linked to cerebral palsy, and the severity (as well as the duration) of spastic hemiplegia symptoms may vary from case to case..
Hemiplegia is a condition caused by brain damage or spinal cord injury that leads to paralysis on one side of the body. It causes weakness, problems with muscle control, and muscle stiffness. The. Alternating hemiplegia -also known as Crossed hemiplegia- is a form of hemiplegia that has an ipsilateral and contralateral presentation in different parts of the body. The disorder is characterized by recurrent episodes of paralysis on one side of the body. Also Know, what type of stroke causes hemiplegia There are eight basic pathological gaits that can be attributed to neurological conditions: hemiplegic, spastic diplegic, neuropathic, myopathic, Parkinsonian, choreiform, ataxic (cerebellar) and sensory
MID BRAIN Crossed hemiplegia Weber syndrome [3rd nerve palsy] Benedicts syndrome [3rd nerve, red nucleus, cerebellar ataxia] 11. PONS Crossed hemipelgia Millard Gubler syndrome [6th and 7th nerve palsy] Lesion in basis pontis can cause ataxic hemiparesis [ weakness + cerebellar on same side] 12 Hemiparesis is weakness or the inability to move on one side of the body, making it hard to perform everyday activities like eating or dressing. One-sided weakness in your arms, hands, face, chest, legs or feet can cause: Loss of balance. Difficulty walking. Impaired ability to grab objects Spastic Hemiplegia. In the type of cerebral palsy known as spastic hemiplegia, one side of the body is affected, usually the arm more than the leg. The child can often adapt, and most are eventually able to walk. Spastic Quadriplegia. Spastic quadriplegia is the most severe type of spastic cerebral palsy. [4
Hemiparesis, or unilateral paresis, is weakness of one entire side of the body (hemi-means half). Hemiplegia is, in its most severe form, complete paralysis of half of the body. Hemiparesis and hemiplegia can be caused by different medical conditions, including congenital causes, trauma, tumors, or stroke Some children will have crossed knees, while some may walk on their tiptoes. Spastic cerebral palsy has several subtypes, which include spastic hemiplegia, spastic diplegia, and spastic quadriplegia. What Happens When a Child Has Mixed Cerebral Pals Crossed Hemiplegia & Monoplegia Symptom Checker: Possible causes include Infantile Hemiplegia. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search
Weber's syndrome, also known as midbrain stroke syndrome or superior alternating hemiplegia, is a form of stroke that affects the medial portion of the midbrain. It involves oculomotor fascicles in the interpeduncular cisterns and cerebral peduncle so it characterizes the presence of an ipsilateral lower motor neuron type oculomotor nerve palsy and contralateral hemiparesis or hemiplegia Ablation of the motor cortex by Bucy and Case (1939), crossed pyramidal tract section in the cord by Putnam (1940) and Oliver (1949; 1967), and cerebral pedunculotomy by Walker (1949) have all reduced tremor. A hemiplegia was not invariably produced and if present was usually transient, leaving only some slowing of rapid movements of the fingers
Type 2 hemiplegia with a fixed contracture of the gastroc-soleus constitutes the only indication for isolated lengthening of the tendon achilles. If the knee is fully extended or in recurvatum, then a hinged AFO with an appropriate plantar flexion stop is the most appropriate choice of orthosis. A plantarflexion stop or posterior stop in an AFO. Hemiplegia, paralysis of the muscles of the lower face, arm, and leg on one side of the body. The most common cause of hemiplegia is stroke, which damages the corticospinal tracts in one hemisphere of the brain.The corticospinal tracts extend from the lower spinal cord to the cerebral cortex. They decussate, or cross, in the brainstem; therefore, damage to the right cerebral hemisphere results. Mixed type cerebral palsy occurs when a child is showing symptoms of two or more types of cerebral palsy. About 15.4% of all cases are diagnosed as mixed type cerebral palsy.. The most common mixed cerebral palsy diagnosis is a combination of spastic and athetoid cerebral palsy, since both of these types are characterized by issues with involuntary movement
Cns clinical evaluation of hemiplegia slideshare upload. 1. Clinical evaluation of hemiplegia<br />Dr. S. Aswini Kumar. MD<br />1<br />. 2. Anatomy of Brain<br />Fore brain<br />receiving sensory information from various sensory inputs of body<br />processing the information received and correlating them with prior ones<br />thinking. Synonyms for crossed hemiplegia in Free Thesaurus. Antonyms for crossed hemiplegia. 1 synonym for hemiplegia: unilateral paralysis. What are synonyms for crossed hemiplegia Objective: To determine the effect of crossed-education, using task-related training on a tilt table, on upper extremity function and grip strength in subjects with post-stroke hemiplegia. Design: Double-blind, randomized controlled, pilot study. Patients: A total of 45 patients between 6 and 12 months post-stroke. Methods: Subjects were randomly allocated to the control group, or experimental.
A transient ischemic attack (TIA) is sometimes called a mini-stroke. It is different from the major types of stroke because blood flow to the brain is blocked for only a short time—usually no more than 5 minutes. 2. It is important to know that: A TIA is a warning sign of a future stroke. A TIA is a medical emergency, just like a major. Types of Stroke and Treatment. Just as strokes have many effects, they also have many causes. Learn the various types of stroke and related treatment. Ischemic Stroke (Clots) Occurs when a blood vessel supplying blood to the brain is obstructed. It accounts for 87 % of all strokes Alternating hemiplegia of childhood is a neurological condition characterized by recurrent episodes of temporary paralysis, often affecting one side of the body (hemiplegia). During some episodes, the paralysis alternates from one side of the body to the other or affects both sides at the same time. Explore symptoms, inheritance, genetics of this condition Hemiplegic migraine is a rare form of migraine where people experience weakness on one side of their body (hemiplegia) in addition to the migraine headache attack. The weakness is a form of migraine aura and occurs with other forms of typical migraine aura like changes in vision, speech or sensation. Hemiplegic migraine is divided into Familial. These different types of stroke require differentiated treatment. Volumetric educations in the brain with pseudo-abscess flow. Acute hemiplegia can be the first symptom of a brain tumor, and the cause, as a rule, is a hemorrhage into the tumor or surrounding tissues from rapidly forming internal vessels of the tumor with an inferior arterial wall
reflex. 3, In hemiplegia, the con- traction of the platysma muscle in the healthy side is more vigorous than on the affected side, as seen in opening the mouth, whistling, supine on the floor, with arms crossed upon his chest, and then makes an effort to rise to the sitting posture. On the paralyzed side, the thigh is flexed upon the pelvis an contralateral hemiplegia/sensory loss with large lesions. Watershed Infarct impacted areas. Crossed signs Decrease sensation on one of the face/Contralateral body. Brainstem CVA. There are two types, medial medullary syndrome and lateral medullary syndrome (Wallenberg syndrome) Medial Medullary Syndrome: Impacted areas. There are four main types of problems that you can have with your vision after a stroke: 1. Visual field loss . Your visual field is everything you can see, from straight ahead to everything around it and to the sides.Visual field loss means that you are unable to see a section of your field of vision Learn to type. Typing one handed can make you slower at times, but don't worry, you can get faster with practice. Try using a smaller or adapted keyboard to help you speed up at typing. Learn to type one-handed. Many online websites offer these lessons for free
This is more common in type III and IV hemiplegia because of the hip and knee flexion mentioned above. The increased flexion places increased strain on the ULE, particularly at the level of the knee joint, where there is a significant increase in the extensor moment during ambulation Alternating hemiplegia - also known as crossed hemiplegia is a form of hemiplegia in which we can find ipsilateral and contralateral presentation in different parts of the body. Superior alternating hemiplegia i.e. Weber Syndrome presents with contralateral hemiparesis of limb and facial muscles along with weakness in one or more muscles that control eye movement on the same side
Objective: To determine the effect of crossed-education, using task-related training on a tilt table, on upper extremity function and grip strength in subjects with post-stroke hemiplegia. Design: Double-blind, randomized controlled, pilot study. Patients: A total of 45 patients between 6 and 12 months post-stroke. Methods: Subjects were randomly allocated to the control group, or experimental. The device is available in four different lengths: 2 inches (small), 2.4 inches (medium), 2.6 inches (large), and 3.1 inches (extra large). The Neo G Finger Splint is a great choice for those with active lifestyles, as it provides firm support that aids in recovery from finger injuries without limiting mobility Acute hemiparesis with hemichorea and crossed hemiparesis; unusual presentation for myasthenia gravis. Ong BK(1), Chong PN. Author information: (1)Department of Medicine, National University Hospital, Singapore. Myasthenia gravis is an autoimmune disease mediated by antibodies directed against the acetylcholine receptor
Hemiplegic migraines are a rare form of migraine that causes temporary motor problems, including weakness on one side of the body (hemiplegia). These symptoms are a form of migraine aura—known as motor aura—and occur with typical manifestations, such as changes in vision, speech, or sensation Hemiplegia is total paralysis of one side of your body, including one arm and one leg. Hemiplegia may come on suddenly, or develop slowly over time. A condition related to hemiplegia, spastic hemiplegia, causes the muscles to get stuck in a contraction, resulting in little muscle control, chronic muscle pain, and unpredictable movements Crossed aphasia in early childhood. Burd L (1), Gascon G, Swenson R, Hankey R. Author information: (1)Medical Center Rehabilitation Hospital, Department of Pediatrics, University of North Dakota. A four-year-old child was admitted to hospital with an infarct of the right middle cerebral artery involving the frontoparietal area palsy: see paralysisparalysis or palsy , complete loss or impairment of the ability to use voluntary muscles, usually as the result of a disorder of the nervous system. The nervous tissue that is injured may be in the brain, the spinal cord, or in the muscles themselves... Click the link for more information. . The Columbia Electronic Encyclopedia.
319 hemiplegia stock photos, vectors, and illustrations are available royalty-free. See hemiplegia stock video clips. of 4. Try these curated collections. Search for hemiplegia in these categories Familial or sporadic hemiplegic migraine refers to a rare type of migraine with aura that occurs with motor weakness during the aura. The two types of hemiplegic migraine (HM) are distinguished based on the family history: familial hemiplegic migraine (FHM, in which at least one other family member has the condition) and sporadic hemiplegic migraine (SHM, in which there is no family history) BackgroundThe crossed leg sign in patients with right hemisphere stroke is thought to be associated with perceptual disorders, such as unilateral spatial neglect (USN). The aim of this study was to compare the crossed leg sign with the severity of USN during the acute phase of stroke.Experimental proceduresThis was an observational and prospective clinical study of individuals with a diagnosis.
A child with hemiplegia may have a different type of gait due to a combination of muscle tone issues, rotation of the leg joints, and physical differences. A child with hemiplegia tends to strike the floor with the toes on her affected side instead of her heel. This toe walking causes children to trip and fall In rare cases, Hemiplegia can develop into complete paralysis. This paralysis may be temporary or permanent, depending on the initial cause of the injury. Hemiparesis is a milder form of Hemiplegia. This refers to a different type of SCI, in which half of the body is left weakened, not paralyzed. Treatmen strabismus (strəbĭz`məs), inability of the eyes to focus together because of an imbalance in the muscles that control eye eye, organ of vision and light perception. In humans . Brain stem lesions result in crossed hemiplegia. For example, a left pontine lesion will result in left facial weakness of lower motor neuron type and right-sided hemiplegia Hemiparesis can affect your arms, legs, hands and face, and it can make it difficult to take care of everyday activities. Symptoms caused by hemiparesis can include: Weakness. Difficulty walking. Loss of balance. Muscle fatigue. Difficulty with coordination. Inability to grasp objects. The location in your brain where the stroke happened.
Classic Raymond syndrome consists of ipsilateral abducens impairment, contralateral central facial paresis, and contralateral hemiparesis. However, subsequent clinical observations argued on the presentation of facial involvement. To validate this entity, we present a case of classic Raymond syndrome with contralateral facial paresis. A 50 year-old man experienced acute onset of horizontal. .com, a free online dictionary with pronunciation, synonyms and translation. Look it up now To determine the effect of crossed-education, using task-related training on a tilt table, on upper extremity function and grip strength in subjects with post-stroke hemiplegia. DESIGN Double-blind, randomized controlled, pilot study Causes [edit | edit source]. The most common cause of hemiplegia is stroke.Strokes can cause a variety of movement disorders, depending on the location and severity of the lesion.Hemiplegia is common when the stroke affects the corticospinal tract.Other causes of hemiplegia include spinal cord injury, specifically Brown-Séquard syndrome, traumatic brain injury, or disease affecting the brain
There are two types of hemiplegic migraine: Familial hemiplegic migraine: Familial hemiplegic migraine or FHM, is the form that runs in families. When this occurs, at least two or more people in the same family experience weakness on one side of the body as a symptom with their migraine. On average 50% of children who have a parent with. Each child's weakness or hemiplegia will be different depending on the location, type, and severity of the stroke. Hand Splinting The Children's Hemiplegia and Stroke Association (CHASA) was incorporated in 1999 to provide assistance, information and counseling to families of children who have hemiplegia , hemiparesis, or childhood stroke.www. . Alternating hemiplegia of childhood (AHC) is a disorder characterized by transient episodes of alternating hemiplegia/hemiparesis and often tetraplegia as well as other paroxysmal manifestations (dystonic attacks, paroxysmal nystagmus, episodes of autonomic disturbances and epileptic seizures) starting in the first 18 months of life (Verret and Steele, 1971; Aicardi, 1987) Hemiplegia, unspecified, affecting nondominant side 342.92 G81.93 Hemiplegia, unspecified affecting right nondominant side G81.94 Hemiplegia, unspecified affecting left nondominant side Congenital diplegia 343.0 G80.1 Spastic diplegic cerebral palsy Congenital hemiplegia 343.1 G80.2 Spastic hemiplegic cerebral pals
Right sided hemiplegia involves paralysis on the right side of the body. This limits a person's ability to perform basic self-care tasks, especially since most people are right-side dominant. Fortunately, there are rehabilitation methods that can help you regain movement on the right side. You're about to discover them so that you can maximize your Right Sided Hemiplegia: Causes. Hemiplegia Dr. A.P.Ndondo Paediatric Neurology Department Crossed hemiplegia Ipsilateral CN palsy + opposite hemi. Brainstem Weber syndrome = 3 rd N + opp. hemi Genetic - Neurofibromatosis Type 1 - Homocystinuria. Risk factors Hospital-based vs population-based Cardiac constitute about 30% ( hospital ).
hemiplegia of the face •Contralateral hemiataxia . Pontine stroke •Ipsilateral signs: •Horner's syndrome •6 th or 7 nerve palsy (diplopia, •Brainstem strokes can cause crossed sensory or motor findings, nystagmus, diplopia, vertigo, Horner's syndrom The presentation can be variable but manifests usually as a gaze palsy to the side of the lesion, ipsilateral abducens, and ipsilateral facial palsy and contralateral hemiplegia may be present 1-3. Crossed hemihypesthesia and ipsilateral cerebellar signs may be present in the more complete form 1-3 TYPES OF STROKE. 05. Transient ischemic attacks (TIAs) are often called warning strokes. TIAs produce symptoms just like stroke, but typically last a shorter amount of time. They don't usually cause lasting damage. But they are major predictors of future stroke. If you suspect you've had or are having a TIA, don't ignore it! Call 9-1-1 Similarly, severity of hemiplegia appears higher in anosognosic patients (Appelros et al., 2007). Given this evidence, we could speculate that anosognosia for hemiplegia is the result of impairment of a neuronal circuit involving more cerebral regions Identify the vessel, recognize the strokeEarly recognition and treatment of stroke can improve patient outcomes significantly. It's essential that nurses in all settings know how to recognize signs and symptoms of stroke, and alert the stroke team or activate 911 immediately
Dyssynergia Cerebellaris Myoclonica refers to a collection of rare, degenerative, neurological disorders characterized by epilepsy, cognitive impairment, myoclonus, and progressive ataxia. Symptoms include seizures, tremor, and reduced muscle coordination. Onset of the disorder generally occurs in early adulthood Known as one of the classic types of lacunar infarcts, a pure motor stroke is the result of an infarct in the internal capsule. Pure motor stroke caused by an infarct in the internal capsule is the most common lacunar syndrome. Upper motor neuron signs. hyperreflexia, Babinski sign, Hoffman present, clonus, spasticity. Mixed sensorimotor strok A right brain stroke happens when blood supply to the right side of the brain is stopped. The right side of the brain is in charge of the left side of the body. It also does some thought processing, help us know body position, and judge space and distance. There are two main types of stroke: ischemic and hemorrhagic . An ischemic stroke is the most common type People with some types of paralysis, such as monoplegia, hemiplegia, and paraplegia, can usually lead independent and active lives with the help of mobility aids and supportive and adaptive devices. While people with quadriplegia need lifelong care and support from others, they can still live happy and fulfilling lives
G83.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM G83.89 became effective on October 1, 2020. This is the American ICD-10-CM version of G83.89 - other international versions of ICD-10 G83.89 may differ Spastic hemiplegia is a rather common form of Cerebral Palsy. What Causes Spastic Cerebral Palsy? Cerebral palsy represents the most prevalent childhood disorder impacting motor function and development. The term refers to several types of neurological impairments, each marked by particular signs and symptoms Left hemiplegia for 24 hours. Initial History of Present Illness: Florine Walker is a 76 year old female who reported symptoms of numbness on the left side and gradual weakness of the left arm and leg that started around 6 days ago. There was no associated right-sided symptoms. Past Medical and Surgical History: 1. Hypertension . 2.
Objective To explore the phenotypic spectrum of RHOBTB2 -related disorders and specifically to determine whether patients fulfill criteria for alternating hemiplegia of childhood (AHC), we report the clinical features of 11 affected individuals. Methods Individuals with RHOBTB2 -related disorders were identified through a movement disorder clinic at a specialist pediatric center, with. In this study, sixty stroke patients with hemiplegia will be recruited for physical evaluations for PSS and functional performance of upper extremity, and sonoelastography with shear wave velocity (SWV) on biceps brachii, brachioradialis, flexor carpal radialis, and flexor carpal ulnaris muscles to explore the relationship between physical and. 7. Botulinum toxin type A is available only in 100 unit vials. Once the drug is reconstituted it has a shelf life of only four (4) hours. Because Botulinum toxin type A is an expensive drug, CMS is encouraging providers to schedule patients in such a way that the drug may be used most efficiently Muscle stiffness occurs primarily in the legs. This type of CP may also slightly affect mobility in the child's arms. Spastic hemiplegia. One side of the body is affected by movement problems, with the arm typically being stiffer than the leg. Spastic quadriplegia. All four limbs are affected, as well as the torso and face
Hemiparesis is a condition that is commonly caused by either stroke or cerebral palsy, although it can also be caused by multiple sclerosis, brain tumors, and other diseases of the nervous system or brain. Hemiparesis is related to a condition called,'hemiplagia,' involving paralysis of one side of a person's body, instead of weakness . The condition, also called CP, is caused by problems in the brain.. CP breaks down into four main types, based on the. Objective: To describe the prevalence and determinants of psychological problems in European children with hemiplegia. Design: Cross-sectional survey. Setting: Home visits in nine European regions by research associates who administered standard questionnaires to parents. Patients: 279 children with hemiplegia aged 8-12 years were recruited from population-based case registers Many children with CP have one or more additional conditions or diseases along with their CP, known as co-occurring conditions. For example, about 4 in 10 children with CP also have epilepsy and about 1 in 10 have autism spectrum disorder.. Most CP is related to brain damage that happened before or during birth and it is called congenital CP Hemianopia refers to a vision problem due to brain damage. People with this condition lose half of their visual field, which can make basic things, including reading or walking, very difficult. We.
Good shoulder function is a prerequisite for effective hand function, as well as for performing multiple tasks involving mobility, ambulation, and activities of daily living (ADL). A common sequela of stroke is hemiplegic shoulder pain that can hamper functional recovery and subsequently lead to disability Journal of Clinical and Experimental Neuropsychology 0168-8634/90/1202-0340 $3.00 1990, Vol. 12, No. 2, pp. 340-354 Q Swets & Zeitlinger Crossed Aphasia in a Patient with Complex Partial Seizures: Evidence from Intracarotid Amobarbital Testing, Functional Cortical Mapping Aras MD, Gokkaya NK, Comert D, Kaya A, Cakci A. Shoulder pain in hemiplegia: results from a national rehabilitation hospital in Turkey. Am J Phys Med Rehabil . 2004 Sep. 83(9):713-9. [Medline] Although prospective epidemiological studies are lacking, findings of a number of longitudinal studies indicate that, in 30% 1 to 66% 2,3 of hemiplegic stroke patients, the paretic arm remains without function when measured 6 months after stroke, whereas only 5% to 20% demonstrate complete functional recovery. 1,4 To date, most studies showed that type and localization of stroke and initial.
A cerebrovascular accident is also called a CVA, brain attack, or stroke. It occurs when blood flow to a part of the brain is suddenly stopped and oxygen cannot get to that part. This lack of oxygen may damage or kill the brain cells. Death of a part of the brain may lead to loss of certain body functions controlled by that affected part Hemiplegic migraine is a rare form of migraine that some people confuse with a stroke. With this type of migraine, a person may also develop neurological symptoms, including weakness on one side. Browse 47 hemiplegia stock photos and images available, or search for stroke or paralysis to find more great stock photos and pictures. Graffiti that reads Good guy whole life peace, bad guy hemiplegia on August 18, 2019 in Hong Kong, China. Over the past 100 days, anti-government..
Crossed Hemiplegia. Left-sided dysmetria; Left Cranial Nerve palsy at level of lesion; Cerebellar signs. Left Finger to nose Ataxia; Difficult Rapid Alternating Movements of left hand; Difficult heel-toe walking (tandem walking) Left foot clumsy; Nystagmus on looking toward the lesion (left); Left ear Hearing Loss; Sensory los Congenital hemiplegia, the most common form of cerebral palsy (CP), accounts for 1 in 1300 live births. 1 For children with unilateral CP, the effect on upper limb (UL) function is often more pronounced than that on lower limb function, 2 with resultant limitations in daily independence, participation, and quality of life. Rehabilitation. type, side of hemiplegia, balance, weakness, sensation, and neglect) was entered into 1 of 4 univariate linear regression models. Function in terms of independence in ADLs (BI score) and mobility disability (RMI score) at entry and recovery of independence in ADLs and mobility disability at 3 months were the dependent variables Define spastic hemiplegia. spastic hemiplegia synonyms, spastic hemiplegia pronunciation, spastic hemiplegia translation, English dictionary definition of spastic hemiplegia. n. Paralysis affecting only one side of the body. hem′i·ple′gic adj. & n A case report on Crossed aphasia in dextrals. Medicine. 2019;98:43 (e17660). The study protocol was approved by the Local Ethics Committee according to Declaration of Helsinki. This study was funded by Italian Health Minister (grant number GR-2013-02359341). Informed written consent was obtained from the patient for publication of this case.