Ventricle

心室
  • 文章类型: Case Reports
    未经证实:坎特雷尔五联症是一种罕见且致命的综合症,表现为心内异常和心室憩室。超声心动图医师对Cantrell五联的理解不足,这可能会导致漏诊,尤其是在缺乏最明显体征的情况下。
    未经批准:一对双胞胎男婴,胎龄37周,发现心脏杂音和脐上腹部中线搏动性肿块2天。入院时超声心动图提示先天性心脏病。在3-4肋间间隙中检测到心脏杂音并广泛传播。术前通过超声和计算机断层扫描血管造影(CTA)诊断婴儿患有Cantrell五联症。患者行心脏畸形手术,随访16个月。患者的心脏结构和功能恢复正常。
    UNASSIGNED:心内异常和心室憩室是Cantrell五联症的主要表现。可以通过结合超声和CTA发现来诊断Cantrell的五联症。
    UNASSIGNED: Pentalogy of Cantrell is a rare and deadly syndrome, manifesting as intracardiac anomalies and ventricular diverticulum. Echocardiographers have an insufficient understanding of pentalogy of Cantrell, which may lead to missed diagnoses, especially in cases lacking the most obvious signs.
    UNASSIGNED: One of twin male infants, at a gestational age of 37 weeks, was found with a cardiac murmur and a pulsatile mass in the midline supraumbilical abdomen for 2 days. Echocardiography on admission indicated congenital heart disease. A cardiac murmur was detected in the 3-4 intercostal space and extensively spread. The infant was diagnosed with pentalogy of Cantrell by ultrasound and computed tomography angiography (CTA) preoperatively. The patient underwent heart deformity surgery and was followed up for 16 months. The patient\'s cardiac structure and function returned to normal.
    UNASSIGNED: Intracardiac anomaly and ventricular diverticulum are the primary manifestations of pentalogy of Cantrell. Pentalogy of Cantrell may be diagnosed by combining the ultrasound and CTA findings.
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  • 文章类型: Case Reports
    未经证实:脉络丛癌(CPC)是罕见的脉络丛上皮恶性脑肿瘤,有可能发生在婴儿和儿童身上,尤其是两岁以下的人。CPC的主要症状包括恶心,呕吐,头痛,烦躁,视力模糊,和癫痫发作。很少有研究讨论治疗这种肿瘤的治疗方法。然而,这些研究大多证实了它的不良预后。
    未经授权:一个两岁的女孩因头部外伤而头痛,正常意识,GCS15/15,且无颅内高压症状。计算机断层扫描(CT)显示右心室区域存在较大的异质性病变。磁共振成像(MRI)显示右侧脑室有较大的不明确肿块,同侧侧脑室轻度扩张,中线移位和周围明显的水肿。在这种情况下,群众是偶然发现的。组织学诊断为脉络丛癌(WHO3级),进行右侧脑室刮治。
    UNASSIGNED:CPC是一种严重的疾病,预后不良。为了降低死亡率和发病率,需要早期诊断和适当的方法。
    UNASSIGNED: Choroid Plexus Carcinomas (CPC) are rare malignant brain neoplasms of choroid plexus epithelium, with a tendency to occur in infants and children, especially those who are under two years of age. The Main symptoms of CPC include nausea, vomiting, headache, irritability, blurred vision, and seizures. Few studies discuss the therapeutic methods to treat this tumor. However, most of these studies confirmed the poor prognosis of it.
    UNASSIGNED: A two-year-old girl presented with a headache due to head trauma, normal consciousness, GCS 15/15, and without intracranial hypertension symptoms. Computed Tomography (CT) has shown a large heterogeneous lesion in the region of the right lateral ventricle. Magnetic resonance imaging (MRI) showed a large poorly-defined mass in the right lateral ventricle with mild dilatation of the ipsilateral lateral ventricle, and midline shift and marked edema surrounding it. In this case, the mass has been discovered by accident. The histological diagnosis was choroid plexus carcinoma (WHO grade 3), curettage of the right lateral ventricle was performed.
    UNASSIGNED: CPC is a serious condition with a poor prognosis. Early diagnosis and appropriate approaches are required in order to reduce mortality and morbidity rates.
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  • 文章类型: Case Reports
    Takotsubo心肌病(TC)是一种病因不明的罕见疾病,其特征是左心室壁运动异常。我们报告了一名64岁的女性,在输尿管支架置入术后6小时出现心脏骤停,没有心脏病史.值得注意的是,她术前有尿路感染。TC在左心室图中被诊断为特征性心尖部球囊扩张。在保守治疗和控制感染后1天内血流动力学和心功能迅速恢复。当患者在输尿管支架置入术后出现心功能下降时,应考虑TC。尤其是潜在并发感染的患者。使用PubMed对过去十年中记录与泌尿外科手术有关的TC病例的文献进行了回顾。结果总结在表中。
    Takotsubo cardiomyopathy (TC) is a rare disease with unclear etiology that is characterized by wall motion abnormalities of the left ventricle. We report a 64-year-old woman who presented with cardiac arrest 6 hours after ureteral stenting, with no history of heart disease. Notably, she had a urinary tract infection preoperatively. TC was diagnosed with characteristic apical ballooning on the left ventriculogram. The hemodynamics and cardiac function recovered quickly within 1 day after conservative treatment and controlling the infection. TC should be considered when a patient presents with decreased cardiac function after ureteral stenting, especially in patients with potential concurrent infection. A review of the literature documenting cases of TC related to urological surgery in the past decade was conducted using PubMed. The results were summarized in a table.
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  • 文章类型: Case Reports
    背景:仰卧位观察到的脑室内硅油的运动极为罕见。在这里,我们描述了一名患者在改变位置时出现心室中动态移动的硅油颗粒,并提供了对这一现象的最新综述。
    方法:我们报告了一例70岁的女性,其表现为脑计算机断层扫描(CT)偶尔发现的脑室内高密度。最初的非增强脑CT显示侧脑室双侧前角的非依赖性高密度,第三脑室,和右侧的鞍上水箱,模仿脑室内出血.仰卧位进一步脑部磁共振成像(MRI)显示侧脑室双侧前角异常信号,右心室的后角,第三脑室,右边的上层水箱,和双侧眼球,等信号强度在T1加权成像上被低信号化学位移伪影包围,在T2加权成像上被可变信号(低强度或高强度)包围。右心室前角的病变大部分移至同侧心室的后角。最终的颅颈CT血管造影显示,后角的病变已移回右心室的前角。这些特征与脑室内硅油迁移一致。最终的脊柱MRI未显示硅油迁移到脊髓蛛网膜下腔。
    结论:该病例报告描述了仰卧位硅油驱替的动态过程,并提供了全面的影像学表现。MRI上的运动模式和特征性化学位移伪影是诊断的关键,可能有助于防止不必要的检查或干预。
    BACKGROUND: The movement of intraventricular silicone oil observed in the supine position is extremely rare. Herein, we describe a patient who presented with dynamically moving silicone oil particles in the ventricle when changing position and provide an updated review of this phenomenon.
    METHODS: We report a case of a 70-year-old woman who presented with intraventricular hyperdensities that were occasionally found on brain computed tomography (CT). Initial nonenhanced brain CT demonstrated nondependent hyperdensities in the bilateral anterior horns of the lateral ventricles, the third ventricle, and the right suprasellar cistern, mimicking an intraventricular hemorrhage. Further brain magnetic resonance imaging (MRI) in the supine position revealed abnormal signals in the bilateral anterior horns of the lateral ventricles, the posterior horn of the right lateral ventricle, the third ventricle, the right suprasellar cistern, and the bilateral eyeballs, with isosignal intensities surrounded by low-signal chemical shift artifacts on T1-weighted imaging and variable signals (hypo- or hyperintensity) on T2-weighted imaging. The lesion in the anterior horn of the right ventricle largely moved to the posterior horn of the ipsilateral ventricle. The final craniocervical CT angiography showed that the lesion in the posterior horn had moved back to the anterior horn of the right lateral ventricle. These features were consistent with intraventricular silicone oil migration. The final spinal MRI did not demonstrate a migration of silicone oil into the spinal subarachnoid space.
    CONCLUSIONS: This case report describes a dynamic process of silicone oil displacement in the supine position and provides a comprehensive imaging presentation. The moving pattern and a characteristic chemical shift artifact on MRI are key to the diagnosis and may help prevent unnecessary examinations or intervention.
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  • 文章类型: Case Reports
    背景:神经节细胞瘤是罕见的神经元肿瘤,其发病率在所有中枢神经系统(CNS)肿瘤中<1%。它们主要发生在儿科年龄组,定位在大脑皮层内,最常见的是颞叶。
    方法:我们报告一例66岁女性侧脑室内颅内神经节细胞瘤。大脑的磁共振成像显示,位于右侧脑室额角内的弥漫性增强的分叶状肿块,并延伸到门罗孔和阻塞性脑积水。该患者接受了半球间的经call骨入路,并进行了完全切除并缓解了脑积水。病理检查显示高度多形性神经元样细胞簇,没有肿瘤胶质细胞的证据。组织病理学和免疫组织化学结果与神经节细胞瘤的诊断一致(世界卫生组织1级)。
    结论:神经节细胞瘤是罕见的低度中枢神经系统肿瘤,可出现在老年人群中的异常部位,每当遇到可疑病变时,应将其纳入鉴别范围。
    BACKGROUND: Gangliocytomas are rare neuronal tumors with an incidence of <1% of all central nervous system (CNS) neoplasms. They occur mostly in the pediatric age group, localizing within the cerebral cortex, most often the temporal lobe.
    METHODS: We report a case of an intracranial gangliocytoma arising within the lateral ventricle in a 66-year-old female. Magnetic resonance imaging of the brain showed a diffusely enhancing lobulated mass situated within the frontal horn of the right lateral ventricle with extension into the foramen of Monro and obstructive hydrocephalus. The patient underwent an interhemispheric transcallosal approach with gross total resection and relief of her hydrocephalus. Pathological examination showed clusters of highly pleomorphic neuron-like cells without evidence of neoplastic glial cells. Histopathological and immunohistochemistry findings were consistent with the diagnosis of gangliocytoma (World Health Organization Grade 1).
    CONCLUSIONS: Gangliocytomas are rare low-grade CNS neoplasms that can present in an older population within unusual locations and should be included within the differential whenever a suspicious lesion is encountered.
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  • 文章类型: Case Reports
    背景:脉络丛乳头状瘤(CPPs)是世界卫生组织的良性I级肿瘤,占儿童所有脑肿瘤的2%-4%,占成人脑肿瘤的不到1%。大多数成人病例发生在第四脑室,以前只有一份报告描述了一名患有颞角CPP的成年患者。
    方法:我们报告了一例罕见的成人癫痫发作的颞角CPP病例。我们进行了微创颞下入路,以完全切除病变。
    结论:出现在颞角的CPP在成人中很少见。我们讨论了颞下切除方法的手术细微差别,并回顾了有关成人CPP表现和成人CPP治疗策略的文献。
    BACKGROUND: Choroid plexus papillomas (CPPs) are benign World Health Organization grade I tumors that comprise 2%-4% of all brain tumors among children and less than 1% of brain tumors in adults. Most adult cases occur in the fourth ventricle, with only 1 previous report describing an adult patient with a temporal horn CPP.
    METHODS: We report a rare case of a temporal horn CPP presenting in an adult with seizures. We performed a minimally invasive subtemporal approach for gross total resection of the lesion.
    CONCLUSIONS: CPP presenting in the temporal horn is rare among adults. We discuss the surgical nuances of the subtemporal approach for resection and review the literature regarding adult presentation of CPP and the treatment strategies for adult CPP.
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  • 文章类型: Journal Article
    Ventricular noncompaction has been recognized as a distinct form of rare cardiomyopathy characterized by numerous, prominent ventricular trabeculations and deep intertrabecular recesses and is caused by a disorder of endomyocardial morphogenesis. Concomitance of either valvular pathologies or complete atrioventricular block with biventricular noncompaction has rarely been reported. Herein, we present a case of 67 years old male presented with syncopal attack and congestive heart failure due to biventricular noncompaction with significant left ventricular dysfunction associated with complete atrioventricular block. He was formerly diagnosed as dilated cardiomyopathy for last 2 years. Review of literatures of all reported cases has been discussed.
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