Ganglion cysts of the common peroneal nerve are rarely described in the literature and a bilateral lesion has not been previously reported. We present a case of a 41-year-old man with a bilateral cyst of the common peroneal nerve diagnosed with ultrasound and magnetic resonance imaging.
To the Editor, The outbreak of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, responsible for coronavirus disease 2019 (COVID-19), has rapidly reached a pandemic spreading.Contagion mainly occurs through the upper respiratory tract that is often involved in early disease, and pulmonary damage is the main cause of death. Nevertheless, SARS-CoV-2 can virtually localize in every organ, engendering site-specific damage. 1 COVID-19 complications due to the prothrombotic potential associated with SARS-CoV-2 infection go beyond deep venous thrombosis and pulmonary thromboembolisms (PTEs). 2 Additional extrapulmonary tissues, such as heart, brain, and splanchnic organs, may be affected by thromboembolic events, likely originating from large vessels or due to microcirculation damage, across a wide LETTER TO THE EDITOR | 1941 gallbladder vasculitis, 7-9 have been described in affecting hepatic circulation. 10
Carbon Monoxide (CO) intoxication is still a leading cause of mortality and morbidity in many countries. Due to the problematic detection in the environment and subtle symptoms, CO intoxication usually goes unrecognized, and both normobaric and hyperbaric oxygen (HBO) treatments are frequently administered with delay. Current knowledge is mainly focused on acute intoxication, while Delayed Neurological Sequelae (DNS) are neglected, especially their treatment. This work details the cases of two patients presenting a few weeks after CO intoxication with severe neurological impairment and a characteristic diffused demyelination at the brain magnetic resonance imaging, posing the diagnosis of DNS. After prolonged treatment with hyperbaric oxygen, combined with intravenous corticosteroids and rehabilitation, the clinical and radiological features of DNS disappeared, and the patients’ neurological status returned to normal. Such rare cases should reinforce a thorough clinical follow-up for CO intoxication victims and promote high-quality studies.
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