Publications by authors named "Devyansh Nimodia"

Spindle cell lipoma (SCL) represents an infrequent subtype of lipoma distinguished by its distinctive histopathological characteristics and tendency to localize in the subcutaneous tissues of the upper back, neck, and shoulder regions. In this report, we describe an unusual instance of SCL manifesting in the cervical area of a 62-year-old female individual. The patient exhibited a progressively enlarging painless mass situated in the left supraclavicular region for 8 years.

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Rare vascular abnormalities of the central nervous system, spinal intramedullary cavernomas make up fewer than 5% of all spinal cord lesions. Symptoms are vague, making diagnosis difficult. A fast and precise diagnosis is made possible by the early detection and characterization of these lesions, which is made possible by radiological imaging, especially MRI with contrast.

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Gliosarcoma is a rare and aggressive variant of glioblastoma, characterized by a biphasic histological pattern consisting of both glial and mesenchymal components. This case report describes the clinical presentation, radiological findings, surgical management, and histopathological analysis of gliosarcoma in a 30-year-old female. The patient presented with a 10-day history of right-sided headache and recurrent vomiting.

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Dermatofibrosarcoma protuberans (DFSP) is a rare type of soft tissue sarcoma, which is slow-growing. It arises from the dermal, subcutaneous layer and is locally aggressive. It commonly affects adults between 20 and 50 years old, with a slight male predominance.

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Cardiac hydatid disease which is caused by the larval form of Echinococcus granuloses is the rarest yet significant presentation which is characterized by the formation of cystic lesions within the heart. It is not as common as hepatic, pulmonary hydatidosis, hence poses a unique diagnostic challenge. It may lead to severe complications like cardiac tamponade, embolism and arrhythmias.

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Pilocytic astrocytoma is a benign, slow-growing tumor classified as a WHO Grade I glioma, commonly affecting children and young adults. This case highlights the clinical, radiological, and histopathological features of a third-ventricle pilocytic astrocytoma and its management through endoscopic resection. An 18-year-old female presented with a one-year history of generalized headache, aggravated over the past month.

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Isolated involvement of spleen in hydatid disease is relatively uncommon occurrence. The spleen ranks as the third most frequently affected organ in this condition, liver primarily being the most commonly affected. When the disease manifests in the spleen, it typically presents with nonspecific symptoms, complicating the diagnostic process for healthcare professionals.

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Gastroschisis represents a congenital malformation characterized by the herniation of abdominal contents through a defect in the abdominal wall, predominantly situated to the right of the umbilical cord. The defect is characterized by the absence of a covering membrane, resulting in the free floating of extruded abdominal contents. Major complications associated with this condition include stillbirth, preterm delivery, and intrauterine growth restriction.

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Tic douloureux, also known as trigeminal neuralgia, is distinguished by recurrent episodes of severe, lancinating pain that affects one or more branches of the trigeminal nerve, representing a prevalent pain syndrome. This condition has an annual incidence rate of 27 per 100,000 individuals. Nevertheless, direct compression caused by vertebrobasilar dolichoectasia (VBD) represents a considerably less frequent etiology of trigeminal neuralgia, with an estimated overall incidence of about 1%.

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Fahr's disease is a rare neurological disorder which is characterized by the presence of abnormal, symmetrical, and bilateral calcifications within the basal ganglia and other cerebral areas. Seizures are 1 of the symptoms that may aid in its diagnosis. Fahr's disease is diagnosed in adults mostly.

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Sacral chordoma is a rare osseous tumor of malignant origin. Remnants of the notochord in the region of sacrum and coccyx is said to be the origin of these tumors. Patients generally have delayed presentation, which is responsible for larger tumor size.

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An uncommon congenital disorder known as venolymphatic malformation (VLM) of the knee develops from improper venous and lymphatic system development. It is a specific kind of vascular abnormality that affects lymphatic and veins, causing abnormal growth and dilation of these vessels. These types of malformations do not directly connect to the main channels but instead appear as swelling or other characteristic features depending on the specific type of malformation.

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Neurofibromas (NF), rare benign peripheral nerve sheath tumors, are typically linked to neurofibromatosis type 1 (NF1). This case report presents a rare instance of a neurofibroma located in the mandible of a 12-year-old male patient, who presented with localized swelling and discomfort in the lower jaw. Clinical examination revealed a firm, nontender mass on palpation.

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Article Synopsis
  • * A case involving a 30-year-old woman revealed that after her D&C at 10 weeks due to missed abortion, she experienced severe abdominal pain and signs of internal bleeding, verified by imaging as a uterine perforation.
  • * Emergency surgery was performed to fix the perforation, leading to her full recovery; the case highlights the need for careful monitoring during and after D&C procedures to prevent significant health risks.
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  • A carotid body tumor, or paraganglioma, is a rare tumor that usually occurs in the neck and is mostly benign, accounting for only 0.5% of all tumors.
  • A case study of a 22-year-old male revealed symptoms like swelling in the neck, hoarseness, and difficulty swallowing, leading to a diagnosis confirmed by ultrasound and MRI.
  • The primary treatment for carotid body tumors is surgical removal, and the patient's surgery was guided by the Shamblin classification to assess the tumor's resectability and reduce vascular complications.
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  • The pig tapeworm causes cysticercosis, a parasitic disease affecting the human nervous system, particularly in regions such as Central and South America, Eastern Europe, and parts of India.
  • Two pediatric cases of intramuscular cysticercosis were treated successfully with oral prednisolone followed by albendazole, leading to the resolution of symptoms and swellings within three months.
  • Diagnosis is often challenging due to nonspecific symptoms, but high-resolution ultrasound and MRI are effective methods for identifying cysticercosis in muscles.
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  • - Osteitis condensans ilii (OCI) is a rare, benign cause of lower back pain mainly seen in women, often mistaken for sacroiliac joint issues, but it typically resolves on its own after childbirth.
  • - Osteitis pubis is an inflammatory condition causing pain in the pubic area, often resulting from trauma, surgery, or intense physical activity, and can occur alongside OCI.
  • - A case study involving a 21-year-old female highlights the use of MRI to diagnose both OCI and osteitis pubis, showing distinct imaging characteristics, but no specific treatment exists—only lifestyle changes may help manage symptoms and prevent recurrence.
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  • Frontotemporal dementia (FTD) primarily affects adults over 60 and results from damage to the frontal and temporal lobes, leading to changes in behavior and language.
  • Diagnosing FTD typically takes around three years due to the lack of definitive tests, relying instead on imaging techniques like MRI and PET scans.
  • Early detection and awareness of FTD are essential for improving treatment and management strategies, as highlighted by case studies of language deficits and memory issues linked to temporal lobe involvement.
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Cerebral vasculitis is a rare but severe complication of Systemic Lupus Erythematosus (SLE), presenting significant challenges in management due to its potential for devastating neurological consequences and poor prognosis. We present a case of an 18-year-old female with known SLE who presented with seizures, declining cognitive function, and unresponsiveness. Neurological examination, laboratory investigations, and radiological imaging supported the diagnosis of cerebral vasculitis secondary to SLE.

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  • Echinococcosis, also known as hydatid disease, is a parasitic infection typically caused by Echinococcus multilocularis or granulosus, affecting primarily the lungs and liver.
  • A case study describes a 70-year-old male with a progressively painful swelling in his right thigh, which initially appeared painless over two years.
  • Diagnostic imaging methods like ultrasound and MRI revealed the swelling to be a hydatid cyst in the muscle, confirmed after surgical removal and biopsy.
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  • Wilson's disease is a rare genetic condition that affects copper metabolism, leading to neurological symptoms such as dystonia and rigidity in a 14-year-old boy.
  • Key diagnostic indicators included the presence of Kayser-Fleischer rings in the eyes and abnormal brain MRI findings, which highlighted issues in specific brain regions.
  • Treatment began with penicillamine and other medications, showing some improvement after three months, underscoring the importance of early detection to avoid serious long-term neurological harm.
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Leiomyosarcoma (LMS) is an extremely rare malignant pathology affecting smooth muscle cells, with the uterus being the predominant location of LMS. Its occurrence in the duodenum is rare, making it a diagnostic challenge for radiologists. Patients with duodenal LMS can present with very vague symptoms such as abdominal discomfort, loss of weight, or manifestations associated with internal gastrointestinal bleeding.

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Endometriosis located within the canal of Nuck represents a highly uncommon occurrence, often posing a diagnostic challenge due to its atypical site and varied clinical presentations. The case of a 31-year-old female who presented with groin swelling and subsequent suprapubic pain for a duration of two years is described in this study. Utilizing magnetic resonance imaging (MRI), a cystic lesion was detected within the canal of Nuck, raising suspicion of endometriosis.

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