scholarly journals 06. MALIGNANT SUBDURAL EFFUSION FROM DURAL METASTASES: A CASE REPORT AND REVIEW OF AVAILABLE LITERATURE

2020 ◽  
Vol 2 (Supplement_2) ◽  
pp. ii1-ii1
Author(s):  
Juan Silvestre Pascual ◽  
John Emmanuel Torio ◽  
Gerardo Legaspi
Keyword(s):  
Subdural Hematoma ◽  
Clinical Presentation ◽  
Primary Site ◽  
High Recurrence Rate ◽  
Subdural Effusion ◽  
Imaging Findings ◽  
Clinical Presentations ◽  
Dural Metastases ◽  
Dural Metastasis ◽  
Similar Imaging

Abstract Dural metastases from a distant primary site is a relatively uncommon entity. Two complications from this that have similar imaging findings and clinical presentation are subdural hematoma and subdural effusion. Multiple cases of subdural hematoma have been reported, but only eight other cases of subdural effusion have been reported in the literature. Here we present a case of subdural effusion as a complication from dural metastasis from a sigmoid adenocarcinoma in a 43 year old female. We also review the available literature, discussing the possible patho-etiologies, clinical presentations and imaging findings, as well as outcomes. We note the high recurrence rate (seen in 66% of all reported cases, including ours) and poor prognosis (days to months) of these cases.

scholarly journals Caroticocavernous Fistulae: Clinical Presentation, Imaging, and Endovascular Treatment

2019 ◽  
Vol 03 (03) ◽  
pp. 171-179
Author(s):  
Pushpinder S. Khera ◽  
Pawan K. Garg ◽  
Sarbesh Tiwari ◽  
Binit Sureka ◽  
Taruna Yadav ◽  
...  
Keyword(s):  
High Pressure ◽  
Clinical Presentation ◽  
Imaging Findings ◽  
Endovascular Management ◽  
Common Cause ◽  
Interventional Radiologist ◽  
Clinical Presentations ◽  
Pictorial Essay ◽  
Two Wheeler

AbstractCaroticocavernous fistulas (CCFs) occur due to an abnormal communication between the high-pressure carotid artery system and the relatively lower pressure cavernous sinus system. They present with dramatic clinical presentations comprising among other things a swollen red eye with associated loss of vision to a varying degree. Blunt trauma sustained to the head, especially by two-wheeler riders, is the most common cause of the direct CCF and hence a practicing interventional radiologist in a developing country is very likely to encounter this entity in clinical practice. The authors intend to present a pictorial essay of the clinical presentations, imaging findings, endovascular management, and clinical follow-up for CCFs.

scholarly journals Dural Metastasis Mimicking Meningioma: An Interesting Case

2009 ◽  
Vol 52 (1) ◽  
pp. 19-22 ◽  
Author(s):  
Hamzaini Abdul Hamid ◽  
Kwah Yew Gee ◽  
Rohaizak Muhammad ◽  
Zurin Adnan Abd Rahman ◽  
Srijit Das
Keyword(s):  
Thyroid Carcinoma ◽  
Follicular Thyroid Carcinoma ◽  
Interesting Case ◽  
Primary Site ◽  
Rare Entity ◽  
Preoperative Ct ◽  
Typical Appearance ◽  
Dural Metastases ◽  
Dural Metastasis ◽  
Ct And Mri

Dural metastasis is a rare entity in clinical practice. We report a case of dural metastasis secondary to thyroid carcinoma, which on both preoperative CT and MRI and at surgery had the typical appearance of a meningioma. Histopathological findings confirmed metastatic follicular thyroid carcinoma as a primary site. Although rare, dural metastases can mimic a meningioma. Our experience in this case has led us to consider metastasis as a differential diagnosis even when a meningioma is suspected. We believe that reporting of the case of dural metastasis mimicking a meningioma may help clinicians in future.

Currarino Syndrome in a Fetus, Infant, Child, and Adolescent: Spectrum of Clinical Presentations and Imaging Findings

2017 ◽  
Vol 68 (1) ◽  
pp. 90-95 ◽  
Author(s):  
Pablo Caro-Domínguez ◽  
Juan Bass ◽  
Julie Hurteau-Miller
Keyword(s):  
Clinical Presentation ◽  
Clinical History ◽  
Imaging Findings ◽  
Presacral Mass ◽  
Surgical Interventions ◽  
Currarino Syndrome ◽  
Pictorial Review ◽  
Clinical Presentations ◽  
The Subject ◽  
Tract Infections

In 1981, Currarino et al described a triad of findings that consist of partial sacral dysgenesis, presacral mass (anterior meningocele, enteric cyst, or presacral teratoma) and anorectal malformation. Currarino syndrome exhibits variable expressivity and the clinical presentation tends to vary with the age of the subject such as spinal anomaly detected in the fetus, imperforate anus in the newborn, and intractable constipation or neurologic symptoms in the infant and older child. At any age, meningitis can be the presenting symptom and imaging is required for proper investigation. Meningitis, sepsis, urinary tract infections, and, rarely, malignant transformation of a teratoma are serious potential complications. This pictorial review describes the imaging findings, clinical history, surgical interventions, and genetic background in 5 children with this syndrome who presented in our hospital in the interval of 1 year.

Bartonella osteomyelitis versus vertebral sarcoidosis: A tale of two cases

2020 ◽  
pp. 197140092097843
Author(s):  
Neetu Soni ◽  
Sarika Gupta ◽  
Ravishankar Pillenahalli Maheshwarappa ◽  
Sarv Priya ◽  
Girish Bathla
Keyword(s):  
Clinical Presentation ◽  
Bartonella Henselae ◽  
Granulomatous Inflammation ◽  
The Other ◽  
Imaging Findings ◽  
Vertebral Involvement ◽  
Bony Involvement ◽  
Similar Imaging

Background Osteomyelitis is an uncommon manifestation of Bartonella henselae. Similarly, bony involvement may occur with sarcoidosis. Even though these are pathologically distinct entities, they can have overlapping imaging manifestations and therefore mimic one another. This is further complicated by the fact that both entities show non-caseating granulomatous inflammation on histopathology. We present two cases with similar imaging findings, with one case eventually diagnosed as Bartonella osteomyelitis, while the other proved to be vertebral sarcoidosis. Both patients exhibited vertebral involvement in common, and improved clinically and radiographically following antibiotics and steroids treatment, respectively. Given the overlapping pathological and imaging manifestations, and the non-specific clinical presentation, these entities may be considered in the differential consideration of each other. The presence of associated findings in such cases may be helpful.

1001 Intra-Articular Distal Radius Fracture Surgical Intervention Threshold Origins and Development

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
G Esworthy ◽  
N Johnson ◽  
J Dias ◽  
P Divall
Keyword(s):  
Distal Radius ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Threshold Value ◽  
British Society ◽  
Relevant Today ◽  
Clinical Presentations ◽  
Post Traumatic ◽  
Current Guidance ◽  
Traumatic Arthritis

Abstract Background Treatment of intra-articular distal radius fractures is guided by the displacement of the articular fragments. Symptomatic post-traumatic arthritis is expected to occur if step displacement is > 2mm; this value is often used as an indication for surgery if closed reduction is not possible. Method A systematic review was performed to establish the origin and adaptations of the threshold, with papers screened and relevant citations reviewed. Orthopaedic textbooks were reviewed to ensure no earlier mention of the threshold was present. Results Knirk and Jupiter, 1986, are the first to quantify a threshold, with all their patients developing arthritis with >2mm displacement. Some papers have discussed using 1mm, although 2mm is most widely reported. Current guidance from the British Society for Surgery of the Hand supports 2mm. Although this paper is still widely cited, the authors published a re-examination of the data showing methodological flaws which is not as widely reported. They claim their conclusions are still relevant today; however, the radiological arthritis does not correlate with the clinical presentation. Conclusions Knirk and Jupiter originated the threshold value of 2mm. The lack of correlation between the radiological and clinical presentations warrants further investigation. The principle of treatment remains restoration of normal anatomical position.

scholarly journals Case series on variable presentations of tuberculosis of the breast

2020 ◽  
Vol 13 (12) ◽  
pp. e236019
Author(s):  
Tharun Ganapathy Chitrambalam ◽  
Jeyakumar Sundaraj ◽  
Pradeep Joshua Christopher ◽  
Ramyasree Paladugu
Keyword(s):  
Clinical Presentation ◽  
Case Series ◽  
Common Type ◽  
Breast Abscess ◽  
Breast Lump ◽  
Clinical Presentations ◽  
Malignant Lesions

Tuberculosis (TB) of the breast is extremely rare and is often mistaken for benign or malignant lesions of the breast. They are rare even in countries which are endemic for TB, like India. The most common type of clinical presentation is a vague lump in the breast, but there are even other types of presentations which are documented. In olden days, there was a lot of dilemma and challenge in diagnosing TB of the breast, but thanks to improved pathological knowledge and the advent of investigations such as QuantiFERON-TB gold and GeneXpert, TB can be diagnosed early nowadays and treated accordingly. In this study series, we report 10 cases of TB of the breast with variable clinical presentations as fibroadenosis, breast abscess, duct ectasia and breast lump on evaluation, and the challenges encountered in establishing the diagnosis.

Compression neuropathies of the forearm: anatomy, clinical features and management

2021 ◽  
pp. 1-10
Author(s):  
Alexander Scarborough ◽  
Robert J MacFarlane ◽  
Michail Klontzas ◽  
Rui Zhou ◽  
Mohammad Waseem
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Upper Limb ◽  
Peripheral Nerves ◽  
Clinical Presentation ◽  
Permanent Damage ◽  
Peripheral Nerve Lesions ◽  
Clinical Presentations ◽  
Wide Range ◽  
Prompt Diagnosis

The upper limb consists of four major parts: a girdle formed by the clavicle and scapula, the arm, the forearm and the hand. Peripheral nerve lesions of the upper limb are divided into lesions of the brachial plexus or the nerves arising from it. Lesions of the nerves arising from the brachial plexus are further divided into upper (proximal) or lower (distal) lesions based on their location. Peripheral nerves in the forearm can be compressed in various locations and by a wide range of pathologies. A thorough understanding of the anatomy and clinical presentations of these compression neuropathies can lead to prompt diagnosis and management, preventing possible permanent damage. This article discusses the aetiology, anatomy, clinical presentation and surgical management of compressive neuropathies of the upper limb.

Spontaneous acute bleeding within subdural effusion from dural metastasis of gastric cancer: A case report

Neurocirugía ◽  
2021 ◽  
Author(s):  
Alejandro Augusto Ortega Rodriguez ◽  
Carlos Miguel Cohn Reinoso ◽  
Gemma Mateu Esquerda ◽  
Jordi de Manuel-Rimbau Muñoz
Keyword(s):  
Gastric Cancer ◽  
Case Report ◽  
Subdural Effusion ◽  
Acute Bleeding ◽  
Dural Metastasis

scholarly journals Initial clinical presentation of children with acute and chronic versus acute subdural hemorrhage resulting from abusive head trauma

2015 ◽  
Vol 16 (2) ◽  
pp. 177-185 ◽  
Author(s):  
Kenneth W. Feldman ◽  
Naomi F. Sugar ◽  
Samuel R. Browd
Keyword(s):  
Head Trauma ◽  
Clinical Presentation ◽  
Abusive Head Trauma ◽  
Group Differences ◽  
Similar Proportion ◽  
Subdural Hemorrhage ◽  
Retinal Hemorrhages ◽  
Clinical Presentations ◽  
Scale Scores ◽  
Multicenter Retrospective Review

OBJECT At presentation, children who have experienced abusive head trauma (AHT) often have subdural hemorrhage (SDH) that is acute, chronic, or both. Controversy exists whether the acute SDH associated with chronic SDH results from trauma or from spontaneous rebleeding. The authors compared the clinical presentations of children with AHT and acute SDH with those having acute and chronic SDH (acute/chronic SDH). METHODS The study was a multicenter retrospective review of children who had experienced AHT during 2004–2009. The authors compared the clinical and radiological characteristics of children with acute SDH to those of children with acute/chronic SDH. RESULTS The study included 383 children with AHT and either acute SDH (n = 291) or acute/chronic SDH (n = 92). The children with acute/chronic SDH were younger, had higher initial Glasgow Coma Scale scores, fewer deaths, fewer skull fractures, less parenchymal brain injury, and fewer acute noncranial fractures than did children with acute SDH. No between-group differences were found for the proportion with retinal hemorrhages, healing noncranial fractures, or acute abusive bruises. A similar proportion (approximately 80%) of children with acute/chronic SDH and with acute SDH had retinal hemorrhages or acute or healing extracranial injures. Of children with acute/chronic SDH, 20% were neurologically asymptomatic at presentation; almost half of these children were seen for macrocephaly, and for all of them, the acute SDH was completely within the area of the chronic SDH. CONCLUSIONS Overall, the presenting clinical and radiological characteristics of children with acute SDH and acute/chronic SDH caused by AHT did not differ, suggesting that repeated abuse, rather than spontaneous rebleeding, is the etiology of most acute SDH in children with chronic SDH. However, more severe neurological symptoms were more common among children with acute SDH. Children with acute/chronic SDH and asymptomatic macrocephaly have unique risks and distinct radiological and clinical characteristics.

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