scholarly journals Spinal Cord Infarction in the Course of a Septic Shock: About One Case and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
P. Henin ◽  
A. Molderez ◽  
V. Huberlant ◽  
H. Trine
Keyword(s):  
Septic Shock ◽  
Bile Ducts ◽  
Spinal Cord Infarction ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Pathogenic Role ◽  
Mri Findings ◽  
Endoscopic Extraction ◽  
Magnetic Resonance Imaging Mri

We report the case of a patient admitted to our intensive care unit in the course of a septic shock, secondary to cholangitis. After rapid hemodynamic stabilization, antibiotherapy, and endoscopic extraction of bile ducts stones, she appeared to have developed flaccid paraplegia. The suspected diagnosis of medullar ischemia was confirmed by typical MRI findings. This case stresses the potential pathogenic role of hypotension in medullar ischemia and the place of magnetic resonance imaging (MRI) as a reliable diagnostic tool.

scholarly journals Colon Adenocarcinoma during Pregnancy: A Case Report and Review of the Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Paolo Petruzzelli ◽  
Roberto Zizzo ◽  
Elisabetta Tavassoli ◽  
Miriam Sutera ◽  
Michela Chiadò Fiorio Tin ◽  
...  
Keyword(s):  
Clinical Course ◽  
Colon Adenocarcinoma ◽  
Male Infant ◽  
Exploratory Laparotomy ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Local Hospital ◽  
Descending Colon ◽  
Magnetic Resonance Imaging Mri

Colorectal cancer (CRC) during pregnancy presents an estimated incidence of 1 : 13,000, and it is associated with diagnostic and therapeutic challenges. Here, we present the case of a 38-year-old woman, 25 weeks and 5 days pregnant, who was transferred to our Obstetrics and Gynecology Department from a local hospital with the diagnosis of intestinal obstruction. Magnetic Resonance Imaging (MRI) showed marked distension with hydroaerial levels of the enterocolic loops upstream of a concentric parietal thickening of the descending colon, stenosing, extended longitudinally for about 4 cm. An exploratory laparotomy was performed with resection of the colon splenic flexure and mechanical end-terminal anastomosis. Histological examination of the operating piece highlighted the presence of moderately differentiated (G2) colon adenocarcinoma (stage pT3N1b). The operation was followed by a single course of oxaliplatin and 5-FU plus leukovorin. The patient had a vaginal delivery at 37   weeks + 2 days of gestational age, following induction of labor and giving birth to a male infant whose weight was 2670 gr with apgar 9/9. We underline the pivotal role of attention to unspecific symptoms, early diagnosis, and active treatment in changing the clinical course of CRC.

scholarly journals Disseminated Necrotizing Leukoencephalopathy Complicating Septic Shock in an Immunocompetent Patient

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Pedro Gaspar-da-Costa ◽  
Sofia Reimão ◽  
Sandra Braz ◽  
João Meneses Santos ◽  
Rui M. M. Victorino
Keyword(s):  
Septic Shock ◽  
White Matter ◽  
White Matter Lesions ◽  
Neurological Impairment ◽  
Immunocompetent Patient ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Full Neurological Recovery ◽  
Magnetic Resonance Imaging Mri ◽  
Immunocompetent Patients

Disseminated necrotizing leukoencephalopathy (DNL) is characterized by multiple microscopic foci of white matter necrosis. DNL was initially thought to be exclusively associated with immunosuppression conditions but it has been recently described in immunocompetent patients in septic shock. A 90-year-old immunocompetent woman with no previous neurological impairment presented with septic shock and drowsiness that responded well to therapy with clinical improvement and a full neurological recovery. Unexpectedly deterioration with progression to coma occurred. Investigation excluded other causes and Magnetic Resonance Imaging (MRI) was consistent with the diagnosis of DNL showing bilateral multifocal white matter lesions with a nonvascular pattern with restricted diffusion. Neurological impairment persisted with progression to death. DNL is an unexpected diagnosis in an immunocompetent patient. We compared the present case to those found in the literature of DNL complicating septic shock and discuss the antemortem diagnosis based on MRI findings.

scholarly journals Metronidazole Encephalopathy EEG Features: A Case Report with Systematic Review of the Literature

2020 ◽  
Vol 10 (4) ◽  
pp. 227 ◽  
Author(s):  
Lorenzo Ricci ◽  
Francesco Motolese ◽  
Mario Tombini ◽  
Jacopo Lanzone ◽  
Roberta Rea ◽  
...  
Keyword(s):  
Systematic Review ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Magnetic Resonance Imaging Mri ◽  
Pattern Presentation ◽  
Eeg Pattern ◽  
Clinical Worsening ◽  
Eeg Features ◽  
Anterior Posterior

Metronidazole-induced encephalopathy (MIE) is a rare and often under-recognized iatrogenic condition. The diagnosis should be considered in metronidazole-treated patients presenting with acute encephalopathy, unprovoked seizures and cerebellar signs. While typical magnetic resonance imaging (MRI) findings strongly support the diagnosis, electroencephalography (EEG) features have been rarely reported and poorly described. We present a longitudinal EEG assessment in one patient with encephalopathy due to metronidazole toxicity who presented a peculiar EEG pattern presentation and evolution. During the acute phase of encephalopathy, the EEG showed a monomorphic, sharply contoured theta activity symmetrically represented over frontal regions with an anterior–posterior progression which evolved in parallel with clinical worsening. Together with a systematic review of the literature, we discuss whether this EEG activity may represent a distinct neurophysiological correlate of ‘cerebellar encephalopathy’.

SUNCT/SUNA and neurovascular compression: New cases and critical literature review

Cephalalgia ◽  
2013 ◽  
Vol 33 (16) ◽  
pp. 1337-1348 ◽  
Author(s):  
Valentina Favoni ◽  
Daniela Grimaldi ◽  
Giulia Pierangeli ◽  
Pietro Cortelli ◽  
Sabina Cevoli
Keyword(s):  
Brain Mri ◽  
Brain Magnetic Resonance Imaging ◽  
Primary Headache ◽  
Neurovascular Compression ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Cranial Autonomic Symptoms ◽  
Magnetic Resonance Imaging Mri ◽  
Critical Literature

Background Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) and short-lasting unilateral neuralgiform headache with cranial autonomic symptoms (SUNA) are primary headache syndromes. A growing body of literature has focused on brain magnetic resonance imaging (MRI) evidence of neurovascular compression in these syndromes. Objective The objective of this article is to assess whether SUNCT is a subset of SUNA or whether the two are separate syndromes and clarify the role of neurovascular compression. Method We describe three new SUNCT cases with MRI findings of neurovascular compression and critically review published SUNCT/SUNA cases. Results We identified 222 published SUNCT/SUNA cases. Our three patients with neurovascular compression added to the 34 cases previously described (16.9%). SUNCT and SUNA share the same clinical features and therapeutic options. At present, there is no available abortive treatment for attacks. Lamotrigine was effective in 64% of patients; topiramate and gabapentin in about one-third of cases. Of the 34 cases with neurovascular compression, seven responded to drug therapies, 16 patients underwent microvascular decompression of the trigeminal nerve (MVD) with effectiveness in 75%. Conclusions We suggest that SUNCT and SUNA should be considered clinical phenotypes of the same syndrome. Brain MRI should always be performed with a dedicated view to exclude neurovascular compression. The high percentage of remission after MVD supports the pathogenetic role of neurovascular compression.

Islets of meningioma in an acoustic schwannoma in a patient with neurofibromatosis-2: pathology and magnetic resonance imaging findings

2005 ◽  
Vol 46 (5) ◽  
pp. 519-522 ◽  
Author(s):  
F. Gelal ◽  
T. Rezanko ◽  
M. A. Uyaroglu ◽  
M. Tunakan ◽  
H. Bezircioglu
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Cerebellopontine Angle ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Neurofibromatosis 2 ◽  
Acoustic Schwannoma ◽  
Magnetic Resonance Imaging Mri ◽  
Mixed Tumors

Mixed tumors of the cerebellopontine angle, composed of meningioma and schwannoma components, are extremely rare; so far, only 12 cases have been reported in the literature. They are thought to be exclusively associated with neurofibromatosis-2. We present a mixed tumor of schwannoma and meningioma in a patient with neurofibromatosis-2 and discuss the pathology and magnetic resonance imaging (MRI) findings in relation to the literature. Review of the literature shows that a typical MRI pattern has not been established for mixed tumors and it seems unlikely that a meningioma component can be differentiated within a schwannoma preoperatively.

scholarly journals MRI Findings of Coexistence of Ectopic Neurohypophysis, Corpus Callosum Dysgenesis, and Periventricular Neuronal Heterotopia

2014 ◽  
Vol 4 ◽  
pp. 22 ◽  
Author(s):  
Harun Arslan ◽  
Metin Saylık ◽  
Hüseyin Akdeniz
Keyword(s):  
Corpus Callosum ◽  
Rare Case ◽  
Hormone Deficiency ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Magnetic Resonance Imaging Mri ◽  
Periventricular Neuronal Heterotopia ◽  
Ectopic Neurohypophysis ◽  
Neuronal Heterotopia

Ectopic neurohypophysis is a pituitary gland abnormality, which can accompany growth hormone deficiency associated with dwarfism. Here we present magnetic resonance imaging (MRI) findings of a rare case of ectopic neurohypophysis, corpus callosum dysgenesis, and periventricular neuronal heterotopia coexisting, with a review of the literature.

Computed Tomography and Magnetic Resonance Imaging-aided Diagnosis of Primary Essential Cutis Verticis Gyrata: A Case Report with 5-year Follow-up and Review of the Literature

2019 ◽  
Vol 15 (9) ◽  
pp. 906-910
Author(s):  
Hongzhang Zhu ◽  
Shi-Ting Feng ◽  
Xingqi Zhang ◽  
Zunfu Ke ◽  
Ruixi Zeng ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Three Dimensional ◽  
Stable Condition ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Cutis Verticis Gyrata ◽  
Essential Form ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

Background: Cutis Verticis Gyrata (CVG) is a rare skin disease caused by overgrowth of the scalp, presenting as cerebriform folds and wrinkles. CVG can be classified into two forms: primary (essential and non-essential) and secondary. The primary non-essential form is often associated with neurological and ophthalmological abnormalities, while the primary essential form occurs without associated comorbidities. Discussion: We report on a rare case of primary essential CVG with a 4-year history of normal-colored scalp skin mass in the parietal-occipital region without symptom in a 34-year-old male patient, retrospectively summarizing his pathological and Computer Tomography (CT) and magnetic resonance imaging (MRI) findings. The major clinical observations on the CT and MR sectional images include a thickened dermis and excessive growth of the scalp, forming the characteristic scalp folds. With the help of CT and MRI Three-dimensional (3D) reconstruction techniques, the characteristic skin changes could be displayed intuitively, providing more evidence for a diagnosis of CVG. At the 5-year followup, there were no obvious changes in the lesion. Conclusion: Based on our observations, we propose that not all patients with primary essential CVG need surgical intervention, and continuous clinical observation should be an appropriate therapy for those in stable condition.

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