scholarly journals Peripheral Facial Paresis and COVID-19 Case Report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Militaru M ◽  
Lighezan DF ◽  
Petrescu MN ◽  
Militaru AG
Keyword(s):  
Magnetic Resonance ◽  
Clinical Symptoms ◽  
Virus Disease ◽  
Neurological Complications ◽  
Facial Paresis ◽  
Infection Period ◽  
Corona Virus ◽  
Neurological Effects ◽  
Magnetic Resonance Imaging Mri ◽  
Vitamin B Group

Among the neurological complications that occurred during Corona Virus Disease 2019 (COVID-19) infection, peripheral facial paresis is one of the conditions that can occur both during and after the Severe Acute Respiratory Tract Syndrome Corona Virus 2 (SARS-CoV-2) infection period. We present the case of a young man, aged 29 years, who presented the appearance of a peripheral facial paresis on the 14th day after the onset of symptoms, isolation and PCR detection of SARS-CoV-2 infection. The patient was evaluated clinically, neurologically, underwent laboratory tests, EKG, chest Radiography, Magnetic Resonance Imaging (MRI)/Magnetic resonance Angiography (MRA) and received corticotherapy, gastric antisecretory medication, antiviral medication, vitamin B group, neurotrophic medication and facial gymnastics, with good evolution and complete remission of clinical symptoms after 21 days. It is particularly important to carefully evaluate patients during the isolation period, symptomatic/asymptomatic for COVID-19 infection, as a possible complication could be peripheral facial paresis, which is why, we should evaluate, detect and treat early to reduce any persistent long-term neurological effects. Future studies are needed to identify and correlate peripheral facial paresis with SARS-CoV-2 infection as well as to detect the causes of neurological complications during or after COVID-19 infection.

scholarly journals Congenital diverticulum of the left ventricle – diagnosis with echocardiography, ventriculography and magnetic resonance imaging: clinical case

2020 ◽  
Vol 26 (3) ◽  
pp. 74-82
Author(s):  
Gloria Adam ◽  
Ina Tsareva ◽  
Galina Kirova ◽  
Ivo Petrov
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Left Ventricle ◽  
Clinical Symptoms ◽  
Resonance Imaging ◽  
Cardiac Wall ◽  
Invasive Method ◽  
Electrocardiographic Changes ◽  
Magnetic Resonance Imaging Mri ◽  
Myocardial Crypts

Myocardial diverticula are rare and incidental fi ndings. They are most probably congenital anomalies of the cardiac wall, mainly of the left ventricle (LV), which in the majority of the cases are associated with other anomalies – cardiac, vascular or thoraco-abdominal. The lack of specifi c clinical symptoms and electrocardiographic changes in the presence of cardiac diverticulum, make them most commonly an incidental fi nding during a diagnostic imaging examination. The diagnosis of LV diverticulum can be made with echocardiography, left ventriculography, computed tomography or magnetic-resonance imaging (MRI). Among all, MRI gives the best morphologic assessment of the ventricular wall, the location and the relation of the diverticulum to surrounding structures and its dynamic behaviour during systole and diastole. MRI can rule out infl ammatory, traumatic and ischemic cardiac pathology, and cardiomyopathy, and thus differentiate the diverticulum from another entity – myocardial crypts, pathologically formed focal aneurysm or pseudoaneurysm of the LV. Therefore, MRI is the preferred non-invasive method for evaluating the cardiac wall in detail and helps to differentiate and defi nitively diagnose congenital cardiac diverticulum, which in most cases does not require therapeutic intervention.

Magnetic resonance evidence of cortical onset of multiple sclerosis

2009 ◽  
Vol 15 (8) ◽  
pp. 933-941 ◽  
Author(s):  
M Calabrese ◽  
P Gallo
Keyword(s):  
Multiple Sclerosis ◽  
Magnetic Resonance ◽  
Diagnostic Criteria ◽  
Clinical Symptoms ◽  
Final Diagnosis ◽  
Pathological Process ◽  
Clinical Onset ◽  
Normal Appearing White Matter ◽  
Central Nervous System Dysfunction ◽  
Magnetic Resonance Imaging Mri

Background Despite clinical symptoms and signs of central nervous system dysfunction, conventional magnetic resonance imaging (MRI) of the brain and spinal cord may appear normal in multiple sclerosis (MS) at clinical onset. Objective To demonstrate cortical pathology, namely the presence of cortical lesions (CLs) in patients with symptoms/signs suggestive of MS but having normal appearing white matter (WM) on MRI. Methods CLs were disclosed by double inversion recovery (DIR) MRI sequence. The final diagnosis of MS was achieved by the demonstration of the dissemination in space and time of WM lesions, and the absence of a better explanation of symptoms/signs, according to the established international diagnostic criteria. Results We describe four patients with MS, in which CLs were observed by DIR months/years before the MRI evidence of inflammatory lesions in the WM. Interpretation We suggest that, at least in some patients with MS, the pathological process underlying MS starts in the cortex. DIR sequence should be included in the MRI examination of suspected patients with MS with normal conventional MRI sequences at clinical onset. CLs should be evaluated for their inclusion in the MRI diagnostic criteria for MS.

Subacute Pituitary Apoplexy: Clinical and Magnetic Resonance Imaging Characteristics

Neurosurgery ◽  
1990 ◽  
Vol 27 (2) ◽  
pp. 214-219 ◽  
Author(s):  
Roberta P. Glick ◽  
James A. Tiesi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Pituitary Apoplexy ◽  
Clinical Symptoms ◽  
Resonance Imaging ◽  
Mri Scan ◽  
Imaging Characteristics ◽  
Invaluable Tool ◽  
Magnetic Resonance Imaging Mri

Abstract Between 1987 and 1988, we utilized magnetic resonance imaging (MRI) in the diagnosis of seven cases of “subacute” pituitary apoplexy. that is, intra-adenomatous pituitary hemorrhage associated with clinical symptoms atypical of acute pituitary apoplexy. These symptoms lasted longer than 24 hours and included visual changes in four patients, headache in five, and seizures, endocrine dysfunction, and oculomotor palsy in one each. Estimates of the ages of the hemorrhages were also possible based on characteristics on the MRI scan and ranged from 48 hours to more than 14 days. Four of our seven patients underwent transsphenoidal decompression at which time the presence of intratumoral hemorrhage was confirmed. The remaining three patients have been followed as outpatients with serial MRI examinations and have shown improvement in clinical symptoms and stabilization of the radiological picture. From our series of patients, it is now apparent that the MRI scan is an invaluable tool in identifying this subacute form of intra-adenomatous pituitary hemorrhage and has proven especially useful as a means of therapeutic planning and follow-up care in patients presenting with symptoms not typical of classic pituitary apoplexy.

scholarly journals Magnetic resonance imaging in diagnosis of thoracic disc herniations: correlation of radiological and clinical symptoms

2011 ◽  
Vol 10 (2) ◽  
pp. 77-82
Author(s):  
P. V. Krotenkov ◽  
A. M. Kiselyov ◽  
S. V. Kotov ◽  
O. V. Krotenkova
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Management Strategy ◽  
Clinical Symptoms ◽  
Neurological Status ◽  
Resonance Imaging ◽  
Small Disc ◽  
Disc Herniations ◽  
Magnetic Resonance Imaging Mri ◽  
Thoracic Disc

Magnetic resonance imaging (MRI) was used for diagnosis of thoracic disc herniations and for management strategy determination. 24 symptomatic patients underwent MRI using sagittal T1 and T2-weighted spine echo and axial multiplanar gradient refocused images. Disc herniations were classified according to their size, location in the spinal canal and to the extent of cord compromise. MRI data correlated with the neurological status in all cases and assisted in the management strategy determination. 10 (41,7%) patients with small disc herniations and compression of subarachnoid space demonstrated pseudoradicular syndrome and were managed conservatively. 14 (58,3%) patients with medium or large disc herniations and compression of the cord demonstrated myelopathy or radicularpathy syndrome and were managed surgically. Our results show that MRI is a useful diagnostic tool for diagnosis, management strategy determination and assessment of treatment results.

Magnetic resonance imaging of the gallbladder: spectrum of abnormalities

2007 ◽  
Vol 48 (5) ◽  
pp. 476-482 ◽  
Author(s):  
K. M. Elsayes ◽  
E. P. Oliveira ◽  
V. R. Narra ◽  
F. M. EL-Merhi ◽  
J. J. Brown
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Clinical Symptoms ◽  
Malignant Tumors ◽  
Gallbladder Wall ◽  
Diagnostic Study ◽  
Resonance Imaging ◽  
Mr Cholangiopancreatography ◽  
Tissue Contrast ◽  
Magnetic Resonance Imaging Mri

Various pathologies involving the gallbladder can manifest clinically, producing nonspecific clinical symptoms and making diagnosis difficult and challenging. Real-time sonography is the most widely used diagnostic study for the gallbladder and the primary screening examination of choice. With increasing use of magnetic resonance imaging (MRI) and MR cholangiopancreatography (MRCP), gallbladder pathology is frequently seen. Understanding the basic patterns of various disease manifestations and appearance on MRI is the key to making an accurate diagnosis. Given its inherent tissue contrast and contrast sensitivity, MRI in conjunction with MRCP can be a very valuable test in evaluating gallbladder pathology. Gallbladder pathology can be classified into congenital (such as absence), inflammatory (acute, hemorrhagic, and chronic cholecystitis), traumatic, benign (polyps) and malignant tumors (gallbladder carcinoma and lymphoma), and other disease processes can be seen in cholelithiasis, cholesterosis, thickened gallbladder wall, and Mirrizzi syndrome.

scholarly journals A Review on the Novel Corona Virus with International and Indian Perspective

2021 ◽  
Vol 11 (4-S) ◽  
pp. 236-241
Author(s):  
Gayatri Suresh K P ◽  
Thabit Ahmed ◽  
Mohamed Abdelgadir Mohammed Saeed ◽  
Jereish Varghese Daivamthadathil ◽  
Anandhu Jayan ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Virus Disease ◽  
Review Article ◽  
Current Therapy ◽  
The Novel ◽  
Treatment Protocols ◽  
Corona Virus ◽  
Current Scenario ◽  
Indian Perspective ◽  
Country Office

On 31 December 2019, pneumonia of unknown cause was detected in Wuhan, China, and was first reported to the WHO Country Office in China. On 30 January 2020, the outbreak was declared a Public Health Emergency of International Concern. 1 It was an outbreak of severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) infection that occurred in Wuhan, Hubei Province, China and got spread across China and beyond. WHO officially named the disease - Corona virus Disease 2019 (COVID-19) on February 12, 2020. 2 It has been spreading worldwide for a period of atleast a year & half 3 This review article addresses the current scenario caused by the SARS- Co V along with the treatment protocols and ongoing vaccines. Keywords: Corona virus,COVID-19, m RNA, current therapy, vaccines, clinical symptoms, review

scholarly journals Magnetic resonance findings may aid in diagnosis of protracted febrile myalgia syndrome: a retrospective, multicenter study

2022 ◽  
Vol 17 (1) ◽  
Author(s):  
Neta Aviran ◽  
Gil Amarilyo ◽  
Yaniv Lakovsky ◽  
Rotem Tal ◽  
Jenny Garkaby ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Clinical Symptoms ◽  
Rare Complication ◽  
Compound Heterozygous ◽  
Mri Findings ◽  
High Grade Fever ◽  
Initial Manifestation ◽  
Mefv Mutations ◽  
M694v Mutation ◽  
Magnetic Resonance Imaging Mri

Abstract Background Protracted febrile myalgia syndrome (PFMS) is a rare complication of Familial Mediterranean fever (FMF). The diagnosis is based on clinical symptoms and is often challenging, especially when PFMS is the initial manifestation of FMF. The aim of this report was to describe the magnetic resonance imaging (MRI) findings in pediatric patients with PFMS. Results There were three girls and two boys ranging in age from 6 months to 16 years, all of Mediterranean ancestry. Three had high-grade fever, and all had elevated inflammatory markers. MRI of the extremities yielded findings suggestive of myositis, which together with the clinical picture, normal CPK levels, and supporting family history of FMF, suggested the diagnosis of PFMS. Out of most common MEFV mutations tested, one patient was homozygous for M694V mutation, three were heterozygous for M694V mutation, and one was compound heterozygous for the M694V and V726A mutations. Conclusions MRI may serve as an auxiliary diagnostic tool in PFMS.

scholarly journals Syringomyelia and Chiari Malformation in Cavalier King Charles Spaniels – Magnetic Resonance Imaging, Pharmacological and Surgical Treatment

2013 ◽  
Vol 57 (1) ◽  
pp. 131-133 ◽  
Author(s):  
Andrzej Pomianowski ◽  
Zbigniew Adamiak
Keyword(s):  
Magnetic Resonance Imaging ◽  
Surgical Treatment ◽  
Magnetic Resonance ◽  
Chiari Malformation ◽  
Clinical Symptoms ◽  
Pharmacological Therapy ◽  
Resonance Imaging ◽  
Short Term ◽  
Low Field ◽  
Magnetic Resonance Imaging Mri

Abstract Nine dogs with Chiari malformation and syringomyelia, which were subjected to low-field magnetic resonance imaging (MRI) test, were described. The results of MRI examinations were presented. The outcomes of pharmacological therapy involving two dogs and surgical treatment of one dog were also described. The applied treatments produced positive short-term outcomes, and they eliminated the clinical symptoms of the disease.

Clinicians Need Localized Proton MRS of the Brain in the Management of HIV-Related Encephaiopathies

1997 ◽  
Author(s):  
P.J. Cozzone ◽  
J. Vion-Dury
Keyword(s):  
Magnetic Resonance ◽  
Opportunistic Infections ◽  
Neurological Complications ◽  
Psychomotor Slowing ◽  
Proton Mrs ◽  
Diffuse White Matter ◽  
Magnetic Resonance Imaging Mri ◽  
Cytomegalovirus Encephalitis ◽  
The Brain

The neurological complications of AIDS (neuro AIDS) represent the principal cause of disability and death in HIV-patients (Gray et al., 1993; McArthur, et al., 1993). Several types of lesions affect the brain tissue: direct infection of the nervous tissue by HIV, opportunistic infections (such as toxoplasmosis, cytomegalovirus encephalitis, tuberculosis, progressive rnultifocal encephalopathy....), and lymphomas. The AIDS-related dementia complex (ADC) affects about 60% of patients in the late stage of AIDS. ADC is characterized by the occurrence of sub-cortical dementia with cognitive, behavioral, and motor decline, psychomotor slowing and apathy. ADC is related to the presence of a diffuse encephalopathy leading to a cortical and sub-cortical atrophy, as well as diffuse white-matter lesions. There is a distinct advantage in diagnosing as early as possible the neurological complications (e.g. encephalopathy) of AIDS, since early treatment can improve significantly the quality of life in patients by slowing down or even stopping the neurological and psychological degradation. Neuroimaging techniques, and mainly magnetic resonance imaging (MRI), constitute so far the best diagnostic tools of neuro-AIDS (Kent et al., 1993; Mundinger et al., 1992). In addition, localized magnetic resonance spectroscopy (MRS) of the brain provides a non-invasive exploration of intracerebral metabolism in vivo, and can be performed following a standard MRI examination [for a review see Vion-Dury et al. (1994)]. Several key molecules of brain metabolism can be detected, including N-acetyl-aspartic acid which is thought to be a neuronal marker, choline-containing molecules (involved in phospholipid metabolism), glutamate, glutamine, inositol, phosphocreatine and creatine, and lactate. Recently, significant modifications in the concentration of brain metabolites detected by phosphorus and proton MRS have been described in patients with ADC (Bottomley et al., 1992; Deicken et al., 1991; Menon et al., 1992; Chong et al., 1993; Meyerhoff et al., 1993; Confort-Gouny et al., 1993). In a preliminary study, we have observed that even, if MR images are normal (without atrophy, focal or diffuse lesions) or if the patients are neuroasymptomatic, the values of metabolic parameters measured by MRS are often modified (Vion-Dury et al., 1994).

Epidural Lipomatosis

2007 ◽  
Vol 7 (4) ◽  
pp. 463-464
Author(s):  
Daniel G. Borré
Keyword(s):  
Magnetic Resonance ◽  
Clinical Symptoms ◽  
Symptomatic Relief ◽  
Japanese Orthopaedic Association ◽  
Rare Condition ◽  
Neurological Complications ◽  
Neurological Deficits ◽  
Epidural Lipomatosis ◽  
Epidural Fat ◽  
Spinal Epidural

Object Idiopathic symptomatic spinal epidural lipomatosis (SEL) is a rare condition, and few reports have discussed diagnostic imaging criteria. To evaluate factors relating to its clinical symptoms, correlations between clinical features and the presence of spinal epidural fat were investigated, and the literature concerning idiopathic SEL was reviewed. Methods Morphological gradings of epidural fat were evaluated in seven patients with idiopathic SEL by using magnetic resonance (MR) imaging. In addition, body mass index (BMI), the number of involved vertebral levels, grade, and preoperative Japanese Orthopaedic Association (JOA) score were analyzed. Surgery resulted in symptomatic relief, with a mean JOA score recovery rate of 67.4%. Grading of epidural fat tended to display a slight negative correlation with preoperative JOA score, whereas a strong significant positive correlation was found between the number of involved vertebral levels and BMI. Conclusions The number of involved vertebral levels and obesity are strongly correlated, whereas severity of dural compression is not always significantly associated with neurological complications. These results indicate that epidural fat of the lumbar spine contributes to neurological deficits. In addition, weight-reduction therapy appears to decrease the number of vertebral levels involved. Magnetic resonance imaging–based grading is helpful for the diagnosis and evaluation of idiopathic lumbar SEL. Moreover, symptoms and neurological findings are important for determining the surgical approach.

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