Publications by authors named "Devyansh Nimodia"
Sacral chordoma is a rare osseous tumor of malignant origin. Remnants of the notochord in the region of sacrum and coccyx is said to be the origin of these tumors. Patients generally have delayed presentation, which is responsible for larger tumor size.
View Article and Find Full Text PDFNeurofibromas (NF), rare benign peripheral nerve sheath tumors, are typically linked to neurofibromatosis type 1 (NF1). This case report presents a rare instance of a neurofibroma located in the mandible of a 12-year-old male patient, who presented with localized swelling and discomfort in the lower jaw. Clinical examination revealed a firm, nontender mass on palpation.
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- * A case involving a 30-year-old woman revealed that after her D&C at 10 weeks due to missed abortion, she experienced severe abdominal pain and signs of internal bleeding, verified by imaging as a uterine perforation.
- * Emergency surgery was performed to fix the perforation, leading to her full recovery; the case highlights the need for careful monitoring during and after D&C procedures to prevent significant health risks.
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- A carotid body tumor, or paraganglioma, is a rare tumor that usually occurs in the neck and is mostly benign, accounting for only 0.5% of all tumors.
- A case study of a 22-year-old male revealed symptoms like swelling in the neck, hoarseness, and difficulty swallowing, leading to a diagnosis confirmed by ultrasound and MRI.
- The primary treatment for carotid body tumors is surgical removal, and the patient's surgery was guided by the Shamblin classification to assess the tumor's resectability and reduce vascular complications.
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- The pig tapeworm causes cysticercosis, a parasitic disease affecting the human nervous system, particularly in regions such as Central and South America, Eastern Europe, and parts of India.
- Two pediatric cases of intramuscular cysticercosis were treated successfully with oral prednisolone followed by albendazole, leading to the resolution of symptoms and swellings within three months.
- Diagnosis is often challenging due to nonspecific symptoms, but high-resolution ultrasound and MRI are effective methods for identifying cysticercosis in muscles.
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- - Osteitis condensans ilii (OCI) is a rare, benign cause of lower back pain mainly seen in women, often mistaken for sacroiliac joint issues, but it typically resolves on its own after childbirth.
- - Osteitis pubis is an inflammatory condition causing pain in the pubic area, often resulting from trauma, surgery, or intense physical activity, and can occur alongside OCI.
- - A case study involving a 21-year-old female highlights the use of MRI to diagnose both OCI and osteitis pubis, showing distinct imaging characteristics, but no specific treatment exists—only lifestyle changes may help manage symptoms and prevent recurrence.
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- Frontotemporal dementia (FTD) primarily affects adults over 60 and results from damage to the frontal and temporal lobes, leading to changes in behavior and language.
- Diagnosing FTD typically takes around three years due to the lack of definitive tests, relying instead on imaging techniques like MRI and PET scans.
- Early detection and awareness of FTD are essential for improving treatment and management strategies, as highlighted by case studies of language deficits and memory issues linked to temporal lobe involvement.
Cerebral vasculitis is a rare but severe complication of Systemic Lupus Erythematosus (SLE), presenting significant challenges in management due to its potential for devastating neurological consequences and poor prognosis. We present a case of an 18-year-old female with known SLE who presented with seizures, declining cognitive function, and unresponsiveness. Neurological examination, laboratory investigations, and radiological imaging supported the diagnosis of cerebral vasculitis secondary to SLE.
View Article and Find Full Text PDFEchinococcosis, or hydatid disease, is a parasitic infection caused by a cestode from the Taeniidae family, mainly by Echinococcus multilocularis or granulosus. It is predominantly seen in the lungs or the liver. The hydatid disease rarely manifests as a palpable mass in the muscles.
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- Wilson's disease is a rare genetic condition that affects copper metabolism, leading to neurological symptoms such as dystonia and rigidity in a 14-year-old boy.
- Key diagnostic indicators included the presence of Kayser-Fleischer rings in the eyes and abnormal brain MRI findings, which highlighted issues in specific brain regions.
- Treatment began with penicillamine and other medications, showing some improvement after three months, underscoring the importance of early detection to avoid serious long-term neurological harm.
Leiomyosarcoma (LMS) is an extremely rare malignant pathology affecting smooth muscle cells, with the uterus being the predominant location of LMS. Its occurrence in the duodenum is rare, making it a diagnostic challenge for radiologists. Patients with duodenal LMS can present with very vague symptoms such as abdominal discomfort, loss of weight, or manifestations associated with internal gastrointestinal bleeding.
View Article and Find Full Text PDFEndometriosis located within the canal of Nuck represents a highly uncommon occurrence, often posing a diagnostic challenge due to its atypical site and varied clinical presentations. The case of a 31-year-old female who presented with groin swelling and subsequent suprapubic pain for a duration of two years is described in this study. Utilizing magnetic resonance imaging (MRI), a cystic lesion was detected within the canal of Nuck, raising suspicion of endometriosis.
View Article and Find Full Text PDFTraumatic foreign body aspiration (FBA) in adults is a rare yet potentially life-threatening event that requires prompt recognition and management to prevent adverse outcomes. While less common in adults compared to paediatric populations, traumatic FBA incidents often occur in occupational settings, post-trauma, or during high-risk activities, presenting with acute respiratory symptoms and varying degrees of airway obstruction. Diagnosis can be challenging due to the lack of classic symptoms and the potential for delayed presentation, necessitating a thorough history, a focused physical examination, and appropriate imaging techniques such as computed tomography (CT) and bronchoscopy.
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- - Central pontine myelinolysis (CPM) and extrapontine myelinolysis (EPM) are rare neurological conditions that can occur after quickly correcting low sodium levels, especially in people with chronic alcohol abuse.
- - A 52-year-old man with chronic alcoholism experienced severe symptoms like speech difficulties, weakness, and confusion after his hyponatremia was treated quickly, confirmed by neuroimaging showing typical signs of CPM and EPM.
- - Treatment using medications like dexamethasone and IV immunoglobulin resulted in significant recovery over two months, emphasizing the need for careful management of electrolyte levels in at-risk patients to avoid serious neurological issues.
Growing teratoma syndrome (GTS) represents a rare yet significant complication following treatment for non-seminomatous germ cell tumors (NSGCT), characterized by the growth of mature teratoma elements despite prior chemotherapy. We present the case of a 30-year-old male who, following orchidectomy for NSGCT and subsequent chemotherapy, developed acute abdominal pain and pulmonary metastasis. Despite normal serum tumor markers, imaging revealed a large retroperitoneal mass encasing significant vessels.
View Article and Find Full Text PDFThis review comprehensively explores the evolving role of neuroimaging, specifically magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS), in epilepsy research and clinical practice. Beginning with a concise overview of epilepsy, the discussion emphasizes the crucial importance of neuroimaging in diagnosing and managing this complex neurological disorder. The review delves into the applications of advanced MRI techniques, including high-field MRI, resting-state fMRI, and connectomics, highlighting their impact on refining our understanding of epilepsy's structural and functional dimensions.
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