2 research outputs found
Bilateral Chronic Subdural Hematoma and Blindness: Bilateral Infarction to the Posterior Cerebral Artery following Evacuation of Bilateral Chronic Subdural Hematoma — A Rare Case Report and Review of Literature
No full text
Objective The authors report a rare scenario in which evacuation of bilateral chronic subdural hematoma (CSDH) was followed by bilateral PCA infarction and blindness. A literature review was also conducted, which revealed only four cases of blindness after CSDH evacuation.
Methods A 45-year-old man was admitted with the chief complaint of holocranial headache for 2 months with past history of head trauma. Clinical examination was normal. CT and MRI scanning showed bilateral frontotemperoparietal CSDH without midline shift and parenchymal and vascular abnormality. Bilateral frontal and parietal burr holes and evacuation of CSDH was done.
Results The patient developed progressive blindness in both the eyes in the postoperative period. MRI revealed bilateral PCA infarction.
Discussion Bilateral PCA infarction following bilateral CSDH evacuation is an extremely rare entity. Only four case of blindness following CSDH evacuation have been reported so far, and all the patients suffered permanent visual loss. The exact etiopathogenesis and mechanism of this rare complication remain unknown.
Conclusion Bilateral CSDH is a separate entity with altered pathophysiology and deranged cerebral autoregulation. The authors conclude that Bilateral CSDH may be sentinel tags for bilateral PCA infarction secondary to altered hemodynamics in the posterior circulation, and hence, needs to be evaluated and treated with greater diligence.</jats:p
Cystsic lesions of the pancreas
No full textPancreatic cysts (PCs) are being increasingly detected due to the widespread use of high-resolution abdominal imaging. The main imaging modalities to diagnose PCs include high-resolution spiral CT scan, MRI, and endoscopic ultrasound (EUS). EUS has the added benefit of enabling cyst fluid sampling through FNA and significantly improves clinical diagnosis of PCs. Some PCs like pseudocysts, serous cystadenomas, and lymphoepethelial cysts are entirely benign lesions and can be managed non-operatively. However, other lesions like mucinous cystic neoplasms, or cystic neuroendocrine tumors are pre-malignant or malignant lesions and require surgical intervention. In this review, we describe diagnosis and management of common pancreatic cystic lesions.Acar M, 2011, DIAGN INTERV RADIOL, V17, P143, DOI 10.4261-1305-3825.DIR.3254-09.1; Adimoolam V, 2011, PANCREAS, V40, P1070, DOI 10.1097-MPA.0b013e31821f65e3; Ahmad NA, 2003, GASTROINTEST ENDOSC, V58, P59, DOI 10.1067-mge.2003.298; Al-Haddad Mohammad, 2010, JOP, V11, P299; Al-Haddad M, 2010, ENDOSCOPY, V42, P127, DOI 10.1055-s-0029-1215351; Al-Rashdan Abdullah, 2011, J Gastrointest Oncol, V2, P208, DOI 10.3978-j.issn.2078-6891.2011.020; Bergin D, 2002, AM J ROENTGENOL, V178, P837; Brugge WR, 2004, GASTROENTEROLOGY, V126, P1330, DOI 10.1053-j.gastro.2004.02.013; Buerke B, 2012, CLIN RADIOL, V67, P727, DOI 10.1016-j.crad.2012.02.008; Cannon JW, 2009, J AM COLL SURGEONS, V209, P385, DOI 10.1016-j.jamcollsurg.2009.04.017; Canto MI, 2012, GASTROENTEROLOGY, V142, P796, DOI 10.1053-j.gastro.2012.01.005; Chai SM, 2013, CANCER CYTOPATHOL, V121, P86, DOI 10.1002-cncy.21226; DeWitt J, 2009, GASTROINTEST ENDOSC, V70, P710, DOI 10.1016-j.gie.2009.03.1173; Genevay M, 2011, ANN SURG, V254, P977, DOI 10.1097-SLA.0b013e3182383118; Hong SKS, 2012, GASTROINTEST ENDOSC, V75, P775, DOI 10.1016-j.gie.2011.12.015; Huang P, 2006, CANCER CYTOPATHOL, V108, P239, DOI 10.1002-cncr.21911; Jani N, 2008, ENDOSCOPY, V40, P200, DOI 10.1055-s-2007-995364; Karim Z, 2010, CAN J GASTROENTEROL, V24, P348; Kawamoto S, 2006, AM J ROENTGENOL, V186, P687, DOI 10.2214-AJR.04.1820; Khalid A, 2009, GASTROINTEST ENDOSC, V69, P1095, DOI 10.1016-j.gie.2008.07.033; Kimura W, 2003, HEPATO-GASTROENTEROL, V50, P2218; Kongkam P, 2008, ENDOSCOPY, V40, P602, DOI 10.1055-s-2007-995740; Krige JE, 2005, S AFR J SURG, V43, P57; Laffan TA, 2008, AM J ROENTGENOL, V191, P802, DOI 10.2214-AJR.07.3340; Lee CJ, 2008, J GASTROINTEST SURG, V12, P234, DOI 10.1007-s11605-007-0381-y; Lee HJ, 2011, CLIN RADIOL, V66, P315, DOI 10.1016-j.crad.2010.06.019; Macari M, 2009, RADIOLOGY, V251, P77, DOI 10.1148-radiol.2511081286; Megibow AJ, 2001, ABDOM IMAGING, V26, P640, DOI 10.1007-s00261-001-0024-9; Meyer W, 1999, LANGENBECK ARCH SURG, V384, P44, DOI 10.1007-s004230050172; Mohamadnejad M, 2010, ARCH IRAN MED, V13, P445, DOI 010135-AIM.0017; Nasr J, 2008, GASTROINTEST ENDOSC, V68, P170, DOI 10.1016-j.gie.2008.02.044; Oh HC, 2011, GASTROENTEROLOGY, V140, P172, DOI 10.1053-j.gastro.2010.10.001; Ohashi K, 1982, PROG DIG ENDOSC, V20, P348; Pais SA, 2010, GASTROINTEST ENDOSC, V71, P1185, DOI 10.1016-j.gie.2009.12.006; Pais SA, 2007, CLIN GASTROENTEROL H, V5, P489, DOI 10.1016-j.cgh.2006.12.007; Panarelli NC, 2012, AM J SURG PATHOL, V36, P1434, DOI 10.1097-PAS.0b013e31825d534a; Park WGU, 2011, PANCREAS, V40, P42, DOI 10.1097-MPA.0b013e3181f69f36; Paspulati RM, 2005, RADIOL CLIN N AM, V43, P999, DOI 10.1016-j.rcl.2005.07.001; Pedrosa I, 2000, RADIOGRAPHICS, V20, P795; Pitman MB, 2013, CANCER CYTOPATHOL, V121, P57, DOI 10.1002-cncy.21227; Pitman MB, 2012, CANCER CYTOPATHOL, V120, P361, DOI 10.1002-cncy.21235; Procacci C, 1999, J COMPUT ASSIST TOMO, V23, P906, DOI 10.1097-00004728-199911000-00014; Reddy RP, 2004, CLIN GASTROENTEROL H, V2, P1026, DOI 10.1053-S1542-3565(04)00450-1; Sahani DV, 2011, AM J ROENTGENOL, V197, pW53, DOI 10.2214-AJR.10.5866; Sainani NI, 2009, AM J ROENTGENOL, V193, P722, DOI 10.2214-AJR.08.1253; Sakorafas GH, 2011, SURG ONCOL, V20, pE84, DOI 10.1016-j.suronc.2010.12.002; Samarasena Jason B, 2012, Gastrointest Endosc Clin N Am, V22, P169, DOI 10.1016-j.giec.2012.04.007; Santini Donatella, 2006, JOP, V7, P131; Seewald S, 2009, DIGEST ENDOSC, V21, pS61, DOI 10.1111-j.1443-1661.2009.00860.x; Song JS, 2012, KOREAN J PATHOL, V46, P399, DOI 10.4132-KoreanJPathol.2012.46.4.399; Song SJ, 2007, J MAGN RESON IMAGING, V26, P86, DOI 10.1002-jmri.21001; Spinelli KS, 2004, ANN SURG, V239, P651, DOI 10.1097-01.sla.0000124299.57430.ce; Tanaka M, 2012, PANCREATOLOGY, V12, P183, DOI 10.1016-j.pan.2012.04.004; Tseng JF, 2005, ANN SURG, V242, P413, DOI 10.1097-01.sla.0000179651.21193.2c; Valsangkar NP, 2012, SURGERY, V152, pS4, DOI 10.1016-j.surg.2012.05.033; van der Waaij LA, 2005, GASTROINTEST ENDOSC, V62, P383, DOI 10.1016-S0016-5107(05)01581-6; Varadarajulu S., 2012, J DIGEST ENDOSC, V5, P58; Visser BC, 2007, AM J ROENTGENOL, V189, P648, DOI 10.2214-AJR.07.2365; Zamboni G, 2000, WHO CLASSIFICATION T, P234; Zhang XM, 2002, RADIOLOGY, V223, P547, DOI 10.1148-radiol.2232010815; Zhong N, 2012, CLIN GASTROENTEROL H, V10, P192, DOI 10.1016-j.cgh.2011.09.02915
