RESUMEN
Multinodular and vacuolating neuronal tumor (MVNT) of the cerebrum is a rare and benign lesion which has been recently included in World Health Organization Classification of the central nervous system tumors. Another entity of lesions would present the same radiological characteristics; however, it would be in the posterior fossa, hence its name: infratentorial multinodular and vacuolating neuronal tumor. They are frequently characterized by the presence of cystic (or cyst-like) nodular lesions and may show cortical involvement. They mainly can be differentiated from other cystic entities, by their clustered and unchanging nature over time. We present the case of a 54-year-old patient who has consulted for epileptic seizures. Magnetic Resonance Imaging showed a multicystic-looking mass involving the vermis and the left cerebellar hemisphere that had no changes at follow-up in the last year suggestive of infratentorial multinodular and vacuolating neuronal tumor.
RESUMEN
Introduction: and importance: Venous thromboembolism (VTE) is a well-known complication in polytrauma patients, associated with a high rate of mortality and morbidity. Generally pulmonary embolism (PE) is most common between the fifth and seventh days following a significant trauma, and it is uncommon before the fourth day. Their management remains a challenge to physicians given the nature and risk of blood loss from the accompanying injuries must be considered while using anticoagulant therapy. Case presentation: Here we present a case of acute pulmonary embolism in a previously healthy young woman that developed two days after a traumatic brain injury (TBI) and varying degrees of additional blunt thoracic trauma. An angio CT scan was used to make the diagnosis, and the patient was given anticoagulant medication with close monitoring and satisfactory outcomes. Conclusion: Evidence suggests that early after trauma, a considerable number of trauma patients are hypercoagulable. In patients with unexplained dyspnea/hypoxia, clinicians should maintain a high index of suspicion and explore PE early after injury. In the case of traumatic brain injury patients with cerebral contusions, intraparenchymal haemorrhages, or subdural/extradural haemorrhages, the existence of post-traumatic PE adds to the problems.
RESUMEN
Localized dissection of the descending thoracic aorta; class 3 of the classification proposed by the European Society of Cardiology; is a short and limited length dissection involving the descending thoracic aorta. It is a rare and unrecognized variant that poses a clinical and radiological diagnostic challenge. Indeed, it is manifested by an aspecific clinical profile represented by the acute aortic syndrome and characterized by a confused radiological aspect that entangled with the other differential diagnoses. We would like to emphasize the rarity of this uncommon pathology and the difficulty encountered in defining it based on a case treated in our department and a review of the literature.
Asunto(s)
Aneurisma de la Aorta Torácica/diagnóstico por imagen , Disección Aórtica/diagnóstico por imagen , Enfermedades Raras/diagnóstico por imagen , Dolor Agudo/etiología , Anciano , Disección Aórtica/complicaciones , Disección Aórtica/cirugía , Aneurisma de la Aorta Torácica/complicaciones , Aneurisma de la Aorta Torácica/cirugía , Prótesis Vascular , Dolor en el Pecho/etiología , Angiografía por Tomografía Computarizada , Humanos , Masculino , Enfermedades Raras/complicaciones , Enfermedades Raras/cirugía , Tomografía Computarizada por Rayos XRESUMEN
INTRODUCTION: SARS-CoV-2 viral infection can manifested by respiratory symptoms, or other symptoms, such as the cardiovascular manifestations including acute coronary syndrome, pericardial effusion, and heart failure. CLINICAL CASE: A 51-year-old patient admitted to the emergency room for epigastric pain with no respiratory signs and with an ST-segment elevation inelectrocardiogram that ultimately revealed myocarditis and SARS CoV-2 2 infection. CONCLUSION: The clinical manifestations of SARS CoV-2 might be atypical, and the diagnosis might be considered in this pandemic area.