scholarly journals Magnetic resonance imaging finding of empty sella in obesity related idiopathic intracranial hypertension is associated with enlarged sella turcica

2013 ◽  
Vol 55 (8) ◽  
pp. 955-961 ◽  
Author(s):  
Sudarshan Ranganathan ◽  
Sang H. Lee ◽  
Adam Checkver ◽  
Evelyn Sklar ◽  
Byron L. Lam ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Imaging Finding ◽  
Magnetic Resonance Imaging Finding ◽  
Sella Turcica ◽  
Empty Sella ◽  
Resonance Imaging

scholarly journals Empty Sella and Unilateral Sixth Nerve Palsy in a Pediatric Patient with Idiopathic Intracranial Hypertension

2021 ◽  
Vol 20 (4) ◽  
pp. 169-176
Author(s):  
Shin Hyeong Park ◽  
Woo Hyuk Lee ◽  
Tae Seen Kang ◽  
Hyun Kyung Cho ◽  
Yong Seop Han ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Nerve Palsy ◽  
Fluid Pressure ◽  
Brain Magnetic Resonance Imaging ◽  
Empty Sella ◽  
Resonance Imaging ◽  
The Right

Purpose: We report the case of a child with idiopathic intracranial hypertension who presented with binocular papillary edema and monocular sixth cranial nerve palsy accompanied by empty sella syndrome evident on brain magnetic resonance imaging.Case summary: A 9-year-old, normal-weight male patient visited the emergency room complaining of headache and diplopia 4 days in duration. The alternative prism cover test revealed esotropia of 16 prism diopters and a -1 right lateral gaze limitation. A fundus examination revealed papilledema and peripapillary hemorrhages in both eyes, and a visual field examination an enlarged, physiological blind spot in the right eye. Brain magnetic resonance imaging revealed elevated cerebrospinal fluid pressure, an empty sella, and posterior scleral flattening. We diagnosed and treated idiopathic intracranial hypertension. After 4 months, the papilledema and peripapillary hemorrhages of both eyes resolved, and the right lateral gaze limitation improved. The empty sella improved on brain magnetic resonance imaging, and we noted no recurrence 8 months after treatment.Conclusions: If a child with suspected idiopathic intracranial hypertension visits a hospital, but it is difficult to perform a lumbar puncture, brain magnetic resonance imaging should be scheduled. If abnormalities are found, these help to determine the course of disease.

Magnetic Resonance Imaging Changes in Idiopathic Intracranial Hypertension in Children

2009 ◽  
Vol 25 (3) ◽  
pp. 294-299 ◽  
Author(s):  
Ming Jin Lim ◽  
Kuberan Pushparajah ◽  
Wajanat Jan ◽  
David Calver ◽  
Jean-Pierre Lin
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Intracranial Hypertension ◽  
Idiopathic Intracranial Hypertension ◽  
Resonance Imaging ◽  
Hypertension In Children

scholarly journals Breast imaging in patients with nipple discharge

2017 ◽  
Vol 50 (6) ◽  
pp. 383-388 ◽  
Author(s):  
Ivie Braga de Paula ◽  
Adriene Moraes Campos
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Breast Imaging ◽  
Ductal Carcinoma ◽  
Imaging Finding ◽  
Magnetic Resonance Imaging Finding ◽  
Nipple Discharge ◽  
Common Symptom ◽  
Resonance Imaging ◽  
Risk Of Malignancy

Abstract Nipple discharge is a common symptom in clinical practice, representing the third leading breast complaint, after pain and lumps. It is usually limited and has a benign etiology. The risk of malignancy is higher when the discharge is uniductal, unilateral, spontaneous, persistent, bloody, or serous, as well as when it is accompanied by a breast mass. The most common causes of pathologic nipple discharge are papilloma and ductal ectasia. However, there is a 5% risk of malignancy, mainly ductal carcinoma in situ. The clinical examination is an essential part of the patient evaluation, allowing benign nipple discharge to be distinguished from suspicious nipple discharge, which calls for imaging. Mammography and ultrasound should be used together as first-line imaging methods. However, mammography has low sensitivity in cases of nipple discharge, because, typically, the lesions are small, are retroareolar, and contain no calcifications. Because the reported sensitivity and specificity of ultrasound, it is important to use the correct technique to search for intraductal lesions in the retroareolar region. Recent studies recommend the use of magnetic resonance imaging in cases of suspicious nipple discharge in which the mammography and ultrasound findings are normal. The most common magnetic resonance imaging finding is non-mass enhancement. Surgery is no longer the only solution for patients with suspicious nipple discharge, because short-time follow-up can be safely proposed.

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