Bheru Dan Charan, S. Gaikwad, Nikhila Reddy, Ekamjot Singh
{"title":"Atypical demyelinating lesion of corpus callosum mimicking malignant mass lesion","authors":"Bheru Dan Charan, S. Gaikwad, Nikhila Reddy, Ekamjot Singh","doi":"10.25259/crcr_111_2023","DOIUrl":"https://doi.org/10.25259/crcr_111_2023","url":null,"abstract":"Tumefactive demyelination is a demyelinating disease that exhibits clinical and radiologic features similar to those of brain tumors. These lesions present a significant diagnostic challenge. The utilization of magnetic resonance imaging (MRI) imaging can contribute to the preoperative diagnosis of these lesions. In this case report, we highlight the importance of MRI in the diagnosis of tumefactive demyelination.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"292 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131945904","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}
{"title":"Early MR brain findings in a neonate with molybdenum cofactor deficiency","authors":"Hirva Manek, F. Gala","doi":"10.25259/crcr_98_2023","DOIUrl":"https://doi.org/10.25259/crcr_98_2023","url":null,"abstract":"Molybdenum cofactor deficiency (MoCD) is an inborn error of metabolism which presents with neonatal encephalopathy, seizures, and a turbulent postnatal course. It is an under-recognized cause of neonatal encephalopathy as it mimics hypoxic ischemic encephalopathy (HIE) on imaging. We present the case of an affected male neonate of a twin pregnancy whose magnetic resonance imaging in the early neonatal period showed restricted diffusion in lobar distribution with areas of cystic gliosis and mild tortuosity of the intracranial vessels. There are only a few case reports to the best of our knowledge which describe magnetic resonance (MR) findings of MoCD on diffusion-weighted images, none of which mentions unilateral changes or vessel tortuosity. MoCD should be considered in children with MR findings mimicking HIE in the absence of a history of perinatal hypoxia. This is important as the disorder has a poorer prognosis and the parents need appropriate prenatal counseling.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127391585","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}
{"title":"Case reports: Equivalent to bedside teaching in new era of social media","authors":"B. Sureka","doi":"10.25259/crcr_129_2023","DOIUrl":"https://doi.org/10.25259/crcr_129_2023","url":null,"abstract":"","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133415558","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}
{"title":"Colo-renal-duodenal fistula in pediatric patient with acute lymphoblastic leukemia: A rare presentation","authors":"Komal Sood, P. Gupta, Aanchal Bhayana, A. Malik","doi":"10.25259/crcr_84_2023","DOIUrl":"https://doi.org/10.25259/crcr_84_2023","url":null,"abstract":"Colo-renal fistulas are uncommon presentations in the pediatric population and usually have an underlying insult, which can be vascular, infective, inflammatory, penetrating trauma, tumor, or iatrogenic in postintervention or postoperative procedures. Although few cases of such fistulae are published earlier, there is extreme paucity of literature on colo-renal fistulas in association with acute lymphoblastic leukemia (ALL). A thorough literature search revealed only one similar case report in a 15-year-old patient, to the best of our knowledge. Here, we present another case of a 6-year-old female patient, a known case of T-cell ALL with febrile neutropenia, uncontrolled hypertension, and fever spikes. The patient developed a colo-renal-duodenal fistula subsequent to a vascular and infective insult to the right kidney.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122648305","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}
S. Rajesh, V. Arunachalam, Swathigha Selvaraj, Pudhiavan Arunachalam, Ganesan Ayyasamy
{"title":"Unusual case of falciform ligament internal hernia in pregnancy","authors":"S. Rajesh, V. Arunachalam, Swathigha Selvaraj, Pudhiavan Arunachalam, Ganesan Ayyasamy","doi":"10.25259/crcr_102_2023","DOIUrl":"https://doi.org/10.25259/crcr_102_2023","url":null,"abstract":"Acute abdomen in pregnancy poses various diagnostic challenges due to limitations in imaging modalities. It can be due to an obstetric or non-obstetric cause. Internal hernia through congenital defects is rare. Although internal hernia is not prevalent in pregnancy, it is increasing nowadays due to previous surgical defects in the mesentery and peritoneal folds. We report an unusual case of an internal hernia through a defect in the falciform ligament in a pregnant female where imaging findings helped in timely surgical intervention.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121681395","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}
Anitha Mandava, V. Koppula, Suseela Kodandapani, V. Kommu
{"title":"“Leopard skin” sign: Magnetic resonance imaging appearance of Lhermitte-Duclos disease with histopathologic correlation","authors":"Anitha Mandava, V. Koppula, Suseela Kodandapani, V. Kommu","doi":"10.25259/crcr_103_2023","DOIUrl":"https://doi.org/10.25259/crcr_103_2023","url":null,"abstract":"Dysplastic cerebellar gangliocytoma or Lhermitte-Duclos disease (LDD) is a rare hamartomatous malformation of cerebellum that can occur in isolation or as a component of Cowden syndrome. Although uncommon, the characteristic clinical symptoms and magnetic resonance imaging (MRI) features are highly suggestive of the condition and histopathological features confirm the diagnosis. We report a case of LDD, presenting with “Leopard skin” appearance of the lesion on MRI with a brief review of imaging, clinical, and histopathological features.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"243 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131930344","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}
S. Jha, T. Yadav, A. Rohila, Sanjiv Sharma, S. Tiwari
{"title":"The catastrophe of rabies encephalitis: A case series","authors":"S. Jha, T. Yadav, A. Rohila, Sanjiv Sharma, S. Tiwari","doi":"10.25259/crcr_1_2023","DOIUrl":"https://doi.org/10.25259/crcr_1_2023","url":null,"abstract":"Rabies is one of humankind’s oldest and most fatal zoonotic diseases. Few cases of survival post rabies infection have been documented so far. Due to its rapid course of progression, patients succumb before acquiring magnetic resonance imaging (MRI). However, in cases where MRI is feasible, the latter is a valuable source of information that aids in antemortem confirmation of diagnosis when backed by clinical data. We present two cases of rabies encephalitis, with classic imaging features on MRI. Symmetrical involvement of the basal ganglia, mesial temporal lobes, and dorsal portion of the brainstem should raise a suspicion of rabies encephalitis in the proper clinical situation.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130988926","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}
{"title":"An intriguing case of acute abdomen secondary to ruptured pyomyoma: A case report","authors":"Greta Vincent, V. Sudheer, A. Varghese, G. Joseph","doi":"10.25259/crcr_88_2023","DOIUrl":"https://doi.org/10.25259/crcr_88_2023","url":null,"abstract":"Pyomyoma by definition is a suppurative leiomyoma, as a result of infection of infarcted leiomyoma. Pyomyoma is a gynecological emergency as it can further lead to sepsis and peritonitis resulting in high morbidity and mortality. A high index of clinical suspicion is crucial in the diagnosis, and prompt treatment in the initial stage is recommended to reduce mortality. Ultrasound, computed tomography, and magnetic resonance provide diagnostic clues. We present a case of a 44-year-old woman who presented with an acute abdomen due to a spontaneous rupture of pyomyoma. The patient was treated with total abdominal hysterectomy and salpingooophorectomy along with peritoneal irrigation and drainage.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116413269","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}
{"title":"A rare case of a huge diffuse-type tenosynovial giant cell tumor in the ankle","authors":"Riya Samanta, N. Batta, Abhinetri K. S. V.","doi":"10.25259/crcr_101_2023","DOIUrl":"https://doi.org/10.25259/crcr_101_2023","url":null,"abstract":"Tenosynovial giant cell tumor (TSGCT) is a rare tumor originating from the synovial lining of joints, tendon sheaths, and bursae. It is categorized into localized and diffuse types. The diffuse-type TSGCT (D-TSGCT), formerly called pigmented villonodular synovitis, although benign, can be locally aggressive. Magnetic resonance imaging is the modality of choice for diagnosing and assessing the severity of the disease. The lesions demonstrate characteristic “blooming” on gradient echo sequences. Histopathology reveals villous, nodular, or villonodular components and hemosiderin deposition. Here, we report the case of a 28-year-old man with a huge D-TSGCT in the left ankle.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125228915","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}
{"title":"An unusual manifestation of neurofibromatosis – A case report of a vulval mass","authors":"Shivraj M. Ingole, Ayantika Maity","doi":"10.25259/crcr_54_2023","DOIUrl":"https://doi.org/10.25259/crcr_54_2023","url":null,"abstract":"Neurofibromatosis (NF) of the female genitalia is an uncommon manifestation. Selective involvement of the labium majus is quite rare. We describe a rare manifestation of a vulval plexiform neurofibroma without clitoral involvement in a post-pubertal girl. The patient had multiple café-au-lait spots over the neck, back, buttocks and thighs, a patch of pigmentation over the pelvis and inguinal region, axillary freckling, and a large hanging left vulval mass. On ultrasound, it showed hypoechoic nodules on a hyperechoic background with significant vascularity. Magnetic resonance imaging revealed T1-weighted (T1W) hypointense and T2-weighted (T2W) hyperintense, diffuse infiltrating lesion with few T2W hyperintense tubular and nodular areas, presence of “target sign,” and intense post-contrast enhancement. A biopsy confirmed it to be neurofibroma. The patient was diagnosed with NF type 1 and underwent surgical resection.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126442521","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}