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February 2021 Issue

 




Other Radiology articles from the Neuroradiology section Neuroradiology

Vigabatrin-associated Reversible MRI Abnormalities in an Infant with Tuberous Sclerosis by Joseph Franklin Craft et al.

Published: 2021 Feb
Issue: 15(2) :: Pages: 1-6


Free full text article: Vigabatrin-associated Reversible MRI Abnormalities in an Infant with Tuberous Sclerosis

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Abstract: Vigabatrin therapy is commonly used in infants diagnosed with tuberous sclerosis complex, particularly in the setting of epilepsy. Utilization of vigabatrin can result in bilateral and symmetric abnormal sequence changes within the deep brain matter and brainstem on magnetic resonance imaging. These abnormalities occur predominantly in infancy, are reversible, and can be asymptomatic or result in symptomatic clinical manifestations. We present a case with classic neuroimaging findings. Familiarity with these findings can prevent unnecessary follow up tests or studies and the cost of continuing or discontinuing vigabatrin therapy should be weighed heavily against the potential manifestation of extrapyramidal symptoms.


Available image modalities: (click on modality to browse for other articles)
Magnetic Resonance Imaging, Table





Other Radiology articles from the Breast Imaging section Breast Imaging

Post-operative imaging surveillance of breast cancer patients status post lumpectomy with BioZorb implant placement by Shruthi Ram et al.

Published: 2021 Feb
Issue: 15(2) :: Pages: 7-24


Free full text article: Post-operative imaging surveillance of breast cancer patients status post lumpectomy with BioZorb implant placement

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Abstract: The evolving nature of newer surgical techniques and devices adds to the challenge of interpreting breast imaging in the post lumpectomy setting. The BioZorb surgical marker placed at lumpectomy sites for post-operative radiation targeting has its own distinct imaging appearance on each modality. Determining the expected follow-up imaging findings unique to this relatively new device is an ongoing endeavor with minimal literature on this topic. The following series of cases of post BioZorb breast surveillance are one of the first reported in the literature to provide examples of developing asymmetries and new or enlarging masses adjacent to the BioZorb site along with the final pathologic diagnosis for each case. Pathology findings range from fat necrosis and foreign body reaction to recurrent disease.


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Other, Magnetic Resonance Imaging, Conventional Radiography, Ultrasound, Clinical image, Table





Other Radiology articles from the Interventional Radiology section Interventional Radiology

Acute Hemorrhagic Cholecystitis with Large Hemoperitoneum: Treatment with Microcoil Embolization and Subsequent Cholecystectomy by Don Nguyen et al.

Published: 2021 Feb
Issue: 15(2) :: Pages: 25-34


Free full text article: Acute Hemorrhagic Cholecystitis with Large Hemoperitoneum: Treatment with Microcoil Embolization and Subsequent Cholecystectomy

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Abstract: Hemorrhagic cholecystitis is a potentially deadly and difficult to recognize entity. It is associated with cystic artery pseudoaneurysm and is usually seen in the setting of acute calculous cholecystitis. We report two cases of hemorrhagic cholecystitis with arteriographic findings of cystic artery pseudoaneurysms that were successfully embolized using microcoils, facilitating subsequent cholecystectomy. Both cases had unusual presentations of gallbladder rupture with hemoperitoneum, the latter of which was atypical occurring in the absence of gallstones. We believe when hemorrhagic cholecystitis is suspected, a two-step therapeutic approach should be employed with embolization of the bleeding cystic artery followed by cholecystectomy. A comprehensive literature review and discussion of hemorrhagic cholecystitis will be provided.


Available image modalities: (click on modality to browse for other articles)
Ultrasound, Angiography, Interventional, Computed Tomography, Table





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