Case Reports in Radiology最新文献

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A Worm's Tale or Why to Avoid the Raccoon Latrine: A Case of Baylisascaris procyonis Meningoencephalitis. 蠕虫的故事或为什么要避开浣熊厕所:一例贝氏蛔虫性原yonis脑膜脑炎。
Case Reports in Radiology Pub Date : 2022-08-21 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5199863
Adam E Goldman-Yassen, Anna Derman, Rebecca Pellett Madan, Alireza Radmanesh
{"title":"A Worm's Tale or Why to Avoid the Raccoon Latrine: A Case of <i>Baylisascaris procyonis</i> Meningoencephalitis.","authors":"Adam E Goldman-Yassen,&nbsp;Anna Derman,&nbsp;Rebecca Pellett Madan,&nbsp;Alireza Radmanesh","doi":"10.1155/2022/5199863","DOIUrl":"https://doi.org/10.1155/2022/5199863","url":null,"abstract":"<p><p>The raccoon roundworm <i>Baylisascaris procyonis</i> (<i>B. procyonis</i>) may infect humans to cause severe or fatal meningoencephalitis, as well as ocular and visceral larva migrans. Young children are at greater risk for cerebral larva migrans with severe meningoencephalitis, and early empiric therapy may improve outcomes. Familiarity with characteristic brain imaging findings may prompt earlier diagnosis, particularly in the setting of CSF eosinophilia. We report a case of a 19-month-old boy who presented with truncal ataxia and was found to have peripheral and CSF eosinophilia. MRI demonstrated symmetric, confluent T2 hyperintense signal in the cerebral and cerebellar deep white mater, which helped differentiate <i>B. procyonis</i> meningoencephalitis from other infectious and non-infectious causes of eosinophilic meningoencephalitis. Early recognition and treatment of <i>B. procyonis</i> meningoencephalitis are important for improved outcomes, and careful review of neuroimaging can play a critical role in suggesting the diagnosis.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40334981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Adult-Onset Acute Disseminated Encephalomyelitis with Epstein-Barr Virus Infection 成人发病急性播散性脑脊髓炎伴eb病毒感染
Case Reports in Radiology Pub Date : 2022-06-04 DOI: 10.1155/2022/6149501
Emika Murasawa, Masazumi Matsuda, Koichi Ishiyama, Tetsugaku Shinozaki, Toshiki Murata, M. Hashimoto
{"title":"Adult-Onset Acute Disseminated Encephalomyelitis with Epstein-Barr Virus Infection","authors":"Emika Murasawa, Masazumi Matsuda, Koichi Ishiyama, Tetsugaku Shinozaki, Toshiki Murata, M. Hashimoto","doi":"10.1155/2022/6149501","DOIUrl":"https://doi.org/10.1155/2022/6149501","url":null,"abstract":"We present the case of a 22-year-old man who was diagnosed with tonsillitis and treated with antibiotics. Although the symptoms subsided, 1 week later, he presented with weakness in the lower limbs and was hospitalized. The weakness in the lower limbs worsened; he developed difficulty speaking and was transferred to our hospital. Laboratory tests showed a white blood cell count of 10,600/μL (24% atypical lymphocytes). Positive results were obtained for immunoglobulin M (IgM) antibody against Epstein-Barr virus (EBV) viral capsid antigen. EBV-deoxyribonucleic acid quantification in blood yielded positive results. Magnetic resonance imaging (MRI) revealed a hyperintensity in the spinal cord at the Th11 level of the lower spine on T2-weighted imaging (T2WI). In addition, T2WI and fluid-attenuated inversion recovery imaging showed hyperintense lesions on the right cerebral peduncle, bilateral thalami, posterior leg of the left internal capsule, and right corona radiata. We diagnosed acute disseminated encephalomyelitis (ADEM) with EBV and initiated steroid pulse therapy. Symptoms, along with the lesions seen on MRI, subsequently ameliorated. This case suggests that ADEM can be difficult to diagnose, but careful diagnosis is crucial since appropriate treatment is necessary to improve the symptoms.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74330107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Massive Facial Presentation of Dermatofibrosarcoma Protuberans. 原发性皮纤维肉瘤的面部大面积表现
Case Reports in Radiology Pub Date : 2022-04-30 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2953579
Sebastiaan Hermans, Karlijn Clarysse, David Emmanuel Las, Johan de Mey, Maurice Yves Mommaerts, Yannick De Brucker
{"title":"Massive Facial Presentation of Dermatofibrosarcoma Protuberans.","authors":"Sebastiaan Hermans, Karlijn Clarysse, David Emmanuel Las, Johan de Mey, Maurice Yves Mommaerts, Yannick De Brucker","doi":"10.1155/2022/2953579","DOIUrl":"10.1155/2022/2953579","url":null,"abstract":"<p><p>Dermatofibrosarcoma protuberans is a low-grade cutaneous sarcoma typically located on the trunk or proximal extremities. Less common locations include the head, face, and neck area. This tumour is slow growing with variable clinical appearance. It is known for its locally invasive nature and low metastatic propensity. Because imaging findings are rather nonspecific, biopsy is needed for definite diagnosis. This case describes an unusually large example of dermatofibrosarcoma protuberans in the less common preauricular region.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9078855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77660062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ruptured Median Raphe Cyst Mimicking a Vascular Penile Mass on Ultrasound 中缝囊肿破裂,超声显示酷似阴茎血管性肿块
Case Reports in Radiology Pub Date : 2022-02-28 DOI: 10.1155/2022/8899541
A. Pakray, Andrew Surro, D. Gibson, A. Tahawi
{"title":"Ruptured Median Raphe Cyst Mimicking a Vascular Penile Mass on Ultrasound","authors":"A. Pakray, Andrew Surro, D. Gibson, A. Tahawi","doi":"10.1155/2022/8899541","DOIUrl":"https://doi.org/10.1155/2022/8899541","url":null,"abstract":"Median raphe cysts are uncommon benign cysts thought to occur due to improper fusion of the genital tubercle and can occur anywhere along the median raphe, from the glans to the anus, most commonly occurring along the ventral penile shaft. Limited information is available in the literature about the common imaging features of median raphe cysts with available reports highlighting an avascular cystic lesion. Our case demonstrates a 10-year-old male patient presenting with a ventral penile mass that demonstrated interval growth in the absence of trauma without overlying skin changes. Doppler ultrasound examination demonstrated a solid vascular mass measuring up to 1.6 cm at the ventral aspect of the penis with arterial and venous waveforms. The patient underwent elective resection of the mass which revealed a 2.0 cm inflamed glandular subtype median raphe cyst. This report demonstrates an atypical imaging presentation of an inflamed median raphe cyst, particularly that of a heterogeneous solid mass with arterial and venous blood flow on ultrasound.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81089975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dynamic Echocardiographic Imaging of a Valve-in-Valve Mitral Prosthesis 二尖瓣内置换术的动态超声心动图成像
Case Reports in Radiology Pub Date : 2022-02-16 DOI: 10.1155/2022/1366037
Bishoy Wassef, Mina Masry, Mounir Ghali, J. Makaryus, A. Makaryus
{"title":"Dynamic Echocardiographic Imaging of a Valve-in-Valve Mitral Prosthesis","authors":"Bishoy Wassef, Mina Masry, Mounir Ghali, J. Makaryus, A. Makaryus","doi":"10.1155/2022/1366037","DOIUrl":"https://doi.org/10.1155/2022/1366037","url":null,"abstract":"Dynamic imaging of heart valves and specifically prosthetic valves is a central benefit of echocardiography. Most bioprosthetic heart valves degenerate over a given time and hence require repeat valve replacement which carries a significant risk of morbidity and mortality. Reoperation is the standard of care and may still be required after the first successful surgery due to complications disrupting either mechanical or bioprosthetic valves. Such complications can be delayed or even prevented if optimal prosthesis selection is individualized according to patients' medical and postimplantation follow-up. We present the case of an 84-year-old woman where an open-heart valve-in-valve approach, implanting a mechanical valve in a failed bioprosthetic valve, produced a unique image on transthoracic echocardiography which needs to be recognized by imagers for appropriate patient diagnosis and management.","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90706964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bib Sign in Proximal Descending Thoracic Aorta Rupture on CT Angiography: Presentation of a Paradigmatic Case. 胸围征在CT血管造影上显示近段降主动脉破裂:一个典型病例的呈现。
Case Reports in Radiology Pub Date : 2022-01-01 DOI: 10.1155/2022/6947207
Antonio Pierro, Alessandro Posa, Luca Iorio, Alessandro Tanzilli, Lucia Cucciolillo, Fabio Quinto, Mariacarmela Sciandra, Roberto Iezzi, Savino Cilla
{"title":"Bib Sign in Proximal Descending Thoracic Aorta Rupture on CT Angiography: Presentation of a Paradigmatic Case.","authors":"Antonio Pierro,&nbsp;Alessandro Posa,&nbsp;Luca Iorio,&nbsp;Alessandro Tanzilli,&nbsp;Lucia Cucciolillo,&nbsp;Fabio Quinto,&nbsp;Mariacarmela Sciandra,&nbsp;Roberto Iezzi,&nbsp;Savino Cilla","doi":"10.1155/2022/6947207","DOIUrl":"https://doi.org/10.1155/2022/6947207","url":null,"abstract":"<p><p>Thoracic aortic rupture may present with subtle clinical and CT-angiography findings. Recognition of the imaging features of early rupture is key for timely diagnosis and treatment. This report presents a new sign of incipient proximal thoracic aortic rupture on CT-angiography.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9744601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10361719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mediastinal Extension of a Pancreatic Pseudocyst: A Rare Intrathoracic Complication of Pancreatitis. 胰腺假性囊肿纵隔延伸:一种罕见的胰腺炎胸内并发症。
Case Reports in Radiology Pub Date : 2021-11-30 eCollection Date: 2021-01-01 DOI: 10.1155/2021/1919550
Carol Vitellas, Ivo Besong Mangeb, Luis Regalado, Chiemezie Chianotu Amadi
{"title":"Mediastinal Extension of a Pancreatic Pseudocyst: A Rare Intrathoracic Complication of Pancreatitis.","authors":"Carol Vitellas,&nbsp;Ivo Besong Mangeb,&nbsp;Luis Regalado,&nbsp;Chiemezie Chianotu Amadi","doi":"10.1155/2021/1919550","DOIUrl":"https://doi.org/10.1155/2021/1919550","url":null,"abstract":"<p><p>Pancreatic pseudocysts are a common complication of pancreatitis. However, mediastinal extension of a pseudocyst is rare and often presents with atypical symptoms. We present a case of mediastinal extension of a pancreatic pseudocyst in a 56-year-old woman with a history of alcohol-related chronic pancreatitis, who presented with acute on chronic epigastric abdominal pain and atypical chest pain. Serum lipase was elevated, and imaging by contrast-enhanced computed tomography (CT) demonstrated a paraesophageal fluid collection. This collection was continuous with a peripancreatic pseudocyst and extended into the posterior mediastinum via the esophageal hiatus. Mediastinal extension of a pancreatic pseudocyst was confirmed by magnetic resonance imaging (MRI). The patient was managed conservatively in the hospital with parenteral nutrition therapy, pain control, and close imaging observation. The patient was discharged home to continue conservative management and close imaging follow-up. An initial follow-up CT examination 8 weeks after discharge revealed interval decrease in the posterior mediastinal collection but also interval development of loculated left pleural and pericardial effusions.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8651394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39710745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Intracochlear Hemorrhage: A Rare Cause of Sudden Sensorineural Hearing Loss. 耳蜗内出血:突发性感音神经性听力损失的罕见原因。
Case Reports in Radiology Pub Date : 2021-11-22 eCollection Date: 2021-01-01 DOI: 10.1155/2021/1072047
Myriam Jrad, Haifa Zlitni, Miriam Boumediene, Atef Ben Nasr, Meriem Bouzrara
{"title":"Intracochlear Hemorrhage: A Rare Cause of Sudden Sensorineural Hearing Loss.","authors":"Myriam Jrad,&nbsp;Haifa Zlitni,&nbsp;Miriam Boumediene,&nbsp;Atef Ben Nasr,&nbsp;Meriem Bouzrara","doi":"10.1155/2021/1072047","DOIUrl":"https://doi.org/10.1155/2021/1072047","url":null,"abstract":"<p><p>Inner ear hemorrhage is an extremely rare cause of sudden sensorineural hearing loss with few cases reported in the literature. We report the case of a 30-year-old male who presented with a sudden left ear hearing loss, with no tinnitus nor vertigo. The audiogram revealed a profound left sensorineural hearing loss. An MRI of the brain and internal auditory canal was performed 3 weeks after and revealed an increased signal intensity on T1-weighted (T1W) and T2 fluid-attenuated inversion recovery (FLAIR) images in the left cochlea. No other abnormalities were found, in particular no enhancement after intravenous administration of gadolinium. The CISS 3D sequence showed a signal of discreetly lower intensity in the left cochlea compared to the right one. The diagnosis of intracochlear hemorrhage was made. No improvement of the hearing loss has been noted after medical treatment and hyperbaric oxygen therapy.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39683517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
From Spot Sign to Bleeding on the Spot: Classic and Original Signs of Expanding Primary Spontaneous Intracerebral Hematoma. 从斑点征象到当场出血:原发性扩张性自发性脑内血肿的典型和原始征象。
Case Reports in Radiology Pub Date : 2021-11-15 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9716952
Ali Kanj, Abir Ayoub, Malak Aljoubaie, Ahmad Kanj, Assaad Mohanna, Feras Chehade, Georges Rouhana
{"title":"From Spot Sign to Bleeding on the Spot: Classic and Original Signs of Expanding Primary Spontaneous Intracerebral Hematoma.","authors":"Ali Kanj,&nbsp;Abir Ayoub,&nbsp;Malak Aljoubaie,&nbsp;Ahmad Kanj,&nbsp;Assaad Mohanna,&nbsp;Feras Chehade,&nbsp;Georges Rouhana","doi":"10.1155/2021/9716952","DOIUrl":"https://doi.org/10.1155/2021/9716952","url":null,"abstract":"<p><p>Expansion of a primary spontaneous intracranial hemorrhage (PSICH) has become lately of increasing interest, especially after the emergence of its early predictors. However, these signs lacked sensitivity and specificity. The flood phenomenon, defined as a drastic increase in the size of a PSICH during the same magnetic resonance study, was first described in this paper based on the data of a university medical center in Lebanon. Moreover, further review of this data resulted in 205 studies with presumed diagnosis of primary spontaneous intracranial hemorrhage within the last 10 years, of which 29 exams showed typical predictors of hematoma expansion on computed tomography. The intended benefit of this observation is to draw the radiologists' attention towards minimal variations in the volume of the hematoma between the two extreme sequences of the same MRI study, in order to detect inconspicuous flood phenomena-a direct sign of hematoma expansion.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39909451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Pediatric Peritoneal Epithelial Malignant Mesothelioma Case Report. 儿童腹膜上皮恶性间皮瘤1例报告。
Case Reports in Radiology Pub Date : 2021-11-09 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5581757
Elizabeth Bellew, Samantha Lee, Hiren Patel, Carolyn Fein Levy, Rachelle Goldfisher, John Amodio
{"title":"Pediatric Peritoneal Epithelial Malignant Mesothelioma Case Report.","authors":"Elizabeth Bellew,&nbsp;Samantha Lee,&nbsp;Hiren Patel,&nbsp;Carolyn Fein Levy,&nbsp;Rachelle Goldfisher,&nbsp;John Amodio","doi":"10.1155/2021/5581757","DOIUrl":"https://doi.org/10.1155/2021/5581757","url":null,"abstract":"<p><p>We present a 14-year-old boy with peritoneal epithelial malignant mesothelioma (PEMM). While pathology is required to make this diagnosis, radiology plays a crucial role throughout the clinical course of this disease. The key imaging characteristics of peritoneal mesothelioma have been previously well-described in the adult population, but there are rare reports in the pediatric population. This pediatric report highlights the multidimensional use of imaging in this disease, from the initial evaluation to therapeutic supplementation and subsequent follow-up.</p>","PeriodicalId":30326,"journal":{"name":"Case Reports in Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8595014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39638213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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