scholarly journals Ectopic Germinoma: A Delayed Diagnosis With Serial Magnetic Resonance Imaging Features

Cureus ◽  
2021 ◽  
Author(s):  
Mohd Imree Azmi ◽  
Nurul Hafidzah Rahim ◽  
Yee Ping Ang ◽  
Sellymiah Adzman ◽  
Sarawana Chelwan Muniandy
2018 ◽  
Author(s):  
Jong Hyuk Kim ◽  
Noh Hyuck Park

Abstract Background: The authors report serial magnetic resonance imaging findings of osmotic demyelination syndrome (ODS) related to hyperglycemia in a patient with uncontrolled diabetes mellitus. Case presentation: A 61-year-old man with diabetes was admitted for general weakness and severe thirst. A few days later, he complained of dysarthria, dysphasia, and dysmetria. On admission, he exhibited significant hyperglycemia (33.5 mmol/L [627 mg/dL]), with a glycated hemoglobin level of 18.1%. Other laboratory investigations revealed a sodium level of 133 mEq/L, potassium 3.8 mEq/L, blood urea nitrogen 43.9 mg/dL, with a calculated serum osmolality of 324 mOsm/kg. Brain magnetic resonance imaging (MRI) revealed T2 signal abnormalities that were symmetrical, non-space occupying, and located in the central pons with a peripheral sparing pattern, which were findings suggestive of ODS. In addition, subsequent MRI revealed progression of signal hyperintensity; however, the patient's symptoms were improved and he was discharged after 2 months. Conclusion: We report a rare case of hyperglycemia-related ODS that exhibited gradual progression in imaging features despite the prompt correction of blood sugar levels and improvement of neurological symptoms


2012 ◽  
Vol 12 (5) ◽  
pp. 331-339 ◽  
Author(s):  
Melania Costantini ◽  
Paolo Belli ◽  
Daniela Distefano ◽  
Enida Bufi ◽  
Marialuisa Di Matteo ◽  
...  

2014 ◽  
Vol 81 (5) ◽  
pp. 313-319 ◽  
Author(s):  
Yasuyuki Kitagawa ◽  
Masabumi Miyamoto ◽  
Shunsuke Konno ◽  
Akira Makino ◽  
Go Maruyama ◽  
...  

2012 ◽  
Vol 30 (8) ◽  
pp. 676-679 ◽  
Author(s):  
Jelena Djokić Kovač ◽  
Marija Kratovac Dunjić ◽  
Miloš Bjelović ◽  
Bojan Banko ◽  
Gordana Lilić ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document