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Case Report  |   Volume 2, Issue 5

Progressive Course of Infective Endocarditis Complicated with Basilar Artery Aneurysm: Serial Cranial Magnetic Resonance Imaging Findings

Neslin Sahin, Aynur Solak, Berhan Genc and Ugur Kulu
Abstract

We report a case of a 31-year-old man with a basilar artery aneurysm and associated different imaging findings caused by a septic embolus originating from infective mitral valve endocarditis. Cerebrovascular complications (CVC) are well-known causes of morbidity and mortality in patients with infective endocarditis (IE). Patients with IE may present with different types of neuroradiological findings alone or in combination and thus have a worse prognosis than patients without CVCs.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410033

Case Report  |   Volume 2, Issue 5

The Contribution of Susceptibility-weighted Imaging (SWI) in Occult Cerebral Vascular Malformations in Pediatric Patients

Neslin Sahin, Aynur Solak and Liya Alkılıc
Abstract

Occult cerebral vascular malformations (CVM) include cerebral cavernous malformations (CCM), developmental venous anomalies, and cerebral capillary telangiectasias (CCT). Conventional magnetic resonance imaging (MRI) has low sensitivity in visualizing these angiographically invisible low-flow vascular lesions. Susceptibility weighted imaging (SWI), a novel high spatial resolution gradient echo MRI sequence with both phase and magnitude information, is exquisitely sensitive to blood products and small venous structures.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410032

Case Report  |   Volume 2, Issue 5

Right Sided Approach for a Pacemaker Insertion in the presence of Persistent Left Sided Superior Vena Cava: A Pacing Challenge

Edupuganti Mohan Mallikarjuna Rao, Hakan Paydak and Jawahar Mehta
Abstract

Persistent Left sided superior vena cava is a rare congenital anomaly that can complicate a variety of cardiac procedures. We present a patient where a persistent superior vena cava was encountered unexpectedly during routine pacemaker insertion. The condition was diagnosed on the table and greatly lengthened the operating time. Given the situation and an absence of a pre procedure diagnosis the surgeon had to be innovative and invent approaches to navigate the complex anatomy on the spot.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410031

Case Report  |   Volume 2, Issue 5

Symptomatic Cervical Perineural (Tarlov) Cyst: A Case Report

Zibis H. Aristeidis, Fyllos C. Apostolos and Arvanitis L Dimitris
Abstract

Introduction: Perineural cysts, also known as Tarlov cysts, are benign cerebrospinal fluid-filled cysts of the spinal cord. They were first described by IM Tarlov in 1938. Case presentation: We describe a Tarlov cyst located in the cervical spine, a location quite rare in literature. The patient is a 44-year-old woman who presented with a 3-week history of radicular symptoms of the right C6 root. A perineural cyst was identified at the C5-6 level after Magnetic Resonance Imaging of the cervical spine.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410030

Case Report  |   Volume 2, Issue 5

Ruptured Intracranial Teratoma: A Case Report and Literature Review

Luis R. Romero, Betty Y. Chen, Miguel A. Guzman, Yihua Zhou, Jin-Ping Lai and Fang Xiang Chen
Abstract

Teratomas are germinal cell tumors originating from all three germ cell layers. When intracranial in location, they typically occur in the pineal or suprasellar regions. Ruptured intracranial teratomas are exceedingly rare. The authors report a case of a 34-year-old woman with a ruptured fourth ventricular mature teratoma that was treated with open surgery. The patient initially presented complaints of headache, nausea, and dizziness.

  PDF   |    Full Text | DOI: 10.23937/2378-3656/1410029