Indexing
Volume 4
Issue 1
Dural Tail Sign
A 74-year-old right-handed male presented with headaches, paroxysmal cervical pain and gait instability that worsened during exercise
walking. Neurological examination demonstrated proximal right lower extremity weakness. T1-weighted brain magnetic resonance imaging illustrated a well-delineated 26×23-mm mass with homogeneous
enhancement, located in the right parietal convexity and associated
with extensive edema. The presence of a dural tail (Figure 1, arrows)
suggested the diagnosis of meningioma.
DOI: 10.55920/IJCIMR.2022.04.001140
An Uncommon finding of a Parathyroid lesion.
A 71- year- old Caucasian woman was admitted for hypercalcemia
(3,15 mmol/l), discovered in the context of peritoneal carcinomatosis
of unknown primitive. Laboratory evaluation revealed a primary hyperparathyroidism with an increased PTH level (176 pg/ml), whereas
PTHrp was not detectable. Cervical ultrasonography showed a nodular formation of the right superior parathyroid gland (P4), which was
well defined, hypoechoic, surrounded by a bright interface and located
behind the thyroid (figure 1). There were no morphological abnormalities apparent in the other 3 parathyroid glands.
DOI: 10.55920/IJCIMR.2022.04.001139
Liver transplantation for favipiravir-induced cholestasis and alcohol consumption - A case report and literature review
Clinical data indicate that patients with coronavirus disease 2019
(COVID19) often had abnormal liver function tests, such as aspartate
transferase (AST) and alanine transferase (ALT) [1]. Acute liver injury
is defined based on the upper limit of normal (ULN) serum concentration of ALT, AST, and total bilirubin as follows: Increased ALT more
than 5-fold ULN or ALP more than 2-fold ULN (in the absence of
bone pathology), or simultaneous increase of ALT ≥3-times ULN and
total bilirubin concentration more than 2-times ULN [2].
DOI: 10.55920/IJCIMR.2023.04.001137
Reversal of acute liver failure due to Wilson’s disease in an adult without liver transplant: role of intravenous albumin and plasmapheresis
Wilson’s Disease (WD) is a recessively inherited autosomal disease related to mutations in the ATP7B gene caused by the accumulation of
excess copper in the body, particularly in the liver, brain, and kidney.
It especially affects children and young adults, but it can occur before
three and after 40 years of age1. The clinical profile of hepatic manifestations may vary from asymptomatic biochemical abnormalities
and steatosis to acute hepatitis, acute liver failure, chronic hepatitis,
and cirrhosis.
DOI: 10.55920/IJCIMR.2023.04.001136
A Case of autoimmune Hypophysitis induced by Ipilimumab/Nivolumab combination therapy for Metastatic Melanoma
An 83-year-old Chinese gentleman presented to the Accident and
Emergency department in July 2021 for severe non-vertigo dizziness
and fatigue. He is an ex-smoker and ex-drinker, with a past medical
history of pulmonary tuberculosis in 2009.
10 months prior to presentation, in September 2020, he was diagnosed
with BRAF-negative metastatic melanoma of scrotum with groin and
external iliac lymph node metastasis.
DOI: 10.55920/IJCIMR.2023.04.001135
Student and Teacher Satisfaction with Online Mode of Postgraduate Examination
In the COVID- 19 era, learning organizations cannot lag in the use of
new technologies[1]. Higher Education Institutions all over the world
are increasingly adopting and implementing online modes.[2,3] Many
institutions in developing countries are facing challenges with online
examinations due to a lack of sensitization of students to online mode
and lack of preparation of students, and lack of internet facilities in
some areas.[4] In India, a nationwide lockdown was implemented due
to the coronavirus disease (COVID-19) pandemic towards the end of
March 2020 leading to immense disruption of routine hospital services and residency training.
DOI: 10.55920/IJCIMR.2023.04.001134
A Challenging Case of Unsuccessful Percutaneous Nephrostomy Tube Replacement for Management of Xanthogranulomatous Pyelonephritis
A 62-year-old female initially presented in septic shock with altered
mental status and was found to have left renal xanthogranulomatous
pyelonephritis (XGP) on CT scan of the C/A/P (characteristic image
in Figure 1). She had percutaneous nephrostomy tube (PCN) placement for management in addition to antibiotics and supportive care.
She was subsequently discharged on culture-directed oral antibiotics
with PCN to drainage and plan for interval simple nephrectomy of
minimally functional XGP kidney.
DOI: 10.55920/IJCIMR.2023.04.001133
