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Amyand's Hernia: A Fortuitous Diagnosis. ACTA MEDICA PORT 2020; 33:843. [PMID: 33496253 DOI: 10.20344/amp.11651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Revised: 07/26/2019] [Accepted: 07/26/2019] [Indexed: 11/20/2022]
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CLIPPERS: a recognizable image of a treatable disease. ARQUIVOS DE NEURO-PSIQUIATRIA 2020; 77:903-904. [PMID: 31939590 DOI: 10.1590/0004-282x20190170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/23/2019] [Accepted: 07/27/2019] [Indexed: 11/22/2022]
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Acute hyperammonemic encephalopathy secondary to ornithine transcarbamylase deficiency in a child: findings in diagnostic imaging. ARQUIVOS DE NEURO-PSIQUIATRIA 2019; 77:834-835. [PMID: 31826142 DOI: 10.1590/0004-282x20190117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Accepted: 04/21/2019] [Indexed: 11/21/2022]
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Abstract
Background Intraventricular and extraventricular central neurocytomas (CN) are equally frequent among 20-40-year-old men and women. However, sellar and suprasellar extraventricular CN are extremely rare, with only 12 reported cases. Case Description The authors report the case of a Brazilian 27-year-old man who presented with progressive vision loss during the last 4 years and serious bilateral keratoconus. We also review the epidemiological, clinical, radiological, pathological, and treatment features of the 12 reported cases. The patient developed left amaurosis and right temporal hemianopsia after undergoing bilateral corneal transplantation, which was detected during campimetry testing, and subsequently underwent magnetic resonance imaging, which revealed a huge hypophyseal tumor. Endocrinological evaluation revealed complete loss of pituitary function. The patient was referred to our department and underwent a two-step surgery (using transsphenoidal approach and cranio-orbital zygomatic approach) based on the diagnosis of an extraventricular central nervous system neurocytoma. Tumor removal was successful, and the patient was discharged at 3 weeks after admission to our department. Conclusion Although extraventricular neurocytomas of the brain are rare, careful preoperative consideration of its anatomy, pathophysiological features, and radiological features can enhance the treatment outcomes.
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Spinal metallosis as a complication of a lodged bullet from a firearm wound: an image-centered case. Rev Assoc Med Bras (1992) 2019; 64:676-679. [PMID: 30673036 DOI: 10.1590/1806-9282.64.08.676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2017] [Accepted: 01/06/2018] [Indexed: 11/21/2022] Open
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Cervicomedullary primitive neuroectodermal tumor of the spine: Case report. Surg Neurol Int 2019; 9:241. [PMID: 30595962 PMCID: PMC6287338 DOI: 10.4103/sni.sni_41_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Accepted: 10/23/2018] [Indexed: 11/04/2022] Open
Abstract
Background Intramedullary primitive neuroectodermal tumors (PNETs) are tumors found rarely in the cervical region, with only five such cases described in the literature. The available literature contains only one report regarding cervicomedullary junction PNET. Case Description The authors present a case report of a 45-year-old male patient who had undergone urgent hospitalization owing to progressive tetraparesis and subtle impairment of respiratory function. He underwent magnetic resonance imaging, which showed an extensive enhancing cervical intramedullary tumor extending from C5 to the bulbar region. Since he developed severe impairment of respiratory function, he required tracheostomy. He then underwent microsurgery 2 days after his admission, and a partial tumor resection was performed. The pathological diagnosis of PNET of the cervicomedullary junction (CMJ) was made. He had slight worsening of strength after surgery with subsequent deterioration over the next 3 weeks. The tumor displayed aggressive growth; thus, radiotherapy was indicated. Unfortunately, he developed severe febrile neutropenia and died after 2 weeks of radiotherapy. Given the rarity of the condition, we wish to review the epidemiology, pathophysiology, and treatment options of his population. Conclusion Intramedullary PNETs of the cervical spine and CMJ are exceedingly rare in adults; treatment of such patients remains a challenge, despite the modern neurosurgical armamentarium that is available.
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Blunt thoracic trauma with the formation of pseudoaneurysm with the junction of the right subclavian artery. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2018; 64:987-989. [PMID: 30570048 DOI: 10.1590/1806-9282.64.11.987] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 02/24/2018] [Indexed: 11/22/2022]
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An unusual cause of acute abdomen: wandering spleen with infarction. Rev Assoc Med Bras (1992) 2018; 64:1075-1076. [DOI: 10.1590/1806-9282.64.12.1075] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2018] [Accepted: 03/24/2018] [Indexed: 11/21/2022] Open
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Spontaneous hematoma of the rectus sheath following percutaneous transluminal coronary angioplasty and stent placement. Pan Afr Med J 2018; 30:88. [PMID: 30344872 PMCID: PMC6191267 DOI: 10.11604/pamj.2018.30.88.15000] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2018] [Accepted: 05/19/2018] [Indexed: 11/18/2022] Open
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Presence of gas in an unusual place: spontaneous pneumomediastinum (Hamman's syndrome). J Bras Pneumol 2018; 44:334. [PMID: 30328931 PMCID: PMC6326704 DOI: 10.1590/s1806-37562018000000117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Pylephlebitis and septic thrombosis of the inferior mesenteric vein secondary to diverticulitis. Radiol Bras 2018; 51:336-337. [PMID: 30369664 PMCID: PMC6198832 DOI: 10.1590/0100-3984.2017.0046] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
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Chronic Multifocal Paracoccidioidomycosis: Pulmonary and Cutaneous Involvement. J Emerg Med 2018; 55:e57-e60. [PMID: 29793811 DOI: 10.1016/j.jemermed.2018.04.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2018] [Accepted: 04/11/2018] [Indexed: 06/08/2023]
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Acute paracoccidioidomycosis with duodenal and cutaneous involvement and obstructive jaundice. Med Mycol Case Rep 2018; 20:21-25. [PMID: 30148057 PMCID: PMC6105911 DOI: 10.1016/j.mmcr.2018.01.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2017] [Accepted: 01/11/2018] [Indexed: 01/10/2023] Open
Abstract
Paracoccidioidomycosis (PCM) is the most widespread endemic mycosis in LatinAmerica. If PCM is not diagnosed and treated early and adequately, the endemic fungal infection could result in serious sequelae. We report a case of PCM with duodenal and cutaneous involvement simulating cholangitis that was initially misdiagnosed as a lymphoproliferative disease. Clinicians should consider acute paracoccidioidomycosis in the differential diagnosis of jaundice and/or signs/symptoms of cholangitis developing in young patients from paracoccidioidomycosis endemic regions.
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Hallmark Cutaneous Signs of Infective Endocarditis. J Emerg Med 2018; 54:876-877. [PMID: 29685477 DOI: 10.1016/j.jemermed.2018.02.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2018] [Revised: 02/11/2018] [Accepted: 02/24/2018] [Indexed: 06/08/2023]
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Microcephaly caused by congenital Zika virus infection and viral detection in maternal urine during pregnancy. ACTA ACUST UNITED AC 2018; 64:11-14. [PMID: 29561936 DOI: 10.1590/1806-9282.64.01.11] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2017] [Accepted: 05/07/2017] [Indexed: 11/22/2022]
Abstract
Currently Latin America is undergoing a major epidemic of Zika virus, which is transmitted by Aedes mosquitoes. Concern for Zika virus infection has been increasing as it is suspected of causing brain defects in newborns such as microcephaly and, more recently, potential neurological and autoimmune complications including Guillian-Barré syndrome and acute disseminated encephalomyelitis. We describe a case of virus infection in a 25-year-old woman during the first trimester of her pregnancy, confirmed by laboratory tests only for the detection of viral particles in maternal urine, with imaging studies demonstrating the progression of cranial and encephalic changes in the fetus and later in the newborn, such as head circumference reduction, cerebral calcifications and ventriculomegaly.
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Endobronchial carcinoid tumor: Radiological findings of a clinical case. ACTA ACUST UNITED AC 2018; 64:15-18. [PMID: 29561937 DOI: 10.1590/1806-9282.64.01.15] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2017] [Accepted: 05/07/2017] [Indexed: 01/25/2023]
Abstract
We describe the case of a female patient, 21 years old, complaining of dyspnea attacks and wheezing 2 years ago. Chest radiography showed volume loss in the left lower lobe and ipsilateral retrocardiac triangular basal opacity. CT scan showed an extensive solid mass with apex protruding into the left main and lower lobar bronchi, causing distal atelectasis. Histopathological and immunohistochemical study of transbronchial biopsy of the lesion revealed a typical carcinoid tumor, confirmed after tumor resection with total left pneumectomy.
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Intraventricular neurocysticercosis with interventricular foramen and generalized ventriculitis. Int J Infect Dis 2018; 67:82-83. [DOI: 10.1016/j.ijid.2017.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Accepted: 12/04/2017] [Indexed: 11/26/2022] Open
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Hand injury from pneumatic needle gun. Pan Afr Med J 2018; 29:46. [PMID: 29875928 PMCID: PMC5987080 DOI: 10.11604/pamj.2018.29.46.14638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Accepted: 01/04/2018] [Indexed: 11/18/2022] Open
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Elderly woman with painless hardened umbilical nodule. Pan Afr Med J 2018. [DOI: 10.11604/pamj.2018.29.127.15115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Thrombosed aneurysm of saphenous vein coronary artery bypass grafting. Rev Assoc Med Bras (1992) 2017; 63:488-491. [PMID: 28876423 DOI: 10.1590/1806-9282.63.06.488] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2016] [Accepted: 12/01/2016] [Indexed: 11/21/2022] Open
Abstract
We describe the case of a male patient, aged 76 years, referred for cardiac investigation due to retrosternal chest pain and dyspnea. He had a history of acute myocardial infarction and angioplasties in the last 30 years, including a saphenous vein coronary artery bypass grafting (SVCABG). Echocardiogram showed hypoechoic oval formation near the right ventricle, suggesting a pericardial cyst. Computed angiotomography revealed a predominantly fusiform and thrombosed aneurysmal dilation of the SVCABG to the right coronary artery. SVCABG aneurysms are very rare and potentially fatal. They usually appear in the late postoperative period, and patients are often asymptomatic. On radiography, it is frequently presented as enlargement of the mediastinum, with echocardiography, computed tomography and magnetic resonance imaging being very useful for diagnosis. Coronary angiography is the gold standard to detect these cases. Our report illustrates a rare situation arising late from a relatively common surgery. Due to its severity, proper recognition in the routine assessment of patients with a similar history is essential.
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Acute Epstein-Barr virus encephalitis in an immunocompetent adolescent patient. ARQUIVOS DE NEURO-PSIQUIATRIA 2017; 75:489-490. [PMID: 28746439 DOI: 10.1590/0004-282x20170080] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Accepted: 04/15/2017] [Indexed: 06/07/2023]
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Chronic recurrent multifocal osteomyelitis exhibiting predominance of periosteal reaction. Rev Assoc Med Bras (1992) 2017; 63:303-306. [PMID: 28614530 DOI: 10.1590/1806-9282.63.04.303] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2016] [Accepted: 10/04/2016] [Indexed: 11/22/2022] Open
Abstract
Chronic recurrent multifocal osteomyelitis is an idiopathic nonpyogenic autoinflammatory bone disorder involving multiple sites, with clinical progression persisting for more than 6 months and which may have episodes of remission and exacerbation in the long term. It represents up to 2-5% of the cases of osteomyelitis, with an approximate incidence of up to 4/1,000,000 individuals, and average age of disease onset estimated between 8-11 years, predominantly in females. The legs are the most affected, with a predilection for metaphyseal regions along the growth plate. We describe the case of a female patient, aged 2 years and 5 months, with involvement of the left ulna, right jaw and left tibia, showing a predominance of periosteal reaction as main finding.
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Acute dengue encephalitis in a female Brazilian adult. Rev Soc Bras Med Trop 2017; 50:431. [DOI: 10.1590/0037-8682-0327-2016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2016] [Accepted: 10/14/2016] [Indexed: 11/21/2022] Open
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Left renal vein thrombosis secondary to compression by the uncinate process of the pancreas, mimicking the nutcracker syndrome. Radiol Bras 2017; 50:205-206. [PMID: 28670038 PMCID: PMC5487241 DOI: 10.1590/0100-3984.2015.0192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Multiple primary malignancies: synchronous urothelial carcinoma of the bladder and adenocarcinoma of the colon. Radiol Bras 2017; 50:64. [PMID: 28298737 PMCID: PMC5347508 DOI: 10.1590/0100-3984.2015.0114] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Immune reconstitution inflammatory syndrome, with pulmonary and neurological cryptococcosis, in an HIV-negative patient. Radiol Bras 2017; 49:411-412. [PMID: 28057973 PMCID: PMC5210043 DOI: 10.1590/0100-3984.2015.0139] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Elderly woman with soft tissue ossification. Pan Afr Med J 2017; 28:307. [PMID: 29721137 PMCID: PMC5927565 DOI: 10.11604/pamj.2017.28.307.14507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Accepted: 12/11/2017] [Indexed: 11/22/2022] Open
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Concomitant pulmonary and central nervous system paracoccidioidomycosis with cerebellar abscess. Rev Soc Bras Med Trop 2016; 48:789. [PMID: 26676511 DOI: 10.1590/0037-8682-0259-2015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2015] [Accepted: 09/03/2015] [Indexed: 11/22/2022] Open
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Diabetic hemichorea-hemiballismus with nonketotic hyperglicemia: a rare cause of hyperkinetic movement disorders. ARQUIVOS DE NEURO-PSIQUIATRIA 2016; 74:354-355. [PMID: 27097010 DOI: 10.1590/0004-282x20160021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Accepted: 10/20/2015] [Indexed: 06/05/2023]
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Intracranial dural arteriovenous fistula with perimedullary drainage treated by endovascular embolization. ARQUIVOS DE NEURO-PSIQUIATRIA 2015; 74:178-9. [PMID: 26486492 DOI: 10.1590/0004-282x20150171] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2015] [Accepted: 09/11/2015] [Indexed: 11/22/2022]
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