scholarly journals Post-traumatic pseudolipoma of the forehead

2007 ◽  
Vol 15 (3) ◽  
pp. 173-174 ◽  
Author(s):  
David Horovitz ◽  
Damir B Matic
Keyword(s):  
Subcutaneous Tissue ◽  
Clinical Findings ◽  
Frontal Bone ◽  
Forceps Delivery ◽  
Resonance Imaging ◽  
Frontalis Muscle ◽  
Rare Finding ◽  
History Of ◽  
Post Traumatic ◽  
Fibrofatty Tissue

A forehead lipoma is a rare finding in a child, and one that penetrates the underlying layers of muscle and bone to attach to dura has not previously been reported. Two such cases, both in children who underwent uneventful deliveries aided by forceps, are presented. Both lesions were present at birth and, based on clinical findings, were originally thought to be dermoid cysts. Dermoid cysts could not be ruled out with computed tomography and magnetic resonance imaging. Histopathology identified fibrofatty tissue consistent with lipoma. Both lesions extended from the subcutaneous tissue through the frontalis muscle and frontal bone to the dura. Given these findings and the history of forceps delivery, the most likely diagnosis is posttraumatic pseudolipoma. This lesion should be considered in the differential diagnosis of congenital lesions of the forehead, particularly if there is a history of forceps delivery or other trauma to the area.

scholarly journals A Giant Hydatid Cyst at Right Frontoparietal Region: A Rare Case Report

2015 ◽  
Vol 31 (2) ◽  
pp. 116-120
Author(s):  
Haradhan Deb Nath ◽  
Kanak Kanti Barua ◽  
Mohammad Shahnawaz Bari ◽  
Ahmedul Mursalin ◽  
Md Masum Ali
Keyword(s):  
Hydatid Cyst ◽  
Rare Case ◽  
Clinical Findings ◽  
Parasitic Disease ◽  
Limb Weakness ◽  
Rare Finding ◽  
Rare Case Report ◽  
History Of ◽  
The Central Nervous System ◽  
Intracranial Hydatid Cyst

Background: Hydatid cyst is a parasitic disease which can affect the central nervous system. Objective: The purpose of the study is to reveal the clinical findings and the effect of giant the intracranial hydatid cyst at frontoparietal region, which is a rare finding. Results: A patients with right frontoparietal hydatid cyst was admitted in our hospital with history of headache, seizure and left upper limb weakness. We operated the patient and postoperatively developed hydrocephalous and pseudocyst at the site of operation. Cystoperitoneal shunt was done. The patient was medically treated by albendazole. The patient cured postoperatively. Conclusion: Patients with intracranial hydatid cyst can be treated surgically and with albendazole. Bangladesh Journal of Neuroscience 2015; Vol. 31 (2): 116-120

Synovial Osteochondromatosis Involvement in Post-traumatic Ankle Injury

2008 ◽  
Vol 98 (1) ◽  
pp. 70-74 ◽  
Author(s):  
Daniel K. Lee ◽  
Louis Louk ◽  
Bryan L. Bell
Keyword(s):  
Traumatic Event ◽  
Synovial Chondromatosis ◽  
Ankle Injury ◽  
Resonance Imaging ◽  
Tibiotalar Joint ◽  
Synovial Osteochondromatosis ◽  
Unusual Condition ◽  
History Of ◽  
Post Traumatic ◽  
Synovial Tissues

Ankle involvement by synovial chondromatosis is unusual. It is unknown whether a post-traumatic event to the ankle induces the formation and development of these lesions. Synovial osteochondromatosis associated with post-traumatic ankle events are rare but suggest trauma to the synovial tissues as being causative, although this has never been statistically confirmed owing to the lack of reports and frequency. We report a case of primary synovial osteochondromatosis involving the tibiotalar joint with painful symptoms after a history of ankle injury, including magnetic resonance imaging findings of this unusual condition. (J Am Podiatr Med Assoc 98(1): 70–74, 2008)

scholarly journals Reticulitis traumática y linfadenitis granulomatosa como posibles etiologías del síndrome de indigestión vagal en un bovino adulto

2019 ◽  
Vol 5 ◽  
Author(s):  
Rodrigo González López ◽  
Arturo Federico Olguin Y Bernal ◽  
Mario Adán Bedolla de Alba ◽  
Rocío Angélica Ruiz Romero
Keyword(s):  
Lymph Nodes ◽  
Bovine Tuberculosis ◽  
Subcutaneous Tissue ◽  
Main Bronchus ◽  
Giant Cells ◽  
Clinical Findings ◽  
Abdominal Distention ◽  
Digestive Disorder ◽  
Holstein Friesian ◽  
History Of

Descripción del caso. Bovino hembra, raza Holstein Friesian de cinco años y seis meses de edad, los antecedentes de la enfermedad se relacionaron con las lesiones encontradas en la necropsia, con la patogenia y con la manifestación clínica de alteración digestiva. Hallazgos clínicos e interpretación. Bovino con historia de timpanismo gaseoso crónico recurrente. A esta vaca se le alojaba en un establo con antecedentes de tuberculosis bovina. En la anamnesis, el encargado del establo refirió que la vaca amaneció muerta. En la necropsia, los hallazgos macroscópicos relevantes fueron: abdomen distendido, tejido subcutáneo de la región ventral de la glándula mamaria y miembros pélvicos distendidos por edema, corazón con forma redondeada y aspecto mucinoso de la grasa coronaria, mucosa de la tráquea y bronquios principales con múltiples equimosis y sufusiones, pulmones congestionados y distendidos por edema, rumen distendido por gas y vasos sanguíneos de la serosa congestionados, superficie diafragmática del retículo con una masa de tejido fibroso y, en su interior, un cuerpo extraño metálico (alambre); hígado aumentado de tamaño y parénquima con aspecto de “nuez moscada”; linfonodos retrofaríngeo derecho y mediastínicos aumentados de tamaño y de consistencia firme, y su parénquima mostró algunos focos con material de aspecto caseoso. Tratamiento y evolución. Se administraba periódicamente tratamiento a base de estimulantes ruminales por vía oral sin respuesta favorable. Pruebas de laboratorio. En el examen histopatológico se revisaron cuatro secciones de linfonodo mediastínico, teñidas con hematoxilina-eosina con extensas zonas de necrosis caseosa, observándose una coloración rosa fuerte al centro indicando depósitos de calcio; se observaron también áreas multifocales con abundantes células gigantes tipo Langhans, células epitelioides; la tinción de Ziehl-Neelsen demostró la presencia de bacilos ácido alcohol resistentes. Relevancia clínica. El síndrome de indigestión vagal (SIV) es una afección en el nervio vago de origen multifactorial de curso crónico, que afecta la motilidad del aparato gastrointestinal. Las principales causas primarias del SIV en el ganado bovino son reticulitis traumática, tuberculosis y linfosarcoma. La importancia del SIV se debe a la alteración en la motilidad gástrica, lo que desencadena una distensión notable de la fosa paralumbar izquierda, que puede ser intermitente o continua, pero que tiende a ser progresiva. Se puede encontrar actividad excesiva del rumen (hipermotilidad), hipomotilidad o atonía completa.Traumatic reticulitis and granulomatous lymphadenitis as possible etiologies of vagal indigestion syndrome in an adult bovine Abstract Case description. A Holstein Friesian cow, five years and six months, located in a dairy unit with history of bovine tuberculosis cases, showed clinical manifestation of a digestive disorder and a history of recurrent chronic gaseous bloat, the animal was found dead, the disease background was related with the injuries found during the necropsy. Clinical findings and interpretation. The most relevant macroscopic findings at necropsy included abdominal distention, edema of the subcutaneous tissue of the mammary gland's ventral region and pelvic limbs were found, round-shaped heart and coronary fat showed mucinous aspect, the mucous membrane of the trachea and main bronchus with multiple ecchymosis and suffusions, the lungs were congested and distended by edema, rumen was distended due to gas and blood vessels of the serous membrane were congested, the surface of the diaphragmatic portion of the reticulum presented a mass of fibrinous tissue and the presence of a foreign metallic body (wire), the liver was enlarged and showed typical nutmeg appearance, retropharyngeal and mediastinal lymph nodes were enlarged and parenchyma showed central caseous materialTreatment and evolution. The bovine received oral rumen stimulants periodically, without favorable response. Laboratory tests. Histological sections from lymph nodes were stained with hematoxylin eosin and Ziehl-Neelsen stain, necrotic areas showed calcium deposits and multifocal areas with Langhans-type giant cells along with epithelioid cells and the presence of acid alcohol resistant bacilli. Clinical relevance. Vagal indigestion syndrome (VIS), is a chronic affection of the vagus nerve with multifactorial etiology that causes motility disorders of the gastrointestinal system. The main primary causes of VIS in cattle, are traumatic reticulitis, tuberculosis and limphosarcoma. The VIS importance is that due to gastric motilty defects, an evident abdominal distention of the left paralumbar fossa has shown, which may be intermittent or continous, but tends to be progressive. An excessive rumen activity (hypermotility) can be found, (hypomotility) or complete atony.Keywords: vagal indigestion syndrome (VIS), traumatic reticulitis, bovine tuberculosis, gaseous bloat.

scholarly journals Post-traumatic Sacral Epidermoid Cyst Masquerading as Chordoma on Imaging: A Case Report

2020 ◽  
Vol 58 (223) ◽  
pp. 192-194
Author(s):  
Subash Phuyal ◽  
Anuj Prabhakar ◽  
Parthiban Bala ◽  
Sailesh Gaikwad
Keyword(s):  
Epidermoid Cyst ◽  
Spinal Dysraphism ◽  
Trauma Surgery ◽  
Resonance Imaging ◽  
Tissue Component ◽  
Diffusion Weighted Images ◽  
Lower Back ◽  
Left Lower Limb ◽  
History Of ◽  
Post Traumatic

Intradural spinal epidermoid cysts are rare, benign lesions either acquired from trauma, surgery, lumbar puncture or arise as congenital lesions, particularly associated with spinal dysraphism. Epidermoid cyst arising from the spine with expansile destruction of vertebrae has not been reported yet in the literature. We report a case of 36-years male presented with history of fall 8 years back with progressive symptoms of lower back pain, weakness of left lower limb and bladder/bowel incontinence. Computed tomography revealed large lytic expansile, midline sacral vertebral lesion with soft tissue component and multiple calcific foci. Magnetic resonance imaging demonstrated large non-enhancing heterogeneous mass showing restricted diffusion on diffusion weighted images. The patient underwent biopsy confirming the diagnosis of an epidermoid cyst. The possibility of an epidermoid tumor should be kept in the differential diagnosis in patients presenting with post-traumatic sacral mass.

scholarly journals Inhalant-Abuse Myocarditis Diagnosed by Cardiac Magnetic Resonance

2016 ◽  
Vol 43 (3) ◽  
pp. 246-248 ◽  
Author(s):  
William Dinsfriend ◽  
Krishnasree Rao ◽  
Susan Matulevicius
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cardiac Magnetic Resonance ◽  
Drug Abuse ◽  
Magnetic Resonance ◽  
Cardiac Magnetic Resonance Imaging ◽  
Clinical Medicine ◽  
Clinical Findings ◽  
Resonance Imaging ◽  
Inhalant Abuse ◽  
History Of

Multiple reports of toxic myocarditis from inhalant abuse have been reported. We now report the case of a 23-year-old man found to have toxic myocarditis from inhalation of a hydrocarbon. The diagnosis was made by means of cardiac magnetic resonance imaging with delayed enhancement. The use of cardiac magnetic resonance to diagnose myocarditis has become increasingly common in clinical medicine, although there is not a universally accepted criterion for diagnosis. We appear to be the first to document a case of toxic myocarditis diagnosed by cardiac magnetic resonance. In patients with a history of drug abuse who present with clinical findings that suggest myocarditis or pericarditis, cardiac magnetic resonance can be considered to support the diagnosis.

Magnetic Resonance Imaging of Pseudo-impingement of Rotator Cuff with Strength Training

2019 ◽  
Vol 1 ◽  
pp. 2-6
Author(s):  
Asad Naqvi ◽  
Timothy Ariyanayagam ◽  
Mir Akber Ali ◽  
Akhila Rachakonda ◽  
Hema N. Choudur
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Rotator Cuff ◽  
Strength Training ◽  
Radiology Department ◽  
Resonance Imaging ◽  
Subacromial Space ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Training Exercises

Objective: The objective of this study was to outline a novel unique concept of secondary impingement of the muscles, myotendons, and tendons of the rotator cuff from hypertrophy as a result of strength training exercises. Methods: In this retrospective observational study, 58 patients were referred for an magnetic resonance imaging (MRI) by the orthopedic surgeon to the radiology department over a period of 1½ years. All patients gave a history of strength training exercises and presented with clinical features of rotator cuff impingement. Results: We identified features of hypertrophy of rotator cuff muscles, myotendons, and tendons in 12 of these 58 patients. This was the only abnormality on MRI. The hypertrophy of rotator cuff muscles and tendon bulk completely filling the subacromial space to the point of overfilling and resulting in secondary compressive features. Conclusion: Rotator cuff impingement is a common phenomenon that can occur with various inlet and outlet pathological conditions. However, rotator cuff impingement may also result from muscle and tendon hypertrophy from strength training regimens. Hypertrophy of the rotator cuff can result in overfilling of the subacromial space, leading to secondary impingement, which we have termed as “pseudo-impingement.”

Computed Tomography and Magnetic Resonance Imaging-aided Diagnosis of Primary Essential Cutis Verticis Gyrata: A Case Report with 5-year Follow-up and Review of the Literature

2019 ◽  
Vol 15 (9) ◽  
pp. 906-910
Author(s):  
Hongzhang Zhu ◽  
Shi-Ting Feng ◽  
Xingqi Zhang ◽  
Zunfu Ke ◽  
Ruixi Zeng ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Three Dimensional ◽  
Stable Condition ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Cutis Verticis Gyrata ◽  
Essential Form ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

Background: Cutis Verticis Gyrata (CVG) is a rare skin disease caused by overgrowth of the scalp, presenting as cerebriform folds and wrinkles. CVG can be classified into two forms: primary (essential and non-essential) and secondary. The primary non-essential form is often associated with neurological and ophthalmological abnormalities, while the primary essential form occurs without associated comorbidities. Discussion: We report on a rare case of primary essential CVG with a 4-year history of normal-colored scalp skin mass in the parietal-occipital region without symptom in a 34-year-old male patient, retrospectively summarizing his pathological and Computer Tomography (CT) and magnetic resonance imaging (MRI) findings. The major clinical observations on the CT and MR sectional images include a thickened dermis and excessive growth of the scalp, forming the characteristic scalp folds. With the help of CT and MRI Three-dimensional (3D) reconstruction techniques, the characteristic skin changes could be displayed intuitively, providing more evidence for a diagnosis of CVG. At the 5-year followup, there were no obvious changes in the lesion. Conclusion: Based on our observations, we propose that not all patients with primary essential CVG need surgical intervention, and continuous clinical observation should be an appropriate therapy for those in stable condition.

scholarly journals Genetic Analysis of a Cohort of 275 Patients with Hyper-IgE Syndromes and/or Chronic Mucocutaneous Candidiasis

2021 ◽  
Author(s):  
Natalie Frede ◽  
Jessica Rojas-Restrepo ◽  
Andrés Caballero Garcia de Oteyza ◽  
Mary Buchta ◽  
Katrin Hübscher ◽  
...  
Keyword(s):  
Screening Method ◽  
Cost Effective ◽  
Illumina Miseq ◽  
Clinical Findings ◽  
Genetic Defects ◽  
Chronic Mucocutaneous Candidiasis ◽  
Mucocutaneous Candidiasis ◽  
Serious Infections ◽  
History Of ◽  
Panel Sequencing

AbstractHyper-IgE syndromes and chronic mucocutaneous candidiasis constitute rare primary immunodeficiency syndromes with an overlapping clinical phenotype. In recent years, a growing number of underlying genetic defects have been identified. To characterize the underlying genetic defects in a large international cohort of 275 patients, of whom 211 had been clinically diagnosed with hyper-IgE syndrome and 64 with chronic mucocutaneous candidiasis, targeted panel sequencing was performed, relying on Agilent HaloPlex and Illumina MiSeq technologies. The targeted panel sequencing approach allowed us to identify 87 (32 novel and 55 previously described) mutations in 78 patients, which generated a diagnostic success rate of 28.4%. Specifically, mutations in DOCK8 (26 patients), STAT3 (21), STAT1 (15), CARD9 (6), AIRE (3), IL17RA (2), SPINK5 (3), ZNF341 (2), CARMIL2/RLTPR (1), IL12RB1 (1), and WAS (1) have been detected. The most common clinical findings in this cohort were elevated IgE (81.5%), eczema (71.7%), and eosinophilia (62.9%). Regarding infections, 54.7% of patients had a history of radiologically proven pneumonia, and 28.3% have had other serious infections. History of fungal infection was noted in 53% of cases and skin abscesses in 52.9%. Skeletal or dental abnormalities were observed in 46.2% of patients with a characteristic face being the most commonly reported feature (23.1%), followed by retained primary teeth in 18.9% of patients. Targeted panel sequencing provides a cost-effective first-line genetic screening method which allows for the identification of mutations also in patients with atypical clinical presentations and should be routinely implemented in referral centers.

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