MRI Findings Of An Atypical Cystic Meningioma – A Rare Case

10.5580/2b5c ◽  
2012 ◽  
Vol 14 (1) ◽  

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Aqueel Qureshi ◽  
Ahmed Gabr ◽  
Daniel Zulkifli ◽  
Elijah Chaila ◽  
Margaret O'Connor

Abstract Background In Ireland, there are approximately 55,000 cases of dementia. One of the rare causes of dementia is Creutzfeldt-Jakob disease (CJD), affecting one person per million each year worldwide. It is a rapidly progressive degenerative fatal disorder with an estimated mortality of 70% within one year. In this case report we present a rare case of possible familial-CJD which presented initially as a stroke mimic. Methods A 64-year old female referred via GP with abnormal left arm athetoid movements and in-coordination. MRI brain demonstrated a small sub-acute hyper-intense lesion in the right basal ganglia on diffusion weighted imaging. Her symptoms were atypical for acute stroke, however an alternative cause was not evident. She was monitored closely with early supported discharge. However the left sided athetoid movements worsened and were associated with intermittent myoclonic jerks and dystonic posturing. She was reassessed with a wider differential including focal impaired seizures, Rasmussen’s encephalitis, and CJD. EEG showed periodic lateralizing epileptic discharges, however patient failed to show any response to anti-epileptic treatment and her clinical course was one of rapid deterioration. Clinical findings and subsequent MRI findings showed new areas of hyperintensity supporting CJD. Results Ultimately our patient deteriorated rapidly resulting in an akinetic and abulic state, resulting in death. A final diagnosis of sporadic-CJD was made based on rapid progressive deterioration and findings on MRI as well as confirmation on post-mortem brain pathology. A deeper review of family history revealed a sister who had passed away years prior with rapid progressive neurological illness. Her work-up showed clinical signs and EEG findings supporting CJD, however there was no post mortem to confirm her diagnosis. Conclusion This case highlights the importance of genetics shaping phenotypes and that consideration should always be given to a full relevant family history. It also shows a rare case of rapidly progressive dementia confirmed due to CJD with a likely underlying familial predisposition.



2011 ◽  
Vol 15 (1) ◽  
pp. 6
Author(s):  
John Joseph ◽  
Harish Narayanan ◽  
Jacob Varghese ◽  
Harish Babu ◽  
A Praveen

Scapuloiliac dysostosis, also known as pelvis-shoulder dysplasia and Kosenow syndrome, is a rare skeletal dysplasia described first by Kosenow et al. in 1970. The main components of the syndrome are varying degrees of bilateral iliac and scapular hypoplasia. Various other skeletal abnormalities including exaggerated lumbar lordosis, and clavicular, vertebral, rib and long bone anomalies and extra-skeletal abnormalities, most commonly those of eye and ear, have also been reported. We report the plain radiography, CT and MRI findings of an interesting case of the syndrome.



2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Santosh Surana ◽  
Mohamed Elshazly ◽  
Adel Allam ◽  
Sateesh Jayappa ◽  
Deena AlRefai

Cowper’s gland syringocele is an uncommon, underdiagnosed cystic dilatation of Cowper’s gland ducts showing various radiological patterns. Herein we report a rare case of giant Cowper’s gland syringocele in an adult male patient, with description of MRI findings and management outcome.



Hand Surgery ◽  
2013 ◽  
Vol 18 (01) ◽  
pp. 121-123 ◽  
Author(s):  
Koichi Kobayashi ◽  
Hirotake Otsuka ◽  
Katsuyasu Fukasawa

Angioleiomyomas are benign solitary soft-tissue tumors that originate from the vascular smooth muscle of vessels and rarely occur in the hand. Pain and tenderness are the only clinical characteristics. This report presents a rare case of angioleiomyoma arising from both the superficial palmar arch and a concomitant vein of the artery. The MRI findings lack specific radiological features. However, three-dimensional magnetic resonance angiography demonstrated the existence of a relationship between the tumor and its feeding vessels. The diagnosis was made after a histopathological study of the tumor. Adequate collateral circulation should be confirmed both before and during surgery if the lesion occurs within an artery. Angioleiomyoma should therefore be included in the differential diagnosis of painful vascular tumors with no neurological findings in the hand.



2014 ◽  
Vol 4 (1) ◽  
pp. 67-70 ◽  
Author(s):  
P Devani ◽  
Hira Lal ◽  
A Thakral

The purpose of this report is to present radiological features of a rare entity called Parry-Romberg syndrome (also known as Progressive hemifacial atrophy). The authors report one rare case of a 18 year old female patient with Parry-Romberg syndrome, accompanied by a brief review of literature and various radiological features of this entity. Final diagnosis of a Parry-Romberg syndrome was made on clinical and radiological grounds. Radiologists should be familiar with various radiographic, CT and MRI findings observed in this disorder. DOI: http://dx.doi.org/10.3126/njr.v4i1.11571 Nepalese Journal of Radiology, Vol.4(1) 2014: 67-70



2011 ◽  
Vol 30 (04) ◽  
pp. 199-202
Author(s):  
Wuilker Knoner Campos ◽  
Benjamin Franklin da Silva ◽  
Jose Antônio Damian Guasti

AbstractSpinal intradural arteriovenous fistulas (AVFs) are a rare type of neurovascular malformation. Many a time hemodynamic disturbs associated to these entities can cause edema with subsequent myelopathy. On MRI study, this edema can mimic an intramedullary tumor. We report a rare case of spinal intradural AVFs mimicking an intramedullary tumor, which also were surprisingly associated with a giant intracranial aneurysm. We highlight in detail the MRI findings in intramedullary lesions, and also emphasize that these entities requires as careful differential diagnosis as supplementary investigation of the neuroaxis looking for other simultaneous neurovascular pathologies.



Author(s):  
Kemal Sarsmaz ◽  
Oguz Lafci ◽  
Neval Cayonu Kahraman ◽  
Elif Ergun ◽  
Sevki Celen ◽  
...  


2015 ◽  
Vol 27 (2) ◽  
pp. 322 ◽  
Author(s):  
RevathVyas Devulapalli ◽  
BalajiBabu Bangi ◽  
LakshmiKavitha Nadendla ◽  
Archana Pokala


Author(s):  
Nursen Toprak ◽  
Ali Gunduz ◽  
Ibrahim Aras ◽  
Ibrahim Ilik ◽  
Gokcenaz Kucukbas ◽  
...  


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