Background: Colloid cysts account for approximately 1% of all intracranial tumors and are the most common type of the neuroepithelial cysts. They are benign, that most commonly occur in the third ventricle near the Monro foramen. Sometimes they have no specific sings and symptoms and may be confused and misdiagnosed with other pathology of nervous systems, but sometimes they may produce acute hydrocephalus, brain herniation, and lead to death. Objective: We present a case of 40 years old male patient with brain colloid cyst. Discussion: The patient was admitted at Clinic of Radiology, for headache and episode of vomit. He was treated for signs and symptoms of depression since 2017. In clinical examination patient had symptoms of brain tumor. The MRI scan demonstrated a cyst in foramen Monroe region with typical signal intensities in the formation that confirm the diagnosis of colloid cyst as delated of lateral ventricle as signs of early hydrocephalus. After diagnosis the patient was recommended to consult with a Neurosurgeon for intervention. The cyst was removed and similar findings revealed also on histopathological examination. Many of colloid cysts manifest with no specific signs and symptoms that may be confused with depression. Conclusion: On rare occasions, they may completely and irreversibly obstruct the foramen of Monroe, resulting in sudden loss of consciousness and, if patients are not treated, in coma and death. So carefully check the MRI scans is very important, not only in diagnosis but also in planning of treatment.
Epidermoid cysts are tumors that ocur in most parts of the body and are often treated by neurosurgeons, but intramedullary localizations of epidermoid cysts are very rare. The incidence in adults is lower than 1% and in children lower than 3%.We report a case of a 27-year-old patient presenting with thoracic spinal cord compression syndrome (T11-12). The magnetic resonance imaging (MRI) showed an intramedullary cystic mass. It demonstrated low signal intensity on T1-weighted sequence and high signal intensity on T2-weighted sequences, with minimal peripheral enhancement following intravenous administration of gadoteric acid. After surgical removal of the tumor, the pathology confirmed the radiological diagnosis of spinal epidermoid cyst. MRI reduces the delay in diagnosis of spinal cord tumors but should be guided by clinical judgment.
Objective:This observational, cross-sectional study, investigates and compares the differences of BMD, T-score, Z-score and isometric strength between dominant (D) versus non-dominant (ND) arms of 162 subjects aged 40-65 in a developing, low income country (Kosova).Material and Methods:Bone Mineral Density (BMD), T-score and Z-score at distal forearm regions of both arms (measured by DXA scan), together with the Handgrip Isometric Strength (HIS) (by handgrip) were evaluated in a total subjects (53 Males and 109 Females). Additionally, General Healthcare Status Questionnaire together with self-administrated International Physical Activity Questionnaire (IPAQ) were filled.Results:Significant differences (p<0.05) between arms were found in BMD, T-score, and Z-score in total subjects and in females, whereas not significant differences (p>0.05) were observed in Males BMD comparing to significantly higher results (p<0.05) in T-score and Z-score. Significant differences (p<0.05) were also found in total subjects and in females handgrip, but not (p>0.05) in males. When comparing the total subject’s BMD, T-score, Z-score and Handgrip based on the PA levels (1 to 3 according to IPAQ scoring) no significant differences (p>0.05) were found between PA1, as well as PA3 whereas significantly differences (p<0.05) were found in D arms of PA2 level.Conclusion:The study analyses side-to-side differences in bone density and muscular force between D and ND arms amongst a population which is frequently exposed to diagnostic screenings for age related osteomuscular conditions (aged 40-60), and demonstrates that these differences should be in consideration amongst clinicians, but not in the way it is done right now.
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