Jose Urbano MD, PhD , Adrian Viteri-Noël MD , Jorge Cobos-Alonso MD , Vicente Gómez del Olmo MD, PhD
{"title":"Interventional approach to splenic vascular malformation, a rare manifestation of Rendu-Osler-Weber syndrome","authors":"Jose Urbano MD, PhD , Adrian Viteri-Noël MD , Jorge Cobos-Alonso MD , Vicente Gómez del Olmo MD, PhD","doi":"10.1016/j.radcr.2025.04.057","DOIUrl":"10.1016/j.radcr.2025.04.057","url":null,"abstract":"<div><div>Hereditary hemorrhagic telangiectasia (HHT), also known as Rendu-Osler-Weber syndrome, is an autosomal dominant genetic disorder that interferes with angiogenesis and leads to abnormal vascular development. It presents as mucocutaneous telangiectasia when small or arteriovenous malformations (AVMs) when large. AVMs involve different organs, such as the lungs, brain, liver, spinal cord, and gastrointestinal tract, and can cause various life-threatening complications depending on their location and size.</div><div>Splenic vascular malformations are rare in patients with HHT and require treatment owing to the risk of rupture and spontaneous hemoperitoneum. This case report details the management of an 8-cm atypical AVM located in the spleen, which was treated with selective transarterial embolization using a liquid embolic agent.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3684-3688"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936140","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":"Partial duplication of the anterior communicating artery: A case report","authors":"Hideki Endo MD, PhD , Hidetoshi Ono MD , Toshiichi Watanabe MD , Hirohiko Nakamura MD, PhD","doi":"10.1016/j.radcr.2025.04.061","DOIUrl":"10.1016/j.radcr.2025.04.061","url":null,"abstract":"<div><div>Anatomical variations in the anterior cerebral artery and/or anterior communicating artery complex are common. However, partial duplication is a rare variant of the anterior communicating artery. To the best of our knowledge, there are only a few reports describing a partially duplicated anterior communicating artery. We report a case of a partially duplicated anterior communicating artery associated with an intracranial aneurysm, which was diagnosed by 3-Tesla magnetic resonance angiography and digital subtraction angiography. A 43-year-old woman was admitted to our hospital for postoperative examinations following coil embolization of an unruptured right internal carotid artery aneurysm performed 1 year earlier. Magnetic resonance angiography and digital subtraction angiography revealed no recurrence of the treated aneurysm, and a partially duplicated anterior communicating artery—there were 2 separate anterior communicating arteries on the right side and one on the left side. Digital subtraction angiography under contralateral carotid artery compression showed no aneurysm in the anterior communicating artery complex. This report provides additional evidence of partially duplicated anterior communicating arteries associated with an intracranial aneurysm. Careful imaging assessment is important to identify this rare anatomical variant, as well as other concomitant variations and associated aneurysms.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3662-3665"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935952","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":"Sacral intraosseous schwannoma in an adolescent patient: A case report","authors":"Darsh Patel BS , Stacy White MD","doi":"10.1016/j.radcr.2025.04.066","DOIUrl":"10.1016/j.radcr.2025.04.066","url":null,"abstract":"<div><div>Schwannomas are benign peripheral nerve sheath tumors arising from Schwann cells and, as a result, can occur anywhere in the body. Intraosseous schwannomas are a rare subset of these tumors that are usually found in the medullary cavities of bones. According to the available literature, the sacrum is a common site of involvement within the spine. Affected patients are typically adults older than 20 years of age with no male or female predilection. We present a 17-year-old female athlete with low back pain and radiculopathy. Initial lumbar spine radiographs and magnetic resonance imaging were reported to be negative. Months later, dedicated imaging studies were performed after an abnormality of the sacrum was suspected during medical evaluation for return to sports. A sacral mass was confirmed. Initial and repeat image-guided biopsies confirmed a benign schwannoma. Detection and diagnosis of sacral intraosseous schwannomas present a challenge in the pediatric population given their rare occurrence. Although their imaging features have been described, intraosseous schwannomas are infrequently included in the list of differential diagnoses. Their nonaggressive imaging features should allow interpreting radiologists to narrow the potential diagnoses, thereby helping clinicians arrive at the correct diagnosis more efficiently.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3655-3661"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936142","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":"Twists of trouble: AICA loops as the culprit in hemifacial spasm","authors":"Utkarsh Pradeep , Shilpa Bawankule , Sourya Acharya , Paschyanti Kasat , Akshay Padwal","doi":"10.1016/j.radcr.2025.04.045","DOIUrl":"10.1016/j.radcr.2025.04.045","url":null,"abstract":"<div><div>The highly variable anatomy of the anterior inferior cerebellar artery is one of the causative factors of neurovascular compression of the facial and vestibulocochlear nerve resulting in hemifacial spasms associated with hearing loss, vertigo, and tinnitus. Our patient a 64-year-old male presented with such complaints for the past few months. He was investigated thoroughly for the cause and on Magnetic resonance imaging of the brain with Fast imaging employing steady-state acquisition sequence it was evident that the anterior inferior cerebellar artery loop was compressing the seventh and eighth cranial nerves on the right side. This was responsible for the patient’s symptoms. He also had sensorineural hearing loss in the right ear. He was started on symptomatic treatment as he denied any surgical intervention.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3645-3649"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936144","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}
Quang Trung Nguyen BSc , Van Diep Pham BSc, Quoc Dat Tran BSc, Quang Long Le BSc, Ngoc Cuong Nguyen PhD, Tuan Linh Le PhD
{"title":"Improved detection and localization of insulinoma using small field-of-view diffusion-weighted MRI: A case report","authors":"Quang Trung Nguyen BSc , Van Diep Pham BSc, Quoc Dat Tran BSc, Quang Long Le BSc, Ngoc Cuong Nguyen PhD, Tuan Linh Le PhD","doi":"10.1016/j.radcr.2025.04.059","DOIUrl":"10.1016/j.radcr.2025.04.059","url":null,"abstract":"<div><div>Insulinoma is a rare but challenging-to-diagnose pancreatic neuroendocrine tumor, often presenting with recurrent spontaneous hypoglycemia. Surgical resection remains the definitive treatment; however, accurate preoperative localization is critical for optimizing surgical outcomes and avoiding unnecessary extensive pancreatic resection. We report a case of a 57-year-old female with recurrent hypoglycemia, whose lesion was undetectable using conventional ultrasound, computed tomography (CT), and standard magnetic resonance imaging (MRI). However, small field-of-view diffusion-weighted imaging (sFOV DWI) successfully identified a 13 × 10 mm pancreatic lesion between the body and tail, with imaging characteristics consistent with a pancreatic neuroendocrine tumor. The patient underwent successful surgical resection, with histopathological confirmation of insulinoma, leading to complete resolution of symptoms postoperatively. This case highlights the utility of sFOV DWI in detecting small pancreatic lesions that may be missed by conventional imaging techniques. Its application in challenging cases could significantly improve diagnostic accuracy and guide surgical planning.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3703-3709"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936050","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}
Sara Khayer, Imane Sellam, Brahim Abouhali, Mouna ELfane
{"title":"Herpetic meningomyelitis: An exceptional presentation of herpes simplex virus","authors":"Sara Khayer, Imane Sellam, Brahim Abouhali, Mouna ELfane","doi":"10.1016/j.radcr.2025.04.001","DOIUrl":"10.1016/j.radcr.2025.04.001","url":null,"abstract":"<div><div>Herpetic meningomyelitis is an inflammation of the meninges and spinal cord caused by Herpes simplex virus type 2 (HSV-2). It typically occurs during HSV-2 reactivation, with or without immunosuppressive factors. We report a rare case of herpetic meningomyelitis in a 41-year-old HIV-positive patient, presenting with rapidly progressive ascending paraparesis. Diagnosis was confirmed by cerebrospinal fluid (CSF) multiplex PCR, revealing HSV-2, and spinal cord MRI showing central hyperintensities. The patient was treated with intravenous acyclovir and corticosteroids, leading to significant neurological recovery. This case highlights the importance of early recognition and management of this rare neurological complication of HSV-2.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3625-3627"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143918021","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}
Won Young Yoon MBChB, BSc , Bader Abou Shaar MBBS , Alexander Chiu Wing Lee MD , Chris Holsinger MD , Beth Martin MD , Sharon A. Chung MD, MAS , Nancy Fischbein MD
{"title":"Kimura disease and eosinophilic granulomatosis with polyangiitis: Clinical and imaging overlap of 2 immune-mediated conditions","authors":"Won Young Yoon MBChB, BSc , Bader Abou Shaar MBBS , Alexander Chiu Wing Lee MD , Chris Holsinger MD , Beth Martin MD , Sharon A. Chung MD, MAS , Nancy Fischbein MD","doi":"10.1016/j.radcr.2025.04.060","DOIUrl":"10.1016/j.radcr.2025.04.060","url":null,"abstract":"<div><div>We present the clinical and head and neck imaging findings in an adult male patient diagnosed with both Kimura disease (KD) and eosinophilic granulomatosis with polyangiitis (EGPA). These 2 rare diseases have distinct as well as overlapping clinical features and pathophysiological mechanisms, and their coexistence created a challenging diagnostic and therapeutic scenario. This case highlights the importance of considering overlapping features in complex immune-mediated conditions to establish an accurate diagnosis and formulate an appropriate management plan.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3632-3638"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143923387","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}
Krish Patel , Garv Bhasin , Max Lasday MS , Asha Plamoottil MD , Latha Ganti MD
{"title":"Acute appendicitis masquerading as food poisoning","authors":"Krish Patel , Garv Bhasin , Max Lasday MS , Asha Plamoottil MD , Latha Ganti MD","doi":"10.1016/j.radcr.2025.04.044","DOIUrl":"10.1016/j.radcr.2025.04.044","url":null,"abstract":"<div><div>Acute appendicitis is a common surgical emergency. The underlying pathology in appendicitis occurs when the vermiform appendix, a vestigial organ connected to the large intestine, becomes swollen and inflamed. Some typical symptoms include abdominal pain, vomiting, fever, and appetite loss. Physical exam, imaging, and laboratory analyses are used to confirm the diagnosis. In this case report, a 15-year-old boy presented with vomiting and epigastric pain. Computed Tomography (CT) scans showed a fluid-filled appendix. Lab testing revealed elevated white blood cell counts, highlighting the importance of carefully analyzing test results. An appendectomy was performed which is the gold standard treatment for acute appendicitis. The patient’s clinical course demonstrates how clinical data can effectively narrow down a diagnosis of pediatric acute appendicitis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3607-3611"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143917905","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":"Hibernoma: A case report of a rare soft lipoid tissue in the neck","authors":"Zineb Ezzoulali MD , Amal Akammar PhD , Nawal Hammas PhD , Hajar Ouazzani PhD , Ismail Chaouche PhD , Nizar El Bouardi PhD , Meryem Haloua PhD , Badreeddine Alami PhD , My Youssef Alaoui Lamrani PhD , Mustapha Maaroufi PhD , Meryem Boubbou PhD","doi":"10.1016/j.radcr.2025.04.054","DOIUrl":"10.1016/j.radcr.2025.04.054","url":null,"abstract":"<div><div>Hibernoma is rare and benign soft tissue tumor, arising from persistent fetal brown tissue. Although radiologic features are not specific, certain imaging characteristics, common locations and patient demographics may suggest hibernoma as a differential diagnosis of soft tissue tumors that have fatty components. Total resection is required due to the possibility of sampling errors in myxoid and well differentiated liposarcoma tissue components that resemble hibernoma. We report the case of a young adult with a right supra-clavicular swelling that had been present for 10 years, with no other associated signs. The patient underwent a CT scan and cervical MRI, with surgical removal, confirming the diagnosis of a hibernoma. This article also reviews the current imaging literature of hibernomas.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3612-3616"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143917906","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}
Amal Mojahid, Nadia El Mahi, Hajar Siouri, Hicham Benramdane, Aicha Laabadi, Hamid Ziani, Nasri Siham, Imane Kamaoui, Imane Skiker
{"title":"Ischemic stroke revealing diffuse cerebral proliferative angiopathy—A case report","authors":"Amal Mojahid, Nadia El Mahi, Hajar Siouri, Hicham Benramdane, Aicha Laabadi, Hamid Ziani, Nasri Siham, Imane Kamaoui, Imane Skiker","doi":"10.1016/j.radcr.2025.04.012","DOIUrl":"10.1016/j.radcr.2025.04.012","url":null,"abstract":"<div><div>Cerebral proliferative angiopathy is a rare vascular disease of the brain that has long been classified as a giant and diffuse form of arteriovenous malformations, with only a few cases reported in the literature. The typical clinical presentation includes seizures, headaches, and progressive neurological deficits. Computed tomography (CT) and magnetic resonance imaging (MRI) are the initial diagnostic radiological modalities, while angiography remains the gold standard. Invasive treatment is rarely indicated to preserve normal brain tissue. Here, we report a case of a left frontal ischemic stroke complicating a diffuse cerebral proliferative angiopathy in a 65-year-old man with no significant medical history, whom we managed conservatively with antiepileptic medication. This case emphasizes the importance of early detection through imaging to allow for appropriate management and prevent complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3621-3624"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143917908","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}