Metastasis of an Occult Gastric Carcinoma Suggesting Growth of a Prolactinoma during Bromocriptine Therapy: A Case Report with a Review of the Literature

Neurosurgery ◽  
1985 ◽  
Vol 16 (6) ◽  
pp. 813-817 ◽  
Author(s):  
Arnoud P. van Seters ◽  
Gerard T.A.M. Bots ◽  
Hans van Dulken ◽  
Willem Luyendijk ◽  
Jan G. Vielvoye
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Gastric Carcinoma ◽  
Hematogenous Metastasis ◽  
Plasma Prolactin ◽  
Review Of The Literature ◽  
Pituitary Mass ◽  
Suprasellar Tumor ◽  
Progressive Growth ◽  
Invasive Prolactinoma

Abstract The treatment of a slowly growing invasive prolactinoma with bromocriptine for 8 months resulted in a substantial decrease in plasma prolactin levels despite rapid suprasellar tumor expansion. On exploration, this uncommon observation could be attributed to hematogenous metastasis from an occult gastric adenocarcinoma to the pituitary tumor. Apart from infiltration of neighboring parts of the hypothalamus, autopsy revealed no other hematogenous metastases. This extraordinary type of neoplasm-to-neoplasm metastasis was not shown by computed tomography. This possibility should be considered whenever progressive growth of a pituitary mass is accompanied by a decrease in hormonal overproduction.

scholarly journals Unusual presentation of moyamoya disease with popliteal involvement: case report and review of the literature

2021 ◽  
Vol 20 ◽  
Author(s):  
Mustafa Etli ◽  
Oguz Karahan
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Moyamoya Disease ◽  
Doppler Sonography ◽  
Anticoagulant Treatment ◽  
Review Of The Literature ◽  
Peripheral Vascular ◽  
Bilateral Carotid Occlusion ◽  
Bilateral Carotid ◽  
Cerebrovascular System

Abstract Moyamoya disease is a rare disorder that involves the cerebrovascular system. Usually, it leads to occlusion of the arteries of the cerebral system and causes cerebral circulatory complaints. A 48-year-old female patient was admitted to our clinic with intermittent claudication in both legs. Biphasic and monophasic waveform patterns were detected bilaterally in distal (trifurcation arteries) lower extremities with Doppler sonography. The patient therefore underwent systemic vascular examination. Computed tomography angiography revealed bilateral carotid occlusion at the level of supraclinoid segments, and opacifications were detected at the distal segments of the bilateral anterior cerebellar and middle cerebellar arteries. The patient was diagnosed with moyamoya disease, and anticoagulant treatment was started. In conclusion, most previous reports have presented the cerebrovascular involvement of moyamoya disease. However, this disease can involve different peripheral vascular systems and careful and systemic vascular examination is necessary for an exact diagnosis.

Aplasia of the Epiglottis: A Rare Congenital Anomaly

1998 ◽  
Vol 77 (1) ◽  
pp. 51-55 ◽  
Author(s):  
Jose A. Bonilla ◽  
Michael P. Pizzuto ◽  
Linda S. Brodsky
Keyword(s):  
Heart Failure ◽  
Computed Tomography ◽  
Congenital Anomaly ◽  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Clinical Course ◽  
Embryological Development ◽  
Review Of The Literature ◽  
Rare Congenital Anomaly ◽  
Obstructive Sleep

Aplasia of the epiglottis is a rare laryngeal anomaly. We present a case of absence of the epiglottis in a child whose clinical course has been followed for nine years. She required a tracheostomy at two years of age for obstructive sleep apnea which resulted in heart failure; she was eventually decannulated at age seven. This case report highlights the clinical challenges faced in the identification and treatment of the sequelae of this defect. Both endoscopic and computed tomography (CT) documentation are provided. Embryological development and a review of the literature are also discussed.

scholarly journals A Giant Solitary Solid Hemangioblastoma: A Case Report and Review of The Literature

2017 ◽  
Vol 14 (2) ◽  
pp. 47-50
Author(s):  
Rajeev Bhandari ◽  
Gopal R Sharma ◽  
Prakash Bista ◽  
Rajiv Jha ◽  
Rajendra Shrestha ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Case Report ◽  
Vascular Tumor ◽  
Posterior Cranial Fossa ◽  
Magnetic Resonance Imaging Scan ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Cranial Fossa ◽  
Resonance Imaging Scan

We present a case of solitary vascular tumor on posterior cranial fossa in a 15-year-old female who had a complaint of headache on/off for six months with associated dizziness, nausea, vomiting and vertigo. Well circumscribed solid vascular mass was localized on posterior fossa by computed tomography along with magnetic resonance imaging scan. Furthermore, the diagnosis was confirmed by surgical findings and histological examinations.Nepal Journal of Neuroscience, Vol. 14, No. 2,  2017 Page: 47-50 

scholarly journals Bilateral Chronic Subdural Hematoma in the Posterior Fossa Treated with a Burr Hole Irrigation: A Case Report and Review of the Literature

2019 ◽  
Vol 11 (1) ◽  
pp. 87-93
Author(s):  
Takuro Inoue ◽  
Hisao Hirai ◽  
Ayako Shima ◽  
Fumio Suzuki ◽  
Masayuki Matsuda
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Posterior Fossa ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Burr Hole ◽  
Ventricular Drainage ◽  
Review Of The Literature ◽  
Bilateral Chronic Subdural Hematoma ◽  
Radiological Examinations

Chronic subdural hematoma (CSH) in the posterior fossa is extremely rare. The surgical strategy is still controversial. We report a case of bilateral CSH in the posterior fossa successfully treated with a single-burr hole surgery. A 74-year-old man under anticoagulation and antiplatelet therapy developed headache and nausea during observation for an asymptomatic supratentorial CSH. Radiological examinations revealed appearance of bilateral CSH in the posterior fossa associated with hydrocephalus. Upon rapid deterioration of the patient’s consciousness, an urgent treatment was required. A burr hole was made near the transverse-sigmoid junction on the left side to access the hematoma. No ventricular drainage was placed as his consciousness improved during the decompression of the hematoma. Postoperative computed tomography showed that bilateral CSH and hydrocephalus had been successfully treated. In bilateral CSH in the posterior fossa, there may be a connection between each side. CSH in the posterior fossa, when urgent, can be treated under local anesthesia with a unilateral burr hole irrigation.

scholarly journals Giant Primary Retroperitoneal Teratoma in an Adult: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Poonam Mathur ◽  
Miguel A. Lopez-Viego ◽  
Myron Howell
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Retroperitoneal Tumor ◽  
Review Of The Literature ◽  
Management Options ◽  
Retroperitoneal Teratoma ◽  
Embryonic Tissues ◽  
Primary Retroperitoneal

Teratomas are bizarre neoplasms derived from embryonic tissues that are typically found only in the gonadal and sacrococcygeal regions of adults. Retroperitoneal teratomas are rare and present challenging management options. We report here the case of a histologically unusual retroperitoneal tumor detected on computed tomography during the workup of abdominal pain in a 32-year-old male. The evaluation and treatment of this condition and a review of the literature are included in this paper.

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