scholarly journals Conus medullaris intramedullary arachnoid cyst- case report and review of the literature

2021 ◽  
Vol 12 ◽  
pp. 370
Author(s):  
Vishal Vishnu Thakur ◽  
Ranjit Devidas Rangnekar ◽  
Shashank Aroor ◽  
Krishnakumar Kesavapisharady ◽  
Mathew Abraham
Keyword(s):  
Arachnoid Cyst ◽  
Rare Case ◽  
Conus Medullaris ◽  
Radical Excision ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Presenting Symptoms ◽  
High Index Of Suspicion ◽  
Urinary Dribbling ◽  
Intramedullary Cyst

Background: Spinal intramedullary cysts present a radiological dilemma. We present a rare case of a conus intramedullary arachnoid cyst and report on its differentiating features and management. Case Description: We report a case of a 30-month-old child who presented with decreased gluteal sensation and urinary dribbling for 6 months. Apart from some slowness in walking, the power was normal in all four limbs. Imaging showed a non-enhancing, T2-weighted hyperintense 12 × 8 mm conus intramedullary cyst without any edema. A T12-L1 laminotomy followed by marsupialization of the cyst was done. Histopathology was suggestive of an arachnoid cyst. The postoperative course was uneventful with improvement in muscle strength and achievement of regular milestones. We also present the pertinent review of the literature to date. Conclusion: Intramedullary arachnoid cysts are a rare entity and should form the differential diagnosis for cysts presenting in the conus medullaris. Simple decompressive options may suffice for symptomatic cases and radical excision may be avoided. A high index of suspicion is essential considering the subtle nature of presenting symptoms.

scholarly journals Dysgenetic Polycystic Disease of Minor Salivary Gland: A Rare Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
N. Srikant ◽  
Shweta Yellapurkar ◽  
Karen Boaz ◽  
Mohan Baliga ◽  
Nidhi Manaktala ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Salivary Gland ◽  
Case Report ◽  
Rare Case ◽  
Minor Salivary Gland ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Lower Lip ◽  
Polycystic Disease ◽  
Rare Case Report

Polycystic (dysgenetic) disease of the salivary glands is a rare entity that has only recently been described in the literature. The disease is more commonly seen in females and majority of the cases have presented as bilateral parotid gland swellings. This case presenting in a 21-year-old male is the first of this unusual entity involving solely the minor salivary gland on the lower lip. This case report highlights the importance for the clinician to be aware of this differential diagnosis, when treating an innocuous lesion like a mucocele.

Invasive Fungal Sinusitis in the Immunocompromised Pediatric Patient

1995 ◽  
Vol 74 (8) ◽  
pp. 566-573 ◽  
Author(s):  
Bryan K. Lansford ◽  
Charles M. Bower ◽  
Robert W. Seibert
Keyword(s):  
Pediatric Population ◽  
Treatment Protocol ◽  
Underlying Disease ◽  
Antineoplastic Drugs ◽  
Fungal Sinusitis ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Presenting Symptoms ◽  
Invasive Fungal Sinusitis ◽  
Histopathologic Findings

Invasive fungal sinusitis in the pediatric population appears to be a relatively rare entity. An increasing incidence has been noted in accordance with the widespread use of antibiotics, steroids, antineoplastic drugs and radiation therapy. Three illustrative cases are described which outline the initial presenting symptoms, findings on physical examination, computed tomography (CT), intraoperative findings, and histopathologic findings. A review of the literature is presented and a treatment protocol is proposed once a diagnosis is made. Early suspicion and diagnosis are the most important prerequisites for successful treatment which consists of control of the underlying disease, surgical debridement, and systemic antifungal therapy. Cooperation between the otolaryngologist, pediatric specialists, and pathologists are key to the survival of children with invasive fungal sinusitis. Survival in this series was dependent upon return of an immune competent state.

Endometriosis of the conus medullaris causing cyclic radiculopathy

2014 ◽  
Vol 21 (5) ◽  
pp. 799-804 ◽  
Author(s):  
Jeffrey A. Steinberg ◽  
David D. Gonda ◽  
Karra Muller ◽  
Joseph D. Ciacci
Keyword(s):  
Spinal Cord ◽  
Rare Case ◽  
Cauda Equina ◽  
Pain Syndrome ◽  
Conus Medullaris ◽  
Pelvic Cavity ◽  
Review Of The Literature ◽  
Intramedullary Spinal Cord ◽  
Neoplastic Lesions ◽  
Voiding Difficulties

Intramedullary spinal cord hematomas are a rare neurosurgical pathological entity typically arising from vascular and neoplastic lesions. Endometriosis is an extremely rare cause of intramedullary spinal cord hematoma, with only 5 previously reported cases in the literature. Endometriosis is characterized by ectopic endometrial tissue, typically located in the female pelvic cavity, that causes a cyclical pain syndrome, bleeding, and infertility. In the rare case of intramedullary endometriosis of the spinal cord, symptoms include cyclical lower-extremity radiculopathies and voiding difficulties, and can acutely cause cauda equina syndrome. The authors report a case of endometriosis of the conus medullaris, the first to include radiological, intraoperative, and histopathological imaging. A brief review of the literature is also presented, with discussion including etiological theories surrounding intramedullary endometriosis.

scholarly journals Mal de Debarquement Syndrome: A Rare Entity—A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Veronica Nwagwu ◽  
Rakesh Patel ◽  
Jerome Okudo
Keyword(s):  
Case Report ◽  
Supportive Therapy ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Motion Activity ◽  
Efficacious Treatment ◽  
Mal De Debarquement Syndrome ◽  
Limiting Condition ◽  
High Index Of Suspicion ◽  
Caucasian Female

Mal de Debarquement Syndrome (MDS) is a rare, understudied, underdiagnosed, and self-limiting condition. Etiology and incidence are unknown. It is characterized by abnormal sensation of motion/balance reported after travel by air, land, and sea; being reexposed to motion/activity relieves it. Symptoms may last from minutes to years. Workup though required reveals no findings; it is a diagnosis of exclusion. While no efficacious treatment exists, amitriptyline and benzodiazepines as well as supportive therapy have proved to be useful. We have described a 40-year-old Caucasian female who presented for the evaluation of persistent rocking and swaying sensation after a ship cruise which lasted for one week. Patient was treated with benzodiazepines after extensive workup and is now stable. A high index of suspicion is required to make a diagnosis.

Persistent otorrhoea with an abnormal tympanic membrane secondary to squamous cell carcinoma of the tympanic membrane

2010 ◽  
Vol 125 (3) ◽  
pp. 318-320 ◽  
Author(s):  
N de Zoysa ◽  
J Stephens ◽  
G M D Mochloulis ◽  
P B D S Kothari
Keyword(s):  
Squamous Cell Carcinoma ◽  
Case Report ◽  
Cell Carcinoma ◽  
Tympanic Membrane ◽  
Temporal Bone ◽  
Squamous Cell ◽  
Rare Case ◽  
Rare Condition ◽  
Rare Entity ◽  
Review Of The Literature

AbstractObjective:The authors present an extremely rare case of carcinoma of the tympanic membrane.Method:A case report and review of the literature concerning carcinoma of the tympanic membrane and temporal bone are presented and discussed.Results:The authors present a patient with recurrent otorrhoea and an abnormal tympanic membrane. Biopsy was inconclusive, but resection demonstrated squamous cell carcinoma of the tympanic membrane. We also discuss the investigation, diagnosis, natural history and management of this rare condition, as well as the staging and management of tumours of the temporal bone and the differences between these closely related but prognostically different entities.Conclusion:This rare entity can be managed by primary surgical resection if there is no evidence of metastasis.

scholarly journals A RARE TUMOR OF THE PAROTID GLAND: A CASE REPORT AND REVIEW OF THE LITERATURE

2021 ◽  
Vol 9 (01) ◽  
pp. 525-528
Author(s):  
Z. Sayad ◽  
◽  
B. Dani ◽  
R. Elazzouzi ◽  
S. Benazzou ◽  
...  
Keyword(s):  
Salivary Gland ◽  
Case Report ◽  
Rare Case ◽  
Benign Tumor ◽  
Histological Study ◽  
Rare Tumor ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Granular Cytoplasm ◽  
Rare Benign Tumor

We report a rare case of a parotid oncocytoma in a 63-year-old woman. It is a rare benign tumor accounting for less than 1.5% of all salivary gland tumors. It is known as the parotid mitochondrioma because it is made of cells rich in mitochondria with granular cytoplasm. It is a rare entity poorly documented in the literature, and there are no pathognomonicsymptoms or imaging, which makes the diagnosis of this tumor challenging.Surgery is the main treatment, and the diagnosis is confirmed by the histological study of the specimen. Through this observation, and in light of the literature, we will underline the anatomoclinical and radiological peculiarities of this tumor, to induce clinicians to consider this histological type.

Dual Chronic Ossified Epidural Hematomas Presented with Seizures 23 Years after Head Injury in an Adult Male: Case Report and Literature Review

2018 ◽  
Vol 15 (01) ◽  
pp. 041-042
Author(s):  
Vivek Agrawal ◽  
Pramod Giri
Keyword(s):  
Case Report ◽  
Head Injury ◽  
Literature Review ◽  
Rare Case ◽  
Age Group ◽  
Pediatric Age ◽  
Rare Entity ◽  
Presenting Symptoms ◽  
Pediatric Age Group

AbstractThe authors report a rare case of dual chronic ossified epidural hematomas (EDHs) in a 35-year-old man with complaint of seizures after 23 years of head injury. Ossified EDH is a rare entity, and it commonly presents in pediatric age group. Presenting symptoms include headache and very rarely seizures. Asymptomatic cases may produce symptoms after decades; hence, regular follow-up is required. Treatment includes craniotomy or conservative management.

scholarly journals An Unusual Presentation of Small Bowel Intussusception

2021 ◽  
pp. 9-11
Author(s):  
Yinglin Gao ◽  
Cheikh Talal El Imad ◽  
Hai Song Kim ◽  
Vivek Gumaste
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Rare Case ◽  
Recurrent Abdominal Pain ◽  
Nausea And Vomiting ◽  
Adult Intussusception ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Small Bowel Intussusception ◽  
Intestinal Obstructions

Adult small bowel intussusception is a very rare entity that accounts for 5% of all cases of intussusception and 1%–5% of intestinal obstructions. It is more common in children but can occur in adults. It is an important etiology to consider when a patient presents with recurrent abdominal pain. The diagnosis can be challenging as symptoms are nonspecific and include abdominal pain, nausea and vomiting. This paper presents a rare case of duodenal intussusception, followed by a review of the literature discussing the diagnosis and treatment of adult intussusception.

scholarly journals Rare case of a rapidly enlarging symptomatic arachnoid cyst of the posterior fossa in an infant: A case report and review of the literature

2018 ◽  
Vol 9 (1) ◽  
pp. 57
Author(s):  
Nobuyuki Takeshige ◽  
Tomoko Eto ◽  
Shinji Nakashima ◽  
Kiyohiko Sakata ◽  
Hisaaki Uchikado ◽  
...  
Keyword(s):  
Case Report ◽  
Posterior Fossa ◽  
Arachnoid Cyst ◽  
Rare Case ◽  
Review Of The Literature

scholarly journals Parathyroid Carcinoma in a Patient With Secondary Hyperparathyroidism and Thyroid Hemiagenesis: A Case Report and Review of the Literature

2021 ◽  
pp. 014556132110362
Author(s):  
Shinpei Kada ◽  
Miho Tanaka ◽  
Akihiro Yasoda
Keyword(s):  
Secondary Hyperparathyroidism ◽  
Parathyroid Carcinoma ◽  
Rare Case ◽  
Case Reports ◽  
Endocrine Tumor ◽  
Total Parathyroidectomy ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Thyroid Hemiagenesis ◽  
Parathyroid Disease

Parathyroid carcinoma is a rare endocrine tumor. Parathyroid carcinoma in patients with secondary hyperparathyroidism due to chronic kidney disease is also rare. In addition, thyroid hemiagenesis is a rare congenital anomaly. We report an extremely rare case of parathyroid carcinoma in a patient with secondary hyperparathyroidism and thyroid hemiagenesis. We also present a review of the literature of this rare entity. We also discuss the surgical procedure performed for this patient. Our review of the literature found 34 case reports of parathyroid carcinoma in patients undergoing dialysis due to chronic renal failure; 14 reports of thyroid hemiagenesis with parathyroid disease; and no previous reports of thyroid hemiagenesis with secondary hyperparathyroidism and parathyroid carcinoma. Although surgical treatment of parathyroid carcinoma requires combined resection with the thyroid, peritracheal dissection with total parathyroidectomy, and monitoring intact parathyroid hormone as a tumor marker, our procedure preserved the patient’s thyroid function. There has been no evidence of recurrence for over 8 years.

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