scholarly journals Isolated nausea and vomiting as the cardinal presenting symptoms of clozapine-induced myocarditis: a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
M. Z. van der Horst ◽  
F. van Houwelingen ◽  
J. J. Luykx
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Clinical Symptoms ◽  
Early Recognition ◽  
Nausea And Vomiting ◽  
Resonance Imaging ◽  
Treatment Resistant ◽  
Laboratory Examination ◽  
Case Presentation ◽  
Presenting Symptoms

Abstract Background Clozapine is an atypical antipsychotic proven to be superior in the treatment of treatment-resistant schizophrenia. Myocarditis is a rare, but well-known complication of treatment with clozapine. Only few cases have been reported in which nausea and vomiting were prominent symptoms. This is the first described report in which nausea and vomiting were the only presenting symptoms of clozapine-induced myocarditis. Case presentation We report a case of a 58-year-old woman, suffering from schizoaffective disorder, who is being treated with clozapine. Two weeks after initiation of clozapine, she developed nausea and vomiting, in absence of any other clinical symptoms. Laboratory examination and magnetic resonance imaging confirmed the diagnosis of clozapine-induced myocarditis. Clozapine was discontinued and the patient recovered fully. Conclusions This case emphasizes the importance of recognizing myocarditis as a cause of isolated nausea and vomiting in patients treated with clozapine. Early recognition improves clinical outcome and reduces mortality.

scholarly journals Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Tomoyuki Ishida ◽  
Jun Kanamori ◽  
Hiroyuki Daiko
Keyword(s):  
Magnetic Resonance Imaging ◽  
Interventional Radiology ◽  
Case Report ◽  
Magnetic Resonance ◽  
Thoracic Duct ◽  
Rare Case ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Thoracostomy Tube ◽  
Magnetic Resonance Imaging Mri

Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.

scholarly journals Recurrent Painful Ophthalmoplegic Neuropathy: Diagnostic Controversies. Single Case Report with a Systematic Review

2021 ◽  
Author(s):  
Raffaele Falsaperla ◽  
Santiago Presti ◽  
Manuela Lo Bianco ◽  
Stefano Catanzaro ◽  
Silvia Marino ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Clinical Symptoms ◽  
Single Case ◽  
International Headache Society ◽  
Specific Treatment ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Recurrent Painful Ophthalmoplegic Neuropathy

Abstract Background: Ophthalmoplegic migraine, renamed “Recurrent Painful Ophthalmoplegic Neuropathy (RPON) in 2013 by the International Headache Society is a rare neurologic disorder characterized by recurrent attacks of ophthalmoplegia associated to ipsilateral headache. The etiology is still unknown. Typical magnetic resonance imaging findings show a focal nerve thickening and contrast enhancement. In the majority of cases, there is a full recovery within days or weeks. There is no evidence supporting a specific treatment. The review defines the characteristics of the recurrent painful ophthalmoplegic neuropathy in patients within 2 years of age underlying the importance of the role of magnetic resonance imaging even in presence of the first attack. Thus, an emblematic case report is presented.Case presentation: The authors present a case of third cranial nerve paresis in a 17-month-old male child, presenting a neuroradiological pattern highly suggestive of schwannoma, aneurism or recurrent painful ophthalmoplegic neuropathy. Thus, a review of the literature with the pediatric casuistry of recurrent painful ophthalmoplegic neuropathy occurred within 2 years of age focusing on diagnostic considerations is presented. The authors highlight the importance to consider recurrent painful ophthalmoplegic neuropathy in presence of magnetic resonance imaging findings and clinical symptoms referable to aneurysm or schwannoma. Thus, the review defines the characteristics and the neuroradiological findings at the first RPON attack occurred under 2 years of age.Conclusion: Although two attacks are necessary, the review strongly suggests to consider recurrent painful ophthalmoplegic neuropathy even at the first attack, in presence of described characteristics and the aforementioned magnetic resonance imaging findings.

scholarly journals Mastoid cholesterol granuloma: a case presentation

2016 ◽  
Vol 2 (4) ◽  
pp. 271
Author(s):  
Roa Talal Halawani ◽  
Talaat Yossef
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Middle Ear ◽  
Petrous Apex ◽  
High Signal ◽  
Cholesterol Granuloma ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Mastoid Bone

<p class="abstract"><span lang="EN-IN">Cholesterol granuloma (CG) may involve the petrous apex and rarely may involve the middle ear and the mastoid bone. On magnetic resonance imaging, the mass revealed a high signal on both T1 and T2- weighted images. This is a case report of mastoid cholesterol granuloma in association of cholesteotoma causing persistent ear discharge in a 12 years old boy.</span></p>

scholarly journals Occult axial involvement in patients with psoriatic arthritis mutilans: a case report

Reumatismo ◽  
2019 ◽  
Vol 71 (2) ◽  
pp. 88-91
Author(s):  
F.M. Perrotta ◽  
S. Scriffignano ◽  
A. De Socio ◽  
E. Lubrano
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Psoriatic Arthritis ◽  
Clinical Symptoms ◽  
Resonance Imaging ◽  
Sacroiliac Joints ◽  
Articular Damage ◽  
Active Inflammation ◽  
Axial Involvement ◽  
Arthritis Mutilans

We present the case of a patient with psoriatic arthritis (PsA) mutilans and occult axial involvement. The patient had suffered from PsA mutilans for more than a decade, with severe residual articular damage, but had been in clinical remission for years. Clinical axial involvement was never reported; however, magnetic resonance imaging of the sacroiliac joints, performed for other reasons, documented active inflammation and damage even without clinical symptoms. These findings corroborated the hypothesis that axial involvement could be asymptomatic, subclinical and, furthermore, underdiagnosed or even occult in patients with PsA mutilans, in which cases it should be carefully evaluated.

scholarly journals Severe meningococcal serogroup W sepsis presenting as myocarditis: A case report and review of literature

2018 ◽  
Vol 20 (2) ◽  
pp. 182-186 ◽  
Author(s):  
Myat Aung ◽  
Eamon Raith ◽  
Eloise Williams ◽  
Aidan JC Burrell
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Susceptibility Testing ◽  
Early Recognition ◽  
Review Of Literature ◽  
Resonance Imaging ◽  
Important Complication ◽  
Inappropriate Antibiotics

The global incidence of invasive meningococcal disease due to serogroup W (MenW) has risen over the last decade. The following case emphasises the atypical features of MenW meningococcaemia, which included myocarditis, a rare but important complication. It also highlights the potential novel role that cardiac magnetic resonance imaging can provide in the diagnosis of MenW myocarditis. Complications of these infections can be avoided with early recognition and susceptibility testing to prevent the use of inappropriate antibiotics and treatment failure.

scholarly journals Optic nerve Hemangioblastoma with bilateral frontal lobe Oedema: a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Shujia Xu ◽  
Qian Li ◽  
Bingyang Bian ◽  
Hongli Zhou ◽  
Dan Li
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spinal Cord ◽  
Case Report ◽  
Optic Nerve ◽  
Frontal Lobe ◽  
Tumour Resection ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Von Hippel Lindau ◽  
Benign Tumours

Abstract Background Hemangioblastomas are rare benign tumours that are most commonly detected in the subtentorium or spinal cord. Optic nerve hemangioblastoma is very rare and is most commonly associated with Von Hippel-Lindau (VHL) syndrome. Case presentation Here, we report a case of hemangioblastoma of the optic nerve with bilateral frontal lobe oedema without VHL syndrome, which has not yet been reported. A 51-year-old woman presented with progressive and painless deteriorating vision in the left eye. Magnetic resonance imaging showed a mass at the back of the left orbital optic nerve. Endoscopic-assisted intraorbital tumour resection was performed successfully. The pathological diagnosis was left optic nerve hemangioblastoma. Conclusions This is the first reported case of optic nerve hemangioblastoma (HBL) with bilateral frontal lobe oedema.

scholarly journals Case report: the etiology of anterior inferior cerebellar artery infarction: what does basi-parallel anatomic scanning magnetic resonance imaging tell us?

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhi-yong Zhang ◽  
Zhi Zhou ◽  
Hai-bo Zhang ◽  
Jin-song Jiao
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Diagnostic Value ◽  
Anterior Inferior Cerebellar Artery ◽  
Resonance Imaging ◽  
Outer Contour ◽  
Case Presentation ◽  
Cerebellar Artery

Abstract Background The precise etiology of anterior inferior cerebellar artery (AICA) infarction is difficult to identify because of the high anatomic variability of vertebrobasilar arteries and the limitations of conventional vascular examinations. Basi-parallel anatomic scanning magnetic resonance imaging (BPAS-MRI) can reveal the outer contour of the intracranial vertebrobasilar arteries, which may be helpful to distinguish the arteriosclerosis from congenital dysplasia and dissection. Case presentation In this study, we reported 3 cases of AICA infarction and discussed the diagnostic value of BPAS-MRI in the evaluation of vascular etiology. Conclusions The BPAS-MRI could be considered as an important supplementary in the diagnosis of vascular etiology of infarction in AICA territory.

scholarly journals Oral cenesthopathy proceeding dementia with Lewy body: a case report

2020 ◽  
Author(s):  
Yuta Sawada ◽  
Yuki Konishi ◽  
Atsuko Ikenouchi ◽  
Reiji Yoshimura
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Lewy Body ◽  
Dementia With Lewy Body ◽  
Late Onset ◽  
Mibg Scintigraphy ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Early Symptom ◽  
Oral Cenesthopathy

Abstract Background We herein report a case of oral cenesthopathy that proceeded dementia with Lewy body (DLB). Case presentation: A 70-year-old female presented with oral cenesthopathy. She was diagnosed with major depression/late-onset schizophrenia and treated with paroxetine and perospirone. Subsequently, she developed sever parkinsonism. Her diagnosis changed to DLB based on clinical features and her magnetic resonance imaging, MIBG scintigraphy, and DAT scans. After tapering off paroxetine and perospirone, the patient was treated with donepezil and levodopa. The DLB symptoms, including oral cenesthopathy and parkinsonism, were relieved. Conclusion This case indicates that oral cenesthopathy may occur as an early symptom of DLB.

scholarly journals Ectopic uterine scar pregnancy: A case report

Ultrasound ◽  
2020 ◽  
pp. 1742271X2093391
Author(s):  
Satyam ◽  
M Sarthak Swarup ◽  
Anju Garg
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Ectopic Pregnancy ◽  
Early Recognition ◽  
Bladder Wall ◽  
Lower Uterine Segment ◽  
Resonance Imaging ◽  
Caesarean Scar ◽  
Gestational Sac

Introduction Implantation of a gestational sac in a previous Caesarean section scar of the lower uterine segment is a rare form of ectopic pregnancy. Case report We report a case of Caesarean scar ectopic pregnancy in a 25-year-old female, diagnosed by ultrasonography and confirmed by magnetic resonance imaging. We present the clinical details, imaging findings, and management of the patient. Discussion Imaging plays an important role in the diagnosis of ectopic pregnancy and ultrasonography is the modality of choice. Ultrasonography features of scar ectopic pregnancy include empty uterus and cervix with normal endometrium and endocervical canal, gestational sac (with embryo and/or yolk sac) in the anterior part of the lower uterine segment in the region of the Caesarean scar with a thin myometrial layer between the bladder wall and gestational sac. Magnetic resonance imaging may be used as an adjunct imaging modality in cases with inconclusive or equivocal sonographic findings. Termination of pregnancy in the first trimester should be considered and treatment options should be individualized as there is no universal agreement on the best or most preferred treatment modality. Conclusion Awareness of specific ultrasound features of scar ectopic pregnancy is crucial for early recognition, correct diagnosis, and initiating prompt management to prevent complications.

Sign in / Sign up

Export Citation Format

Share Document