Indian Journal of Public Health Research & Development

Anindita Mishra ¹, V Mythri Priyadarshi ¹

Affiliations
1 Department of Radiodiagnosis, G.S.L. Medical College & Hospital, Rajahmundry, Andhra Pradesh

Abstract

Posterior reversible encephalopathy syndrome (PRES) also known as reversible posterior leukoencephalopathy (RPLS) is a syndrome characterized by headache, confusion, seizures and visual loss. It may occur due to a number of causes, predominantly malignant hypertension, ecclampsia and some medical treatments.

We present a case of PRES due to disulfiram intoxication in a chronic alcoholic patient. The condition was diagnosed on MRI which showed the typical radiological features. The patient recovered completely with complete reversal of radiological changes after the causative agent disulfiram was discontinued.

Keywords

Disulfiram, Reversible, Encephalopathy, MRI, White Matter

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Anindita Mishra ¹, Vinay Nyapathy ¹

Affiliations
1 Department of Radiodiagnosis, G.S.L. Medical College & Hospital, Rajahmundry, Andhra Pradesh, IN

Abstract

Retroperitoneal pelvic lipomas are so rare that there are only few cases reported in literature. Current imaging techniques such as USG, CT&MRI are helpful in diagnosis. A case of pelvic lipoma in a patient with stage-II cervical carcinoma is described. Initial ultrasound showed an irregular mass in the cervix with suggestion of an echogenic lesion in left side of pelvis. Plain and contrast enhanced CT showed a homogenous fat attenuation mass in the left side of pelvis with a faintly visible capsule which did not enhance post contrast. MRI permitted unequivocal diagnosis of lipoma. The usefulness of various imaging methods is discussed in correctly diagnosing the entity and avoiding unnecessary surgery in asymptomatic patient.

Keywords

MRI, Pelvic Lipoma, Cervical Carcinoma, Benign Tumour

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