SM Case Reports

Archive Articles

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Psychogenic Hearing Loss: A Frequently Overlooked Part of Post Traumatic Brain Disorder

Psychogenic hearing loss is a frequently overlooked part of complex post traumatic trauma. This is a relatively new discovery as it has been mainly linked to hyperacusis before. The association of PTSD and psychogenic hearing loss is relatively new. Therefore, more investigation is needed, especially in the field of possible therapy options of said hearing loss,. Because little research and studies on this topic have been conducted, the treatment options are still limited and not well researched. Psychogenic hearing loss plays a big role in the day to day life of the patients and significantly lowers the life quality of the patients. Therefore it is crucial to find possible treatment options and strenghten the collaboration between the different medical personell working with these patients like audiometrists, ENT and psychiatry.

Veronica Neff* and Sandra Schmidt


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VNS Therapy, Validation of Efficiency of Therapy: Case Report

Background: In recent years, internet penetration in the island of Mauritius has increased substantially. However, increasing internet use is also associated with adverse effects especially amongst the young internet users and there is a scarcity of research in this area.

Objectives: To assess the prevalence and characteristics of internet addiction in the student population of the University of Mauritius.

Methodology: A cross-sectional study using a shortened and contextualized Internet Addiction Test (IAT) (Young, 1998) was carried out amongst 372 participants.

Results: It was observed that 5.1% of all students (4.9% males and 5.4% females) showed features of severe internet addiction. Although 42.5% perceived themselves to be addicted to the internet, they did not have significantly higher IAT scores than those who did not. There was no statistically significant difference between the prevalence of internet addiction in males and females. Main online activities comprised preferentially of information searching (94.9%) chatting/communicating (90.6%) and downloading media content (87.9%). The mean daily time online was 4.9 hours (standard deviation=3.1 hours). The mean years of internet use was 7.1 years (standard deviation=2.7 years). Results of simple linear regression showed a negative correlation and a small effect size of years of internet use on IAT scores and daily time online was positively correlated with and had a mild effect on IAT scores.

Conclusion: This study provides useful information on prevalence rates and characteristics of internet addiction in young people in Mauritius. Further studies are required to follow-up the evolution of this condition to assess its impact on young people’s health over time.

Riccardo Fornaro², Giorgio Incarbone¹,²*, Andrea Montalbetti¹,², Luca Emanuele¹,², Federica Anna Fasano¹,², Marta Sacchetti³, Emanuela Crobeddu², and Christian Cossandi²


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Lymphepitheliomatoid Carcinoma of Maxillofacial Region: A Case Report and Literature Review

Lymphoepithelioma-like carcinoma (LELC) is a tumor that occurs outside the nasopharynx, and its morphological characteristics are similar to those of nasopharyngeal lymphoepithelioma. LELC in the maxillofacial region is a rare tumor with an unknown etiology and low malignant potential. This case of lymphoepithelioid carcinoma is clinically characterized by hard nodules in the facial subcutaneous tissue. Histologically, LELC shows infiltration of dense lymphoplasmacytic cells between the stroma and cancer cells. We report a case of maxillofacial LELC, and discuss the etiology, clinical histopathology, immunohistochemistry, and treatment of this rare skin tumor

Jiaqi Mei¹,²#, Sicong Jiang³#, Juying Ke¹, Meiai Xu¹, Xuefeng Shen¹, and Shasha Zhang¹*


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Tracheal Paraganglioma: Unusual Cause of Hemoptysis. A Case Report and Review of the Literature.

Cognitive deficits can impact functional outcomes as well as the efficacy of rehabilitation therapy after stroke, but these must be understood in the context of the specific cognitive impairments. We describe here functional improvement during admission to an inpatient rehabilitation facility (IRF) in a patient with an uncommon form of cognitive abnormality, Alice in Wonderland Syndrome (AIWS), which is characterized by visual and other perceptual distortions. The course of this syndrome in the context of inpatient rehabilitation therapy has not been previously described. A 52-year-old male with an acute ischemic infarct involving the left (dominant) occipital, posterior parietal, and posterior temporal lobes received intensive rehabilitation therapy in an IRF setting. The patient reported complete resolution of his AIWS symptoms by day 14 of his IRF admission (day 22 after stroke onset), with daily assessments showing steady gains in his self-care score. Current results suggest that intensive rehabilitation therapy can be provided in the setting of AIWS, and that functional recovery can occur in the presence of AIWS symptoms.

Mohamed Amine Azami¹*, Othman Lahbali¹, Iliass El alami², Fouad Zouidia¹, Najjat Mahassini¹, and Mohamed Oukabli³


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Going Down the Rabbit Hole: Functional Recovery from Alice in Wonderland Syndrome during Rehabilitation Therapy. A Case Report

Cognitive deficits can impact functional outcomes as well as the efficacy of rehabilitation therapy after stroke, but these must be understood in the context of the specific cognitive impairments. We describe here functional improvement during admission to an inpatient rehabilitation facility (IRF) in a patient with an uncommon form of cognitive abnormality, Alice in Wonderland Syndrome (AIWS), which is characterized by visual and other perceptual distortions. The course of this syndrome in the context of inpatient rehabilitation therapy has not been previously described. A 52-year-old male with an acute ischemic infarct involving the left (dominant) occipital, posterior parietal, and posterior temporal lobes received intensive rehabilitation therapy in an IRF setting. The patient reported complete resolution of his AIWS symptoms by day 14 of his IRF admission (day 22 after stroke onset), with daily assessments showing steady gains in his self-care score. Current results suggest that intensive rehabilitation therapy can be provided in the setting of AIWS, and that functional recovery can occur in the presence of AIWS symptoms.

Ming Wu1, Shelley Schwartz2, Steven C. Cramer3*, and Michael Su3