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