Shervin Zoghi BS, BA , Cameron L. Brock MD , Kwame Atsina MD , Yasser G. Abdelhafez MD, PhD , Fatma Sen MD , Lorenzo Nardo MD, PhD , Mohammad H. Madani MD
{"title":"Iatrogenic chest tube placement within the heart following a large pneumothorax","authors":"Shervin Zoghi BS, BA , Cameron L. Brock MD , Kwame Atsina MD , Yasser G. Abdelhafez MD, PhD , Fatma Sen MD , Lorenzo Nardo MD, PhD , Mohammad H. Madani MD","doi":"10.1016/j.radcr.2025.04.089","DOIUrl":"10.1016/j.radcr.2025.04.089","url":null,"abstract":"<div><div>This case report describes an uncommon occurrence of cardiac injury and perforation resulting from chest tube placement. The patient, a 44-year-old female, presented to the ED with severe blunt force trauma following a pedestrian motor vehicle collision. Imaging revealed a large pneumothorax and multiple fractures. Pulsatile bleeding was observed during chest tube placement, and the tube’s tip was later found on CT of the thorax to be located within the heart. Although the patient recovered by postoperative day 13 and was subsequently discharged, this case highlights the importance of performing this procedure under image-guidance, along with elucidating the critical role of serial thorough clinical evaluations and prompt imaging for early detection and management of complications.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3875-3878"},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090611","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}
Siham Oukassem, Chaimae Jabbari, Chaimae Abourak, Asmae Guennouni, Lina Belkouchi, Siham El Haddad, Nazik Allali, Latifa Chat
{"title":"Convulsive status epilepticus revealing cerebral microbleeds in a pediatric patient: A rare case report","authors":"Siham Oukassem, Chaimae Jabbari, Chaimae Abourak, Asmae Guennouni, Lina Belkouchi, Siham El Haddad, Nazik Allali, Latifa Chat","doi":"10.1016/j.radcr.2025.04.030","DOIUrl":"10.1016/j.radcr.2025.04.030","url":null,"abstract":"<div><div>Cerebral microbleeds (CMBs) are small, round, or ovoid hypointense lesions observed on susceptibility-sensitive MRI sequences, such as T2*-weighted gradient-echo and susceptibility-weighted imaging (SWI). This case report presents a 10-year-old male with refractory convulsive status epilepticus, characterized by persistent seizures, agitation, and myoclonus. The patient had no prior hospitalizations or neuroimaging studies. Despite initial benzodiazepine treatment, the seizures persisted. After 10 days of intensive care, including valproate therapy and ventilatory support, the patient showed significant clinical improvement and was extubated. CMBs were identified on SWI sequence. Their association with status epilepticus may offer insights into cerebrovascular changes in critically ill pediatric patients. This case highlights the association between status epilepticus and microbleeds in pediatric patients.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3890-3893"},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098485","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}
Imad Akasbi MD , Ismail Chaouche MD , Nizar El Bouardi MD , Amal Akammar MD , Hajar O Chahdi MD , Ismail Zerrari MD , Maria Lahlali MD , Hakima Abid MD , Badr Alami MD , Nada Lahmidani MD , Meryem Boubbou MD , Ibrahimi Sidi adil MD , Mustapha Maaroufi MD , MY Youssef Alaoui Lamrani MD
{"title":"Successful long-term survival following lipiodol chemoembolization for hepatocellular carcinoma in Alagille syndrome: A case report","authors":"Imad Akasbi MD , Ismail Chaouche MD , Nizar El Bouardi MD , Amal Akammar MD , Hajar O Chahdi MD , Ismail Zerrari MD , Maria Lahlali MD , Hakima Abid MD , Badr Alami MD , Nada Lahmidani MD , Meryem Boubbou MD , Ibrahimi Sidi adil MD , Mustapha Maaroufi MD , MY Youssef Alaoui Lamrani MD","doi":"10.1016/j.radcr.2025.04.125","DOIUrl":"10.1016/j.radcr.2025.04.125","url":null,"abstract":"<div><div>Alagille syndrome is a rare genetic disorder causing multisystem complications, including biliary abnormalities, chronic liver disease, and rarely, hepatocellular carcinoma (HCC), which is difficult to manage due to liver dysfunction and vascular abnormalities. We report a 29-year-old female, diagnosed with Alagille syndrome in infancy, who developed infiltrative HCC at age 20 and underwent lipiodol-based transarterial chemoembolization (TACE) in 2015, with a second session in 2016 for recurrence. Remarkably, she has achieved an exceptional 9-year survival post-treatment with stable imaging and no recurrence, a highly uncommon outcome for HCC in Alagille syndrome, highlighting TACE’s potential as an effective palliative treatment for HCC in Alagille syndrome, particularly for patient's ineligible for liver transplantation, and underscoring the need for further studies on locoregional therapies in this rare population.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3879-3885"},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090609","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}
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}
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}
{"title":"Polyostotic fibrous dysplasia: Unveiling the complexity of a rare bone disorder through a case report","authors":"Siham Nasri , Hicham Benramdane , Imane Kamaoui , Imane Skiker","doi":"10.1016/j.radcr.2025.04.040","DOIUrl":"10.1016/j.radcr.2025.04.040","url":null,"abstract":"<div><div>Polyostotic fibrous dysplasia is a benign but potentially debilitating bone disorder characterized by the gradual replacement of normal bone with fibrous tissue. The polyostotic form, less common than the monostotic form, affects multiple bones, often asymmetrically. Clinical manifestations are variable and may include bone pain, deformities, pathologic fractures. Imaging plays a crucial role in diagnosis. Treatment is primarily symptomatic. We report the case of a 7-year-old girl admitted to our department for intermittent bone pain. History revealed a spontaneous pathological fracture of the left femoral neck. Further investigation with a CT scan revealed polyostotic fibrous dysplasia.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3846-3850"},"PeriodicalIF":0.0,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071237","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":"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}
{"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}
Anthony D’Angelo MS , Mbinui Ghogomu MS , Zahra Akhtar MD , Hasan Khan MD
{"title":"Lumbar puncture resulting in lumbar artery perforation and hypotension: A case report","authors":"Anthony D’Angelo MS , Mbinui Ghogomu MS , Zahra Akhtar MD , Hasan Khan MD","doi":"10.1016/j.radcr.2025.04.016","DOIUrl":"10.1016/j.radcr.2025.04.016","url":null,"abstract":"<div><div>Lumbar puncture (LP) is a very common procedure that can rarely lead to complications such as headache or spinal hematoma. This report presents the case of a 59-year-old female who underwent LP and subsequently developed a retroperitoneal hematoma leading to hemorrhagic shock, requiring emergent embolization by interventional radiology. Life-threatening bleeding is a very rare complication of LP but should be kept in mind especially for patients with large body habitus who undergo multiple unsuccessful bedside attempts. In this case, the LP needle missed the spinal canal and pierced the L4 lumbar artery. We present this case to uncover potential factors that may have contributed to the development of such hemorrhage and to elaborate the steps of care to control such devastating hemorrhage.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3826-3831"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144068620","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":"Breaking the 12-hour barrier: A case report on stent-retriever mechanical thrombectomy in a late-presenting acute ischemic stroke","authors":"Jacub Pandelaki MD, PhD , Krishna Pandu Wicaksono MD, PhD , Heltara Ramandika MD , Dessy Natalia Purba MD , Rizkya Amelia MD , Olivia Ardini MD , Jason MD","doi":"10.1016/j.radcr.2025.04.043","DOIUrl":"10.1016/j.radcr.2025.04.043","url":null,"abstract":"<div><div>Ischemic stroke remains a leading health concern globally, particularly in high-challenge terrains such as Indonesia. Mechanical thrombectomy is one of the main surgical approaches for acute ischemic stroke, and it has significant benefits for patients with viable brain tissue. The pursuit of tissue salvation by mechanical thrombectomy should be maximized through individualized clinical and radiological evaluations. This study presented a 41-year-old man who presented with acute infarct stroke and underwent stent-retriever thrombectomy 12 hours after onset, followed by improvement in speech and motor skills. Key takeaways involve matching clinical data with imaging results, consideration of the benefit of thrombectomy, and striving for the fastest treatment administration.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 8","pages":"Pages 3840-3845"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144068621","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}