scholarly journals Idiopathic Thoracic Spontaneous Spinal Epidural Hematoma

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Abdurrahman Aycan ◽  
Seymen Ozdemir ◽  
Harun Arslan ◽  
Edip Gonullu ◽  
Cemal Bozkına
Keyword(s):  
Transverse Myelitis ◽  
Lower Extremities ◽  
Acute Onset ◽  
Sensory Loss ◽  
Spinal Epidural Hematoma ◽  
Resonance Imaging ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Spinal Epidural

A 33-year-old male patient experienced temporary sensory loss and weakness in the right lower extremity one month prior to admission. The patient was admitted to a private clinic with a three-day history of acute onset of sensory loss and weakness in both lower extremities and was treated and followed up with a prediagnosis of transverse myelitis and the Guillain-Barre syndrome (GBS). The patient was subsequently transferred to our clinic and the neurologic examination revealed paraplegia in both lower extremities, positive bilateral Babinski signs, and hypesthesia below the T10 dermatome with saddle anesthesia. The patient had urinary incontinence and thoracic magnetic resonance imaging (MRI) showed an image of a mass compressing the medulla.

scholarly journals Granulomatous orchitis: case report and review of the literature

2021 ◽  
Vol 49 (5) ◽  
pp. 030006052110037
Author(s):  
Liu Liang ◽  
Wang Jiajia ◽  
Li Shoubin ◽  
Qi Yufeng ◽  
Wang Gang ◽  
...  
Keyword(s):  
Color Doppler ◽  
Radical Resection ◽  
Blood Flow Imaging ◽  
Low Intensity ◽  
Disease Characteristics ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Combined Spinal Epidural Anesthesia ◽  
Spinal Epidural

We report the disease characteristics, diagnosis, and treatment of granulomatous orchitis. A 38-year-old man presented with a history of intermittent swelling, pain, and discomfort in the right testicle of 3 days’ duration. Unenhanced magnetic resonance imaging (MRI) of the testis and scrotum revealed an oval mass in the right testis measuring approximately 17 mm in diameter, with clear borders and a target ring-like appearance from periphery to center. T1-weighted imaging (T1WI) showed uniform low-intensity signals, and T2WI showed mixed high- and low-intensity signals. Diffusion-weighted imaging (DWI) signals were iso-intense, and the outer ring on enhanced scans showed progressive enhancement. We performed radical resection of the right testis under combined spinal–epidural anesthesia. The pathological diagnosis was granulomatous right orchitis. Two months postoperatively, ultrasonography showed no testis and epididymal echo signals in the right scrotum, and no obvious abnormalities; color Doppler blood flow imaging (CDFI) findings were normal. Granulomatous orchitis is rare in clinical practice, and the cause is unknown. The disease involves non-specific inflammation; however, it is currently believed that antibiotics and steroids are ineffective for conservative treatment, and orchiectomy should be actively performed.

Comorbid Depressive Disorders in Epilepsy

CNS Spectrums ◽  
2010 ◽  
Vol 15 (S4) ◽  
pp. 3-6 ◽  
Author(s):  
Andres M. Kanner ◽  
Andrew J. Cole
Keyword(s):  
Emergency Room ◽  
Depressive Disorders ◽  
Clonic Seizure ◽  
Resonance Imaging ◽  
Abnormal Signal ◽  
The Past ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
History Of Depression

A 27-year-old woman presented to the emergency room after having witnessed generalized tonic clonic seizure while asleep. Birth and development were normal. She had suffered a single febrile seizure at 13 months of age, but had no other seizure risk factors. She was otherwise well except for a history of depression for which she was taking sertraline. Depressive symptoms had been well controlled over the past 3 months, but she had been under increased stress working to finish a doctoral thesis. Neurological examination was normal. Magnetic resonance imaging (MRI) showed modest asymmetry of the hippocampi, slightly smaller on the right, but no abnormal signal and well-preserved laminar anatomy. An electroencephalogram was negative. She was discharged from the emergency room with no treatment. Three weeks later, the patient's boyfriend witnessed an episode of behavioral arrest with lip smacking and swallowing automatisms lasting 45 seconds, after which the patient was confused for 20–30 minutes. The next morning she and her boyfriend kept a previously scheduled appointment with a neurologist.

scholarly journals Non traumatic spinal epidural haematoma

2019 ◽  
Vol 18 (4) ◽  
pp. 255-258
Author(s):  
Naureen Abdul Khalid ◽  
◽  
Nainal Shah ◽  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Trauma Surgery ◽  
Epidural Haematoma ◽  
Rare Condition ◽  
Sudden Onset ◽  
Resonance Imaging ◽  
Spinal Epidural Haematoma ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Spinal Epidural

Spinal epidural haematoma is a rare condition, which may be due to trauma, surgery, epidural catheterisation or disorders of coagulation. We report a case of 60 year old lady who was on warfarin for Atrial fibrillation (AF) presented with history of non-traumatic sudden onset pain in both legs and difficulty in walking. Magnetic resonance imaging (MRI) spine demonstrated epidural haematoma which was treated conservatively. Another dilemma was anticoagulation for AF. We examine the options to manage such case.

scholarly journals Intracranial subdural osteoma

2020 ◽  
Vol 18 ◽  
pp. 205873922092685
Author(s):  
Yunna Yang ◽  
Zheng Gu ◽  
Yinglun Song
Keyword(s):  
Dura Mater ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Benign Neoplasms ◽  
Resonance Imaging ◽  
Inner Surface ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
T1 Hyperintensity ◽  
The Right

Subdural osteomas are extremely rare benign neoplasms. Here, we report the case of a 35-year-old female patient with a right frontal and parietal subdural osteoma. The patient presented with a 2-year history of intermittent headache and fatigue. Computerized tomography (CT) scan showed a high-density lesion attached to the inner surface of the right frontal and parietal skull. Magnetic resonance imaging (MRI) demonstrated T1 hyperintensity and T2 hypointensity of the lesion. Intraoperatively, the hard mass was located in subdural space and attached to the dura mater. Histopathological examination revealed lamellated bony trabeculae lined by osteoblasts and the intertrabecular marrow spaces occupied by adipose tissue. The patient underwent neurosurgical resection and recovered without complication. Surgical excision is recommended to extract the symptomatic lesions with overlying dura mater.

scholarly journals Metronidazole-Induced Encephalopathy: Case Report and Review of MRI Findings

2011 ◽  
Vol 38 (3) ◽  
pp. 512-513 ◽  
Author(s):  
Jamsheed A. Desai ◽  
Jessica Dobson ◽  
Michel Melanson ◽  
Giovanna Pari ◽  
Albert Yongwon Jin
Keyword(s):  
Imaging Finding ◽  
Sensory Loss ◽  
Mri Findings ◽  
Axonal Polyneuropathy ◽  
Large Fibre ◽  
History Of ◽  
Impaired Balance ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Vibration Threshold

A 74-year-old man presented with a four week history of behavioural disturbances, upper and lower extremity numbness and impaired balance. He had been treated with metronidazole for six months for osteomyelitis of the right hallux. Examination revealed encephalopathy, and glove-and-stocking sensory loss to pinprick with reduced vibration threshold at the toe. The gait was wide based and ataxic. Nerve conduction studies showed a large fibre sensory-motor axonal polyneuropathy. Magnetic resonance imaging (MRI) revealed a solitary restricted diffusion lesion in the splenium of the corpus callosum (Figure A, B) with subtle prolongation of T2 (Figure C). The radiographic differential diagnosis included hypoglycaemia, viral encephalitis, antiepileptic drug toxicity/withdrawal and metronidazole toxicity. The combination of the imaging finding with the history of prolonged metronidazole use suggested metronidazole induced encephalopathy.

scholarly journals Role of magnetic resonance imaging in the early diagnosis of paratesticular rhabdomyosarcoma

2016 ◽  
Vol 98 (5) ◽  
pp. e74-e76 ◽  
Author(s):  
T Shah ◽  
O Abu-Sanad ◽  
H Marsh
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Delayed Diagnosis ◽  
Resonance Imaging ◽  
Post Contrast ◽  
Diagnostic Uncertainty ◽  
Ultrasound Findings ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Introduction Paratesticular lesions are common, and one subgroup is paratesticular rhabdomyosarcoma. The latter is a relatively uncommon (but aggressive) tumour that affects children and adolescents predominantly. Ultrasound is the first-line investigation, but can be inconclusive. Magnetic resonance imaging (MRI) can provide useful information, but its role in the diagnosis of rhabdomyosarcoma is not clear. Case History We report a 17-year-old male who presented with a one-month history of a rapidly enlarging, non-tender, lump in the right testicle. Urgent ultrasound of the scrotum revealed a heterogenous paratesticular mass that was hypervascular and showed calcification in the right inguinal area. MRI of the pelvis showed a solid, enhancing lesion of dimension located superior to the upper pole of the right testes and a slightly heterogeneous T2 signal, but was homogenous post-contrast. The patient underwent right radical orchidectomy, and histology results were assessed. He received chemotherapy and is being followed up. Conclusions Improvements in imaging in addition to early surgical intervention and chemotherapy treatment are crucial to improve survival chances against rhabdomyosarcoma. Ultrasound findings for benign diseases may mimic those seen in rhabdomyosarcoma. In such cases of diagnostic uncertainty, our surgical team suggest MRI to reduce the risk of a delayed diagnosis and time to treatment.

scholarly journals Endoscopic Foraminotomy in Spinal Epidural Lipomatosis, Case Report

2019 ◽  
Vol 4 (06) ◽  
Author(s):  
Diego Quillo-Olvera ◽  
Jin Sung Kim ◽  
Javier Quillo-Olvera ◽  
Javier Quillo-Resendiz
Keyword(s):  
Cushing’S Syndrome ◽  
Cushing's Syndrome ◽  
Radicular Pain ◽  
Spinal Epidural Lipomatosis ◽  
Epidural Lipomatosis ◽  
Dural Sac ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Spinal Epidural

A 69-year-old woman with a history of hypertension and Cushing's syndrome, Her symptoms onset a year ago with pain in both legs treated with analgesics, but continued with right L4-L5 radiculopathy, she underwent treatment with endoscopy lumbar transforaminal, relieving his discomfort in the right leg, indicating on the visual analog scale (VAS) a score of 2/10. Four months later she started with pain in the left leg pointing to VAS of 7/10 in the disposition of the roots of L4-L5. Magnetic resonance imaging (MRI) of lumbar spine in sagittal and axial sequence weighted in T1 and T2 showed an excess of epidural fat and compression of the dural sac from L1 to S1. After the clinical-radiological assessment, the patient was treated with a left L4-L5 endoscopic foraminotomy in which adipose tissue was obtained and a decompression of the neural structures was achieved, the pain and weakness of the leg improved, indicated a VAS of 2/10 and the MacNab criteria scale for clinical graduation reported as good. We present a case of spinal epidural lipomatosis caused by Cushing's syndrome in a patient who underwent a lumbar endoscopic foraminotomy for radicular pain in a hospital in Korea.

Horizontal monocular saccadic failure: an unusual clinically isolated syndrome progressing to multiple sclerosis

2003 ◽  
Vol 9 (1) ◽  
pp. 55-58 ◽  
Author(s):  
Elliot M Frohman ◽  
Teresa C Frohman
Keyword(s):  
Multiple Sclerosis ◽  
Nerve Palsy ◽  
Transverse Myelitis ◽  
Clinically Isolated Syndrome ◽  
Resonance Imaging ◽  
Definite Multiple Sclerosis ◽  
Clinically Definite Multiple Sclerosis ◽  
The Subject ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

This paper describes an unusual clinically isolated syndrome of inflammatory demyelination that was characterized by a right VI nerve palsy and right internuclear ophthalmoparesis (INO), along with an unusual form of dissociated nystagmus. Magnetic resonance imaging (MRI) revealed an isolated lesion within the right dorsomediolateral pontine tegmentum. Four years later, the subject developed a partial sensory transverse myelitis, confirming clinically definite multiple sclerosis (MS). This paper extends the range of isolated syndromes associated with MS.

scholarly journals Vaping Disrupts Ventilation-Perfusion Matching in Asymptomatic Users

2020 ◽  
Author(s):  
Abhilash S. Kizhakke Puliyakote ◽  
Ann R. Elliott ◽  
Rui Carlos Sá ◽  
Kevin M. Anderson ◽  
Laura E. Crotty Alexander ◽  
...  
Keyword(s):  
Inert Gas ◽  
Relative Dispersion ◽  
Resonance Imaging ◽  
Second Moments ◽  
Ventilation Heterogeneity ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
The Individual ◽  
The Right ◽  
Ventilation And Perfusion

Objective: Inhalation of e-cigarettes aerosols (vaping) has the potential to disrupt pulmonary gas exchange, but the effects in asymptomatic users are unknown. We assessed ventilation-perfusion (V̇A/Q̇) mismatch in asymptomatic e-cigarette users, using magnetic resonance imaging (MRI). We hypothesized that vaping induces V̇A/Q̇ mismatch through alterations in both ventilation and perfusion distributions. Methods: Nine young, asymptomatic Vapers with a >1yr vaping history, and no history of cardiopulmonary disease, were imaged supine using proton MRI, to assess the right lung at baseline and immediately after vaping. Seven young Controls were imaged at baseline only. Relative dispersion (SD/Mean) was used to quantify the heterogeneity of the individual ventilation and perfusion distributions. V̇A/Q̇ mismatch was quantified using the second moments of the ventilation and perfusion vs. V̇A/Q̇ ratio distributions, log scale, LogSDV̇ and LogSDQ̇ respectively, analogous to the multiple inert gas elimination technique. Results: Spirometry was normal in both groups. Ventilation heterogeneity was similar between groups at baseline (Vapers: 0.43±0.13, Controls: 0.51±0.11, P=0.13) but increased after vaping (to 0.57±0.17, P=0.03). Perfusion heterogeneity was greater (P=0.04) in Vapers at baseline (0.53±0.06) compared to Controls (0.44±0.10) but decreased after vaping (to 0.42±0.07, P=0.005). Vapers had greater (P=0.01) V̇A/Q̇ mismatch at baseline compared to Controls (LogSDQ̇ = 0.61±0.12 vs. 0.43±0.12), which was increased after vaping (LogSDQ̇ = 0.73±0.16, P=0.03). Conclusion: V̇A/Q̇ mismatch is greater in Vapers and worsens after vaping. This suggests subclinical alterations in lung function not detected by spirometry.

scholarly journals Retrosigmoid Approach for Resection of Cerebellar Peduncle Cavernoma

2018 ◽  
Vol 79 (S 05) ◽  
pp. S420-S421
Author(s):  
Hussam Abou-Al-Shaar ◽  
Gmaan Alzhrani ◽  
Yair Gozal ◽  
William Couldwell
Keyword(s):  
Acute Onset ◽  
Middle Cerebellar Peduncle ◽  
Postoperative Mri ◽  
History Of ◽  
Horizontal Gaze ◽  
Cerebellar Peduncle ◽  
Magnetic Resonance Imaging Mri ◽  
Residual Blood ◽  
The Right

The case described in this video involved a 38-year-old man, who presented with a 4-week history of worsening acute-onset headache, nausea, double vision, and vertigo. On examination, he had impaired tandem gait and diplopia on right horizontal gaze. A computed tomography (CT) scan revealed a hyperdense lesion of the right cerebellopontine angle. Magnetic resonance imaging (MRI) revealed a nonenhancing middle cerebellar peduncle lesion that was isointense on T2-weighed imaging and hypointense on FLAIR imaging (Fig. 1A–B). The differential diagnoses for this lesion included cavernous malformation, thrombosed aneurysm, and neurocysticercosis. CT angiography was done preoperatively to rule out cerebral aneurysm. Surgical resection of the lesion was recommended to relieve his symptoms, to prevent further deterioration/bleeding, and to obtain a pathological diagnosis. The patient underwent a right retrosigmoid craniotomy for resection of the right middle cerebellar peduncle cavernoma (Fig. 2). The patient tolerated the procedure well with no new postoperative neurological deficit. Postoperative MRI depicted gross total resection of the lesion and expected residual blood in the resection cavity (Fig. 1C–D). The patient was discharged home on postoperative day 4. At his last follow-up appointment, 1 month after surgery, he reported complete resolution of his preoperative symptoms, including diplopia. The patient gave consent for publication.The link to the video can be found at: https://youtu.be/TRieS9DXbV4.

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