Radiology Case Reports最新文献

Endovascular treatment of cirsoid aneurysms: A stepwise approach to successful embolization 颅内动脉瘤的血管内治疗：成功栓塞的分步方法

Radiology Case Reports Pub Date : 2025-05-17 DOI: 10.1016/j.radcr.2025.04.070

Ronak Patel MD , Parker Mitchell MD , Mohadese Ahmadzade MD , Mohammad Ghasemi-Rad MD , Ravi Kaushikkumar Shastri MD

{"title":"Endovascular treatment of cirsoid aneurysms: A stepwise approach to successful embolization","authors":"Ronak Patel MD , Parker Mitchell MD , Mohadese Ahmadzade MD , Mohammad Ghasemi-Rad MD , Ravi Kaushikkumar Shastri MD","doi":"10.1016/j.radcr.2025.04.070","DOIUrl":"10.1016/j.radcr.2025.04.070","url":null,"abstract":"<div><div>Cirsoid aneurysms, a subtype of arteriovenous fistulas (AVF), of the scalp are rare pathological lesions characterized by abnormal fistulous connections between superficial arteries and draining veins without intervening capillary beds. We present a case report of a cirsoid aneurysm located on the scalp, treated at our tertiary care center using percutaneous endovascular intervention with injection embolics. This report highlights the challenges posed by complex vascular anatomy and high shunt flow in the treatment of such lesions involving the head and neck. We discuss the rationale for selecting the treatment approach, emphasizing the importance of a patient-specific strategy to achieve successful obliteration of the abnormal vascular connections. Our experience underscores the efficacy of transarterial and/or transvenous embolization using appropriate embolic materials in the management of cirsoid aneurysms. This case report contributes to the existing literature on treatment options for scalp AVFs, providing insights into optimizing outcomes in these rare but clinically significant lesions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3865-3869"},"PeriodicalIF":0.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072339","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

Orbital apex syndrome associated with cranial nerve V neuritis complicating bacterial maxillary sinusitis 眶尖综合征与颅神经V神经炎合并细菌性上颌窦炎

Radiology Case Reports Pub Date : 2025-05-17 DOI: 10.1016/j.radcr.2025.04.111

Houssam Rajad , Soufiane Bigi , Said Adnor , Zakaria Chahbi , Abderrahmane Ibenyahia , Mounir Salek , Mohamed Amine Baba , Ahmed Kharbach , Abderrahmane Achbani , Hajar El Agouri , Majdouline Obtel , Soukaina Wakrim

{"title":"Orbital apex syndrome associated with cranial nerve V neuritis complicating bacterial maxillary sinusitis","authors":"Houssam Rajad , Soufiane Bigi , Said Adnor , Zakaria Chahbi , Abderrahmane Ibenyahia , Mounir Salek , Mohamed Amine Baba , Ahmed Kharbach , Abderrahmane Achbani , Hajar El Agouri , Majdouline Obtel , Soukaina Wakrim","doi":"10.1016/j.radcr.2025.04.111","DOIUrl":"10.1016/j.radcr.2025.04.111","url":null,"abstract":"<div><div>Maxillary sinusitis is a common pathology of the paranasal sinuses, most frequently caused by bacterial infections. Although typically benign, it can occasionally lead to severe complications when the infectious process extends beyond the sinus cavity. One such rare but serious complication is orbital apex syndrome (OAS), also known as Jacod syndrome, characterized by dysfunction of multiple cranial nerves at the orbital apex.</div><div>OAS may result from various etiologies, including infectious, traumatic, and neoplastic causes. Among infectious origins, bacterial maxillary sinusitis is an uncommon yet clinically significant contributor. Involvement of the trigeminal nerve (cranial nerve V), manifesting as neuritis, adds further complexity to the clinical presentation.</div><div>Accurate diagnosis and timely management of OAS rely heavily on advanced radiological imaging, particularly magnetic resonance imaging (MRI). MRI plays a pivotal role in confirming the diagnosis, excluding differential diagnoses, and delineating the extent of sinus infection, orbital inflammation, and perineural involvement, including neuritis of cranial nerve V. These imaging findings are essential for guiding appropriate therapeutic strategies.</div><div>In this case report, we describe a rare instance of orbital apex syndrome associated with cranial nerve V neuritis complicating bacterial maxillary sinusitis. The objective is to underscore the crucial role of MRI in both diagnosis and therapeutic decision-making, and to illustrate the characteristic radiological features observed in such cases.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3859-3864"},"PeriodicalIF":0.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071236","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

Polyostotic fibrous dysplasia: Unveiling the complexity of a rare bone disorder through a case report 多骨纤维发育不良：通过一个病例报告揭示罕见骨疾病的复杂性

Radiology Case Reports Pub Date : 2025-05-17 DOI: 10.1016/j.radcr.2025.04.040

Siham Nasri , Hicham Benramdane , Imane Kamaoui , Imane Skiker

引用次数: 0

Dumbbell-shaped hypoglossal schwannoma with cystic and hemorrhagic degeneration: A case report of a rare entity 哑铃形舌下神经鞘瘤伴囊性及出血性变性：一例罕见病例

Radiology Case Reports Pub Date : 2025-05-17 DOI: 10.1016/j.radcr.2025.04.074

Kaouthar Sfar, Fadwa Jaheddine, Kaoutar Maslouhi, Fatima Chait, Meriem Zhim, Najwa ECH-cherif El Kettani, Meriem Fikri, Mohamed Jiddane, Firdaous Touarsa

{"title":"Dumbbell-shaped hypoglossal schwannoma with cystic and hemorrhagic degeneration: A case report of a rare entity","authors":"Kaouthar Sfar, Fadwa Jaheddine, Kaoutar Maslouhi, Fatima Chait, Meriem Zhim, Najwa ECH-cherif El Kettani, Meriem Fikri, Mohamed Jiddane, Firdaous Touarsa","doi":"10.1016/j.radcr.2025.04.074","DOIUrl":"10.1016/j.radcr.2025.04.074","url":null,"abstract":"<div><div>Hypoglossal schwannoma (HS) is a rare, benign tumor arising from the myelin-producing Schwann cells of the twelfth cranial nerve. This tumor typically appears as solid mass, with cystic patterns being extremely rare. A. Kaye classified HS into 3 types based on their origin: type A, completely intracranial; type B, intracranial with extracranial extension via the hypoglossal canal, often referred to as \"dumbbell-shaped\"; and type C, arising solely from the extracranial portion of the XII nerve. Tongue deviation and hypotrophy are the most common symptoms. MRI is the gold standard for accurately characterizing the lesion's features and assessing its relationship with the surrounding structures, while high-resolution CT scan of the skull base is valuable for surgical planning. The treatment of hypoglossal schwannoma (HS) is surgical excision. Advances in microsurgical techniques, radiosurgery and neurophysiological monitoring have significantly reduced mortality and morbidity. Here, we report a case of cystic dumbbell-shaped hypoglossal schwannoma in a 71-year-old woman, aiming to emphasize the clinical and radiological characteristics of this rare entity.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3851-3854"},"PeriodicalIF":0.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071238","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

Hereditary pulmonary alveolar proteinosis in a 5-year-old child: Diagnostic insights and therapeutic approach 遗传性肺泡蛋白沉积症在5岁儿童：诊断见解和治疗方法

Radiology Case Reports Pub Date : 2025-05-17 DOI: 10.1016/j.radcr.2025.04.094

Dhiran Sivasubramanian MBBS , Karthick Balasubramanian MBBS , Sathwik Sanil MBBS , Smrti Aravind MBBS , Virushnee Senthilkumar MBBS

{"title":"Hereditary pulmonary alveolar proteinosis in a 5-year-old child: Diagnostic insights and therapeutic approach","authors":"Dhiran Sivasubramanian MBBS , Karthick Balasubramanian MBBS , Sathwik Sanil MBBS , Smrti Aravind MBBS , Virushnee Senthilkumar MBBS","doi":"10.1016/j.radcr.2025.04.094","DOIUrl":"10.1016/j.radcr.2025.04.094","url":null,"abstract":"<div><div>Hereditary pulmonary alveolar proteinosis (hPAP) is a rare disorder caused by mutations in the CSF2RA or CSF2RB genes, leading to impaired surfactant clearance by alveolar macrophages and subsequent respiratory dysfunction. A 5-year-old female with a 2-year history of poor weight gain, fatigue, and intermittent fever was evaluated. Clinical evaluation revealed hypoxemia, while high-resolution computed tomography (HRCT) of the chest showed the characteristic “crazy-paving” pattern suggestive of PAP. Bronchoalveolar lavage (BAL) yielded milky fluid with periodic acid-Schiff (PAS)-positive material, and genetic testing confirmed a homozygous mutation in the CSF2RA gene, consistent with hPAP. The patient underwent therapeutic whole lung lavage (WLL), resulting in significant clinical improvement. This case underscores the challenges of diagnosing pediatric hPAP and the value of integrating imaging, pathology, and genetic testing. While WLL remains the mainstay of treatment, further research is needed to develop targeted therapies.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3855-3858"},"PeriodicalIF":0.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071239","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

Lumbar puncture resulting in lumbar artery perforation and hypotension: A case report 腰椎穿刺导致腰动脉穿孔和低血压：1例报告

Radiology Case Reports Pub Date : 2025-05-16 DOI: 10.1016/j.radcr.2025.04.016

Anthony D’Angelo MS , Mbinui Ghogomu MS , Zahra Akhtar MD , Hasan Khan MD

引用次数: 0

Breaking the 12-hour barrier: A case report on stent-retriever mechanical thrombectomy in a late-presenting acute ischemic stroke 突破12小时障碍：支架取栓器机械取栓治疗晚期急性缺血性脑卒中一例报告

Radiology Case Reports Pub Date : 2025-05-16 DOI: 10.1016/j.radcr.2025.04.043

Jacub Pandelaki MD, PhD , Krishna Pandu Wicaksono MD, PhD , Heltara Ramandika MD , Dessy Natalia Purba MD , Rizkya Amelia MD , Olivia Ardini MD , Jason MD

引用次数: 0

Cranio-cervical conundrum; Enigmatic complete atlanto-occipital assimilation with Chairi I malformation Cranio-cervical难题;神秘的完全寰枕同化伴Chairi畸形

Radiology Case Reports Pub Date : 2025-05-16 DOI: 10.1016/j.radcr.2025.04.086

Khurram Khaliq Bhinder, Mariam Shah, Madiha Saeed Wahla, Nasir Khan, Amna Mehboob, Sabiyal Saghir, Alishbah Ziad

引用次数: 0

A 65-year-old man with cough, hypercalcemia, and diffuse opacities 65岁男性，咳嗽，高钙血症，弥漫性混浊

Radiology Case Reports Pub Date : 2025-05-16 DOI: 10.1016/j.radcr.2025.04.058

Philip K. Angelides MD , Oriana Salamo MD , Sujith V. Cherian MD , Eduardo Yepez Guevara MD , Carlos A. Jimenez MD , Saadia A. Faiz MD

引用次数: 0

From rupture to recovery: A case report on a multidisciplinary approach to arteriovenous malformation (AVM)-associated intracerebral hemorrhage 从破裂到恢复：多学科方法治疗动静脉畸形（AVM）相关脑出血一例报告

Radiology Case Reports Pub Date : 2025-05-15 DOI: 10.1016/j.radcr.2025.04.042

Ibrahim Khalil MBBS , Md. Imran Hossain MBBS , Mahmuda Akter MBBS

{"title":"From rupture to recovery: A case report on a multidisciplinary approach to arteriovenous malformation (AVM)-associated intracerebral hemorrhage","authors":"Ibrahim Khalil MBBS , Md. Imran Hossain MBBS , Mahmuda Akter MBBS","doi":"10.1016/j.radcr.2025.04.042","DOIUrl":"10.1016/j.radcr.2025.04.042","url":null,"abstract":"<div><div>Arteriovenous malformations (AVMs) are rare congenital vascular anomalies that increase the risk of severe complications, such as intracerebral hemorrhage (ICH), necessitating complex, multidisciplinary management. This case report describes the successful treatment of a 30-year-old male who presented to the emergency department with an acute, severe headache, nausea, and neurological deficits due to a ruptured AVM causing ICH. Initial neuroimaging revealed a significant right parietal lobe hemorrhage, and digital subtraction angiography (DSA) confirmed a Spetzler-Martin Grade II AVM, indicating moderate surgical complexity; the patient underwent staged interventions, starting with endovascular embolization using the Onyx liquid embolic system to reduce nidus perfusion, followed by microsurgical resection with intraoperative neuromonitoring, resulting in complete AVM removal and near-normal neurological recovery at discharge. The integration of neurosurgery, interventional radiology, and neuro-anesthesiology expertise facilitated a tailored approach, leveraging advanced imaging and therapeutic techniques to minimize procedural risks and optimize outcomes. This case highlights the importance of early diagnosis, precise imaging with tools like DSA, and a collaborative, staged treatment strategy in achieving favorable results in AVM-associated ICH. It also emphasizes the value of personalized care plans and continuous postoperative follow-up to ensure long-term success and detect potential recurrence. Lessons learned include the efficacy of combining embolization and resection for moderate-complexity AVMs and the need for ongoing research to refine protocols and improve prognosis, reinforcing that multidisciplinary coordination is essential for managing such intricate vascular anomalies effectively.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3811-3819"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948906","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