Evaluation of hippocampal infolding angle and incomplete hippocampal inversion in pediatric patients with epilepsy and febrile seizures

PURPOSE:We aimed to investigate the frequency of incomplete hippocampal inversion (IHI) and the hippocampal infolding angle (HIA) in pediatric patients with no additional abnormal findings in the brain.METHODS:Pediatric brain magnetic resonance imaging (MRI) examinations conducted between September 2012 and February 2015 were screened and 83 patients with epilepsy, 49 patients with febrile convulsion, and 74 control patients were included in this retrospective study. Presence of IHI was evaluated and HIA was measured on MRI.RESULTS:IHI was found in 23 patients in the epilepsy group (27.7%), 15 patients in the febrile convulsion group (30.6%), and 14 patients in the control group (19.0%), with no significant difference between the groups (P = 0.27). Compared with the epilepsy and febrile convulsion groups, HIA was significantly larger in the control group in sections of the right cerebral pedincule, the left cerebral pedincule, and the right superior cerebellar pedincule. No correlation was found between the laterality of the epileptogenic focus in the epilepsy group and existence of IHI, nor between age and HIA values among the groups.CONCLUSION:Although IHI is not an uncommon abnormality in the normal pediatric population, decreased HIA is more frequently found in patients with epilepsy or febrile convulsions

The fate of abstracts presented at Turkish national radiology congresses in 2010-2012

PURPOSEThis study aims to evaluate the analysis and publication rates of abstracts presented at the Turkish National Radiology meetings in 2010–2012.METHODSAbstracts presented in the national radiology meetings of 2010, 2011, and 2012 were included in the study. The presentations were classified according to presentation type (oral or poster presentations), study type, study design, imaged organ or body systems, imaging modalities, time interval between the presentation and the publication date, and the journal in which the article was published. The conversion rate of presentations into full-text articles in peer-reviewed journals were surveyed through PubMed. The time from presentation in the meetings to publication was determined. The distribution of journals was also demonstrated.RESULTSThe total number of presentations submitted in three national radiology meetings was 3,192. The publication rate was 11% for the 2010 meeting, 8.2% for the 2011 meeting, and 9.6% for the 2012 meeting. A total of 300 papers were published, with an average of 15 months (range, 0–42 months) between presentation and final publication. The first three refereed international journals with the most number of papers derived from these meetings were Diagnostic and Interventional Radiology, Clinical Imaging, and European Journal of Radiology.CONCLUSIONThe overall publication rate of scientific abstracts from Turkey was lower than those from overseas countries. Encouraging the authors to conduct higher-quality research would raise the publication rate as well as improve the quality and success of our scientific meetings

Myositic Type of Idiopathic Orbital Pseudotumor in a 4-Year-Old Child: A Case Report

Idiopathic orbital pseudotumor is a benign, noninfectious, and nonneoplastic disease with unknown cause. It is the third most common orbital disease after thyroid orbitopathy and lymphoproliferative disorder. Idiopathic orbital pseudotumor is extremely rare in pediatric age group and may cause real diagnostic problems. This paper describes a 4-year-old girl who presented with sudden ptosis in the right eye and swollen eyelid. She recovered completely with high-dose steroid therapy. We report clinical and magnetic resonance imaging findings of orbital myositis, which is a rare subtype of idiopathic orbital pseudotumor in children and needs to be differentiated from other orbital disease especially malignancy

Intraosseous pneumocyst of the iliac bone: CT findings

İntraosseöz gaz birikimi kemiklerde nadir görülen ancak benign bir durum olup genellikle osteodejeneratif değişikliklere ya da travmaya sekonder gelişir. Bazen röntgenogramlarda metastatik lezyonları ya da manyetik rezonans görüntülemede sklerotik lezyonları taklit edebilir. Olgumuzda, iliak kemik içerisinde rastlantısal olarak bulunan pnömokisti tanımladık. Klinisyenler tarafından çok iyi tanınmayan bu durumun görüntüleme özelliklerinin iyi tanımlanması hastayı biyopsi gibi gereksiz invazif işlemlerden korumak açısından oldukça önemlidir.Intraosseous gas collection is a benign but rare condition that is generally associated with osteodegenerative changes or trauma. Sometimes it may mimic metastatic lesions in roentgenograms or sclerotic lesions in magnetic resonance imaging. We defined a pneumatocyst of the iliac bone that was incidentally found. Description of characteristic imaging findings of this condition is very important that it is not well known by the clinicians, and that should avoid invasive procedures such as biopsy

Intraosseous pneumocyst of the iliac bone: CT findings

İntraosseöz gaz birikimi kemiklerde nadir görülen ancak benign bir durum olup genellikle osteodejeneratif değişikliklere ya da travmaya sekonder gelişir. Bazen röntgenogramlarda metastatik lezyonları ya da manyetik rezonans görüntülemede sklerotik lezyonları taklit edebilir. Olgumuzda, iliak kemik içerisinde rastlantısal olarak bulunan pnömokisti tanımladık. Klinisyenler tarafından çok iyi tanınmayan bu durumun görüntüleme özelliklerinin iyi tanımlanması hastayı biyopsi gibi gereksiz invazif işlemlerden korumak açısından oldukça önemlidir.Intraosseous gas collection is a benign but rare condition that is generally associated with osteodegenerative changes or trauma. Sometimes it may mimic metastatic lesions in roentgenograms or sclerotic lesions in magnetic resonance imaging. We defined a pneumatocyst of the iliac bone that was incidentally found. Description of characteristic imaging findings of this condition is very important that it is not well known by the clinicians, and that should avoid invasive procedures such as biopsy

Babinski-Nageotte Syndrome Diagnosed in Postpartum Period

Babinski-Nageotte Syndrome (BNS) is one of the brainstem syndromes characterized by muscle weakness in the opposite half of the body with classic Wallenberg findings. According to our literature survey, only a few cases have been reported and none of them was in the postpartum period. We report a case of a typical BNS in a postpartum woman with an ischemic lesion in the medulla oblongata shown on magnetic resonance imaging

Infantile type Sandhoff disease with striking brain MRI findings and a novel mutation

BACKGROUND: Sandhoff disease is an autosomal recessive disorder caused by β-hexosaminidase deficiency in which the ganglioside GM2 and other glycolipids accumulate intracellularly within lysosomes. This process results in progressive motor neuron manifestations, death from respiratory failure and infections in infantiles. CASE REPORT: This report presents a 22-month-old girl with infantile type Sandhoff disease that was hospitalized for generalized seizures and psychomotor retardation. She was diagnosed with a genetically proven novel mutation and by demonstrating it's specific imaging findings. CONCLUSIONS: Determination of spesific changes in neuroimaging which are initial findings for GM2 gangliosidosis is important from the point of diagnosis and follow-up in infants suspected of having a neurodegenerative disease

Jejunal diverticulosis presented with acute abdomen and diverticulitis complication : a case report

BACKGROUND: Jejunal diverticulosis is a rare, usually asymptomatic disease. Its incidence increases with age. If symptomatic, diverticulosis may cause life-threatening acute complications such as diverticulitis, perforation, intestinal hemorrhage and obstruction. In this report, we aimed to present a 67-year-old male patient with jejunal diverticulitis accompanying with abdominal pain and vomiting. CASE REPORT: A 67-year-old male patient complaining of epigastric pain for a week and nausea and fever for a day presented to our emergency department. Ultrasonographic examination in our clinic revealed diverticulum-like images with thickened walls adjacent to the small intestine loops, and increase in the echogenicity of the surrounding mesenteric fat tissue. Contrast-enhanced abdominal computed tomography showed multiple diverticula, thickened walls with showing contrast enhancement and adjacent jejunum in the left middle quadrant, increased density of the surrounding mesenteric fat tissue, and mesenteric lymph nodes. The patient was hospitalized by general surgery department with the diagnosis of jejunal diverticulitis. Conservative intravenous fluid administration and antibiotic therapy were initiated. Clinical symptoms regressed and the patient was discharged from hospital after 2 weeks. CONCLUSIONS: In cases of diverticulitis it should be kept in mind that in patients with advanced age and pain in the left quadrant of the abdomen, diverticular disease causing mortality and morbidity does not always originate from the colon but might also originate from the jejunum

Bilateral thalamic infarction that is secondary thrombosis to the deep venous structures: report of two cases

Deep cerebral venous thrombosis cases are the %6 of the cerebral venous thrombosis (CVT) cases. The recognition of these patients is difficult since this disease is rarely observed and its clinical presentation is nonspecific and variable. In its etiology, the most frequently observed reasons are hypercoagulopathy, oral contraceptive use, pregnancy, puerperium, dehydration, and head trauma. Less frequently observed reasons are vasculitis, inflammatory bowel disease, malignancies, anemia, and tumor invasion through venous sinuses. In this report, were presented two cases who were admitted to the hospital with headache complaint and cognitive changes.According to the advanced magnetic resonance imaging, acute infarction was detected in bilateral thalamus. We observed CVT with adversely affected deep cerebral venous system structures. CVT development was associated with the use of oral contraceptives in the first case and it was associated with anemia in the second case. Both patients were discharged from the hospital upon healing with anticoagulant therapy. In this study, it has been emphasized by representing these two patients that CVT should be thought in the etiology of bilateral thalamic ischemia. Furthermore, it is also crucial to known that these patients can be fully improved clinically and radiologically in case appropriate medical treatment is applied