Publications by authors named "Parihar P"

Tic douloureux, also known as trigeminal neuralgia, is distinguished by recurrent episodes of severe, lancinating pain that affects one or more branches of the trigeminal nerve, representing a prevalent pain syndrome. This condition has an annual incidence rate of 27 per 100,000 individuals. Nevertheless, direct compression caused by vertebrobasilar dolichoectasia (VBD) represents a considerably less frequent etiology of trigeminal neuralgia, with an estimated overall incidence of about 1%.

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Fahr's disease is a rare neurological disorder which is characterized by the presence of abnormal, symmetrical, and bilateral calcifications within the basal ganglia and other cerebral areas. Seizures are 1 of the symptoms that may aid in its diagnosis. Fahr's disease is diagnosed in adults mostly.

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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.

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An uncommon congenital disorder known as venolymphatic malformation (VLM) of the knee develops from improper venous and lymphatic system development. It is a specific kind of vascular abnormality that affects lymphatic and veins, causing abnormal growth and dilation of these vessels. These types of malformations do not directly connect to the main channels but instead appear as swelling or other characteristic features depending on the specific type of malformation.

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Neurofibromas (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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Background: Alzheimer's disease (AD) is a progressive neurodegenerative disorder characterized by cognitive decline, posing a significant challenge for individuals and society. Early detection and treatment are essential for effective disease management.

Objective: The objective of this research is to develop a novel and interpretable deep learning model for rapid and accurate Alzheimer's disease detection, incorporating Explainable Artificial Intelligence (XAI) techniques.

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  • A woman in her late 50s experienced severe abdominal issues, including distension, nausea, and vomiting for 2 days, leading to a diagnosis of mesenteric volvulus.
  • A preliminary ultrasound suggested a gastric outlet obstruction, which was confirmed by a contrast-enhanced CT scan that revealed significant stomach distension and displacement of nearby organs.
  • Emergency surgery was performed to restore blood flow to the affected area, highlighting the importance of early CT scans in diagnosing this critical and potentially life-threatening condition.
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Introduction: This study aims to evaluate the role of multidetector computed tomography (MDCT) urography in cases of obstructive uropathy to determine the cause, side, site, and level of obstruction and to differentiate between acute and chronic cases of obstructive uropathy based on imaging features.

Methods: Using Cochran's formula, a sample size of 121 patients was calculated. The patients underwent computed tomography (CT) urography to assess the obstructing agents causing obstructive uropathy.

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  • Breast vascularity is vital for understanding breast cancer development and treatment, as it provides insights into pathological and physiological changes in breast tissue.
  • * Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) is a key tool for assessing breast vascularity, using contrast agents to visualize blood flow and differentiate between benign and malignant lesions.
  • *DCE-MRI offers high diagnostic accuracy and is useful for monitoring treatment response, but challenges like cost and overlapping enhancement patterns need to be addressed, alongside future advancements in imaging technology.*
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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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  • * Early detection using imaging techniques like MRI is vital for diagnosing MESCC and planning treatment; innovations in imaging technology have improved early detection and management.
  • * This review discusses the advancements in imaging methods for MESCC and their significance in enhancing diagnosis, treatment planning, and overall patient outcomes in this critical emergency.
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Acute cerebellitis is a rare inflammatory process affecting the cerebellum, commonly seen in the pediatric population following primary or secondary infection. Since the condition presents with a broad spectrum of clinical symptoms, radiological investigations, preferably magnetic resonance imaging, become essential in diagnosing it and planning further management. In this article, we discuss a case of a child presenting with a severe form of acute cerebellitis and hypoxic-ischemic encephalopathy secondary to brainstem compression.

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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 maxilla is an important bone in your face that has lots of blood flow, but it can get sick or damaged from infections or injuries.
  • A serious fungal infection called mucormycosis can affect the maxilla, especially in people with diabetes or weak immune systems.
  • It's very important to catch this infection early because it can be life-threatening, but treating it quickly can really help people recover better.
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Duodenal atresia is a rare congenital gastrointestinal obstruction, usually recognized by a prominent "double bubble" sign on prenatal imaging. This case report presents a diagnosis of duodenal atresia in a fetus in the third trimester. The mother presented late for an antenatal ultrasound, which revealed the classic "double bubble" sign.

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Persistent occipital sinus with absent/ hypoplastic bilateral transverse sinus is an extremely rare finding in adults; less than 10 cases have been reported. We present a case of a 28-year-old male who was brought to the emergency department in a post-ictal state associated with blurring of vision and 1 vomiting episode. Magnetic resonance imaging (MRI) with angiography and venography of the brain was advised, and the brain parenchyma was found to be anatomically normal.

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  • Carpal boss is a rare condition featuring a bony growth at the wrist joint, often misdiagnosed due to similar symptoms with other issues like cysts or fractures.
  • A case series involving three patients highlighted the significance of advanced imaging techniques (MRI and CT) in accurately diagnosing carpal boss, particularly through detailed visibility of bony structures.
  • The study emphasizes the need for increased awareness among healthcare professionals to ensure timely identification and proper management of this underrecognized condition.
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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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Background T2-weighted hyperintensities in the spinal cord are crucial markers for diagnosing a range of spinal cord pathologies. This study explores the prevalence, causes, and implications of these hyperintensities in patients with spinal cord injuries at a tertiary care hospital in Central India. The research aims to assess the utility of MRI in detecting T2-weighted hyperintensities in the spinal cord and to analyze the associated clinical and radiological characteristics.

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Pediatric patients with osteomyelitis, a serious bone infection, have several difficulties. A 12-year-old child with an acute osteomyelitis diagnosis is the subject of this case study. The child had decreased limb function, a fever, and localized pain.

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  • Craniovertebral junction (CVJ) deformities like basilar invagination and atlanto-occipital assimilation can significantly complicate diagnosis and management, impacting neurological function.
  • A case study of a 28-year-old woman highlights the severe symptoms she experienced, including neck pain, weakness, and dizziness, which worsened over six months and affected her quality of life.
  • The importance of early diagnosis and a multidisciplinary treatment approach is emphasized to effectively manage CVJ deformities and enhance patient outcomes.
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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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Ovarian torsion is a critical gynecological emergency that presents with sudden-onset abdominal pain and requires immediate intervention to prevent irreversible ovarian damage. This case report describes a 25-year-old female who presented with acute right lower quadrant pain, which had escalated to excruciating levels over the past 45 minutes, accompanied by persistent nausea and vomiting. She had no fever, vaginal bleeding, or dysuria, and her urine pregnancy test was negative.

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Hepatocellular carcinoma (HCC) is a primary malignancy of the liver, often arising in the context of chronic liver disease and cirrhosis. This case report describes the clinical presentation, diagnostic evaluation, and therapeutic intervention of a 72-year-old male with a long-standing history of alcohol use who presented with right hypochondrial pain. A 72-year-old male with a 20-year history of alcohol consumption presented with a one-month history of dull, aching pain in the right hypochondrium.

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This case report highlights the understanding of the swelling feature of the right knee in a young adult and gives an overview of bone tumors. We are presenting a case of right knee swelling in a 13-year-old boy who was anxious before the investigations. Additionally, this report provides an approach for an accurate diagnosis of swelling.

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