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Lissencephaly with subcortical band heterotopia in an East African child: A case report 一名东非儿童的无脑畸形伴皮质下带异位：病例报告
Radiology Case Reports Pub Date : 2024-10-31 DOI: 10.1016/j.radcr.2024.10.067
Elisamia Ngowi , Adil Datoo , Pilly Ally , Hajaj Salum , Kija Edward
{"title":"Lissencephaly with subcortical band heterotopia in an East African child: A case report","authors":"Elisamia Ngowi ,&nbsp;Adil Datoo ,&nbsp;Pilly Ally ,&nbsp;Hajaj Salum ,&nbsp;Kija Edward","doi":"10.1016/j.radcr.2024.10.067","DOIUrl":"10.1016/j.radcr.2024.10.067","url":null,"abstract":"<div><div>Lissencephaly is a rare neuronal migration defect that results in a smooth cerebral surface, mental retardation, and seizures. It is diagnosed primarily by correlating clinical manifestations with MRI findings. We present a case of a 3-year-old girl with developmental delay and seizures. Her first seizure was at 14 months and MRI showed features of lissencephaly and subcortical band heterotopia. Lissencephaly is associated with gene mutations. Treatment focuses on antiseizure meds and physiotherapy to reduce seizures and improve motor skills. This case report highlights the importance of promptly diagnosing the LIS/SBH spectrum to enhance patient outcomes. Timely identification and treatment, such as physiotherapy, can significantly improve the quality of life, especially in resource-limited settings.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553851","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
Delayed focal seizures following gunshot wound to the head in a child with minimal initial sequelae 一名儿童头部中枪后出现延迟性局灶性癫痫发作，最初后遗症很小
Radiology Case Reports Pub Date : 2024-10-31 DOI: 10.1016/j.radcr.2024.10.001
Saurabh Singhal MD , Derryl Miller MD , Amanda Croxton DO , Laurence Walsh MD
{"title":"Delayed focal seizures following gunshot wound to the head in a child with minimal initial sequelae","authors":"Saurabh Singhal MD ,&nbsp;Derryl Miller MD ,&nbsp;Amanda Croxton DO ,&nbsp;Laurence Walsh MD","doi":"10.1016/j.radcr.2024.10.001","DOIUrl":"10.1016/j.radcr.2024.10.001","url":null,"abstract":"<div><div>A 6 year old girl accidentally discovered a gun in her home and shot herself in her mouth. A bullet lodged in her right frontal lobe, but she remained neurologically intact with minimal symptoms. Her diagnosis was delayed due to the family leaving the emergency room for long wait times and later noticed over 72 hours from the injury at a dentist appointment. She was sent back to the emergency department, where head imaging revealed the injury to be inoperable. Six months later, the patient developed focal impaired awareness seizures. This was treated with oxcarbazepine, and patient responded well with no further spells. The case was highly unusual as the neurological symptoms were mild compared to the severity and the risk of initial intracranial injury. It emphasizes the frequently overlooked risk of leaving guns unsecured in households with children.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553852","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
Mixed connective tissue disease: A case of aggressive progression and multisystem involvement 混合性结缔组织病：一例病情恶化、多系统受累的病例
Radiology Case Reports Pub Date : 2024-10-31 DOI: 10.1016/j.radcr.2024.09.148
Ali Bani Odah , Ameer Awashra , Zaid Sawaftah , Ahmed Sawafta , Omar Sawafta , Dawoud Hamdan , Jehad Khamaysa , Aziz Alwani
{"title":"Mixed connective tissue disease: A case of aggressive progression and multisystem involvement","authors":"Ali Bani Odah ,&nbsp;Ameer Awashra ,&nbsp;Zaid Sawaftah ,&nbsp;Ahmed Sawafta ,&nbsp;Omar Sawafta ,&nbsp;Dawoud Hamdan ,&nbsp;Jehad Khamaysa ,&nbsp;Aziz Alwani","doi":"10.1016/j.radcr.2024.09.148","DOIUrl":"10.1016/j.radcr.2024.09.148","url":null,"abstract":"<div><div>Mixed connective tissue disease (MCTD) is a rare autoimmune syndrome characterized by overlapping features of systemic sclerosis, systemic lupus erythematosus (SLE), and polymyositis, first described by Sharp et al. in 1972. This case report discusses a 38-year-old female who presented with symptoms indicative of these overlapping conditions, including sclerodactyly, Raynaud's phenomenon, and muscle weakness, confirmed by laboratory findings and imaging. Despite aggressive treatment with immunosuppressive agents such as methotrexate, corticosteroids, and infliximab, the patient's condition progressively deteriorated, leading to severe complications, including interstitial lung disease and gastrointestinal involvement. Mixed connective tissue disease remains a complex and poorly understood condition with a range of clinical presentations and no distinct risk factors. The prognosis varies significantly, with some patients experiencing life-threatening complications while others may achieve complete remission. Diagnostic criteria, such as the Alarcon-Segovia criteria, and serological markers like anti-U1RNP antibodies, are critical in identifying and managing this rare and challenging condition.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553837","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
New embolization technique for intracranial vascular disease with the assistance of an Apollo microcatheter 借助阿波罗微导管治疗颅内血管疾病的新栓塞技术
Radiology Case Reports Pub Date : 2024-10-31 DOI: 10.1016/j.radcr.2024.10.068
Jinlu Yu
{"title":"New embolization technique for intracranial vascular disease with the assistance of an Apollo microcatheter","authors":"Jinlu Yu","doi":"10.1016/j.radcr.2024.10.068","DOIUrl":"10.1016/j.radcr.2024.10.068","url":null,"abstract":"<div><div>It is difficult to access small and remote intracranial vascular lesions when using routine coil-delivery microcatheters. A thin Apollo microcatheter can access these vascular lesions. The Apollo microcatheter is intended to reduce the risk of catheter entrapment during the deployment of Onyx due to the detachable tip; furthermore, the Apollo microcatheter with a 3 cm detachable tip has 2 markers. X-ray imaging revealed that the marker on the push lever of the coil matched the proximal marker on the Apollo microcatheter. Therefore, it can replace routine coil-delivery microcatheters to deliver certain coils and then cast Onyx following coiling. The technique has rarely been reported. Patient 1 was a 59-year-old male with a ruptured aneurysm at the branch of posterior cerebral artery. The aneurysm was coiled with a Jasper ®SS-10 coil via an Apollo microcatheter with a 3 cm detachable tip. Then, Onyx-18 was used to obliterate the aneurysm. The patient recovered well after the procedure. Patient 2 was a 51-year-old male with a brain arteriovenous malformation (BAVM). There was a fistulous structure in the nidus. The Apollo microcatheter with a 3 cm detachable tip was used to reach and coil the fistulous structure with a Jasper ®SS-10 coil. Then, Onyx-18 was used to partially embolize the BAVM. The patient recovered well after the procedure. Therefore, the use of an Apollo microcatheter with a 3 cm detachable tip to deliver both coils and Onyx represents a new approach for treating intracranial vascular diseases when routine coil-delivery microcatheters cannot reach the lesions.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553836","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
Exploring the diverse imaging spectrum of Septo-optic dysplasia: A case series 探索视网膜发育不良的不同成像谱：一个病例系列
Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.09.159
Sundar Suwal MD , Abhikanta Khatiwada MD , Suman Lamichhane MD , Prasson Ghimire MD , Sharada KC MD
{"title":"Exploring the diverse imaging spectrum of Septo-optic dysplasia: A case series","authors":"Sundar Suwal MD ,&nbsp;Abhikanta Khatiwada MD ,&nbsp;Suman Lamichhane MD ,&nbsp;Prasson Ghimire MD ,&nbsp;Sharada KC MD","doi":"10.1016/j.radcr.2024.09.159","DOIUrl":"10.1016/j.radcr.2024.09.159","url":null,"abstract":"<div><div>Septo-optic dysplasia (SOD), also known as de Morsier syndrome, is a rare congenital disorder characterized by a combination of optic nerve hypoplasia, hypothalamic-pituitary dysfunction, and midline brain abnormalities, such as the absence of the septum pellucidum or thinning/agenesis of the corpus callosum. Although bilateral optic nerve hypoplasia is more common, unilateral involvement occurs less frequently. When SOD is associated with cortical malformations, such as schizencephaly, it is referred to as Septo-optic dysplasia plus. In this series, we present 3 different manifestations of SOD, including unilateral optic nerve hypoplasia and associated cortical malformations. Prompt clinical suspicion, supported by radiological imaging, is crucial for timely diagnosis and effective management of patients with this condition.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553849","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
Kartagener's syndrome incidentally detected by imaging in adult: A case report 通过影像学检查意外发现的成人卡塔格纳综合征：病例报告
Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.009
Ibrahima Faye , Fallou Galass Niang , Ousmane Racine Thiam , Ndeye Rokhaya Diop , Ndiame Sarr , Abdoulaye Ndoye Diop
{"title":"Kartagener's syndrome incidentally detected by imaging in adult: A case report","authors":"Ibrahima Faye ,&nbsp;Fallou Galass Niang ,&nbsp;Ousmane Racine Thiam ,&nbsp;Ndeye Rokhaya Diop ,&nbsp;Ndiame Sarr ,&nbsp;Abdoulaye Ndoye Diop","doi":"10.1016/j.radcr.2024.10.009","DOIUrl":"10.1016/j.radcr.2024.10.009","url":null,"abstract":"<div><div>We report the case of a 38-year-old patient with an undocumented history of lung disease who presented with Kartagener's syndrome diagnosed on CT scan in the context of lupus erythematosus. Kartagener's syndrome is a distinct entity among primary ciliary dyskinesias, but its association with lupus has not been described in the literature.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553907","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
Gastric hamartomatous inverted polyps have high internal echoes: A case report 胃火腿状倒置息肉具有高内部回声：病例报告
Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.029
Hironori Tanaka , Shoji Oura , Naoki Kataoka
{"title":"Gastric hamartomatous inverted polyps have high internal echoes: A case report","authors":"Hironori Tanaka ,&nbsp;Shoji Oura ,&nbsp;Naoki Kataoka","doi":"10.1016/j.radcr.2024.10.029","DOIUrl":"10.1016/j.radcr.2024.10.029","url":null,"abstract":"<div><div>A 58-year-old woman with an elevated lesion in the stomach was referred to our hospital. Gastroscopy showed a lobulated mass resembling a submucosal tumor. The tumor showed early enhancement on computed tomography. Endoscopic ultrasound showed a lobulated tumor with distinct borders, no attenuated posterior echoes, and high internal echoes. Fine needle aspiration biopsy pathologically showed normal gastric mucosa and spindle cells growing sparsely with SMA positivity and DOG1/S100 negativities, suggesting an inflammatory fibroid polyp. The patient, therefore, underwent laparoscopy endoscopy cooperative surgery to the gastric lesion. Postoperative pathological study showed downward mucosal proliferation into the submucosal layer in a lobulated manner with hyperplasia of the crypt epithelium. Some part of the lesion was located under the normal orthotopic gastric mucosa. These pathologic findings led us to the diagnosis of gastric hamartomatous inverted polyp (GHIP). In conclusion, endoscopy specialists should note that fibrous component-rich tumors have low internal echoes and attenuated posterior echoes, whereas GHIPs have high internal echoes and no attenuated posterior echoes.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553978","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
Fibroepithelial polyp in the urethra: Diagnostic challenges and endoscopic treatment outcomes 尿道纤维上皮息肉：诊断难题与内窥镜治疗效果
Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.043
Tiago Aparecido Silva, Gustavo Martini Perini, Gabriel Vieira Gouvea, João Eduardo de Assis Marques, Pedro Rodrigues Beal, Luciana Saboya Dal Col, Renato Meirelles Mariano da Costa Junior, Vitor Bonadia Buonfiglio
{"title":"Fibroepithelial polyp in the urethra: Diagnostic challenges and endoscopic treatment outcomes","authors":"Tiago Aparecido Silva,&nbsp;Gustavo Martini Perini,&nbsp;Gabriel Vieira Gouvea,&nbsp;João Eduardo de Assis Marques,&nbsp;Pedro Rodrigues Beal,&nbsp;Luciana Saboya Dal Col,&nbsp;Renato Meirelles Mariano da Costa Junior,&nbsp;Vitor Bonadia Buonfiglio","doi":"10.1016/j.radcr.2024.10.043","DOIUrl":"10.1016/j.radcr.2024.10.043","url":null,"abstract":"<div><div>Fibroepithelial polyps (FEPs) are rare benign tumors that can occur in the urinary tract and are especially uncommon in the urethra. This report presents a case of a young man with obstructive symptoms caused by a urethral polyp, which was treated endoscopically. Fibroepithelial polyps can be a cause of urethral stenosis in young men and may also be encountered during the treatment of other causes of urethral narrowing.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553982","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
Recurrent TIPS dysfunction and variceal bleeding: A combined, staged, use of large-bore aspiration thrombectomy and partial splenic artery embolization—A case report 复发性 TIPS 功能障碍和静脉曲张出血：分阶段联合使用大口径抽吸血栓切除术和部分脾动脉栓塞术--病例报告
Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.10.003
Dayoung Kim BSc , Yejun Hong MD , Ani Mirakhur MD, FRCPC
{"title":"Recurrent TIPS dysfunction and variceal bleeding: A combined, staged, use of large-bore aspiration thrombectomy and partial splenic artery embolization—A case report","authors":"Dayoung Kim BSc ,&nbsp;Yejun Hong MD ,&nbsp;Ani Mirakhur MD, FRCPC","doi":"10.1016/j.radcr.2024.10.003","DOIUrl":"10.1016/j.radcr.2024.10.003","url":null,"abstract":"<div><div>A 51-year-old man, with a history of cirrhotic portal hypertension and recurrent transjugular intrahepatic portosystemic shunt (TIPS) stenoses, presented with an acute gastro-esophageal variceal hemorrhage in the setting of an acute and massive thrombotic TIPS shunt occlusion. The clinical presentation was complicated by patient's severe, chronic thrombocytopenia which had precluded empiric anticoagulation previously for recurrent TIPS dysfunction. Following endoscopic treatment of the variceal bleeding, the CAT 12 Indigo aspiration system (Penumbra) was used to remove a large burden of thrombus from the TIPS, allowing successful re-stenting and restoration of blood flow through the TIPS. A staged partial splenic artery embolization was performed a few days later to reduce hypersplenism and treat the thrombocytopenia. The patient was then therapeutically anticoagulated to prevent future TIPS occlusion.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553985","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
An unusual case of splenic hydatid cyst perforating into posterior wall of stomach 脾包虫囊肿穿入胃后壁的罕见病例
Radiology Case Reports Pub Date : 2024-10-30 DOI: 10.1016/j.radcr.2024.09.157
Sabir Shah MBBS , Haseeb Ahmad MD , Ahmed Khan Jadoon MD , Muhammad Mursaleen MBBS , Noor e Saba MBBS , Rasheed Ul Haq MBBS
{"title":"An unusual case of splenic hydatid cyst perforating into posterior wall of stomach","authors":"Sabir Shah MBBS ,&nbsp;Haseeb Ahmad MD ,&nbsp;Ahmed Khan Jadoon MD ,&nbsp;Muhammad Mursaleen MBBS ,&nbsp;Noor e Saba MBBS ,&nbsp;Rasheed Ul Haq MBBS","doi":"10.1016/j.radcr.2024.09.157","DOIUrl":"10.1016/j.radcr.2024.09.157","url":null,"abstract":"<div><div>Hydatid disease (cystic echinococcosis) is a parasitic infection caused by <em>Echinococcus granulosus</em>. Hydatid cysts are typically found in the liver and lungs, but they can also rarely occur in the spleen. This case report describes an unusual occurrence of a splenic hydatid cyst that perforated the posterior wall of the stomach. The patient, a 55-year-old female, presented with severe pain in the left hypochondrium and nausea. A computed tomography (CT) scan revealed a large, complex mass in the spleen with multiple hydatid cysts and a perforation of approximately 5 × 5 cm into the stomach wall. The patient underwent peri-cystectomy for the infected splenic hydatid cyst and repair of the gastric perforation. Histopathological examination confirmed the presence of hydatid cysts. This case highlights the importance of considering hydatid cysts in the differential diagnosis of abdominal masses that erode into the stomach to prevent overtreatment and ensure an accurate diagnosis.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553910","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
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