scholarly journals A rare case of pituitary macroadenoma with synchronous suprasellar meningioma.

2020 ◽  
pp. 26-30
Author(s):  
Bogdan Ionut David ◽  
Ligia Gabriela Tataranu ◽  
Vasile Gheorghe Ciubotaru ◽  
Aurelia Mihaela Sandu ◽  
Radu Mircea Gorgan
Keyword(s):  
Pituitary Adenoma ◽  
Rare Case ◽  
Wide Spectrum ◽  
Relevant Literature ◽  
Tumour Mass ◽  
Sellar Region ◽  
Imaging Studies ◽  
Specific Patient ◽  
Unilateral Approach ◽  
Histopathological Result

Synchronous tumours can be found all along the entire neuraxis, however, some lesions are far less likely to coexist. One of these extremely rare associations is between GH-pituitary adenomas and suprasellar meningiomas. A wide spectrum of transcranial and transsphenoidal approaches were described in the literature for either sellar, suprasellar and parasellar lesions, but no agreement has been reached for the cases of simultaneous occurring lesions. We present a rare case of a woman with GH-secreting pituitary adenoma and concomitant suprasellar meningioma. The strategy chosen was sequential transsphenoidal surgeries. However, after the first surgery, the remaining tumour mass did not mobilize as expected due to gravity, hence we decided to perform a transcranial subfrontal unilateral approach. Surprisingly, the second surgery revealed a different histopathological result. Association of a GH-pituitary adenoma and suprasellar meningioma is very rare, only 17 cases being reported in the relevant literature so far.  Different authors prefer different strategies, ranging from only transsphenoidal to simultaneous transsphenoidal and transcranial approaches, but no general consensus was established. In conclusion, the existence of synchronous tumours of the sellar region should be taken into account when imaging studies reveal an intracranial mass developing both sellar and suprasellar. The surgical strategy should be tailored to every specific patient and experience of the neurosurgeon.

scholarly journals Giant Pituitary Adenoma Presenting with Foster-Kennedy Syndrome in a 21-Year Old Ethiopian Patient: A Rarely Reported Phenomenon: A Case Report

2020 ◽  
Vol 30 (2) ◽  
Author(s):  
Biniyam Ayele ◽  
Abenet Mengesha ◽  
Abdi Wotiye ◽  
Yodit Alemayehu
Keyword(s):  
Pituitary Adenoma ◽  
Visual Field ◽  
Pituitary Gland ◽  
Wide Spectrum ◽  
Brain Mri ◽  
Visual Disturbance ◽  
Serum Prolactin ◽  
Sellar Region ◽  
Giant Pituitary Adenoma ◽  
Foster Kennedy Syndrome

BACKGROUND: Disorders of the pituitary gland and the sellar region present a wide spectrum of clinical problems. A variety of lesions in this area tend to present with similar problems; namely, headache, hormonal disorders, and loss of vision. Benign adenomas of the pituitary gland are by far the most common disorders of sellar region. Rarely, patients with pituitary adenoma may present with blindness in one eye and visual field cut (temporal hemianopia) in the contralateral eye. This rare clinical entity is called Foster-Kennedy Syndrome (FKS).CASE PRESENTATION: We present a 21-year-old male patient, presented with progressive visual disturbance of the left eye, associated with global headache. The headache was refractory to over-counter medications. In addition, he had history of sleep disturbance and loss of appetite. Neurological examination was pertinent for left side visual loss with optic atrophy and right eye temporal visual field cut with disc edema. Brain MRI showed 4 cm X 3.5 cm sized lobulated intra and supra sellar mass with heterogeneous contrast enhancement and minimal surrounding edema. Serum prolactin level was 6,705 ng/mL. Otherwise, the other pituitary hormones were in normal range.CONCLUSION: This case highlighted that pituitary adenoma may present with the full picture of Foster Kennedy syndrome. Therefore, we recommend considering pituitary adenoma as a possible differential diagnosis of intracranial lesions presenting as Foster Kennedy syndrome, as early detection and management could potentially salvage patients’ vision and quality of life.

A rare case of spontaneously cured acromegaly by the apoplexy of the pituitary adenoma

2019 ◽  
Author(s):  
Carla L Scanteie ◽  
Silviu Crainic ◽  
Cristina Ghervan
Keyword(s):  
Pituitary Adenoma ◽  
Rare Case

Multiple neuromas coexisting with rheumatoid synovitis and a rheumatoid nodule

2000 ◽  
Vol 90 (5) ◽  
pp. 252-255 ◽  
Author(s):  
LA Zielaskowski ◽  
SJ Kruljac ◽  
JJ DiStazio ◽  
S Bastacky
Keyword(s):  
Rare Case ◽  
Relevant Literature ◽  
Rheumatoid Nodule ◽  
Morton’S Neuroma ◽  
Forefoot Pain ◽  
Rheumatoid Nodules ◽  
Morton's Neuroma ◽  
The Many

The authors present a rare case of multiple intermetatarsal neuromas coexisting with rheumatoid synovitis and a rheumatoid nodule. A brief review of rheumatoid nodules as a source of forefoot pain and a review of the relevant literature are provided. A rheumatoid nodule is just one of the many diagnoses that must be considered when one encounters pedal symptoms similar to those associated with Morton's neuroma.

scholarly journals Paraneoplastic polymyositis presenting as a clinically occult breast cancer

2017 ◽  
Vol 99 (2) ◽  
pp. e40-e43 ◽  
Author(s):  
N Merali ◽  
M Yousuff ◽  
V Pronisceva ◽  
A Poddar
Keyword(s):  
Paraneoplastic Syndrome ◽  
Rare Case ◽  
Primary Tumour ◽  
Imaging Studies ◽  
Occult Breast Cancer ◽  
Symptom Stability ◽  
Underlying Malignancy ◽  
Neurological Presentation ◽  
Complete History ◽  
Metaplastic Breast Carcinoma

Paraneoplastic syndrome affects less than 1% of cancer patients. Diagnosis of paraneoplastic syndrome with neurological presentation requires screening for an underlying malignancy, including a complete history, physical examination and imaging studies. Treatment often results in symptom stability, rather than improvement. Paraneoplastic polymyositis can precede or instantaneously occur at diagnosis or treatment of a primary tumour, while neurological symptoms can persist even following cancer treatment. We report a rare case of metaplastic breast carcinoma with an unusual presentation of paraneoplastic polymyositis.

Intrasellar epidermoid cyst

1983 ◽  
Vol 58 (3) ◽  
pp. 411-415 ◽  
Author(s):  
James E. Boggan ◽  
Richard L. Davis ◽  
Greg Zorman ◽  
Charles B. Wilson
Keyword(s):  
Pituitary Adenoma ◽  
Epidermoid Cyst ◽  
Cystic Lesions ◽  
Sellar Region ◽  
Content Type ◽  
Fine Print

✓ The authors report the uncomplicated removal of an intrasellar epidermoid cyst that on presentation mimicked a pituitary adenoma. Current controversies regarding the differentiation of this cyst from other cystic lesions of the sellar region are reviewed.

scholarly journals Spinal intraosseous epidural arteriovenous fistula with perimedullary drainage obliterated with Onyx embolization: case report

2015 ◽  
Vol 23 (2) ◽  
pp. 250-253 ◽  
Author(s):  
Chang-Hsien Ou ◽  
Hao-Kuang Wang ◽  
Tzu-Hsien Yang ◽  
Cheng-Loong Liang ◽  
Ho-Fai Wong
Keyword(s):  
Case Report ◽  
Arteriovenous Fistula ◽  
Rare Case ◽  
Direct Evidence ◽  
Embolic Agent ◽  
Imaging Studies ◽  
Disease Evolution ◽  
Compressive Fracture ◽  
Rare Location ◽  
Vein Reflux

The authors report an extremely rare case of spinal intraosseous epidural arteriovenous fistula (AVF) with perimedullary vein reflux causing symptoms of myelopathy. The intraosseous fistula tracts were completely obliterated with Onyx embolic agent, resulting in a total resolution of symptoms. The unique features of this case include the rare location of the fistula in the vertebral body and the association of the fistula with a compressive fracture. Imaging studies confirmed these hemodynamic findings and provided clarity and direct evidence regarding the association of epidural AVF formation with the vertebral compressive fracture. The authors also propose a possible disease evolution based on the previously adduced reflux-impending mechanism.

scholarly journals A Case of Torsion of the Gallbladder Suspected with SPECT-CT: Review and Recommendations

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Eric Bergeron ◽  
Etienne Désilets ◽  
Xuan Vien Do ◽  
Daniel McNamara ◽  
Sami Chergui ◽  
...  
Keyword(s):  
Poor Prognosis ◽  
Rare Case ◽  
Relevant Literature ◽  
Ct Images ◽  
Hida Scan ◽  
Torsion Of The Gallbladder ◽  
Rare Situation

Torsion or volvulus of the gallbladder is a rare situation that rapidly progresses to gangrene and linked with a poor prognosis, even death, if unrecognized and untreated. An interesting and rare case of gallbladder volvulus in which diagnosis was obtained by comparing CT images and HIDA scan with SPECT-CT is presented. Relevant literature is reviewed, and recommendations are outlined.

scholarly journals A rare clinical case: schwannoma of tongue

2019 ◽  
Vol 5 (3) ◽  
pp. 789
Author(s):  
Chandra Veer Singh ◽  
Sheetal Radia ◽  
Saalim Sheikh ◽  
Vijay Haribhakti
Keyword(s):  
Head And Neck ◽  
Rare Case ◽  
Neck Region ◽  
Surgical Excision ◽  
Imaging Studies ◽  
Head And Neck Tumours ◽  
Head And Neck Region ◽  
Complete Surgical Excision ◽  
Slow Growing ◽  
Rule Out

<p class="abstract">Schwannoma are slow growing tumours, which can arise from any peripheral nerve. 10% of schwannomas that occur in the head and neck region mostly originate from the vagus or sympathetic nervous system. Extracranial schwannomas in the head and neck region are rare neoplasm. Intraoral schwannoma are only 1% of the all head and neck tumours. Diagnosis is established by imaging studies such as magnetic resonance imaging or computed tomography, while FNAC is used to rule out other conditions. We report a rare case of lingual schwannomas generally present as a painless lump schwannoma of the tongue in a 27-year-old male complaining of asymptomatic swelling over a posterolateral surface of the tongue, treated by complete surgical excision. The diagnosis was established on the basis of clinical, histopathological, and immunohistochemical examination. We report a rare case of schwannoma over the posterolateral surface of tongue. Prognosis is good for the patient when this condition is correctly diagnosed as the condition rarely recurs after complete resection.</p>

scholarly journals Comparative Study of Functional Food Regulations in Japan and Globally

2019 ◽  
Vol 11 (6) ◽  
pp. 132
Author(s):  
Mohamed Farid ◽  
Kota Kodama ◽  
Teruyo Arato ◽  
Takashi Okazaki ◽  
Tetsuaki Oda ◽  
...  
Keyword(s):  
Functional Food ◽  
Wide Spectrum ◽  
Relevant Literature ◽  
The United States ◽  
Added Value ◽  
The European Union ◽  
Foreign Markets ◽  
Main Challenge ◽  
Study Results ◽  
Food Regulations

Since its inception in Japan, functional food has continued to deliver a true added value to a wide spectrum of customers, especially in aging subpopulations. Japanese companies have strong &quot;R&amp;D&quot; capabilities and strong know-how in the field of functional foods. They have the opportunity to grow overseas by promoting and marketing their products. The main challenge is to understand the foreign markets and their regulations to be able to promote Japanese products overseas. To achieve this goal, the study reports a scientific review of the relevant literature and official legislative reports published by the authorized entities in several countries to create a comparison between the rules and regulations in different countries such as China, the European Union, South Korea, Singapore, Taiwan, and the United States. The study results provide suggestions for entry strategies to recommended foreign markets based on regulatory situations. The study also provides a comparison for the different functional food regulations in Japan (FOSHU, FNFC, FFC), along with an introduction for the new local government certification system.

Unusual Case of Sclerosing Angiomatoid Nodular Transformation of the Spleen in an Adolescent Patient: Case Report and Literature Review

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Abboud B ◽  
◽  
Honein K ◽  
Aidibi A ◽  
Yared F ◽  
...  
Keyword(s):  
Rare Case ◽  
Unusual Case ◽  
Benign Lesion ◽  
Relevant Literature ◽  
Clinical Suspicion ◽  
Radiographic Examination ◽  
Patient Case ◽  
Sclerosing Angiomatoid Nodular Transformation ◽  
High Clinical Suspicion ◽  
Red Pulp

Sclerosing Angiomatoid Nodular Transformation (SANT) is a rare and benign lesion arising from the red pulp of the spleen, with an unknown etiopathogenesis. These tumors are usually asymptomatic and are found incidentally on radiographic examination. Therefore, high clinical suspicion is of great importance for the diagnosis. Splenectomy provides complete cure, and no recurrence and/or malignant transformation was reported to date. In this study, a rare case of SANT was reported in aadolescent male, and was discussed with the relevant literature.

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