Background To date, there are only a few case reports of cyclophosphamide (Cy)-induced hemorrhagic cystitis (HC) in adult or pediatric allogeneic stem cell transplant (SCT) patients treated successfully with hyperbaric oxygen (HBO). In all the reported cases, Cy was used as a part of the conditioning regimen, rather than post-transplant for graft-versus-host-disease (GVHD) prophylaxis. More recently, the risk of HC in allogeneic SCT is further increased by the widespread use of post-transplantation cyclophosphamide (PTCy) as a highly effective strategy for GVHD prophylaxis. This is the first case reported of PTCy-induced HC successfully treated with HBO to the best of our knowledge. Case presentation In this article, we present a 58-year-old Caucasian male case of allogeneic SCT complicated by severe HC following PTCy, which was successfully treated with HBO, eliminating the need for cystectomy. Conclusion HBO can be a safe, noninvasive, alternative treatment modality for PTCy-induced HC developing in allogeneic SCT patients.

The cricothyroid muscle in dogs received branches from two independent nerves, namely the external ramus of the cranial laryngeal nerve and the pharyngeal branch of the vagus. Classical spindles are infrequent in the muscle. Atypical forms of sensory endings were identified. Two end-plates were frequently met with on a single extrafusal fibre. Sectioning of the external ramus of the cranial laryngeal nerve was followed by degeneration of spindles. Intact axons detected up to 6 months after operation are probably derived from the pharyngeal branch of the vagus. Chromatolytic changes occurred in the ipsilateral dorsal vagal nucleus and the capsulated ganglion at the entry of the nerve into the muscle. Chromatolysis occurred in the intramuscular ganglion cell rows and in neurons of the ipsilateral nodose ganglion. Morphological alterations were more pronounced in the ipsilateral medial column of the nucleus ambiguus. No changes were observed in the somata of the mesencephalic nucleus.

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