Cardiovocal or Ortner's syndrome is unilateral vocal cord (VC) palsy due to non-malignant intrathoracic or cardio-vascular abnormality causing compression of recurrent laryngeal nerve (RLN) in the mediastinum. Left RLN palsy is more common due to longer mediastinal course along the aortic arch. We describe a case of a 60-year-old male patient complaining of hoarseness of voice. Laryngoscopy showed left vocal cord palsy without obvious laryngeal mass. CECT study of the neck and chest revealed aortic arch pseudo-aneurysm with left vocal cord palsy. The diagnosis of cardiovocal syndrome was confirmed. It is important for the radiologist to be aware of cardiovascular related hoarseness and CECT neck and chest should be included during the evaluation of VC palsy.
Abstract:Vertebral hemangiomas (VH) are common unifocal or multifocal benign lesions in spine imaging with incidence of 10%-12%. Patients are usually asymptomatic and often vertebral hemangioma is incidental finding on imaging. An aggressive or atypical vertebral hemangiomas have associated imaging features like extraosseous extension, compression fractures, vertebral ballooning & soft tissue components exist with incidence of 1% to 3%. Treatment protocols for aggressive VHs include combination of radiotherapy, vertebroplasty, alcohol injection, embolization, and surgery. We present a case of 24 year female patient having aggressive D12 vertebral hemangioma showing extra-osseous extension, ballooning and small intra-spinal soft tissue component not causing cord compression and follow up imaging after completion of radiotherapy.
Abstract:Introduction: Holoprosencephaly (HPE) is a rare congenital anomaly due to incomplete or absent division of the prosencephalon or forebrain into distinct cerebral hemispheres. Case Report: A near term baby boy, born at 37 weeks of gestation to a 30 year old mother, in peripheral hospital without antenatal investigation like ultrasonography was admitted to our hospital with provisional diagnosis of anticipated sepsis. Cranial sonography of the patient revealed absence of septum pellucidum with dysplastic corpus callosum, partially formed frontal horns of lateral ventricles, colpocephaly and azygous anterior cerebral artery diagnosed as lobar holoprosencephaly. MRI brain confirmed all the features of cranial sonography with additional depiction of fused cingulated gyrus. Conclusion: Holoprosencephaly is a rare congenital structural anomaly of the prosencephalon that results in incomplete development of the brain. In its severe form it is incompatible with life. It is prudent to diagnose holoprosencephaly prenatally and determine the type to classify severity, complications and survival rate.
Abstract:Background: Torsion of greater omentum is rare cause of acute abdomen and it can be primary or secondary. Before the advent of CT, diagnosis was often made intraoperatively by the surgeon however with the widespread and increasing use of computer tomography (CT), omental torsion is being diagnosed preoperatively. This work aims to describe and compare the CT features of primary omental torsion to that of intraoperative findings. Case Report: We present a case of 42 year old man with abdominal pain and constipation who was diagnosed as primary omental torsion by CT scan. Conclusion: Accurate diagnosis of omental torsion is possible by the CT study and it helps in timely surgical intervention to reduced morbidity and mortality.
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