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

Erratum to: 36th International Symposium on Intensive Care and Emergency Medicine

[This corrects the article DOI: 10.1186/s13054-016-1208-6.]

neuroimaging

Neuro-imaging and neuro-intervention have been evolving rapidly during the recent years. In the first part of this article, neuroradiological imaging methods are summarized with special emphasis on the features most relevant for the intensive care unit physician and recent advances, and in the second part, neuroradiological findings of neurotrauma, and ischemic and hemorrhagic stroke are discussed

A case of superior sagittal sinus thrombosis after closed head injury

Süperior sagittal sinüs trombozu (SSST) nadir görülen bir hastalıktır. Genellikle enfeksiyon, dehidratasyon ve hematolojik rahatsızlıklara bağlı gelişir. Travmaya bağlı gelişmesi son derece nadir bir durumdur. Bu yazıda kapalı kafa travması sonrası SSST saptanan 13 yaşında bir erkek çocuk hasta sunuldu. Görüntüleme incelemelerinde çökme kırığına bağlı gelişen SSST saptandı. Hastanın nörolojik muayenesi iki taraflı papil stazı dışında normal bulundu; hasta anti-ödem ve antikonvülzan ilaçlarla tedavi edildi. Sekiz ay sonraki kranyal manyetik rezonans venografide süperior sagittal sinüsün açık olduğu izlendi ve nörolojik muayene bulguları normal olarak değerlendirildi.Superior sagittal sinus thrombosis (SSST) is a rare entity, most often arising from infections, dehydration, and hematologic disorders. Development of this condition secondary to trauma is extremely rare. In this report, a 13-year-old boy who developed SSST following a closed head injury is presented. Imaging studies showed SSST caused by a depressed skull fracture. Neurologic examination of the patient was normal other than bilateral papillary stasis. He was treated with antiedematous and anticonvulsant drugs. Magnetic resonance venography obtained eight months after the diagnosis showed unoccluded superior sagittal sinus, neurologic examination findings were normal, as well

Treatment of ruptured blood blister-like aneurysms with flow diverter SILK stents

Introduction Blood blister-like aneurysms (BBAs) are fragile and difficult to treat. Routine surgical and endovascular treatment methods, such as clipping, clip wrapping, primary coiling, or stent assisted coiling, have relatively high morbidity and mortality rates. In this study, we report clinical and angiographic results for treatment of ruptured BBAs using flow diverter stents

Treatment of ruptured blood blister-like aneurysms with flow diverter SILK stents

Introduction Blood blister-like aneurysms (BBAs) are fragile and difficult to treat. Routine surgical and endovascular treatment methods, such as clipping, clip wrapping, primary coiling, or stent assisted coiling, have relatively high morbidity and mortality rates. In this study, we report clinical and angiographic results for treatment of ruptured BBAs using flow diverter stents. Methods We retrospectively reviewed patients who presented with subarachnoid hemorrhages caused by rupture of BBAs and who were treated using flow diverter stents at three neurointervention centers between January 2009 and January 2013. Clinical and angiographic findings, together with the procedural data and follow-up results, are reported. Results 11 patients were identified in this study. BBAs were located on the supraclinoid internal carotid artery (nine patients) and basilar arteries (two patients). Eight patients were treated by implantation of a single flow diverter stent. Two flow diverter stents were telescopically deployed in each of three patients. The procedures were successful in all cases. No acute complications developed in any case. One patient who had an initial Hess-Hunt grade 4 died of septicemia 2 weeks after the procedure (9%). Another patient developed a minor stroke caused by parent artery thrombosis (9%). Control angiographies performed 3 and 6 months post stenting revealed complete occlusion of the aneurysms in all of the remaining nine patients (82%). 10 of the 11 patients (92%) had good clinical outcomes (modified Rankin Scale score <= 2). Conclusions Implantation of flow diverter stents seems to be a safe and feasible alternative for treatment of ruptured BBAs

An effective alternative in the palliative treatment of massive hemoptysis: Endovascular intervention

Bu çalışmada, sınırlı akciğer rezervi nedeniyle cerrahi tedavi uygulanamayan ve endovasküler tedavi yapılmak üzere bölümümüze gönderilen 23 masif hemoptizi olgusu irdelenerek, tecrübelerimizin değerlendirilmesi ve karşılaşılan problemlerin analizi amaçlanmıştır. Ocak 1997-Ağustos 2000 tarihleri arasında yaşları 27-71 arasında değişen 23 olguda (3 kadın, 20 erkek) masif hemoptizinin kontrolü amacıyla transkateter embolizasyon yapılmıştır. On yedi (%74) olguda bir seans uygulanan endovasküler tedavinin ardından ortalama 18.4 aylık (2 gün-38 ay) takip süresi içinde hemoptizi tekrarlamamıştır. Altı (%26) olguda ilk girişimden ortalama 3.6 (1-7) ay sonra yeniden masif hemoptizi şikayeti gelişmiştir. Bu olguların beşinde kanama kaynağı anjiyografik olarak saptanarak, embolize edilmiştir. Son embolizasyondan günümüze dek, bir olguda yedi günlük ve diğer olgularda ortalama 28 aylık (18-36 aylık) izleme sürecinde hemoptizi bildirilmemiştir. Bir olgu ise ilk endovasküler tedaviyi izleyen bir aylık semptomsuz dönemin ardından müdahale edilemeden, abondan kanama nedeniyle yaşamını yitirmiştir. Çalışma grubumuzda yer alan hiçbir olguda işleme bağlı majör komplikasyon izlenmemiştir. Endovasküler tedavi, cerrahi tedavi uygulanamayan masif hemoptizi olgularında etkin ve güvenli bir palyatif tedavi seçeneğini oluşturmaktadır.The aim of this study was the evaluation of 23 patients with massive haemoptysis, who could not be treated surgically due to limited lung capacity and were sent to our department for endovascular intervention, in the light of our past experience and the analysis of problems that were encountered. Twenty three patients (3 females and 20 males) aged 27-71 years underwent transcatheter embolization for control of massive hemoptysis between January 1997 and August 2000. No recurrent haemoptysis was noted after one session of endovascular therapy during an average follow up period of 18.4 months (range: 2 days-38 months) in 17 cases (74%). Massive haemoptysis has recurred in six cases (26%) after the first intervention (average follow up: 3.6 months, range: 1-7 months). No heamoptysis has been reported up to the present time during seven-day follow-up in one case and a mean follow-up period of 28 months in the others (range: 18-36 months). One case has died due to uncontrollable bleeding after a one month symptom-free period. No major procedure-related complications have been encountered in our study. Endovascular therapy provides a safe and effective form of alternative palliative treatment in cases of massive haemoptysis

Midterm results of T-stent-assisted coiling of wide-necked and complex intracranial bifurcation aneurysms using low-profile stents

OBJECTIVE Coiling of wide-necked and complex bifurcation aneurysms frequently requires implantation of double stents in various configurations. T-stent-assisted coiling involves the nonoverlapping implantation of 2 stents to protect the daughter vessels of bifurcation and is followed by coiling of the aneurysm. The authors studied the feasibility, efficacy, and safety of the T-stent-assisted coiling procedure as well as the midterm angiographic/clinical outcomes of patients with wide-necked bifurcation intracranial aneurysms treated using this technique

A thrombosing, giant, distal posterior cerebral artery aneurysm in a newborn infant

Intracranial aneurysms are extremely rare in infancy. No consensus has yet been developed about the exact treatment of this rare situation. The authors report the case of a 47-day-old male infant who had multiple seizures on the same day, leading to the diagnosis of an intracranial aneurysm. The case was managed conservatively with close imaging follow-up, and the patient had a good recovery. The results of neurological examination were completely normal at the 5-year follow-up visit

A thrombosing, giant, distal posterior cerebral artery aneurysm in a newborn infant

Intracranial aneurysms are extremely rare in infancy. No consensus has yet been developed about the exact treatment of this rare situation. The authors report the case of a 47-day-old male infant who had multiple seizures on the same day, leading to the diagnosis of an intracranial aneurysm. The case was managed conservatively with close imaging follow-up, and the patient had a good recovery. The results of neurological examination were completely normal at the 5-year follow-up visit