scholarly journals Rete Middle Cerebral Artery Anomaly Presenting with a Large Intracerebral Hemorrhage: A Case Report

2021 ◽  
Author(s):  
Chandra Dev Sahu ◽  
Nishant Bhargava ◽  
Debabrata Sahana ◽  
Sanjeev Kumar
Keyword(s):  
Case Report ◽  
High Risk ◽  
Intracerebral Hemorrhage ◽  
Middle Cerebral Artery ◽  
Single Channel ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Haemorrhagic Stroke ◽  
Unilateral Involvement ◽  
Is Failure

AbstractRete MCA anomaly is extremely rare and has been seldomly discussed in literature. Embryologically MCA develops by fusion of multiple twigs which form a single channel. If there is failure to fuse a plexiform network of vessels persists known as rete MCA. This web like network of vessels is at high risk of haemorrhagic stroke and therefore for patients presenting incidentally correct diagnosis is paramount. Here we report a case of rete MCA anomaly in a 35-year-old gentle man who presented with a large haemorrhagic stroke in emergency. DSA showed unilateral involvement of proximal MCA, and otherwise normal intra-cranial vasculature. With this report we aim to correctly diagnose this rare condition and avoid misdiagnosis leading to unnecessary treatments.

Rectovaginal extragastrointestinal stromal tumour (EGIST): an additional entity to be considered in the differential diagnosis of tumours of the rectovaginal septum

2021 ◽  
Vol 14 (3) ◽  
pp. e237669
Author(s):  
Susan Addley ◽  
Moiad Alazzam ◽  
Catherine Johnson ◽  
Hooman Soleymani majd
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
High Risk ◽  
Kinase Inhibitor ◽  
Correct Diagnosis ◽  
Rectovaginal Septum ◽  
Gastrointestinal Stromal Tumours ◽  
Diagnostic Challenge ◽  
High Quality ◽  
Primary Surgery

Gastrointestinal stromal tumours (GISTs) are rare - and rectovaginal extragastrointestinal stromal tumours (RV-EGISTs) even rarer. We share a case of RV-EGIST, complemented by high-quality radiological and surgical images. A review of current literature pertaining to RV-EGIST is also included. Our case report highlights the diagnostic challenge presented by extragastrointestinal stromal tumours. Differentiated from overlapping pathologies only by targeted application of immunohistopathology and cytogenetics, the inclusion of RV-EGIST in the differential diagnosis of a rectovaginal tumour is essential to making this correct diagnosis. Primary surgery is the treatment of choice for RV-EGIST if complete cytoreduction can be achieved, combined with adjuvant tyrosine kinase inhibitor (TKI) therapy for those with high-risk features to further reduce rates of future recurrence.

Middle cerebral artery dissecting aneurysm causing intracerebral hemorrhage 4 years after the non-hemorrhagic onset: a case report

2002 ◽  
Vol 57 (5) ◽  
pp. 346-349 ◽  
Author(s):  
Mitsuo Isono ◽  
Tatsuya Abe ◽  
Makoto Goda ◽  
Keisuke Ishii ◽  
Hidenori Kobayashi
Keyword(s):  
Case Report ◽  
Intracerebral Hemorrhage ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Dissecting Aneurysm

scholarly journals Ekbom Syndrome associated with Lewy Body Dementia: A case report

2020 ◽  
Vol 14 (1) ◽  
pp. 83-87
Author(s):  
Felippe José Pontes de Mendonça ◽  
Ivan Abdalla Teixeira ◽  
Valeska Marinho
Keyword(s):  
Case Report ◽  
Lewy Body ◽  
Psychiatric Symptoms ◽  
Neuropsychiatric Symptoms ◽  
Correct Diagnosis ◽  
Lewy Body Dementia ◽  
Rare Condition ◽  
Adequate Treatment ◽  
Thought Disorders ◽  
Ekbom Syndrome

ABSTRACT Ekbom Syndrome, also known as parasitosis delusion or psychogenic parasitosis, is a rare condition in which patients present with a fixed belief of being infested by parasites, vermin or small insects, along with tactile hallucinations (such as pruritus or sensations of the parasites crawling over or under the skin). The syndrome may occur idiopathically or be associated with other medical conditions and drug use. This case report describes the occurrence of Ekbom syndrome in a patient diagnosed with Lewy Body Dementia (LBD), a neurodegenerative disease that commonly presents with sensory perception and thought disorders and other neuropsychiatric symptoms. Although visual hallucination is considered a core diagnostic criterion, other modalities of psychiatric symptoms can also occur posing a further challenge for correct diagnosis. Proper recognition allows early diagnosis and adequate treatment, preventing hazardous antipsychotic use in these patients.

scholarly journals Laparoscopic approach to the treatment of inflammatory myofibroblastic tumor of the spleen, case report and literature review

2020 ◽  
Vol 1 (2) ◽  
pp. 143-148
Author(s):  
Nikola Grubor ◽  
Dragan Erić ◽  
Ivana Pavlović ◽  
Goran Tasić ◽  
Slavko Matić
Keyword(s):  
Case Report ◽  
Correct Diagnosis ◽  
Laparoscopic Approach ◽  
Rare Condition ◽  
Individual Case ◽  
Postoperative Recovery ◽  
Benign Tumors ◽  
Laboratory Findings ◽  
Invasive Approach ◽  
Preoperative Diagnostic

Introduction: Benign tumors of the spleen are a rare condition. Their pathogenesis and clinical presentation represent a diagnostic and surgical challenge in the sense of establishing the correct diagnosis and selecting the appropriate surgical approach. Case report: In our paper, we are presenting a 45-year-old female patient who was initially tested and examined because of nonspecific complaints manifesting as occasional pain in the left upper quadrant of the abdomen. The values of the laboratory findings were within the reference range and preoperative radiological diagnostics indicated the existence of a mass in the spleen which had the features of a tumor. Based on the preoperative diagnostic finding we decided to perform laparoscopic splenectomy. Postoperative recovery was without adverse events, and the patient has prescribed the necessary vaccination and antibiotic prophylaxis. Conclusion: Myofibroblastic tumor of the spleen represents, as far as its origin is concerned, a mystery, with its very limited and nonspecific presentation of symptoms, which is why each individual case must be approached seriously. Laparoscopy has a very important role in the treatment of this disease, bearing in mind all the advantages of a minimally invasive approach over open surgery.

scholarly journals Chronic idiopathic intestinal pseudo-obstruction treated with jejunostomy: case report and literature review

2007 ◽  
Vol 125 (6) ◽  
pp. 356-358 ◽  
Author(s):  
Carlos Renato dos Reis Lemos ◽  
Pedro Popoutchi ◽  
Rogério Serafim Parra ◽  
Omar Féres ◽  
José Joaquim Ribeiro da Rocha
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Intestinal Obstruction ◽  
Clinical Improvement ◽  
Surgical Procedure ◽  
Laboratory Tests ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Mechanical Factors ◽  
Intestinal Pseudo Obstruction

CONTEXT: Chronic idiopathic intestinal pseudo-obstruction is a very rare condition. CASE REPORT: This study describes a male patient who had presented obstructive symptoms for 24 years. He had been treated clinically and had undergone two previous operations in different services, with no clinical improvement or correct diagnosis. He was diagnosed with intestinal obstruction without mechanical factors in our service and underwent jejunostomy, which had a significant decompressive effect. The patient was able to gain weight and presented improvements in laboratory tests. Jejunostomy is a relatively simple surgical procedure that is considered palliative but, in this case, it was resolutive.

scholarly journals Intracerebral Hemorrhage after Superficial Temporal Artery-Middle Cerebral Artery Bypass : A Case Report

2000 ◽  
Vol 9 (1) ◽  
pp. 16-19
Author(s):  
Masahiro Kawanishi ◽  
Hiroshi Kajikawa ◽  
Kunio Yamamura ◽  
Akira Sugie ◽  
Eiichi Nomura ◽  
...  
Keyword(s):  
Case Report ◽  
Intracerebral Hemorrhage ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Artery Bypass ◽  
Superficial Temporal Artery ◽  
Temporal Artery

scholarly journals Extensive dentigerous cyst associated with a maxillary mesiodens in a 55-year-old male – case report and literature review

2019 ◽  
Vol 65 (2) ◽  
Author(s):  
Aleksandra Rubinkiewicz ◽  
Maciej Sikora ◽  
Marcin Sielski ◽  
Agata Stąpor ◽  
Dariusz Chlubek
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Imaging Techniques ◽  
Dentigerous Cyst ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Cone Beam ◽  
Supernumerary Teeth ◽  
Tissue Reconstruction ◽  
Therapeutic Measures

Supernumerary teeth as mesiodentes in adults are a rare condition. Given that mesiodentes often interfere with the eruption of normal permanent incisors, the majority are diagnosed in teenagers. In some cases, this pathology is associated with the presence of a dentigerous cyst. Imaging techniques play a significant role in the diagnosis of cysts, particularly cone beam computed tomography (CBCT). Once the correct diagnosis is established, appropriate therapeutic measures – usually surgical – should be initiated promptly. The case presented here is that of a 55-year-old male with an extensive dentigerous cyst arising from a maxillary mesiodens. The decision was made to perform enucleation of the cyst along with the mesiodens inside it. The procedure was performed under general anesthesia. No complications were observed in the postoperative period. The histopathology report confirmed a dentigerous cyst. Radiograph images obtained 10 months postsurgery showed spontaneous bone tissue reconstruction.

Chylopericardial Tamponade Masquerading as Hemopericardium An Uncommon Complication of Cardiac Surgery

2011 ◽  
Vol 6 (2) ◽  
pp. 129-132
Author(s):  
Imad F. Tabry ◽  
Aristide Zacharoudis ◽  
Eugene M. Constantini
Keyword(s):  
Cardiac Surgery ◽  
Case Report ◽  
Chemical Analysis ◽  
Heart Surgery ◽  
Jugular Vein ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Central Line ◽  
Lymphatic Duct ◽  
Uncommon Complication

Chylopericardial tamponade occurs very rarely after heart surgery. It may be the result of lymphatic duct interruption during mammary artery harvest, division of a large thymic remnant, or thrombosis of the subclavian or internal jugular vein by an indwelling central line. Although relatively straightforward when the pericardial aspirate has the usual milky appearance, the correct diagnosis can easily be overlooked particularly early after surgery when the patient is still fasting. We present a case report that illustrates the importance of sending all aspirates for chemical analysis irrespective of their color to arrive at the correct diagnosis and institute the appropriate medical management of this rare condition.

scholarly journals A Rare Case of Pediatric Cortical Aneurysm Rupture in an Eight-Year-Old Boy

2021 ◽  
Author(s):  
Anooja Abdul Salam ◽  
Imogen Ibbett ◽  
Nova Thani
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Intracerebral Hemorrhage ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Rare Case ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Pediatric Population ◽  
Rare Condition ◽  
Aneurysm Rupture ◽  
Acute Intracerebral Hemorrhage

AbstractAneurysmal subarachnoid hemorrhage in the pediatric population is an extremely rare condition. We present an acute intracerebral hemorrhage in an 8-year-old boy, secondary to a ruptured middle cerebral artery cortical branch (M4 segment) aneurysm. There have been very few cases of cortical aneurysm reported in adults and we did not identify any pediatric cases in the literature to date.

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