Schizencephaly, i.e., split brain, is a rare, congenital cerebral malformation. Magnetic resonance imaging is the best neuroimaging modality for its diagnosis. In literature, only few cases have been reported causing symptoms in adults. Symptomatic patients present as hemiparesis, developmental deficits to seizures. This condition is usually found at birth and presents during early years. Appropriate diagnosis of the disease is necessary to avoid incorrect treatment. Here, we present a rare case of left, unilateral, open lip schizencephaly in an adult patient presenting with partial seizures but with an asymptomatic childhood.
SummaryBackgroundProstate cancer (PC) is an important medical and socio-economical problem due to its increasing incidence. The development of the prostate specific antigen (PSA) test, and a continuing decrease in the rates of other common neoplasms, such as lung and stomach since mid-1980s, prostate cancer has become one of the most common cancers among men. Prostate cancer (PC) is the second most common cancer in men, preceded only by lung cancer, and its early diagnosis is crucial for a successful treatment, that will prolong survival and improve quality of life.The main objective of our study was to evaluate the role of magnetic resonance imaging (MRI), magnetic resonance spectroscopy (MRS) and transrectal ultrasound (TRUS) in detecting prostatic pathologies and staging of prostate cancer by correlating these methods with histopathological results.Material/MethodsThe study is a cross-sectional diagnostic study performed in 66 patients with a high degree of clinical suspicion of prostatic pathology. All patients underwent TRUS, T1W, T2W, DWI, and 3D PRESSMRS sequences, and we also calculated ADC values and Cho Cr/Cit MRS ratios for all patients.ResultsCombination of MRI and MRS showed the highest diagnostic accuracy among the imaging modalities in detecting of prostatic neoplasm, followed by MRI, and then by TRUS. MRS plays a complementary role to MRI, by increasing its diagnostic accuracy. Due to a high cost, limited availability and increased scanning time, combination of MRI and MRS is currently not recommended as a first line investigation for detecting prostate neoplasms, hence USG (TRUS) remains the first line investigation due to its low cost, easy availability, time effectiveness and comparable efficacy.ConclusionsMRI MRS has more diagnostic accuracy than MRI alone for detection of prostate pathologies. MRS, plays significant complementary role and should be included in the routine MR imaging protocols. MRI helps in diagnosis, localization, better tissue characterization and staging of prostate cancer. TRUS is easily available, cost effective and has comparable efficacy.
Pulmonary sequestration is a rare embryonic malformation of lung tissue with no identifiable bronchial communication receiving its blood supply from one or more anomalous systemic arteries or aorta. The authors present a case report of an adult woman who presented with untreatable hemoptysis. She was treated with anti-Koch's therapy for her nonresolving hemoptysis. She underwent preoperative vascular embolization and operative surgical resection.
AbstractKeywords ► pulmonary sequestration ► vascular plug ► preoperative ► embolization Int J Recent Surg Med Sci 2018;4:76-80
Government dental college and hospital in Aurangabad, India's state of Maharashtra. Traffic accidents were found to be the most common cause of facial fractures (55.1%), with a male preponderance and a peak incidence between the ages of 20 and 30. The most frequent type of fractures were isolated mid-face fractures (586 patients; 24.05%), followed by isolated mandibular fractures (1257 patients; 51.6%). The zygomatic bone and arch were most frequently involved in midface fractures. The majority of the time, closed reduction and internal fixation were used instead of open reduction and internal fixation. According to the study's findings, traffic accidents are the main reason for maxillofacial fractures. Every citizen is required to enforce and abide by laws that establish preventative measures.
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