Case Study of a Rare Incidence of a Leiomyosarcoma Mass Occluding the Distal Femoral Vein

2021 ◽  
pp. 875647932110440
Author(s):  
Tammy Perkins ◽  
Kelly McDonald ◽  
Douglas Clem
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Lower Extremity ◽  
Femoral Artery ◽  
Femoral Vein ◽  
Lower Leg ◽  
Resonance Imaging ◽  
Computed Tomographic ◽  
Magnetic Resonance Imaging Mri

This is a case study of a 47-year-old Caucasian male whose chief concern was left lower leg swelling for 1 month. A unilateral lower extremity venous duplex examination was performed. The results concluded that the distal femoral vein was occluded to the distal popliteal vein. Incidentally, a hypoechoic region in the distal thigh near the distal femoral artery was noted by the technologist. The patient was placed on anticoagulation and was told to return for further examination if there was no relief. Three months later, the patient continued to experience lower left leg swelling and returned for another sonogram. The hypoechoic region was seen again in the distal thigh and remained occluded. A computed tomographic arterial (CT-A) and magnetic resonance imaging (MRI) were ordered for further investigation of the hypoechoic area. The CT-A and the MRI revealed the presence of a mass in the distal thigh. The mass was biopsied and diagnosed as a leiomyosarcoma, grade 1. The mass caused the compression and occlusion of the distal femoral vein. The mass was removed, along with a portion of the distal femoral artery due to involvement of the artery within the mass. The artery was repaired with a graft.

“Moustache” Appearance in Craniopharyngiomas: Unique Magnetic Resonance Imaging and Computed Tomographic Findings of Perifocal Edema

Neurosurgery ◽  
1990 ◽  
Vol 27 (6) ◽  
pp. 993-996 ◽  
Author(s):  
Sotaro Higashi ◽  
Junkoh Yamashita ◽  
Hirosuke Fujisawa ◽  
Yuuichi Yamamoto ◽  
Masumi Kadoya
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Intraventricular Tumor ◽  
Resonance Imaging ◽  
Computed Tomographic ◽  
Perifocal Edema ◽  
Mri Scans ◽  
Magnetic Resonance Imaging Mri ◽  
Operative Findings ◽  
Protein Rich

Abstract This report describes two cases of craniopharyngioma with perifocal edema. In both patients, computed tomography and magnetic resonance imaging (MRI) revealed that the tumors occupied the suprasellar cistern, invaginated the floor of the 3rd ventricle and were tightly adherent to the ventricular walls. The intraventricular portions of the tumors were cystic, containing protein-rich fluid as suggested by MRI and confirmed by operative findings. There was perifocal edema in the hypothalamus adjacent to the intraventricular tumor, the optic tracts, and the posterior limbs of the internal capsules, resembling the shape of a moustache on axial computed tomographic and MRI scans. The perifocal edema subsided after treatment of the intraventricular tumor by surgical resection or radiation therapy. The “moustache” appearance seems a unique, characteristic feature of perifocal edema, which is observed infrequently with certain craniopharyngiomas.

Magnetic Resonance Imaging of Acoustic Neuromas

Neurosurgery ◽  
1985 ◽  
Vol 16 (6) ◽  
pp. 763-765 ◽  
Author(s):  
Gary J. DeFilipp ◽  
William A. Buchheit
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Spin Echo ◽  
Pulse Sequences ◽  
Resonance Imaging ◽  
Diagnostic Modality ◽  
Computed Tomographic ◽  
Acoustic Neuromas ◽  
Magnetic Resonance Imaging Mri ◽  
Echo Pulse

Abstract Ten patients with neurosensory hearing loss and computed tomographic (CT) evidence of acoustic neuromas were evaluated with magnetic resonance imaging (MRI). Tumors ranged in size from 0.8 to 3.7 cm. With the use of spin echo pulse sequences, all tumors were identified by MRI and appeared as masses with signal intensities greater than that of cerebrospinal fluid and equal to or greater than that of brain stem. Two patients who previously had undergone operation for acoustic neuromas were evaluated with MRI. In one patient with CT evidence of tumor recurrence, the lesion could not be identified by MRI. MRI holds promise of becoming a primary diagnostic modality for the evaluation of acoustic neuromas.

Magnetic Resonance Imaging and Intraoperative Neurosonography in Syringomyelia

Neurosurgery ◽  
1987 ◽  
Vol 20 (4) ◽  
pp. 599-605 ◽  
Author(s):  
Jack E. Wilberger ◽  
Joseph C. Maroon ◽  
Richard E. Prostko ◽  
Parviz Baghai ◽  
Irwin Beckman ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spinal Cord ◽  
Magnetic Resonance ◽  
Diagnostic Imaging ◽  
Intraoperative Ultrasound ◽  
Sitting Position ◽  
Resonance Imaging ◽  
Computed Tomographic ◽  
Controversial Problem ◽  
Magnetic Resonance Imaging Mri

Abstract Treatment of syringomyelia remains a difficult and controversial problem. However, the recent advent of magnetic resonance imaging (MRI) and intraoperative ultrasound allows a more precise approach to the diagnosis and management of this disorder. Experience with 27 cases of syringomyelia has shown that MRI is superior to all other forms of diagnostic imaging for the exact anatomical delineation of syrinxes and other spinal cord cavities. One-third of the syrinxes demonstrated by MRI were either not adequately visualized or missed by myelography and/or computed tomographic scanning. Intraoperative ultrasound has been used to allow more precise operative approaches to the syrinx as well as to guide the exact placement of shunt tubes into syrinx cavities. A method has also been developed to allow intraoperative ultrasound of the spinal cord with patients in the sitting position.

Bicaudate Index on Magnetic Resonance Imaging: Effects of Normal Aging

1994 ◽  
Vol 7 (1) ◽  
pp. 13-17 ◽  
Author(s):  
P. Murali Doraiswamy ◽  
Linda Patterson ◽  
Chul Na ◽  
Mustafa M. Husain ◽  
Orest Boyko ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Cerebral Atrophy ◽  
Normal Aging ◽  
Resonance Imaging ◽  
Huntington's Chorea ◽  
Caudate Nuclei ◽  
Computed Tomographic ◽  
Magnetic Resonance Imaging Mri ◽  
The Relationship

The bicaudate and bifrontal indices have been used in prior computed tomographic studies to investigate atrophy of the caudate nuclei in patients with Huntington's chorea and cerebral atrophy. However, the relationship between these indices and caudate volume has not been documented previously. In this study, we used high-field magnetic resonance imaging (MRI) to determine the effects of normal aging on the bicaudate and bifrontal indices and to study the relationship between these indices and caudate volume. The subjects were 49 normal volunteers, aged 22 to 82 years, who were without any significant neurologic or psychiatric disorders. Age was positively correlated with bicaudate index ( r = .59; P < .0001) and bifrontal index ( r = .40; P < .0047). Age was negatively correlated with caudate nuclei volume ( r = -.47; P < .0005). Caudate volume was negatively correlated with bicaudate ( r = -.27; P < .06) and bifrontal ( r = -.31; P < .03) indices. These findings are consistent with prior reports of caudate nuclei degeneration with increasing age. Linear and volumetric caudate measurements with MRI may prove useful in the investigation of caudate nuclei function in the neuromotor decline with normal aging and in disorders such as Huntington's chorea.

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