Radiology Case Reports最新文献_第6页

Lemierre's syndrome: Pediatric clinical case presentation 莱米埃尔综合征儿科临床病例展示

Radiology Case Reports Pub Date : 2025-04-12 DOI: 10.1016/j.radcr.2025.03.054

Jennifer Richardson Maturana MD , Sara Gomez Milanés MD , Luz Angela Moreno Gómez MD , Liliana Henao Gomez MD

引用次数: 0

MRI findings of granulomatosis with polyangiitis can mimic those of cholesteatoma: A case report 肉芽肿合并多血管炎的MRI表现可与胆脂瘤相似

Radiology Case Reports Pub Date : 2025-04-12 DOI: 10.1016/j.radcr.2025.03.074

Lubna Alkattan , Margaret Duraj , Daiva Erentaite , Yousef Yavarian

{"title":"MRI findings of granulomatosis with polyangiitis can mimic those of cholesteatoma: A case report","authors":"Lubna Alkattan , Margaret Duraj , Daiva Erentaite , Yousef Yavarian","doi":"10.1016/j.radcr.2025.03.074","DOIUrl":"10.1016/j.radcr.2025.03.074","url":null,"abstract":"<div><div>Middle ear diseases are a common problem encountered by both general practitioners and otolaryngologists; the symptoms include pain, discharge, fever, and hearing loss. Common initial diagnoses include acute and chronic otitis media, cholesteatoma, and necrotizing otitis. Granulomatosis with polyangiitis is a rare autoimmune disease characterized by necrotizing vasculitis and granulomatous inflammation that affects the small- and medium-sized vessels of the upper and lower respiratory tracts, kidneys, and other organs. Furthermore, manifestations of granulomatosis with polyangiitis in the middle ear and temporal bone are highly unexpected. The more severe cases involve infection in the surrounding soft tissue, such as ear canal abscess and involvement of the temporal bone called osteomyelitis. In such cases the symptoms can involve vertigo, facial palsy, and systemic infection. Herein, we report a case of a 17-year-old girl with a history of left-sided chronic otitis media who was unresponsive to the usual treatment and presented with dizziness and left-sided peripheral facial paresis. Physical examination revealed a significant left-sided conductive hearing loss and left-sided persistent peripheral facial palsy, along with IX-XI cranial nerve palsies. We found initial diffusion restriction on diffusion-weighted imaging sequences of magnetic resonance imaging, which mimics cholesteatoma and middle ear abscess. Early diagnosis of granulomatosis with polyangiitis enables timely treatment with immunosuppressive therapy, thereby preventing the occurrence of late complications. Therefore, radiologists must be aware of these magnetic resonance imaging findings in patients with otitis media who are unresponsive to usual treatment, with or without facial palsy. Through this case report, we aim to highlight granulomatosis with polyangiitis as an additional differential diagnosis of cholesteatoma.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3201-3206"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820898","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

Giant lipoma in the anterior region of the neck: A case report of a rare condition and review of literature 颈部前区巨大脂肪瘤：一罕见病例报告及文献复习

Radiology Case Reports Pub Date : 2025-04-12 DOI: 10.1016/j.radcr.2025.03.026

Su Jin Lee , Khang Duy Ricky Le , James Kollias , Roger Davies

引用次数: 0

Diagnostic misdirection in posterior-onset Rasmussen's encephalitis: A case report 后发性拉斯穆森脑炎的误诊1例

Radiology Case Reports Pub Date : 2025-04-12 DOI: 10.1016/j.radcr.2025.03.078

Rihab Ben Dhia MD, Yasmine Saad MD, Narjes Gouta MD, Mariem Mhiri MD, Mahbouba Frih-Ayed PhD

{"title":"Diagnostic misdirection in posterior-onset Rasmussen's encephalitis: A case report","authors":"Rihab Ben Dhia MD, Yasmine Saad MD, Narjes Gouta MD, Mariem Mhiri MD, Mahbouba Frih-Ayed PhD","doi":"10.1016/j.radcr.2025.03.078","DOIUrl":"10.1016/j.radcr.2025.03.078","url":null,"abstract":"<div><div>Rasmussen's encephalitis (RE) is a rare, chronic, and progressive inflammatory brain disorder, characterized by drug-resistant seizures, cognitive decline, and unihemispheric atrophy. Focal neurological deficits and focal motor seizures are typically the initial manifestations. However, we encountered an exceptionally rare case where occipital seizures were the sole presenting feature. This unusual presentation poses unique diagnostic and therapeutic challenges, stemming from its posterior seizure onset and atypical clinical profile, complicating recognition and effective management. We report the case of an 11-year-old boy with no prior medical or familial history of epilepsy. Born to nonconsanguineous parents, his prenatal, perinatal, and early developmental milestones were unremarkable. The patient exhibited normal psychomotor development until 5 years prior to presentation, when occipital drug-resistant visual seizures began. Clinical, imaging, and electrophysiological findings revealed posterior-onset seizures and unilateral hemispheric atrophy consistent with Rasmussen's encephalitis. Posterior-Onset seizures can present as the exclusive initial manifestation of Rasmussen's encephalitis. This case highlights the importance of considering this diagnosis in patients with newly diagnosed drug-resistant visual seizures particularly when accompanied by cognitive decline.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3161-3166"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820895","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

A rare coexistence: Cecal cancer and intestinal malrotation in an adult 一个罕见的共存：盲肠癌和肠旋转不良的成人

Radiology Case Reports Pub Date : 2025-04-12 DOI: 10.1016/j.radcr.2025.03.031

Hind Qajia MD , Chaimaa Jabbari MD , Salma EL kadiri MD , Choumad Saleck MD , Yassine Eddahoumi MD , Fatima Ezzahra Laamrani PhD , Omar EL Aoufir PhD , Laila Jroundi PhD

引用次数: 0

Right aortic arch with aberrant left subclavian artery and anomalous Circle of Willis supply 右主动脉弓伴有左锁骨下动脉异常和威利斯环供血异常

Radiology Case Reports Pub Date : 2025-04-12 DOI: 10.1016/j.radcr.2025.03.049

Ranjit N. Joseph MD, Andrew J. Martin MD, Nigel Wolfe MD, Gi Tae Kwon MD

{"title":"Right aortic arch with aberrant left subclavian artery and anomalous Circle of Willis supply","authors":"Ranjit N. Joseph MD, Andrew J. Martin MD, Nigel Wolfe MD, Gi Tae Kwon MD","doi":"10.1016/j.radcr.2025.03.049","DOIUrl":"10.1016/j.radcr.2025.03.049","url":null,"abstract":"<div><div>Right aortic arch (RAA) anomalies are rare congenital vascular malformations with a prevalence of 0.01% to 0.1% in the general population. These anomalies are often associated with congenital cardiac abnormalities, though many individuals remain asymptomatic and are diagnosed incidentally. However, cerebrovascular anomalies associated with RAA have not been previously reported. We present the case of a 23-year-old male with an incidental finding of a Type II RAA variant characterized by an aberrant left subclavian artery and an unusual, complex configuration of the Circle of Willis (CoW). This CoW anomaly includes an absent right internal carotid artery, an absent left vertebral artery, and unique collateralization pathways. Despite the variant anatomy, the patient has remained neurologically asymptomatic. No underlying genetic abnormalities were detected during further investigation with a chromosomal analysis. This case highlights the novel association between RAA and anomalies of the CoW, emphasizing the importance of detailed cerebrovascular imaging in patients with RAA. Since an anomalous CoW is inherently associated with an increased risk of cerebrovascular accidents and poorer outcomes, information on cerebrovascular anatomy can facilitate proactive risk factor monitoring, and is valuable for surgical/neuro-interventional planning when indicated.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3179-3185"},"PeriodicalIF":0.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820896","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

Teres major isolated complete tear during routine gym workout: Case report and literature review 例行健身锻炼时肱骨大肌孤立性完全撕裂：病例报告和文献综述

Radiology Case Reports Pub Date : 2025-04-12 DOI: 10.1016/j.radcr.2025.03.007

Muath Marghalani MBBS, Roqaya Bamoharram MBBS

引用次数: 0

A rare case of pineal astrocytoma with hemorrhagic changes: Diagnostic and surgical challenges 罕见的松果体星形细胞瘤伴出血性改变：诊断和手术的挑战

Radiology Case Reports Pub Date : 2025-04-10 DOI: 10.1016/j.radcr.2025.03.003

Paritosh Bhangale MBBS, Shivali Kashikar MD, Pratapsingh Hanuman Parihar MD, Ravishankar Patil MD, Dhananjay Shinde MBBS, Priyal Shrivastava MBBS, Anjali Kumari MBBS

{"title":"A rare case of pineal astrocytoma with hemorrhagic changes: Diagnostic and surgical challenges","authors":"Paritosh Bhangale MBBS, Shivali Kashikar MD, Pratapsingh Hanuman Parihar MD, Ravishankar Patil MD, Dhananjay Shinde MBBS, Priyal Shrivastava MBBS, Anjali Kumari MBBS","doi":"10.1016/j.radcr.2025.03.003","DOIUrl":"10.1016/j.radcr.2025.03.003","url":null,"abstract":"<div><div>Pineal astrocytoma is an uncommon central nervous system tumor, presenting diagnostic and therapeutic challenges due to its deep-seated location and nonspecific clinical features. This case report describes a 37-year-old female who presented with altered sensorium, persistent headache, and projectile vomiting for 20 days. Initial examination revealed stable vitals and a reduced Glasgow Coma Scale score, necessitating immediate intubation. Magnetic resonance imaging (MRI) of the brain revealed a solid-cystic lesion in the pineal region with intraventricular extension, mass effect on the midbrain, and hemorrhagic changes. Magnetic resonance spectroscopy (MRS) findings, including elevated choline and lipid peaks with reduced N-acetyl aspartate, suggested a neoplastic etiology. The patient underwent a suboccipital craniotomy via a supracerebellar infratentorial approach for partial tumor excision. Histopathological analysis confirmed the lesion as a grade IV astrocytoma. Postoperative recovery was stable, and further management with adjuvant radiotherapy and chemotherapy was planned due to the high-grade nature of the tumor. This case highlights the importance of integrating clinical findings, advanced imaging techniques, and histopathological evaluation to accurately diagnose and manage rare pineal region tumors. Despite surgical intervention, the prognosis for high-grade astrocytomas remains poor, underscoring the necessity for continued research into targeted therapies and novel treatment approaches.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3153-3158"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807518","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

An atypical initial revelation of CACH-vanishing white matter syndrome miming herpetic encephalitis in a 6-year-old child: Case report and brief review 1例6岁儿童hache消失白质综合征伴疱疹性脑炎的不典型初始表现：病例报告及简要回顾

Radiology Case Reports Pub Date : 2025-04-10 DOI: 10.1016/j.radcr.2025.02.023

Chafi Mohammed , Alaoui Omar , Taloubi Mohammed , Maarad Mohammed , Oujidi Younes , Ikram Zaid , Laaribi Ilyas , Ghizlane El Aidouni , Houssam Bkiyar , Brahim Housni

{"title":"An atypical initial revelation of CACH-vanishing white matter syndrome miming herpetic encephalitis in a 6-year-old child: Case report and brief review","authors":"Chafi Mohammed , Alaoui Omar , Taloubi Mohammed , Maarad Mohammed , Oujidi Younes , Ikram Zaid , Laaribi Ilyas , Ghizlane El Aidouni , Houssam Bkiyar , Brahim Housni","doi":"10.1016/j.radcr.2025.02.023","DOIUrl":"10.1016/j.radcr.2025.02.023","url":null,"abstract":"<div><div>White matter vanishing syndrome (WMS) is one of the most common hereditary leukoencephalopathies, affecting all ages, including newborns and adults. We report the case of a 6-year-old child admitted to the emergency department with sudden loss of consciousness, in whom herpetic encephalitis was suspected on the basis of recent herpes virus infection, and whose brain MRI showed Vanishing White Matter, subsequently confirmed by identification of the EIF2B5 gene mutation. Vanishing White Matter (VWM) syndrome, also known as infantile ataxia with central hypomyelination, is a leukodystrophy which is one of a wide range of rare genetic disorders primarily affecting the white matter of the central nervous system, caused by mutations in the c. This damage generally affects the deep areas of the brain, and does not spare the U-shaped fibers, a finding of great diagnostic interest for differentiating from other causes of leukodystrophies. MRI is a fundamental diagnostic test with good sensitivity for establishing the diagnosis because of a very good correlation between MRI aspects and mutations in the EIF2B1-5 genes. Guanabenz and Fosigotifatorsont represent 2 promising molecules for improving quality of life and prognosis in this population.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 6","pages":"Pages 3148-3152"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807519","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

Hybrid imaging of a pseudoaneurysm of the descending thoracic aorta induced by a dorsal osteophyte: The silent killer 由背侧骨赘引起的胸降主动脉假性动脉瘤的混合成像：沉默的杀手

Radiology Case Reports Pub Date : 2025-04-08 DOI: 10.1016/j.radcr.2025.03.022

Emanuele Casciani , Eleni Chatelou , Glenda Antonelli , Marco Perrone , Luca Filippi , Cristina De Angelis , Gianfranco Gualdi , Francesco Garaci

引用次数: 0