Coronavirus disease 2019 has spread rapidly around the world and many studies have shown these typical and rare atypical findings, such as transient pneumothorax, spontaneous pneumomediastinum (SP), as well as emphysema subcutaneous during hospitalization. This is the case in a 56-year-old woman with COVID-19, who presented during hospitalization, a spontaneous pneumomediastinum of low abundance. As her clinic worsened with dyspnea and impaired consciousness, she was put on mechanical ventilation in intensive care. Faced with the persistent symptomatology, a control thoracic computed tomography (CT) at 15 days of assisted ventilation found on the axial slice (Figure 1) in parenchymal window, bilateral diffuse depoli glass areas with septal thickening, pneumomediastinum, and significant subcutaneous emphysema. Unfortunately our patient died a few days later.
Myeloschisis (rachischisis) is a rare congenital malformation linked to incomplete development of the spine and characterized by posterior opening of the vertebrae [1,2]. It is spread over more than one floor or even the entire spine and incompatible with life. Its diagnosis is clinical, confirmed by ultrasound and cross-sectional imaging [2]. This anomaly in its thoracic location is rare. There are two types: Segmentation and development defects [4]. Developmental defects include hemi vertebrae and failure of neural tube fusion which in turn includes the simple cleft of the posterior arch of the vertebrae (spina bifida) [3]. It can involve one or more vertebral arches, determining extensive spinal dysraphism. Certain factors favor their appearance. According to the literature, only one article published in 1972 by Levy et al, which reported an incidence of 0.01% of thoracic spina bifida [3]. We report the case of a 33-day-old female infant born at term in breech presentation, with a pregnancy that was not well followed. There was a notion of taking fenugreek during pregnancy. Hospitalized for meningitis, with a dysmorphic face, clinically presented a dorsolumbar spina bifida (Figure 1). She had received antibiotic therapy and regular dressings since her admission. A cerebral-medullary scan was performed and showed a progressive opening of the spinous processes from the cervical and dorsal spine, more marked at the height of the spinous process of the fourth dorsal vertebra to distality, with issue of meningeal structures and spinal cord. Conflicts of interest: The authors declare that they have no conflicts of interest.
The corpus callosum is composed of 4 segments namely the rostrum, thegenu, the body and the selenium 20 weeks all of these components are expected to be present in the midline. It continues to grow in thickness and length and reaches maturity around the age of 9-10 months [1]. Agenesis of the Corpus Callosum (ACC) is a heterogeneous congenital neurodevelopmental disorder that can be seen in isolation or in combination with other brain abnormalities such as are Dandy walker Disease, Mega large cistern, vermal hypoplasia and Rathke’s pocket cyst [2]. Then, ACC is dysgenesis of the callosum which results in the complete or partial absence of its components. The MRI is the gold standard of Diagnosis, shows the frontal horns of the lateral ventricles which take a disposition having an aspect of the horns of bulls [1,3]. This typical appearance when present is pathognomonic for ACC as showing in Figures 1A and 1B.
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