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  1. Article ; Online: Sternal Gap Syndrome Caused by Improperly Fitted Body Armor: A Preventable Military Injury.

    Wongmek, Arada / Parry, Matthew / Scully, Shawna

    Medical journal (Fort Sam Houston, Tex.)

    2021  , Issue Per 22-01/02/03, Page(s) 82–84

    Abstract: Isolated atrophy of the pectoralis major muscle (PMM) secondary to traumatic lesion of the medial pectoral nerve is a known entity in the field of neuromuscular electrodiagnostics. Recent literature has begun describing a Pectoral Gap Phenomenon in which ...

    Abstract Isolated atrophy of the pectoralis major muscle (PMM) secondary to traumatic lesion of the medial pectoral nerve is a known entity in the field of neuromuscular electrodiagnostics. Recent literature has begun describing a Pectoral Gap Phenomenon in which this atrophy occurs bilaterally as an overuse injury, leading to a marked concavity in the central chest wall musculature. While there is limited information in science journals on this topic, social media posts on weight lifting discuss the topic frequently. We report a case in which a soldier's body armor crushed the lateral medial and pectoral nerves against the anterior chest wall causing permanent upper body weakness. To optimize military medical readiness, awareness of this disorder and the pathophysiology causing it should spread so as to mitigate this potential for significant disability.
    MeSH term(s) Brachial Plexus ; Humans ; Military Personnel ; Pectoralis Muscles ; Thoracic Nerves ; Thoracic Wall
    Language English
    Publishing date 2021-12-01
    Publishing country United States
    Document type Journal Article
    ISSN 2694-3611
    ISSN (online) 2694-3611
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Status epilepticus after C-4 ingestion: using liquid chromatography to quantify toxicity.

    Garcia, Robert / Karimian, Amir / Donaldson, Chase / Preston, Kerry / Scully, Shawna

    Clinical toxicology (Philadelphia, Pa.)

    2019  Volume 57, Issue 9, Page(s) 819–821

    Abstract: Context: ...

    Abstract Context:
    MeSH term(s) Chromatography, High Pressure Liquid/methods ; Electroencephalography ; Explosive Agents/blood ; Explosive Agents/toxicity ; Humans ; Male ; Status Epilepticus/chemically induced ; Status Epilepticus/diagnosis ; Triazines/blood ; Triazines/toxicity ; Young Adult
    Chemical Substances Explosive Agents ; Triazines ; cyclonite (W91SSV5831)
    Language English
    Publishing date 2019-02-07
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 204476-6
    ISSN 1556-9519 ; 0009-9309 ; 0731-3810 ; 1556-3650
    ISSN (online) 1556-9519
    ISSN 0009-9309 ; 0731-3810 ; 1556-3650
    DOI 10.1080/15563650.2018.1562069
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Magnetic resonance spectroscopic findings in neuro-Behçet disease.

    Scully, Shawna E / Stebner, Frederick C / Yoest, Stephen M

    The neurologist

    2004  Volume 10, Issue 6, Page(s) 323–326

    Abstract: Background: Behçet disease is a heterogeneous, multisystem disorder with elements of both environmental and autoimmune pathologic processes. Neuro-Behçet, found in 10%-25% of Behçet patients, has been characterized as a vasculitis primarily affecting ... ...

    Abstract Background: Behçet disease is a heterogeneous, multisystem disorder with elements of both environmental and autoimmune pathologic processes. Neuro-Behçet, found in 10%-25% of Behçet patients, has been characterized as a vasculitis primarily affecting the brain stem. On magnetic resonance imaging, some cases demonstrate extension to the bilateral cerebral cortices and/or the spinal cord, often with a degree of mass effect. Content of this paper provides a case study, along with review of the literature regarding this disease entity, and proceeds to outline the appearance of neuro-Behçet on magnetic resonance spectroscopy.
    Conclusion: In essence, a drop in the N-acetyl aspartate peak indicative of axonal loss in concert with elevations in lipid myoinositol and choline/creatine ratios (nonspecific markers of myelin breakdown) is found, indicating that a possible demyelinating process is complexed with the vasculitic pathology neuro-Behçet is traditionally ascribed to.
    MeSH term(s) Adult ; Behcet Syndrome/diagnosis ; Behcet Syndrome/pathology ; Humans ; Magnetic Resonance Spectroscopy ; Male ; Nervous System Diseases/diagnosis ; Nervous System Diseases/pathology
    Language English
    Publishing date 2004-11
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1361380-7
    ISSN 2331-2637 ; 1074-7931
    ISSN (online) 2331-2637
    ISSN 1074-7931
    DOI 10.1097/01.nrl.0000144559.07378.3a
    Database MEDical Literature Analysis and Retrieval System OnLINE

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