Cavernoma of the lateral ventricule presenting as speech arrests

AbstractCavernous malformations (CM) are formed by dilated thin-walled vascular channels without intervening parenchyma and intraventricular lesions are rare. We report a case of an intraventricular cavernoma in a 54-year old female patient. She presented with speech arrests daily for 10 months. Neurological examination revealed no deficits. The brain MRI study revealed an intraventricular lesion at the level of the left atrium, heterogeneously hyperintense on both T1 and T2-weighted images. It was performed an interhemispheric transcallosal approach with gross-total resection of the lesion. The histological examination was compatible with the diagnosis of cavernous haemangioma. In the postoperative period the patient presented with transient right hemiparesis with recovery in two weeks. We briefly review the literature concerning intraventricular cavernomas.

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Rathke's cleft cyst and partial feet adactyly: an unusual association

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2007000600027 ◽

2007 ◽

Vol 65 (4a) ◽

pp. 1040-1042 ◽

Cited By ~ 1

Author(s):

Jackson A. Gondim ◽

Michele Schops ◽

João Paulo Cavalcante ◽

Erica Gomes

Keyword(s):

Neurological Examination ◽

Brain Mri ◽

Visual Disturbance ◽

Endoscopic Approach ◽

Rathke’S Cleft Cyst ◽

Rathke's Cleft Cyst ◽

Unusual Association ◽

Transnasal Endoscopic Approach ◽

Rathke's Cleft ◽

The Brain

A 53 year-old woman presented a recurrent bifrontal headache of 2 years duration and bilateral progressive visual disturbance. The clinical and neurological examination showed a bilateral feet adactyly and bitemporal hemianopsia. The brain MRI demonstrated a Rathke's cleft cyst. The patient was operated by a transnasal endoscopic approach. It seems that this unusual association has never been described before.

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Evaluation of brain iron content in Egyptian Patients with Sickle cell disease and its impact on Neurocognitive functions

QJM ◽

10.1093/qjmed/hcab113.026 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Mohsen Saleh Elalfy ◽

Fatma Soliman Elsayed Ebeid ◽

Mohammed Ahmed Samir Ibrahim ◽

Hanaa Midhat Abdel Gader Hussein

Keyword(s):

Iron Overload ◽

Brain Mri ◽

Healthy Controls ◽

Brain Iron ◽

Cell Disease ◽

Neurocognitive Functions ◽

The Difference ◽

Mri Study ◽

The Brain ◽

Age And Sex

Abstract Background Sickle cell disease (SCD) is considered the most prevalent monogenic diseases worldwide. Iron overload is one of the major complications in those patients, especially who in need for frequent transfusion, affecting many organs including the brain. MRI is a valuable, reliable and non-invasive method for quantifying iron concentration in many organs as the liver and heart and it is now used for monitoring of the chelation therapy in SCD patients. Several studies began reporting differences in global cognitive function, particularly for children with SCD, they are at a high risk for neurocognitive impairment they often scored lower on general IQ measures than healthy children which is due to iron overload in brain tissue from the chronic transfusions which can lead to strokes and may be a silent stroke. Objective The current study assessed brain iron content (using R2* values) in the caudate and thalamic regions through quantitative brain MRI study in SCD patients in comparison to age and sex-matched healthy controls. Methods A case-control study recruited 32 patients with SCD and 11 healthy controls. Brain MRI study using multi-echo fast gradient echo sequence was done for all the patients and controls. Brain R2* values of both caudate and thalamic regions (right and left sides) were calculated for only 15 SCD patients and the 11 controls. All recruited SCD patients and controls were examined for the neurocognitive functions by these tests: Wechsler IV Intelligence Scale for Adult shows (Verbal, Perceptual, Memory, Processing and Total IQ), their all normal values between 90 – 110. Benton Visual Retention Test have cut of point at (> 4 or = 4). Those values are the same for the difference between the obtained correct and the expected correct, and the difference between the obtained error and expected error. Results The fifteen patient with SCD who underwent brain MRI were age and sex matched with the eleven healthy control (15 SCD patients: mean-age: 16.93 ± 3.41 years, 40.6% females and 11healthy controls: mean age: 18.73 ± 4.84 years, 54.5% females) were enrolled in the study. As regards the brain MRI, there was no statistically significant differences between SCD and control group in all regions of interests (p > 0.05). Our study showed that 72.7% of our SCD patients had under threshold TIQ scores. Also18% of the patients showed moderate anxiety, 9% mild anxiety and 9% showed severe anxiety. Conclusion The results of our study showed that even in cases of iron overload which affects vital organs as the liver, cardiac and brain iron overload don't occur.

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Intramedullary Cavernous Malformation of the Spinal Cord in Two Dogs

Veterinary Pathology ◽

10.1354/vp.44-4-528 ◽

2007 ◽

Vol 44 (4) ◽

pp. 528-532 ◽

Cited By ~ 6

Author(s):

E. MacKillop ◽

N. J. Olby ◽

K. E. Linder ◽

T. T. Brown

Keyword(s):

Spinal Cord ◽

Cavernous Malformation ◽

Postmortem Examination ◽

Spinal Cord Lesion ◽

Intraparenchymal Hemorrhage ◽

Intramedullary Spinal Cord ◽

Cavernous Malformations ◽

Vascular Channels ◽

Thin Walled ◽

Cord Lesion

Intramedullary cavernous malformations (CVMs) of the spinal cord were diagnosed in 2 adult dogs that presented for paraparesis. An intramedullary spinal cord lesion was identified on a myelogram in the first dog, and expansion of the vertebral canal was evident on radiographs in the second. Extensive intraparenchymal hemorrhage was found on gross postmortem examination in both dogs, and a distinct lobulated intramedullary mass was evident in the second dog. Microscopically, both lesions were composed of dilated, thin-walled vascular channels with little-to-no intervening neural parenchyma. Both dogs had evidence of channel thrombosis along with perilesional hemorrhage and hemosiderin accumulation. The second dog had additional degenerative changes, including thickened fibrous channel walls with hyalinization, foci of mineralization, and occasional tongues of entrapped gliotic neuropil. CVMs appear to be an uncommon cause of both acute and chronic spinal cord disease in the dog.

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Vasoactive mid-regional pro-adrenomedullin is associated with cognitive decline accompa-nying deep white matter lesions in the brain: A longitudinal brain MRI study

Journal of the Neurological Sciences ◽

10.1016/j.jns.2017.08.940 ◽

2017 ◽

Vol 381 ◽

pp. 331

Author(s):

N. Kuriyama ◽

M. Ihara ◽

T. Koyama ◽

T. Mizuno ◽

E. Ozaki ◽

...

Keyword(s):

White Matter ◽

Cognitive Decline ◽

Brain Mri ◽

White Matter Lesions ◽

Deep White Matter ◽

Mri Study ◽

The Brain

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MRI Brain Documentation

Austin Journal of Radiology ◽

10.26420/austinjradiol.2021.1124 ◽

2021 ◽

Vol 8 (2) ◽

Author(s):

Alahmari A ◽

Keyword(s):

Brain Mri ◽

Normal Brain ◽

Neurological Abnormality ◽

Mri Scan ◽

Medical File ◽

Mri Brain ◽

Picture Archiving ◽

Neurological Event ◽

Mri Study ◽

The Brain

In many clinical cases, a patient may come to the hospital with a neurological abnormality. This patient happen to have a normal brain MRI study that is recorded on the Picture Archiving and Communicating system (PACs) of that hospital. The previous normal study will help in identifying any pathology take place in the future easily. What if all the patients did have a previous studies for the brain as some kind of documentation? It will help a lot. The aim of this paper is to propose a new idea that required for all the citizens in a country to have a normal brain MRI study recorded on their medical file and this MRI study updated every five years by undertaking an MRI scan. The usefulness of this idea can be imply in different ways. For example; when a patient affected by any type of neurological issue, we have a morphological documentation for the brain prior to that neurological event took a place. As well, this is will provide a database for researchers to find pre and post neurological event documentation. Furthermore, it will help in detecting and documenting senile atrophic changes over the time. Sometime patients will have a “silent stroke” which has no symptoms which can be detected by the brain MRI scan.

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Content-Based Estimation of Brain MRI Tilt in Three Orthogonal Directions

Journal of Digital Imaging ◽

10.1007/s10278-020-00400-7 ◽

2021 ◽

Author(s):

Pooja Prabhu ◽

A. K. Karunakar ◽

Sanjib Sinha ◽

N. Mariyappa ◽

G. K. Bhargava ◽

...

Keyword(s):

Large Scale ◽

Brain Mri ◽

Similarity Measures ◽

Principal Component ◽

Brain Anatomy ◽

Morphological Operations ◽

Mr Images ◽

Tilt Correction ◽

Brain Mr Images ◽

The Brain

AbstractIn a general scenario, the brain images acquired from magnetic resonance imaging (MRI) may experience tilt, distorting brain MR images. The tilt experienced by the brain MR images may result in misalignment during image registration for medical applications. Manually correcting (or estimating) the tilt on a large scale is time-consuming, expensive, and needs brain anatomy expertise. Thus, there is a need for an automatic way of performing tilt correction in three orthogonal directions (X, Y, Z). The proposed work aims to correct the tilt automatically by measuring the pitch angle, yaw angle, and roll angle in X-axis, Z-axis, and Y-axis, respectively. For correction of the tilt around the Z-axis (pointing to the superior direction), image processing techniques, principal component analysis, and similarity measures are used. Also, for correction of the tilt around the X-axis (pointing to the right direction), morphological operations, and tilt correction around the Y-axis (pointing to the anterior direction), orthogonal regression is used. The proposed approach was applied to adjust the tilt observed in the T1- and T2-weighted MR images. The simulation study with the proposed algorithm yielded an error of 0.40 ± 0.09°, and it outperformed the other existing studies. The tilt angle (in degrees) obtained is ranged from 6.2 ± 3.94, 2.35 ± 2.61, and 5 ± 4.36 in X-, Z-, and Y-directions, respectively, by using the proposed algorithm. The proposed work corrects the tilt more accurately and robustly when compared with existing studies.

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Innumerable cerebral microbleeds in hepatitis B virus-related decompensated liver cirrhosis: a case report

BMC Neurology ◽

10.1186/s12883-021-02291-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Chi Hyuk Oh ◽

Jin San Lee

Keyword(s):

Liver Cirrhosis ◽

Hepatic Encephalopathy ◽

Hepatitis B Virus ◽

Hepatitis B ◽

Brain Mri ◽

Cerebral Microbleeds ◽

Amyloid Angiopathy ◽

Decompensated Liver Cirrhosis ◽

B Virus ◽

The Brain

Abstract Background Cerebral microbleeds (CMBs) are small, rounded, dark-signal lesions on brain MRI that represent cerebral hemosiderin deposits resulting from prior microhemorrhages and are neuroimaging biomarkers of cerebral amyloid angiopathy (CAA). Here, we report a case of innumerable CMBs in a patient with hepatic encephalopathy underlying decompensated liver cirrhosis. Case presentation An 83-year-old woman diagnosed with hepatitis B virus-related liver cirrhosis 40 years before was referred to our neurology clinic for progressive disorientation of time and place, personality changes, and confusion with somnolence over 2 weeks. Based on the laboratory, neuroimaging, and electrophysiological findings, we diagnosed the patient with hepatic encephalopathy, and her symptoms recovered within 12 h after proper medical management. Brain MRI showed innumerable CMBs in the bilateral frontal, parietal, temporal, and occipital lobes. Since the distribution of CMBs in the patient was mainly corticosubcortical and predominantly in the posterior cortical regions, and the apolipoprotein E genotype was ε4/ε4, we speculated that CAA and hepatic encephalopathy coexisted in this patient. Conclusions We suggest that severe liver dysfunction associated with long-term decompensated liver cirrhosis may be related to an increased number of CMBs in the brain. Our findings indicate that decompensated liver cirrhosis may be a risk factor for the development of CMBs and corroborate a link between the liver and the brain.

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Pure Motor Stroke Secondary to Cerebral Infarction of Recurrent Artery of Heubner after Mild Head Trauma: A Case Report

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2016.013 ◽

2016 ◽

Vol 4 (1) ◽

pp. 139-141

Author(s):

Ali Yilmaz ◽

Zahir Kizilay ◽

Ayca Ozkul ◽

Bayram Çirak

Keyword(s):

Ischemic Stroke ◽

Head Trauma ◽

Distal Part ◽

Brain Mri ◽

Artery Occlusion ◽

Acute Ischemia ◽

Post Traumatic ◽

The Brain ◽

Perforating Arteries ◽

Pure Motor

BACKGROUND: The recurrent Heubner's artery is the distal part of the medial striate artery. Occlusion of the recurrent artery of Heubner, classically contralateral hemiparesis with fasciobrachiocrural predominance, is attributed to the occlusion of the recurrent artery of Heubner and is widely known as a stroke syndrome in adults. However, isolated occlusion of the deep perforating arteries following mild head trauma also occurs extremely rarely in childhood.CASE REPORT: Here we report the case of an 11-year-old boy with pure motor stroke. The brain MRI showed an acute ischemia in the recurrent artery of Heubner supply area following mild head trauma. His fasciobrachial hemiparesis and dysarthria were thought to be secondary to the stretching of deep perforating arteries leading to occlusion of the recurrent artery of Heubner.CONCLUSION: Post-traumatic pure motor ischemic stroke can be secondary to stretching of the deep perforating arteries especially in childhood.

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