Publications by authors named "Shivali V Kashikar"

Article Synopsis
  • * 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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Article Synopsis
  • 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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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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Magnetic resonance imaging (MRI) is a critical diagnostic tool in assessing supratentorial neoplasms, offering unparalleled detail and specificity in brain imaging. Supratentorial neoplasms in the cerebral hemispheres, basal ganglia, thalamus, and other structures above the tentorium cerebelli present significant diagnostic and therapeutic challenges. These challenges vary notably between adult and pediatric populations due to differences in tumor types, biological behavior, and patient management strategies.

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Article Synopsis
  • 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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Lumbo-costo-vertebral syndrome (LCVS) is a very rare congenital disorder seen in children. It is characterized by a congenital absence of ribs, vertebral anomalies, scoliosis, meningocele, and hypoplastic abdominal wall muscles presenting as abdominal wall hernia. We present a case of a six-year-old Indian female who came with complaints of swelling in the left lumbar region since birth, which was evident in coughing and scoliosis.

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Pyometra is a gynecological condition characterized by pus accumulation in the endometrial cavity. It is a rare condition, and it should be included in the differential diagnosis of abdominal pain in postmenopausal women. We present a case of a 65-year-old postmenopausal woman with complaints of foul-smelling white discharge, itching in the perineal region, lower abdominal pain, and postmenopausal bleeding for two to three months.

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Article Synopsis
  • Early detection of oral cavity cancers is crucial for improving treatment outcomes and survival, with CT imaging serving a key role in diagnosis and assessment.
  • This review covers the anatomy of the oral cavity, common cancer characteristics, CT imaging principles, and its diagnostic features, such as differentiating benign and malignant lesions.
  • It also explores emerging technologies like higher-resolution images and AI integration, assessing their implications for diagnostic accuracy and the future of CT imaging in managing oral cancers.
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Primitive neuroectodermal tumors (PNETs) are unprecedented threatening neoplasms beginning from primitive neuroectodermal cells. PNETs are reported as the predominant incidence observed in children and young adults with a high mortality rate. These neuroectodermal tumors are quite aggressive with a life expectancy of eight months on average.

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Congenital facial teratomas in neonates pose diagnostic challenges, necessitating a multidisciplinary approach for accurate diagnosis and management. We present the case of a four-day-old female infant delivered via Lower Segment Cesarean Section (LSCS) with a protruding nasolabial mass noted since birth. CT brain plain revealed a soft tissue density opacification arising from the left maxilla with an underlying bony outgrowth, suggestive of a benign congenital developmental anomaly most likely teratoma.

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Fibrous dysplasia (FD) is a rare benign skeletal disorder that replaces normal bone with fibrous tissue and immature woven bone. We present a case of a 13-year-old girl with right-sided facial swelling and craniofacial deformity since birth, accompanied by nasal obstruction and difficulty in breathing and swallowing. Computed tomography (CT) imaging revealed an expansile bony lesion with a ground-glass matrix involving multiple craniofacial bones.

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Cerebellar hemispheric enlargement with atypical neurological symptoms poses diagnostic challenges in clinical practice. We present the case of a 57-year-old female with persistent headache, left facial paraesthesia, dysarthria, gait ataxia, and longstanding neck swelling. Imaging studies revealed enlargement of the left cerebellar hemisphere with associated mass effect and compression of adjacent structures.

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Article Synopsis
  • T2-weighted hyperintensities in MRI are critical indicators of neurological disorders, serving as sensitive markers for conditions like multiple sclerosis, vascular dementia, and brain tumors.
  • The review examines their characteristics, clinical significance, advanced imaging techniques, and the role of AI in analyzing these hyperintensities, while also addressing the challenges in their assessment.
  • It highlights the future potential for research and clinical practices, including the development of biomarkers and personalized medicine, ultimately aiming to improve diagnosis and treatment of neurological conditions.
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Adamantinoma, an uncommon low-grade primary malignant bone tumor, rarely causes leg pain in adolescents and typically manifests in the lower extremities, with a notable preference for the tibia, although occurrences in other bones such as the femur, fibula, and pelvis have been documented. Instances of local recurrence and regional metastasis are infrequent. This case report aims to comprehensively review the clinical presentation, imaging features, histological findings, and management of adamantinoma.

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Obstructed hemivagina and ipsilateral renal anomaly (OHVIRA) is a complex Mullerian and Wolffian duct anomaly, which is difficult to diagnose before puberty. We present a rare case of a congenital syndrome known as OHVIRA in a 21-year-old female who came with complaints of intermittent type of lower abdominal pain, dysmenorrhea, and oligomenorrhea with frequent visits to different hospitals without any radiological investigations done. Early magnetic resonance imaging (MRI) investigations helped her in diagnosing and managing this syndrome.

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Pigmented villonodular synovitis (PVNS) is a rare benign condition of tenosynovial proliferation that mostly affects the knee joint. In this case report, we present a 39-year-old female with a ten-year history of gradual progression in the size of painful soft tissue swelling in her left knee. Our case report emphasizes the MRI's ability to provide detailed information on tendon sheath and synovium involvement, as well as extensive extra-articular involvement and hemosiderin deposition.

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Patients present to the orthopedic outpatient department with complaints of shoulder pain on movement or restriction of movement in the shoulder joint and are referred for magnetic resonance imaging (MRI) of the shoulder joint. Almost all the patients have similar complaints but may have a wide range of pathology affecting the joint and causing pain. Rotator cuff tears or tendinopathy are the most common causes of shoulder pain.

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Intracranial dermoid cysts are rare, benign, congenital, and slow-growing cystic lesions. They contain mature squamous epithelium, apocrine, eccrine, sebaceous glands, and ectodermal structures. The rupture of intracranial dermoid cysts is a rare event and can cause life-threatening conditions.

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Sinus histiocytosis with massive lymphadenopathy (SHML), an alternative term for Rosai-Dorfman disease (RDD), is a rare benign idiopathic immune-related lymphoproliferative condition. The central nervous system (CNS) has been documented to be involved in RDD, although lymph nodes are the organs that are most frequently and primarily associated with the disease manifestation. Nonetheless, CNS involvement in RDD is rare and poorly understood.

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Introduction: Atherosclerosis (i.e. hardening and thickening of arteries) causes vascular remodeling, obstruction of lumen, abnormalities of blood flow and reduced oxygenation of target tissues.

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Aims And Objectives: To find out the incidence of ACL & meniscal injuries, to co-relate MRI findings with arthroscopy by calculating Sensitivity, Specificity, Positive And Negative Predictive Values (PPV & NPV) keeping arthroscopy as a gold standard, to find out the degree of subluxation and to grade it and to find a threshold value of fluid in knee.

Settings And Design: Prospective analytical study.

Materials And Methods: MRI of 230 patients with 71 arthroscopic co- relation in year 2012-14 was analysed.

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An adolescent presented with headache and projectile vomiting and showed ataxia, dysarthia and nystagmus with normal cognition. A diagnosis of acute cerebellitis was made on the basis of computed tomography and magnetic resonance imaging findings. He developed seizures and had a rapid downhill course with death at 48 hours after admission.

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