scholarly journals Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Tomoyuki Ishida ◽  
Jun Kanamori ◽  
Hiroyuki Daiko
Keyword(s):  
Magnetic Resonance Imaging ◽  
Interventional Radiology ◽  
Case Report ◽  
Magnetic Resonance ◽  
Thoracic Duct ◽  
Rare Case ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Thoracostomy Tube ◽  
Magnetic Resonance Imaging Mri

Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.

scholarly journals A rare case of unilateral Cogan’s anterior internuclear ophthalmoplegia, upgaze palsy and ataxia caused by dorsal tegmentum lesion at pontomesencephalic junction

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yong Zheng Wai ◽  
Qi Xiong Ng ◽  
Tsu Hong Lim ◽  
Lik Thai Lim
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Magnetic Resonance Angiography ◽  
Rare Case ◽  
Clinical Importance ◽  
Internuclear Ophthalmoplegia ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Magnetic Resonance Imaging Mri

Abstract Background Cogan’s anterior internuclear ophthalmoplegia (INO) is characterized by INO with inability to converge and commonly thought to be due to rostral midbrain lesion. A lesion outside midbrain that causes unilateral Cogan’s anterior INO combined with upgaze palsy and ataxia are rarely described. Case presentation A 67-year old male presented with left Cogan’s anterior internuclear ophthalmoplegia (INO), left appendicular ataxia and bilateral upgaze palsy. A Magnetic Resonance Imaging (MRI) and Magnetic Resonance Angiography (MRA) brain showed a left dorsal tegmental infarct at the level of pontomesencephalic junction. Conclusions This case highlights the clinical importance of Cogan’s anterior INO in combination with upgaze palsy and ataxia, and report possible site of lesion in patients with such constellation. Clinicians should consider looking for cerebellar signs in cases of Cogan’s anterior INO, apart from just considering localizing the lesion at the midbrain.

scholarly journals Kernohan-Woltman Notch Phenomenon—Case Report

2016 ◽  
Vol 38 (01) ◽  
pp. 056-059
Author(s):  
Carlos Pereira
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Chronic Subdural Hematoma ◽  
Motor Deficit ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Mri Scan ◽  
Present Case Report ◽  
Magnetic Resonance Imaging Mri

AbstractThe Kernohan-Woltman notch phenomenon is a paradoxical neurological manifestation consisting of a motor deficit ipsilateral to a primary brain injury. It has been observed in patients with brain tumors and with supratentorial hematomas. It is considered a false localizing neurological sign. Magnetic resonance imaging (MRI) scan has been the test of choice. The recognition of this phenomenon is important to prevent a surgical procedure on the opposite side of the lesion. The present case report describes a case of chronic subdural hematoma with a probable finding of the Kernohan-Woltman phenomenon, and it discusses its pathophysiology, imaging findings, treatment, and prognosis.

scholarly journals Vulvar Lipoma: A Case Report

2018 ◽  
Vol 40 (10) ◽  
pp. 647-649
Author(s):  
Ahmed Reda ◽  
Ihab Gomaa
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Imaging Modalities ◽  
Resonance Imaging ◽  
Rare Site ◽  
Magnetic Resonance Imaging Mri ◽  
Vulvar Mass

AbstractThe present study is a case report of vulvar lipoma. The vulva is a rare site for the development of lipomas, and the aim of the study is to determine if the current imaging modalities can diagnose lipomas correctly. A 43-year-old patient presented with a painless, slowly progressive, oval, mobile and non-tender right vulvar mass compressing the vagina and totally covering the introitus. Both the ultrasonography and magnetic resonance imaging (MRI) exams suggested the diagnosis of lipoma. Surgical excision was performed, and the histopathological examination of the mass confirmed a lipoma.

scholarly journals Rare Primary Spinal Mesenchymal Chondrosarcoma: A Case Report

2020 ◽  
Vol 42 (3) ◽  
pp. 102-105
Author(s):  
Sushil Paudel ◽  
Shirish Adhikari ◽  
Sharad C Adhikari ◽  
Rohit K Pokharel
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Postoperative Radiotherapy ◽  
Mesenchymal Chondrosarcoma ◽  
Radical Excision ◽  
Resonance Imaging ◽  
Lumbosacral Region ◽  
High Tendency ◽  
Magnetic Resonance Imaging Mri

Primary extradural mesenchymal chondrosarcoma (MCS) is a very rare intraspinal tumor. Proper clinical evaluation with magnetic resonance imaging (MRI) followed by biopsy of the mass can confirm the diagnosis. Since MCS has a high tendency of recurrence and metastasis, the prognosis is guarded. We report a 52 years old male with primary extradural MCS in the lumbosacral region (L5-S3). Subtotal excision and biopsy were performed which confirmed the diagnosis. The patient received post excisional radiotherapy but expired after four months. Though rare, this tumor should be kept in differentials which helps in early diagnosis and thus can be treated with radical excision of the mass along with postoperative radiotherapy.

scholarly journals Magnetic Resonance Imaging in the Diagnosis of Subglottic Cysts of Infancy: Case Report and Review

2002 ◽  
Vol 81 (4) ◽  
pp. 260-267 ◽  
Author(s):  
Steven Ross Mobley ◽  
Esperanza Pacheco ◽  
Gary D. Josephson
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Respiratory Distress ◽  
Current Literature ◽  
Direct Laryngoscopy ◽  
The Novel ◽  
Resonance Imaging ◽  
Published Report ◽  
Magnetic Resonance Imaging Mri

Subglottic cysts can cause stridor and respiratory distress in the infant. The diagnosis of subglottic cysts is often confirmed during direct laryngoscopy and bronchoscopy. We describe the case of a 6-month-old boy with bilateral subglottic cysts that were preoperatively diagnosed by magnetic resonance imaging (MRI). We also review the current literature on the diagnosis and treatment of subglottic cysts. Up until now, 63 cases of subglottic cysts were reported in the literature since 1966, and most were diagnosed by direct endoscopy. In this article, we describe a new case and we provide the first published report of the novel use of MRI in diagnosing this lesion.

Subcutaneous diffuse neurofibroma of the neck: a case report

1996 ◽  
Vol 110 (2) ◽  
pp. 182-184 ◽  
Author(s):  
Sebastien Janssens de Varebeke ◽  
Arthur De Schepper ◽  
Esther Hauben ◽  
Frank Declau ◽  
Eric Van Marck ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Young Patient ◽  
Resonance Imaging ◽  
Histopathological Features ◽  
Mri Features ◽  
Unusual Variant ◽  
Magnetic Resonance Imaging Mri

AbstractA case of a rare and unusual variant of neurofibroma, diffuse neurofibroma (paraneurofibroma), in a young patient is presented. The clinical, radiological and histopathological features of this case are reported. The magnetic resonance imaging (MRI) features of the diffuse neurofibroma are comparable with those described in other neurofibromas.

Large, solitary angiokeratoma in the posterior third and base of the tongue: case report

2011 ◽  
Vol 125 (10) ◽  
pp. 1083-1086 ◽  
Author(s):  
M Dutta ◽  
S Ghatak ◽  
G Biswas ◽  
R Sinha
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Rare Case ◽  
The Body ◽  
Lingual Thyroid ◽  
Male Adolescent ◽  
Resonance Imaging ◽  
Related Literature ◽  
Base Of The Tongue

AbstractObjective:We present an extremely rare case of isolated angiokeratoma of the tongue.Method:Case report and review of related literature.Results:An 18-year-old, male adolescent presented with a fleshy, intermittently bleeding mass in the posterior third and base of the tongue. The lesion was initially suspected to be a lingual thyroid or haemangioma, but histopathological features were consistent with angiokeratoma. Magnetic resonance imaging revealed that the lesion extended up to the vallecula and involved the lamina propria and superficial tongue musculature. No similar lesions were found elsewhere in the body. No metabolic derangements were identified in the patient or his family. The 2.6 × 1.5 × 0.5 cm mass was excised under general anaesthesia.Conclusion:We present the 1st case of isolated lingual angiokeratoma in a male, the 4th such case overally, the largest ever documented. The lesion was situated in the posterior third and base of the tongue, a position not previously described.

scholarly journals Not just eosinophilic fasciitis

2021 ◽  
Vol 14 (1) ◽  
pp. 121-124
Author(s):  
Razvan Chirila ◽  
◽  
Elena Raluca Cristea ◽  
Monica Roxana Purcarea ◽  
Laura Carina Tribus ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Muscle Weakness ◽  
Rare Case ◽  
Chronic Treatment ◽  
Eosinophilic Fasciitis ◽  
Resonance Imaging ◽  
Progressive Muscle Weakness ◽  
Contrast Enhanced

This case report describes a rare case of progressive muscle weakness in a patient treated for eosinophilic fasciitis (EF) for many years before being diagnosed with a second autoimmune disease: dermatomyositis. Our case is a report of a 65-year-old male diagnosed with eosinophilic fasciitis 7 years before being evaluated in our service at Mayo Clinic in Jacksonville, Florida, due to progressive muscle weakness despite the chronic treatment with methotrexate. Contrast-enhanced magnetic resonance imaging of the lower extremity showed enhancement throughout the thigh musculature, which led us to pursue biopsies of the fascia and muscle in order to confirm the diagnosis of EF associated with myopathy. This case illustrates the need to consider the possibility of myopathy in patients diagnosed with EF whenever muscle weakness is more prominent than expected.

scholarly journals The role of magnetic resonance imaging in a patient with rheumatoid arthritis presented with lymphedema-like swelling: a case report

2016 ◽  
Vol 16 (2) ◽  
pp. 54-56
Author(s):  
Karen Ka Man Ng ◽  
Tommy Tsang Cheung ◽  
Chak Sing Lau ◽  
Ho Yin Chung
Keyword(s):  
Rheumatoid Arthritis ◽  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Left Hand ◽  
Magnetic Resonance Imaging Mri

AbstractWe report a 45-year-old lady with rheumatoid arthritis (RA) presented to us with unilateral swelling of the left hand and wrist, mimicking lymphedema. She was arranged to have a magnetic resonance imaging (MRI) of the affected hand and wrist. Lymphedema was successfully ruled out, and severe synovitis and tenosynovitis were found to be the causes of the extensive swelling. The case report aims to illustrate the importance of MRI in diagnosing and differentiating other important pathologies for lymphedema-like swelling in patients with RA.

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