scholarly journals An unusual presentation of neuroglial heterotopia: case report

2020 ◽  
Vol 6 (2) ◽  
pp. 20190116
Author(s):  
Parthasarathy Karunakaran ◽  
Chary Duraikannu ◽  
Venkata Narasimha Kumar Pulupula
Keyword(s):  
Surgical Planning ◽  
Late Presentation ◽  
External Approach ◽  
Review Of Literature ◽  
Radiological Findings ◽  
Diagnostic Dilemma ◽  
Neuroglial Heterotopia ◽  
Nasopharyngeal Masses ◽  
Rule Out ◽  
Glial Heterotopia

We report a rare case of nasopharyngeal neuroglial heterotopia in a 16-year-old girl who presented with sore throat and feeling of a lump in her throat. Neuroglial heterotopia is a mass composed of misplaced neural tissue during embryonic development which has lost its intracranial connection. A careful review of literature in PUBMED shows most of the previously reported cases of nasopharyngeal glial heterotopia presented during neonatal or infancy period with symptoms of respiratory distress or airway obstruction. Our case caused a diagnostic dilemma due to late presentation and atypical radiological findings. Imaging, especially MRI, is vital for evaluating such nasopharyngeal masses in children for pre-surgical planning and more importantly to rule out any intracranial communication. Treatment is surgical resection by endoscopic or external approach, with a rare possibility of recurrence.

scholarly journals Unilateral mydriasis in a child with a ventriculoperitoneal shunt for obstructive hydrocephalus: a diagnostic dilemma

2020 ◽  
Vol 13 (12) ◽  
pp. e237257
Author(s):  
Monidipa Banerjee ◽  
Eiman Haj Ahmed ◽  
Kathryn Foster ◽  
Arundoss Gangadharan
Keyword(s):  
Ipratropium Bromide ◽  
Obstructive Hydrocephalus ◽  
Sudden Onset ◽  
Unique Case ◽  
Diagnostic Dilemma ◽  
Vp Shunt ◽  
Life Threatening ◽  
Unilateral Mydriasis ◽  
The Brain ◽  
Rule Out

There are several causes for sudden onset unilateral mydriasis, however impending transtentorial uncal herniation needs to be ruled out. This unique case highlights an uncommon adverse response to a common mode of treatment that leads to a diagnostic dilemma. A 3-year-old boy with a ventriculoperitoneal (VP) shunt for an obstructive hydrocephalus presented with an acute respiratory distress. He developed unilateral mydriasis with absent light reflex during treatment with nebulisers. An urgent CT scan of the brain did not show any new intracranial abnormality. A case of pharmacological anisocoria was diagnosed that resolved completely within 24 hours of discontinuation of ipratropium bromide. Although ipratropium-induced anisocoria has been reported in children, but to our knowledge none in a child with VP shunt for hydrocephalus. This emphasises the urgency in evaluating unilateral mydriasis to rule out life-threatening conditions. Clinicians should remember that ipratropium administered through ill-fitting face masks could cause this completely reversible adverse effect.

scholarly journals Nasal glial heterotopia: Four case reports with a review of literature

2019 ◽  
Vol 5 (3) ◽  
pp. 100107 ◽  
Author(s):  
Chauvel-Picard Julie ◽  
Brosset Sophie ◽  
Dijoud Frédérique ◽  
Gleizal Arnaud
Keyword(s):  
Case Reports ◽  
Review Of Literature ◽  
Glial Heterotopia

scholarly journals Mastoid Bone involved by Pleomorphic Adenoma

2016 ◽  
Vol 8 (3) ◽  
pp. 111-112
Author(s):  
Pradipta K Parida
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Parotid Gland ◽  
Pleomorphic Adenoma ◽  
Surgical Planning ◽  
Benign Tumor ◽  
Review Of Literature ◽  
Resonance Imaging ◽  
Mastoid Bone ◽  
Magnetic Resonance Imaging Mri

ABSTRACT Pleomorphic adenoma is a benign tumor of the salivary glands, most commonly affecting the parotid gland. Pleomorphic adenoma of the ear is rare. The use of imaging modalities, especially magnetic resonance imaging (MRI), is particularly useful in localizing and surgical planning of these tumors. We present a case of pleomorphic adenoma invading the mastoid cortical bone, with review of literature. How to cite this article Vamanshankar H, Parida PK. Mastoid Bone involved by Pleomorphic Adenoma. Int J Otorhinolaryngol Clin 2016;8(3):111-112.

scholarly journals Retracted: Diagnostic Dilemma of a Diaphragmatic Hernia

2018 ◽  
Vol 4 (3) ◽  
Author(s):  
Salman Yahya ◽  
Sonia Zafar ◽  
Hafsa S. Babar
Keyword(s):  
Diaphragmatic Hernia ◽  
Turning Point ◽  
Rare Complication ◽  
Young Male ◽  
Acute Ischemia ◽  
Radiological Findings ◽  
Diagnostic Dilemma ◽  
High Index Of Suspicion ◽  
Disease Free

Diaphragmatic hernia post esophagectomy is a rare complication but a reality in its existence. It is typically difficult to diagnose but highly depends on keeping high index of suspicion. In our case report, the young male who underwent esophagectomy for esophageal carcinoma, remained disease free and stable in his 9 months follow up, suddenly presented in the emergency department with the symptoms of shortness of breath, chest pain, vomiting and tachycardia. The case was typically complicated by the initial treatment given for acute ischemia and cardiogenic shock. Radiological findings proved to be helpful and turning point in the diagnosis and overall management.

A Rare Case of Nasopharyngeal Glial Heterotopia in a Neonate

2021 ◽  
pp. 097321792110425
Author(s):  
Viveka Singh ◽  
Neha Nabar ◽  
Sanjiv Badhwar ◽  
Preetha Joshi
Keyword(s):  
Gold Standard ◽  
Rare Case ◽  
Neural Tissue ◽  
Surgical Excision ◽  
Intracranial Extension ◽  
Resonance Imaging ◽  
Radiological Studies ◽  
Rule Out ◽  
Glial Heterotopia

Nasopharyngeal glial heterotopias is an extremely rare, nonhereditary, developmental malformation manifesting as a mass composed of mature neural tissue with no intracranial continuity. Glial heterotopia is a rare, non-neoplastic, extracranial midline malformation. Nasal glioma is the most frequently encountered entity among congenital nasal masses. Cases which are associated with intracranial extension are termed as encephalocele. It must be considered in the differential diagnosis of airway obstruction in neonates. Magnetic resonance imaging is mandatory to rule out intracranial extension. We report a rare case of heterotopic brain tissue in nasopharynx with no intracranial extension to attract attention to the diagnostic workup of nasopharyngeal obstruction in a neonate with respiratory distress. Clinical examination and radiological studies are diagnostic while early surgical excision and histopathological confirmation is the gold standard. This baby underwent complete intranasal endoscopic excision of mass on day 20 of life. The postoperative course was uneventful and the baby is growing well on follow-up. This case would be one of the few cases reported from India.

scholarly journals Maffucci syndrome: Anaesthetic management and review of literature

2015 ◽  
Vol 02 (02) ◽  
pp. 136-138
Author(s):  
Gyaninder Singh ◽  
Barkha Bindu ◽  
Mihir Pandia ◽  
Parmod Bithal
Keyword(s):  
Tracheal Intubation ◽  
General Anaesthesia ◽  
Anaesthetic Management ◽  
Long Bones ◽  
Review Of Literature ◽  
Maffucci Syndrome ◽  
Rule Out

AbstractMaffucci syndrome is a rare, nonhereditary disorder manifesting early in life. The syndrome is characterized by presence of multiple hemangiomas and enchondromas mostly affecting the extremities. Haemangiomas are usually cutaneous, but may sometimes be visceral as well. Enchondromas commonly affect the long bones of the extremities. However, other areas including skull, ribs, vertebrae, larynx and trachea may also be involved. The presence of these lesions in the trachea and/or oropharynx may compromise the airway and cause difficulty during tracheal intubation. Complete airway examination and investigation is important to rule out any such lesion in a patient of Maffucci syndrome before planning for general anaesthesia with tracheal intubation.

Biopsying a spinal cord lesion: A diagnostic dilemma. Case report and review of literature

2018 ◽  
Vol 64 (6) ◽  
pp. 425-430 ◽  
Author(s):  
L. Dormegny ◽  
S. Chibbaro ◽  
M. Ganau ◽  
MDN. Santin ◽  
L. Kremer ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Spinal Cord Lesion ◽  
Review Of Literature ◽  
Diagnostic Dilemma ◽  
Cord Lesion

scholarly journals Neurotropic Melanoma: The Management of Localised Disease

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Jeremy Croker ◽  
Bryan Burmeister ◽  
Matthew Foote
Keyword(s):  
Current Practice ◽  
Diagnostic Delay ◽  
Neck Region ◽  
Distant Metastases ◽  
Late Presentation ◽  
Salvage Treatment ◽  
Diagnostic Dilemma ◽  
Head And Neck Region ◽  
Disseminated Disease ◽  
The Brain

Neurotropic melanoma is a rare subtype of cutaneous malignant melanoma. Compared with conventional melanoma, it is more locally aggressive with an increased tendency for local recurrence but less likely for nodal or distant metastases. These tumours can be a diagnostic dilemma with a variety of morphological, histopathological, and immunophenotypical expressions. The often amelanotic, benign appearance may lead to treatment issues such as late presentation, diagnostic delay, misdiagnosis, insufficient surgical margins, and recurrence with resulting poor outcome. The neurotropic nature of the disease and prevalence in the head and neck region can result in perineural and neural invasion along named large nerves into the brain with resulting neuropathies. Wide local excision with adjuvant radiotherapy where indicated remains the current practice for treatment with chemotherapy predominately being reserved as a salvage treatment for patients with disseminated disease.

scholarly journals Streptococcus intermediusCausing Necrotizing Pneumonia in an Immune Competent Female: A Case Report and Literature Review

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Faris Hannoodi ◽  
Israa Ali ◽  
Hussam Sabbagh ◽  
Sarwan Kumar
Keyword(s):  
Tissue Sample ◽  
Systemic Disease ◽  
Surgical Drainage ◽  
Necrotizing Pneumonia ◽  
Review Of Literature ◽  
Radiological Findings ◽  
Streptococcus Intermedius ◽  
Fluid Analysis ◽  
Brain Abscesses ◽  
Caucasian Female

We report a case of a 52-year-old immunocompetent Caucasian female treated for necrotizingStreptococcus intermediuspneumonia and review available literature of similar cases. Our patient presented with respiratory failure and required hospitalization and treatment in the intensive care unit. Moreover, she required surgical drainage of right lung empyema as well as decortication and resection. The review of literature revealed three cases ofS. intermediuspneumonia, one of which was a mortality. Comparison of the published cases showed a highly varied prehospital course and radiological presentations, with a symptomatic phase ranging from 10 days to five months. Radiological findings varied from an isolated pleural effusion to systemic disease with the presence of brain abscesses. Immunocompetence appears to correlate well with the overall prognosis. In addition, smoking appears to be an important risk factor forS. intermediuspneumonia. In 2 (50%) of cases, pleural fluid analysis identifiedS. intermedius. In contrast, no organism was found in our patient, necessitating the acquisition of lung tissue sample for the diagnosis. In conclusion, both medical and surgical management are necessary for effective treatment ofS. intermediuspneumonia. The outcome of treatment is good in immunocompetent individuals.

scholarly journals Postpartum Ovarian Vein Thrombosis: Two Cases and Review of Literature

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Amos A. Akinbiyi ◽  
Rita Nguyen ◽  
Michael Katz
Keyword(s):  
Computed Tomography ◽  
Pelvic Mass ◽  
Late Presentation ◽  
Postpartum Woman ◽  
Ovarian Vein ◽  
Review Of Literature ◽  
Emergency Department Admission ◽  
Vein Thrombosis ◽  
Short Period ◽  
Ovarian Vein Thrombosis

Introduction. We presented two cases of late presentation of ovarian vein thrombosis postpartum following vaginal delivery and cesarean section within a short period in our institution. Both of them had pelvic pain following their deliveries which was associated with fever and chills. One of them was quite a big-sized thrombophlebitic vein which was about10×6×5centimeters following a computed tomography. They were both treated initially for urinary tract infection, while a large ovarian vein thrombosis was not diagnosed in the second patient until her emergency department admission.Conclusion. Ovarian vein thrombosis is rare, but could present late, and difficult to diagnose, hence, should be considered as a differential diagnosis in a postpartum woman with fever and tender pelvic mass.

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