Head Injury: A Rare Cause of Bilateral Internuclear Ophthalmoplegia

2018 ◽  
Vol 15 (02/03) ◽  
pp. 070-073
Author(s):  
Srikant Kumar Swain ◽  
Sureswar Mohanty ◽  
Adya Kinkar Panda
Keyword(s):  
Magnetic Resonance Imaging ◽  
Head Injury ◽  
Magnetic Resonance ◽  
Conservative Treatment ◽  
Rare Case ◽  
Clinical Presentation ◽  
Internuclear Ophthalmoplegia ◽  
Resonance Imaging ◽  
Magnetic Resonance Imaging Mri

AbstractRare case of bilateral internuclear ophthalmoplegia (INO) following head injury in 25-year-old male is being reported. The site of the lesion in the mid-brain as detected in the magnetic resonance imaging (MRI) correlates well with the clinical presentation. The patient recovered on conservative treatment with a course of dexamethasone (for brainstem contusion).

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 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.

Clinical Management of Medial Patellar Plica Syndrome: Mini Review from Diagnosis to Treatment

2020 ◽  
Vol 16 (1) ◽  
pp. 9-11
Author(s):  
Hassan Zmerly ◽  
Ibrahim Akkawi ◽  
Roberto Citarella ◽  
Marwan E. Ghoch
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Clinical Presentation ◽  
Joint Line ◽  
The Other ◽  
Resonance Imaging ◽  
Plica Syndrome ◽  
Synovial Plicae ◽  
Magnetic Resonance Imaging Mri ◽  
Secondary Causes

: Synovial plicae are thickenings of the synovial knee membrane; they are very frequent and often asymptomatic. However, they can become symptomatic due to idiopathic or secondary causes, like trauma and inflammation of the synovial tissue. Currently, synovial plicae are classified as infrapatellar, mediopatellar and suprapatellar. The prevalence of the mediopatellar plica over the other forms of plicae varies between 18% and 60%. The most reported symptom of the mediopatellar plica is pain located medial to the patella above the joint line. Magnetic Resonance Imaging (MRI) is the most useful examination to highlight the presence of the plica, its measurement and exact location. The treatment is initially conservative, i.e. medical treatment and physiotherapy, however when these fail, the plica should be removed surgically via arthroscopy. : In the current paper, we aim to report our clinical experience in the management of medial patellar plica syndrome by describing the clinical presentation and diagnosis of this condition as well as its treatment.

scholarly journals Rare Case of Wernicke Encephalopathy with Initial Negative Diffusion-Weighted Imaging

2021 ◽  
Vol 18 (4) ◽  
pp. 72-74
Author(s):  
Halil Onder ◽  
Serdar Kirmizi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Diffusion Weighted Imaging ◽  
Rare Case ◽  
Resonance Imaging ◽  
Wernicke Encephalopathy ◽  
Future Studies ◽  
Cranial Mri ◽  
Magnetic Resonance Imaging Mri ◽  
Mri Characteristics

In this report, we present a rare patient with Wernicke encephalopathy (WE) in whom the initial magnetic resonance imaging (MRI) was normal. However, cranial MRI, performed two weeks later, showed lesions compatible with WE. Via the presentation of this patient, we discuss the need for future studies of larger cases including the temporal evaluation of the MRI characteristics of Wernicke encephalopathy.

scholarly journals Magnetic ressonance imaging in the diagnosis of Creutzfeldt-Jakob disease: report of two cases

2015 ◽  
Vol 9 (4) ◽  
pp. 424-427
Author(s):  
Alan Peres Valente ◽  
Paula da Cunha Pinho ◽  
Leandro Tavares Lucato
Keyword(s):  
Magnetic Resonance Imaging ◽  
Basal Ganglia ◽  
Magnetic Resonance ◽  
Clinical Presentation ◽  
Rare Condition ◽  
Resonance Imaging ◽  
Progressive Dementia ◽  
Jakob Disease ◽  
Magnetic Resonance Imaging Mri ◽  
Aids Diagnosis

ABSTRACT Creutzfeldt-Jacob disease (CJD) is a rare condition caused by a pathogenic prion protein that evolves with rapidly progressive dementia and death. The clinical presentation may sometimes be misleading. Magnetic Resonance Imaging (MRI) aids diagnosis with patterns that can guide or confirm clinical hypotheses. Two cases of rapidly progressive dementia with ataxia, myoclonus and restricted diffusion on MRI in cortical/basal ganglia are presented to draw attention to CJD.

scholarly journals A Rare Case of Oropharyngeal Teratoma Diagnosed Antenatally with MRI

2014 ◽  
Vol 4 ◽  
pp. 15 ◽  
Author(s):  
Murali Mohan Manchali ◽  
Chandrahasa Sharabu ◽  
Meher Latha ◽  
Leela Kumar
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Early Diagnosis ◽  
Rare Case ◽  
Antenatal Diagnosis ◽  
Resonance Imaging ◽  
Life Threatening ◽  
Magnetic Resonance Imaging Mri ◽  
Plan Management

Oropharyngeal teratomas are extremely rare congenital tumors and have an incidence rate of one in 35,000-200,000 newborn babies/neonates. Oropharyngeal teratomas may cause life threatening airway obstruction to a newborn. Early diagnosis with ultrasound and magnetic resonance imaging (MRI) is essential to plan management. Here, we present a rare case of oropharyngeal true teratoma diagnosed with MRI antenatally in a fetus at 34 weeks of gestation in a 25-year-old female who was being evaluated for polyhydraminos. We found MRI to be more helpful for antenatal diagnosis, counseling, and management than ultrasonography and computed tomography (CT).

Reevaluating Magnetic Resonance Imaging in Radiographically Suspected Osteomyelitis of the Toe

2018 ◽  
Vol 108 (6) ◽  
pp. 472-477
Author(s):  
Nicholas Ciotola ◽  
William D. Spielfogel
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Clinical Presentation ◽  
Imaging Modality ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Additional Information ◽  
Operative Planning ◽  
Magnetic Resonance Imaging Mri ◽  
Record Review

Background: Magnetic resonance imaging (MRI) is both sensitive and specific in the diagnosis of osteomyelitis, and it is an important imaging modality in preoperative planning of resection of infected bone. In many cases, however, the extent of osseous infection is evident on plain radiographs, and little additional information is gained from the MRI. The goal of this study was to assess the accuracy of radiographs against MRIs in assessing the spread of suspected osteomyelitis from one phalanx to another or to a metatarsal. Methods: A medical record review was performed, and 14 patients with 16 toes confirmed to have osteomyelitis involving one or more phalanges were included in the study. An investigator blinded to the MRI findings interpreted the extent of osseous involvement based solely on the radiographic and clinical presentation. The accuracy of the radiographic interpretation was then calculated against the MRI findings. Results: In 14 of the 16 toes (87.5%), whether osteomyelitis had spread from one bone to another was determined based on the radiographic and clinical presentation. In one toe, the radiograph did not adequately depict osteomyelitis in adjacent infected bone. In one more toe, the radiograph depicted features of osteomyelitis in uninfected bone. Conclusions: In a large percentage of patients, the phalanges affected by osteomyelitis had visible findings on the radiograph, and operative planning could have been based on the radiograph alone.

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