Radiological CT findings and time evolution in acute stroke: case report

Case report of a 95-year-old female patient that was admitted to the emergency room with a sudden weakness on the right who underwent propaedeutic imaging with cerebral perfusion study by CT using artificial intelligence (AI) software for clinical suspicion of acute stroke. The case illustrates a frequent and specific imaging finding for stroke and its disappearance in the control exam even without optimized treatment.

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Pneumomediastinum and pneumopericardium in an adolescent with asthma attacks. Case report

Case reports ◽

10.15446/cr.v6n1.81485 ◽

2020 ◽

Vol 6 (1) ◽

pp. 63-69

Author(s):

María Fernanda Ochoa-Ariza ◽

Jorge Luis Trejos-Caballero ◽

Cristian Mauricio Parra-Gelves ◽

Marly Esperanza Camargo-Lozada ◽

Marlon Adrián Laguado-Nieto

Keyword(s):

Case Report ◽

Chest Pain ◽

Subcutaneous Emphysema ◽

Respiratory Symptoms ◽

Laboratory Tests ◽

Young Patients ◽

Clinical Suspicion ◽

X Ray ◽

Chest X Ray ◽

The Right

Introduction: Pneumomediastinum is defined as the presence of air in the mediastinal cavity. This is a rare disease caused by surgical procedures, trauma or spontaneous scape of air from the lungs; asthma is a frequently associated factor. It has extensive differential diagnoses due to its symptoms and clinical signs.Case presentation: A 17-year-old female patient presented with respiratory symptoms for 2 days, dyspnea, chest pain radiated to the neck and shoulders, right supraclavicular subcutaneous emphysema, wheezing in both lung fields, tachycardia and tachypnea. On admission, laboratory tests revealed leukocytosis and neutrophilia, and chest X-ray showed subcutaneous emphysema in the right supraclavicular region. Diagnosis of pneumomediastinum was confirmed through a CT scan of the chest. The patient was admitted for treatment with satisfactory evolution.Discussion: Pneumomediastinum occurs mainly in young patients with asthma, and is associated with its exacerbation. This condition can cause other complications such as pneumopericardium, as in this case. The course of the disease is usually benign and has a good prognosis.Conclusion: Because of its presentation, pneumomediastinum requires clinical suspicion to guide the diagnosis and treatment. In this context, imaging is fundamental.

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A case of pneumothorax following bougie-guided intubation in a patient undergoing excision of an intraventricular space occupying lesion

Journal of Neuroanaesthesiology and Critical Care ◽

10.4103/jnacc-jnacc-62.16 ◽

2017 ◽

Vol 04 (02) ◽

pp. 117-119

Author(s):

Ramanan Rajagopal ◽

Veena Jayaseelan ◽

Mathew George

Keyword(s):

Patient Outcome ◽

Case Report ◽

Intracranial Pressure ◽

Clinical Suspicion ◽

Chest Drain ◽

Tight Control ◽

Airway Pressures ◽

Radio Imaging ◽

The Right ◽

Space Occupying Lesion

AbstractA 46-year-old female with intraventricular space occupying lesion was posted for craniotomy and excision of the same. Immediately following routine induction of general anaesthesia and a bougie-guided intubation, she developed increased airway pressures and desaturation associated with a decreased air entry on the right side of the chest suggestive of a right-sided pneumothorax which was confirmed with radio imaging and following the placement of chest drain the saturation improved and airway pressures decreased. To be faced with a pneumothorax following an intubation could be surprising for a non-suspecting anaesthesiologist and it can have important implications especially in neurosurgical cases where a tight control of intracranial pressure is warranted. Hence, this case report emphasises the need for a high index of clinical suspicion for proper management and safe patient outcome.

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Ovarian sex cord tumour with annular tubules in a 13-year-old female: a case report

Oxford Medical Case Reports ◽

10.1093/omcr/omaa024 ◽

2020 ◽

Vol 2020 (4-5) ◽

Cited By ~ 1

Author(s):

James J Yahaya ◽

Daudi Mshana ◽

Alex Mremi

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Paediatric Population ◽

Clinical Suspicion ◽

Lower Side ◽

Distinctive Type ◽

Peutz Jeghers Syndrome ◽

The Right ◽

Delay Of Diagnosis ◽

Malignancy Potential

Abstract Sex cord tumour with annular tubules (SCTAT) is uncommon and distinctive type of sex cord-stromal tumours of the ovary which develops from sex cord cells. Most of SCTATs are strongly associated with Peutz–Jeghers syndrome (PJS) and have low malignancy potential; however, 20% of non-PJS-associated SCTATs have been reported to have high malignancy potential. Herein, we present a 13-year-old female who presented with severe abdominal pain localized in the right lower side, associated with nausea. Based on histopathological and immunohistochemical findings, the diagnosis was confirmed to be SCTAT. SCTAT of the ovary is extremely rare in the paediatric population as compared to the general population. Its occurrence among paediatrics as it was the case in the patient described in this paper may pose diagnostic challenges due to lack of clinical suspicion and therefore resulting in delay of diagnosis.

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Chemical thrombolysis with extended 15-hour window in a patient undergoing perfusion CT scan with Rapid CT protocol: a case report

10.5327/1516-3180.516 ◽

2021 ◽

Author(s):

Hendrick Henrique Fernandes Gramasco ◽

Maria Clara Foloni ◽

Rebeca Aranha Barbosa Sousa ◽

Yasmim Nadime José Frigo ◽

Mateus Felipe dos Santos ◽

...

Keyword(s):

Case Report ◽

Acute Stroke ◽

Cerebral Artery ◽

Ct Perfusion ◽

Reperfusion Therapy ◽

Tertiary Hospital ◽

Perfusion Ct ◽

Left Middle Cerebral Artery ◽

Ct Protocol ◽

The Right

Context: Recently, with the advance of neuroimaging modalities, the windows of reperfusion therapy in patients with acute stroke have been reviewed and extended, especially for mechanical thrombectomy. Case report: 81 year old patient, previously hypertensive and dyslipidemic, fully functional (modified Rankin scale = 0), admitted to the emergency room of a tertiary hospital with global aphasia, right hemiparesis, right homonymous hemianopsia and severe hypoesthesia of the right upper limb, scoring 26 on the NIHSS, with report of having contacted family members for the last time 15 hours before admission. She was treated according to the institution’s acute stroke protocol, and underwent non-contrast brain computed tomography (CT), perfusion CT with Rapid CT protocol and cerebral artery + neck angio-CT, which ruled out bleeding and showed an ASPECTS of 8, an estimated ischemic core volume of 17 mL, and an area with hypoperfusion of 118 mL (perfusional mismatch of 101 mL), besides occlusion of the M1 segment of the left middle cerebral artery. Thus, she was submitted to chemical thrombolysis, with a decrease in NIHSS score to 15 and evolving without complications upon hospitalization. Conclusions: In patients with uncertain ictus, the use of advanced neuroimaging modalities, such as perfusion tomography with Rapid CT protocol, may assist in the indication of reperfusion therapies safely.

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Selective Cerebral Perfusion Through the Right Axillary Artery for Aortic Arch Replacement: A Case Report

Korean Journal of Anesthesiology ◽

10.4097/kjae.2004.46.2.245 ◽

2004 ◽

Vol 46 (2) ◽

pp. 245

Author(s):

Yoo Sung Jeong ◽

Chang Sik Choi ◽

Younsuk Lee ◽

Jun Heum Yon

Keyword(s):

Case Report ◽

Aortic Arch ◽

Cerebral Perfusion ◽

Axillary Artery ◽

Selective Cerebral Perfusion ◽

Aortic Arch Replacement ◽

The Right

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Chronic Intradiploic Organizing Hematoma of the Skull Mimicking Calvarial Tumor Diagnosed Using Zero TE MRI: A Case Report and Review of Literature

Medicina ◽

10.3390/medicina57010018 ◽

2020 ◽

Vol 57 (1) ◽

pp. 18

Author(s):

Hyun Park ◽

In Chul Nam ◽

Hye Jin Baek ◽

Kyeong Hwa Ryu ◽

Eun Cho ◽

...

Keyword(s):

Case Report ◽

Parietal Bone ◽

Time Sequence ◽

Clinical Suspicion ◽

Review Of Literature ◽

Resonance Imaging ◽

Rare Lesion ◽

Magnetic Resonance Imaging Mri ◽

The Right ◽

Growing Mass

Chronic intradiploic organizing hematoma of the skull is a rare lesion that usually presents as a progressively growing mass after head trauma, thus making it difficult to diagnose. To date, only nine cases that have been histopathologically confirmed as organizing hematoma of the skull have been reported in the literature. Herein, we describe a case of a chronic organizing hematoma involving the right parietal bone, presenting as a slowly growing mass in a 54-year-old man. The lesion was also visualized on magnetic resonance imaging (MRI) with a zero echo time sequence. In this case report, we emphasize that chronic intradiploic organizing hematoma should be considered in the differential diagnosis of a palpable scalp mass. We also highlight the importance of meticulous radiological review in the context of appropriate clinical suspicion and the usefulness of the zero TE sequence in evaluating calvarial lesions.

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Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽

10.1024/0301-1526/a000101 ◽

2011 ◽

Vol 40 (3) ◽

pp. 251-255 ◽

Cited By ~ 4

Author(s):

Gruber-Szydlo ◽

Poreba ◽

Belowska-Bien ◽

Derkacz ◽

Badowski ◽

...

Keyword(s):

Case Report ◽

Magnetic Resonance Angiography ◽

Popliteal Artery ◽

Doppler Ultrasonography ◽

Histopathological Examination ◽

Previous History ◽

Plain Radiography ◽

Artery Thrombosis ◽

History Of ◽

The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

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