Tetrad of Split Cord Malformation I with Neuroenteric Cyst, Dermoid Cyst, and Thickened Filum Terminale in a 2-Year-Old Child: A Case Report

2021 ◽  
pp. 1-7
Author(s):  
Ajit Mishra ◽  
Mohammed Nadeem ◽  
Andiperumal Raj Prabhuraj ◽  
Paramita Paul ◽  
Dhananjaya Bhat
Keyword(s):  
Differential Diagnosis ◽  
Dermoid Cyst ◽  
Surgical Repair ◽  
Complete Recovery ◽  
Split Cord Malformation ◽  
Congenital Defects ◽  
Filum Terminale ◽  
Case Presentation ◽  
Neuroenteric Cyst

<b><i>Introduction:</i></b> Split cord malformations (SCMs) are developmental anomalies that are associated with a number of congenital defects. However, a combination of SCM I with a neuroenteric cyst (NEC) is extremely rare, and only 11 cases have been described in the literature. To the best of authors’ knowledge, the combination of the above two with dermoid cyst and thickened filum terminale has never been reported in the literature. <b><i>Case Presentation:</i></b> We present a case of the above combination in a 2-year-old child who underwent microsurgical excision of all 4 pathologies and complete recovery. <b><i>Conclusion:</i></b> NEC and dermoid should be considered in the differential diagnosis when imaging reveals cystic pathology along with SCM. Expeditious surgical repair resulted in an outstanding functional outcome at 1-year follow-up.

scholarly journals Anterior orbital leiomyoma originating from the supraorbital neurovascular bundle

2017 ◽  
Vol 5 ◽  
pp. 2050313X1774099
Author(s):  
Selam Yekta Sendul ◽  
Cemile Ucgul Atilgan ◽  
Fevziye Kabukcuoglu ◽  
Semra Tiryaki Demir ◽  
Dilek Guven
Keyword(s):  
Differential Diagnosis ◽  
Dermoid Cyst ◽  
Female Patient ◽  
Excisional Biopsy ◽  
Young Female ◽  
Neurovascular Bundle ◽  
Upper Eyelid ◽  
Case Presentation ◽  
Orbital Tumour

Purpose: To present a young female patient with left anterior orbital leiomyoma that originates from the supraorbital neurovascular bundle. Case presentation: A 41-year-old female patient was admitted to our clinic with a complaint of swelling of the left upper eyelid. Based on the ophthalmological and imaging assessments, the excisional biopsy with the preliminary diagnosis of dermoid cyst was planned. The histopathological and immunohistochemical examinations of excised sample revealed surprisingly that the tumour was a leiomyoma. No recurrence was detected in the patient’s follow-up. Conclusion: Although it is rare, orbital leiomyoma should be considered in the differential diagnosis of patients with orbital tumour.

scholarly journals A symptomatic cyamella in the popliteus tendon causing snapping knee: a case report and literature review

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Shouwen Su ◽  
Yunxiang Lu ◽  
Yuxian Chen ◽  
Zhiyong Li
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Popliteus Tendon ◽  
Case Presentation ◽  
Sesamoid Bones ◽  
Snapping Knee ◽  
Popliteus Muscle

Abstract Background Cyamella,the sesamoid bones of the popliteus muscle, are rare in humans. Snapping knee is an uncommon problem which can be difficult to diagnose. Case presentation In this case, we report a 24-year-old male with snapping knee caused by symptomatic cyamella in the popliteus tendon. A large cyamella was identified upon surgery and was removed. Postoperatively, the patient had immediate relief of preoperative symptoms, and there were no signs of recurrence after 1 years of follow-up. Conclusions Although not previously suggested, symptomatic cyamella in the popliteus tendon should be considered as part of the differential diagnosis of the snapping knee.

Colchicine may Induce Isolated and Reversible Oculomotor Neuropathy

2021 ◽  
Vol 16 ◽  
Author(s):  
Gaetano Gorgone ◽  
Massimiliano Plastino ◽  
Antonio Vaccaro ◽  
Antonietta Fava ◽  
Domenico Bosco
Keyword(s):  
Side Effects ◽  
Neurological Examination ◽  
Complete Recovery ◽  
Cranial Neuropathy ◽  
Cranial Nerve Deficit ◽  
Case Presentation ◽  
Clinical Investigations ◽  
Iatrogenic Origin ◽  
Colchicine Therapy

Background: Colchicine is a medication described by a complex constellation of side effects. Case presentation: We report the case of an 80s- 80-year-old subject, treated with colchicine, who developed a left monolateral ptosis with horizontal diplopia after treatment with oral colchicine. Two months later, he underwent a clinical follow-up and complete recovery of the previous third cranial nerve deficit was reported at neurological examination. A few months later, colchicine therapy was reported with a reappearance of the same ocular deficit. Conclusion: Our report suggests that patients receiving colchicine should be followed prudently and, a possible iatrogenic origin of an isolated ocular cranial neuropathy must be taken into account, especially when other potential etiological entities are excluded by the instrumental and laboratory clinical investigations.

Solitary plasmacytoma of the index finger

2014 ◽  
Vol 67 (9) ◽  
pp. 828-831
Author(s):  
Yahya Daneshbod ◽  
Pooria Ali Nowshadi ◽  
Shahrzad Negahban ◽  
Azita Aledavood ◽  
Mani Ramzi ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Index Finger ◽  
Relevant Literature ◽  
Disease Spread ◽  
Solitary Plasmacytoma ◽  
Regional Lymph Nodes ◽  
Case Presentation ◽  
Distal Extremity ◽  
Systemic Involvement

IntroductionSolitary osseous plasmacytoma rarely involves the distal extremities. We report a case and provide a brief review of the relevant literature.Case presentationWe report a 64-year-old man who presented with swelling, mild pain and a deformed right index finger. The workup led to the diagnosis of solitary osseous plasmacytoma and the patient eventually required amputation of his finger. With clinical follow-up, the disease spread to regional lymph nodes and subsequently the patient developed systemic involvement and received chemotherapy.ConclusionsSolitary osseous plasmacytoma should be considered in the differential diagnosis of distal extremity neoplasms.

scholarly journals Three-Dimensional Computed Tomography Follow-Up on Spontaneous Bone Healing after Excision of Periorbital Dermoid Cyst: A Case Report

2021 ◽  
Vol 17 (3) ◽  
pp. 213-217
Author(s):  
Hannara Park ◽  
Jaemin Seong ◽  
Hyochun Park ◽  
Hyeonjung Yeo
Keyword(s):  
Computed Tomography ◽  
Dermoid Cyst ◽  
Three Dimensional ◽  
Surgical Excision ◽  
Complete Recovery ◽  
Bony Defect ◽  
Palpable Mass ◽  
Nodular Lesions ◽  
The Right

Dermoid cysts are among the most common periorbital and orbital tumors presenting in childhood. Several studies have shown that dermoid cysts may deform adjacent bones; however, few studies have followed the course of bone regeneration after the excision of a cyst. We report a case of a 29-month-old female infant who presented with a palpable mass over her right lateral eyebrow. Ultrasonography findings suggested a dermoid cyst, and computed tomography revealed a 2.1-cm round bony defect in the right zygoma. After surgical excision of the dermoid cyst, we successfully applied fibrin sealant to eliminate the dead space. Pathological findings showed nodular lesions with flat cystic walls containing lamellated keratin and sebaceous glands, supporting the diagnosis of dermoid cyst. At 6 months postoperatively, a follow-up computed tomography scan confirmed complete recovery of the bone defect in the right zygoma.

scholarly journals Osteomyelitis of the mandible with pseudotumoral manifestation

2016 ◽  
Vol 11 (2) ◽  
pp. 200-203
Author(s):  
A. ZAMFIR-CHIRU-ANTON ◽  
◽  
A.E. STANCIU ◽  
D.C. GHEORGHE ◽  
◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Examination ◽  
Correct Diagnosis ◽  
Cellular Infiltration ◽  
Osteolytic Lesions ◽  
Case Presentation ◽  
Infectious Origin ◽  
Uncommon Disease ◽  
Diagnosis Therapy

Osteomyelitis of the mandible is an uncommon disease, sometimes with severe invalidating symptoms. Some cases can present as tumors of the jaw and are possibly seen in ENT practice. Objective. To present the differential diagnosis of mandibular swellings of inflammatory origin. Material, method. Case presentation of a 9y child admitted and biopsied in the ENT department. Results. Histologic examination showed focal areas of osteolytic lesions along with moderate inflammatory cellular infiltration, all within newly formed bone. Under NSAI drugs, the symptoms were alleviated, the patient remaining under close follow-up. Conclusion. Osteomyelitis of the mandible is not always of infectious origin. The clinical examination, the imagistics and biopsy are key elements to correct diagnosis. Therapy is still under evaluation for noninfectious osteomyelitis.

scholarly journals Soft tissue perineurioma involving the kidney: a report of two cases with an emphasis on differential diagnosis

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Tian-shi Ma ◽  
Ling Zhou ◽  
Quan Zhou ◽  
Xiang-lei He ◽  
Ming Zhao
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Low Grade ◽  
Renal Tubules ◽  
Case Presentation ◽  
Targeted Next Generation Sequencing ◽  
Mutation Burden ◽  
Fibromyxoid Sarcoma

Abstract Background Soft tissue perineurioma of the kidney is rare, with only a few reported cases. We report two additional cases with histologic, immunohistochemical and genetic analyses. Case presentation Both tumors were from adults (1 female aged 49 years and 1 male aged 42 years) and grossly had maximum diameters of 6.5 and 10 cm, respectively. The tumors were overall well circumscribed but unencapsulated, with focally entrapped benign native renal tubules in one case; both tumors seemed to arise in the capsular areas. The tumors had histologic and immunohistochemical profiles consistent with soft tissue perineurioma. Fluorescence in situ hybridization analyses demonstrated that the tumors were negative for amplification of MDM2 and rearrangements of ESWR1, FUS, and KMT2A. Targeted next-generation sequencing revealed a low tumor mutation burden and likely pathogenic mutations (CYP2B6 and FLT1 mutations for 1 each). Follow-up data were available for both patients; neither had tumor recurrence or metastasis. Conclusions In conclusion, renal perineurioma is rare, usually arises in the capsular areas, and is cured by resection. Low-grade dedifferentiated liposarcoma and low-grade fibromyxoid sarcoma as well as other spindle cell lesions should be considered in the differential diagnosis.

scholarly journals Ten- Year-Old Female with Dieulafoy Lesion Treated with Therapeutic Endoscopy And Literature Review

2020 ◽  
Author(s):  
Ying Chen ◽  
Mei Sun ◽  
Xu Teng
Keyword(s):  
Differential Diagnosis ◽  
Clinical Manifestations ◽  
Therapeutic Endoscopy ◽  
Abdominal Ct ◽  
Vascular Abnormality ◽  
Case Presentation ◽  
Appropriate Treatment ◽  
Massive Hematemesis ◽  
Dieulafoy Lesion

Abstract Background There are many causes of sudden gastrointestinal bleeding in children, Dieulafoy lesion is very rare. This vascular abnormality can be fatal without appropriate treatment.Case presentation Retrospective analysis of the clinical manifestations, endoscopic features and treatment of a Chinese child with Dieulafoy lesion and review relevant literatures.Result A 10-year-old girl was admitted to hospital with sudden massive hematemesis and melena. Abdominal CT revealed suspected submucosal bleeding in the stomach. Finally the disease was diagnosed due to the typical manifestations with endoscopy. Meanwhile, we used electrocoagulation and hemoclips to hemostasis under endoscopy. No recurrence of hematemesis identified during the 4-weeks follow-up.Conclusion Dieulafoy lesion in children is rare cause of sudden gastrointestinal hemorrhage. But differential diagnosis cannot ignore it. Endoscope is the optimize choice for diagnosis and treatment.

scholarly journals An Unusual Dermoid Cyst of the Pineal Region. Case report in a Child

2020 ◽  
Author(s):  
Mohammad Jamali ◽  
Iman Ahrari ◽  
Arash Saffarrian ◽  
Keyvan Eghbal ◽  
Abbas Rakhsha ◽  
...  
Keyword(s):  
Dermoid Cyst ◽  
Pineal Region ◽  
Endoscopic Biopsy ◽  
Radical Excision ◽  
Case Presentation ◽  
Common Location ◽  
Adjacent Structures ◽  
Magnetic Resonance Imaging Mri ◽  
The Brain

Abstract Introduction The pineal gland is a common location for intracranial germ cells, but dermoids are not commonly observed in this area. In the present paper, we discuss the clinical and radiological features as well as the treatment and outcome of this cyst in a 6-year- old child with a pineal dermoid cyst. Case Presentation The patient presented with chronic headache 6 months before admission in 2018. On the first admission, an enhanced lesion with a small cyst was detected in brain imaging. Magnetic resonance imaging (MRI) of the brain at follow-up (2 months after the first presentation) showed enlargement of the cyst size with compression on the adjacent structures. Radical excision of the tumor was performed after the endoscopic biopsy due to pressure exerted on the adjacent structures. Conclusion Dermoid cyst should be considered as a differential diagnosis for enhanced lesions of the pineal region.

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