Appearance of an unusual ring enhancing brain capillary telangiectasia on 3.0T MRI with dynamic susceptibility contrast perfusion

Braileanu, Maria; Wicks, Jaime; Saindane, Amit M.

doi:10.1016/j.radcr.2020.05.061

Cited by 3 publications

(5 citation statements)

References 12 publications

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“…Hoffmann et al compared two diagnostic methods to diagnose 25 CSP patients and highlighted a significant difference between the diagnostic results of 3.0T MRI and ultrasound with 3.0T MRI could clearly image the uterine scar in 44% of the patients and had a high accuracy in measuring the wall thickness of the lower uterus. 14 These results were reproduced by recent study by Guo et al supporting the higher clinical value of 3.0T MRI. 16 In our case series, all cases were subsequently confirmed with MRI.…”

Section: Discussionsupporting

confidence: 77%

Caesarean section scar pregnancy: a case series

Ying An,

Nagandla,

Kumar

et al. 2024

Int Surg J

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Cesarean scar pregnancy is a rare type of ectopic pregnancy but potentially life threatening. The incidence of this ectopic pregnancy continues to rise due to global increase in cesarean sections rates as well as the diagnosis with wide use of transvaginal ultrasound. Delay or wrong diagnosis may result to uterine rupture and life-threatening bleeding with potential maternal morbidity and mortality. Endo-vaginal ultrasound has a reported sensitivity of 85-90% for detection. In difficult cases, magnetic resonance imaging is often useful as second line imaging. Treatment may be ranging from conservative to medical therapy or surgery. We present a series of three illustrative cases successfully managed with medical management and sequential treatment of medical and surgical management. We discuss diagnostic challenges and review of literature on updates on management strategies.

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Section: Discussionsupporting

confidence: 77%

Caesarean section scar pregnancy: a case series

Ying An,

Nagandla,

Kumar

et al. 2024

Int Surg J

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“…Therefore, a precise radiographic diagnosis is required to determine the therapeutic approach and to avoid confusing them with other more serious alterations. Because of this, it is feasible to carry out a genetic study to rule out hereditary hemorrhagic telangiectasia when the results of the imaging studies and the clinical data are not conclusive [ 58 , 59 ].…”

Section: Resultsmentioning

confidence: 99%

“…In particular, in cases where the lesion is accessible and jeopardizes functional integrity, surgical removal has been recommended [ 58 , 59 ]. Although this procedure has been reported to improve neural functions or to reduce seizures in some clinical cases [ 17 , 60 ], endovascular treatments are listed as equally appropriate approaches [ 8 , 14 ].…”

Section: Resultsmentioning

confidence: 99%

“…The use of aminocaproic acid or tranexamic acid appears to inhibit fibrinolysis in the case of hemorrhagic complications [ 61 ]. Although CCT is believed to be a clinically benign entity, its timely diagnosis and treatment are essential in avoiding unnecessary invasive procedures, as well as in the development of neurodegenerative processes [ 17 , 59 ].…”

Section: Resultsmentioning

confidence: 99%

“…Despite the emerging options for drug treatment for vascular malformations, sclerotherapy, embolization, and surgical resection or laser cytoreduction interventions continue to be the most optimal approach options in most cases, as they allow for the handling of large, surgically accessible lesions; in difficult cases, endovascular sclerotherapy and embolization allow for the treatment of such difficult-to-reach lesions [ 9 , 19 , 70 , 80 ]. The exception is CCT or asymptomatic AVMs in older adults, which can generally be managed with a conservative surveillance approach [ 58 , 59 , 80 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Atlas of Nervous System Vascular Malformations: A Systematic Review

Rangel

Marín-Márquez²,

Hernández-Contreras³

et al. 2022

Life

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Vascular malformations are frequent in the head and neck region, affecting the nervous system. The wide range of therapeutic approaches demand the correct anatomical, morphological, and functional characterization of these lesions supported by imaging. Using a systematic search protocol in PubMed, Google Scholar, Ebsco, Redalyc, and SciELO, the authors extracted clinical studies, review articles, book chapters, and case reports that provided information about vascular cerebral malformations, in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 385,614 articles were grouped; using the inclusion and exclusion criteria, three of the authors independently selected 51 articles about five vascular cerebral malformations: venous malformation, brain capillary telangiectasia, brain cavernous angiomas, arteriovenous malformation, and leptomeningeal angiomatosis as part of Sturge–Weber syndrome. We described the next topics—“definition”, “etiology”, “pathophysiology”, and “treatment”—with a focus on the relationship with the imaging approach. We concluded that the correct anatomical, morphological, and functional characterization of cerebral vascular malformations by means of various imaging studies is highly relevant in determining the therapeutic approach, and that new lines of therapeutic approaches continue to depend on the imaging evaluation of these lesions.

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Computed tomography perfusion stroke mimics on RAPID commercial software: A case-based review

Ahmed,

Hamam,

Niri

et al. 2023

Brain Circulation

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Acute ischemic stroke (AIS) is a leading cause of morbidity worldwide and can present with nonspecific symptoms, making diagnosis difficult. Many neurologic diseases present similarly to stroke; stroke mimics account for up to half of all hospital admissions for stroke. Stroke therapies carry risk, so accurate diagnosis of AIS is crucial for prompt treatment and prevention of adverse outcomes for patients with stroke mimics. Computed tomography (CT) perfusion techniques have been used to distinguish between nonviable tissue and penumbra. RAPID is an operator-independent, automated CT perfusion imaging software that can aid clinicians in diagnosing strokes quickly and accurately. In this case-based review, we demonstrate the applications of RAPID in differentiating between strokes and stroke mimics.

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Appearance of an unusual ring enhancing brain capillary telangiectasia on 3.0T MRI with dynamic susceptibility contrast perfusion

Cited by 3 publications

References 12 publications

Caesarean section scar pregnancy: a case series

Caesarean section scar pregnancy: a case series

Atlas of Nervous System Vascular Malformations: A Systematic Review

Computed tomography perfusion stroke mimics on RAPID commercial software: A case-based review

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