{"title":"Atypical imaging and clinical presentation of fulminant subacute sclerosing panencephalitis","authors":"Hirva Manek, F. Gala, Shilpa D. Kulkarni","doi":"10.25259/crcr_23_2022","DOIUrl":"https://doi.org/10.25259/crcr_23_2022","url":null,"abstract":"Subacute sclerosing panencephalitis (SSPE) is a late progressive fatal central nervous system sequelae of measles infection. The diagnosis is made based on clinical and electroencephalography (EEG) findings and confirmed by elevated titers of anti-measles antibodies in cerebrospinal fluid. The usual clinical presentation is in the form of progressive behavioral change, cognitive decline, and myoclonic jerks with some cases presenting in an atypical manner in the form of ataxia, epilepsy, and stroke. EEG is quiet characteristic in the form of periodic discharges of slow wave complex. Magnetic resonance imaging (MRI) early in the disease is usually normal with abnormal scans showing focal leukodystrophy, predominantly in the posterior cerebral white matter, and development of cortical atrophy with disease progression. Cord involvement is not common in SSPE. We report a child with SSPE who had initial presentation with cerebellar ataxia, acute progression of encephalitis, and atypical EEG findings. MRI brain on the initial presentation showed very subtle and focal abnormality which later progressed to have disseminated brain lesions and dorsal cord myelitis and further in the disease course showed cerebral venous sinus thrombosis. This case report emphasizes that SSPE can have very atypical presentation with rapid deterioration and can mimic as acute encephalitis or demyelinating disease.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130730595","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":"Endovascular embolization of idiopathic renal arteriovenous fistula – A case report and literature review","authors":"S. Vignesh, B. Madhumitha, T. Mukuntharajan","doi":"10.25259/crcr_38_2022","DOIUrl":"https://doi.org/10.25259/crcr_38_2022","url":null,"abstract":"Idiopathic renal arteriovenous fistulas (RAVFs) are rare vascular anomalies with no identifiable etiology. We present a case of 65-year-female who was being evaluated for complaints of the right flank pain and dysuria with no past history of trauma or surgery. Computed tomography showed arteriovenous fistula in lower pole of the right kidney with dilated branch of the right renal artery and dilated venous sacs. The patient was planned for endovascular embolization. Right renal angiogram showed dilated lower polar artery with a single-hole arteriovenous fistula. Selective coil embolization of the arterial channel was done. Post-deployment angiogram showed complete occlusion of the fistula and normal opacification of remaining segmental branches. On follow-up 1-month later, the patient was in good general condition. With advancements in endovascular techniques, transcatheter embolization has become initial treatment of choice for managing RAVF due to its less incidence for complications and preservation of renal function.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133840336","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. Meena, M. Mittal, R. Yadav, Anju Ranga, M. Sinha
{"title":"Hemorrhagic infarction of bilateral lateral geniculate bodies – unusual complication of pancreatitis","authors":"S. Meena, M. Mittal, R. Yadav, Anju Ranga, M. Sinha","doi":"10.25259/crcr_7_2022","DOIUrl":"https://doi.org/10.25259/crcr_7_2022","url":null,"abstract":"We report a case of 10-year-male child diagnosed as acute pancreatitis with deranged liver and renal functions, who presented with sudden onset bilateral painless vision loss 2 days after initial diagnosis. Neuroophthalmological examination including deep tendon reflex, plantar reflex, visual acuity, pupillary reflexes, and fundus was performed. Magnetic resonance imaging brain demonstrated features of hemorrhagic infarction involving bilateral lateral geniculate bodies (LGBs) and posterior end of optic tracts. Two major causes of bilateral LGBs lesions include vascular ischemia and osmotic demyelination. Possible mechanism of involvement of bilateral LGBs in present case is coagulopathy in the settings of acute pancreatitis attributed to pro-thrombotic state leading to microvascular occlusions.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125008742","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":"Foreword from the President IRIA: First issue of Case Reports in Clinical Radiology","authors":"P. Bhatele","doi":"10.25259/crcr_53_2022","DOIUrl":"https://doi.org/10.25259/crcr_53_2022","url":null,"abstract":"","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122227806","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":"Intriguing case of fistula-in-ano presenting as corpora spongiosum abscess","authors":"S. Jha, B. Sureka, J. Khatri, M. Lodha","doi":"10.25259/crcr_12_2022","DOIUrl":"https://doi.org/10.25259/crcr_12_2022","url":null,"abstract":"A 77-year-old male, with a known history of diabetes mellitus for 10 years on alternative medication, known case of chronic constipation with hemorrhoids, and chronic lower urinary tract symptoms for many years, presented to the emergency with fever and chills for 2 days followed by acute urinary retention, which was relieved by insertion of Foley’s catheter. Eventually, he developed pain in the perianal region along with perianal discharge. On clinical examination, fistula-in-ano was evident. Magnetic resonance imaging was done for further evaluation which revealed fistula-in-ano communicating into a large abscess of corpus spongiosum of penis.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128254214","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":"Torsed gangrenous Meckel’s diverticulum presenting as acute abdomen","authors":"Yamini Wadhwa, B. Sureka, A. Sinha, P. Elhence","doi":"10.25259/crcr_29_2022","DOIUrl":"https://doi.org/10.25259/crcr_29_2022","url":null,"abstract":"Meckel’s diverticulum is the most commonly encountered congenital anomaly of the gastrointestinal tract. It usually arises from the antimesenteric border of the ileum. We report an unusual imaging finding of complicated Meckel’s and atypical imaging appearance of intussusception in which telescoping of segments is not evident on imaging.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129526767","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 new radiological case report journal","authors":"C. Kesavadas","doi":"10.25259/crcr_57_2022","DOIUrl":"https://doi.org/10.25259/crcr_57_2022","url":null,"abstract":"","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"119 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133276134","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":"Cecal volvulus secondary to gastric band surgery","authors":"Mayur Panchal, Asifa Akram","doi":"10.25259/crcr_33_2022","DOIUrl":"https://doi.org/10.25259/crcr_33_2022","url":null,"abstract":"Cecal volvulus is a rare complication following gastric band surgery. Continuous progress in surgical technique of adjustable gastric banding and the increasing experience of surgeons has decreased the rate of complications. However, because different complications may have the same clinical presentation but require different treatment, to give a definitive diagnosis radiologist must be aware of this complication as it can be fatal to patient if remains undiagnosed or misdiagnosed.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125209294","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}
Laxamikant Dogra, Aanchal Bhayana, H. S. Dakshayini, Neha Bagri
{"title":"Anomalous osseous limb: A sneak peek into rare association with lipomyelomeningocele – A case report","authors":"Laxamikant Dogra, Aanchal Bhayana, H. S. Dakshayini, Neha Bagri","doi":"10.25259/crcr_21_2022","DOIUrl":"https://doi.org/10.25259/crcr_21_2022","url":null,"abstract":"Anomalous osseous limb is a rare entity and its association with spinal dysraphism is all the more rarer. We report one such case of lipomyelomeningocele in 1-month-old female, with associated anomalous osseous structure/ limb in relation to iliac bones. Various investigators in the past, though, have published association of anomalous osseous limb with lipomyelomeningocele, the uniqueness of our report lies in documenting such an anomaly at this early age, with paucity of literature in this young age, to the best of our knowledge.","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117294570","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":"Mentorship in radiology – get informed, get involved","authors":"A. Khandelwal","doi":"10.25259/crcr_2_2023","DOIUrl":"https://doi.org/10.25259/crcr_2_2023","url":null,"abstract":"","PeriodicalId":419021,"journal":{"name":"Case Reports in Clinical Radiology","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115107578","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}