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  1. Article ; Online: Artery of Percheron infarction

    Juna Musa, MD Msc / Masum Rahman, MD / Ali Guy, Clinical assistant professore / Erisa Kola, MD / Angela Guy, MD / Fjolla Hyseni, MD / Anisa Cobo, MD / Kristi Saliaj, MD / Fiona Bushati, MD / Ilir Ahmetgjekaj, Phd

    Radiology Case Reports, Vol 16, Iss 6, Pp 1271-

    A case report and literature review

    2021  Volume 1275

    Abstract: The artery of Percheron (AOP) represents a rare anatomic variant of the posterior circulation. It is a solitary trunk that provides bilateral arterial supply to the rostral midbrain and paramedian thalamus. AOP infarction presentation varies, most often ... ...

    Abstract The artery of Percheron (AOP) represents a rare anatomic variant of the posterior circulation. It is a solitary trunk that provides bilateral arterial supply to the rostral midbrain and paramedian thalamus. AOP infarction presentation varies, most often presents with altered mental status, memory impairment, and supranuclear vertical gaze palsy. Diagnosis of the AOP infarct is most often missed in the initial CT scan. A majority of these diagnoses are made outside the window of thrombolytic treatment for ischemic stroke.We report a case of a 67-year old male with a history of well-managed diabetes mellitus type 2 and hypertension, presented in the ER sudden onset severe drowsiness. On a physical exam, we found left pupil dilation and left eye deviation. Initial CT scan showed no pathological changes. The diagnosis was made on the third day of hospitalization via an MRI. Our case highlights the unusual presentation and that an absence of evidence of AOP infarction in CT scan does not exclude its diagnosis. The artery of the Percheron infarct requires a comprehensive clinical and radiological examination.
    Keywords Infarction of the Percheron artery ; Paramedian arteries ; Bilateral infarction ; Diagnostic imaging ; Ischemic stroke ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 610
    Language English
    Publishing date 2021-06-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Corrigendum to “Asymptomatic presentation of a congenital malformation of the portal vein with portosystemic shunt” [Radiol Case Rep 15 (2020) 2009-2014]

    Juna Musa, MD / Kulsum Madani, MD / Kristi Saliaj, MD / Jason Cai, MD / Ali Guy, MD / Blerina Saraci, MD / Erisa Kola, MD / Fjolla Hyseni, MD / Samer Saadi, MD / Elton Ceka, MD

    Radiology Case Reports, Vol 15, Iss 12, Pp 2718- (2020)

    2020  

    Keywords Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Language English
    Publishing date 2020-12-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Asymptomatic presentation of a congenital malformation of the portal vein with portosystemic shunt

    Juna Musa, MD / Kulsum Madani, MD / Kristi Saliaj, MD / Jason Cai, MD / Ali Guy, MD / Blerina Saraci, MD / Erisa Kola, MD / Elton Ceka, MD

    Radiology Case Reports, Vol 15, Iss 10, Pp 2009-

    2020  Volume 2014

    Abstract: ABSTRACT: Malformations of the portal venous system consist of congenital and acquired anomalies. Congenital portosystemic shunts represent rare vascular developmental anomalies that allow partial or complete diversion of blood flow from the portal ... ...

    Abstract ABSTRACT: Malformations of the portal venous system consist of congenital and acquired anomalies. Congenital portosystemic shunts represent rare vascular developmental anomalies that allow partial or complete diversion of blood flow from the portal venous system to the systemic venous system, bypassing the liver. Congenital portosystemic shunts may be associated with malformations or congenital absence of the portal vein, and it was first described by John Abernethy in 1793. Most cases are diagnosed in early childhood, but some congenital shunts may remain asymptomatic and are encountered incidentally because of the widespread use of computed tomography and magnetic resonance imaging. In this report, we discuss the case of a 40-year-old female who presented to the Emergency Department with right upper quadrant pain, nausea, and vomiting. Clinical presentation and abdominal computed tomography angiography were consistent with the diagnosis of calculous cholecystitis and congenital absence of portal vein with intrahepatic portosystemic shunts. We discuss the importance of radiology in diagnosing such incidental malformations, coupled with a review of the current literature on this topic.
    Keywords Case report ; Congenital Anomalous Portal Vein ; Portosystemic Shunt ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 610
    Language English
    Publishing date 2020-10-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Ectopic thyroid tissue in the anterior mediastinum along with a normally located gland

    Erisa Kola, MD / Arben Gjata, Professor / Ina Kola, MD / Ali Guy, Assistant prof / Juna Musa, MD, Msc / Valbona Biba, MD / Vladimir Filaj, MD / Edlira Horjeti, MD / Daniela Nakuci, MD / Anisa Cobo, MD / Kristi Saliaj, MD / Mehdi Alimehmeti, Professor

    Radiology Case Reports, Vol 16, Iss 11, Pp 3191-

    2021  Volume 3195

    Abstract: Ectopic thyroid tissue is a rare developmental abnormality arising from an aberration in the normal migration of the thyroid gland, from the floor of the primitive foregut to its final position. It is usually asymptomatic, often being diagnosed as an ... ...

    Abstract Ectopic thyroid tissue is a rare developmental abnormality arising from an aberration in the normal migration of the thyroid gland, from the floor of the primitive foregut to its final position. It is usually asymptomatic, often being diagnosed as an incidental finding. However, it can present with symptoms of compression such as chest pain, cough, stridor, dysphagia, dyspnea and superior vena cava syndrome. Herein, we present the case of a 42-year-old male patient, presenting with dyspnea, chest pain and fatigue. Laboratory tests showed low serum levels of thyroid-stimulating hormone (TSH) and a thoracic computed tomography revealed a heterogeneous mass in the anterior mediastinum. The patient underwent a full surgical resection. The postoperative histopathological examination of the mass demonstrated the presence of benign ectopic thyroid tissue with no evidence of malignancy. This case report emphasizes the importance of taking Ectopic thyroid tissue into account when considering the differential diagnosis of a mediastinal mass, as other common diagnoses including lymphomas, dermoid cysts and thymic tumors, require an entirely distinct treatment approach.
    Keywords Thyroid disgenesis ; Anterio mediastinum ; Lingual thyroid ; Ectopic thyroid tissue ; Malignant transformation ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 630 ; 610
    Language English
    Publishing date 2021-11-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Multifocal Langerhans cell histiocytosis in a child

    Juna Musa, MD, MSc / Abu Bakar Siddik, MD / Ilir Ahmetgjekaj, MD, PhD / Masum Rahman, MD / Ali Guy, MD / Abdur Rahman, MD / Samar Ikram, MD / Erisa Kola, MD / Valon Vokshi, MD / Eram Ahsan, MD / Kristi Saliaj, MD / Fjolla Hyseni, MD, PhD

    Radiology Case Reports, Vol 16, Iss 9, Pp 2726-

    2021  Volume 2730

    Abstract: Langerhans Cell Histiocytosis (LCH) is a rare disorder sometimes called the disorder of the “monocyte-macrophage system”. This condition is characterized by the proliferation of abnormal Langerhans cells within different tissues. Skin rash is the typical ...

    Abstract Langerhans Cell Histiocytosis (LCH) is a rare disorder sometimes called the disorder of the “monocyte-macrophage system”. This condition is characterized by the proliferation of abnormal Langerhans cells within different tissues. Skin rash is the typical early feature, but bony involvement is the second most common presentation. The most common complications are musculoskeletal disabilities, hearing problems, skin scarring, neuropsychiatric defects and most importantly, progression to secondary malignancies like leukemia. Early recognition and treatment can reduce morbidity and mortality. Herein, we report a case of a 10-year-old male presenting with a tender, palpable mass in the lower limb. On initial imaging, a lesion involving the diaphysis of the fibula was observed, raising concerns of Ewing sarcoma. Biopsy was planned along with whole-body MRI, revealing multifocal single system Langerhans cell histiocytosis. Given the rarity of fibular involvement in LCH, distinguishing between LCH and common malignancies within this age-group can be challenging. Through this case report, we hope to emphasize the importance of considering LCH in the differential diagnosis to ensure a timely diagnosis, fitting treatment and improvement in prognosis of the condition.
    Keywords Histiocytosis ; Langerhans cell ; Ewing's Sarcoma ; Surgery ; Bone tumor ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 616
    Language English
    Publishing date 2021-09-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: The importance of computed tomography (CT) scans in the early diagnosis of Gorham-Stout Disease – A case report

    Fjolla Hyseni, MD, PhD / Valon Vokshi, MD / Erisa Kola, MD / Sawsan Fathma, MBBS / Ali Guy, MD / Fiona Bushati, MD / Ilir Ahmetgjekaj, MBBS / Diana Hla, MD / Kristi Saliaj, MD / Samar Ikram, MD / Essa A. Mohamed, PHD / Ibrahim A. Bajwa, MD / Fareeha Nasir, MD / Juna Musa, MD

    Radiology Case Reports, Vol 17, Iss 3, Pp 492-

    2022  Volume 495

    Abstract: Gorham Stout disease (GSD) or vanishing bone disease is an infrequent entity in clinical practice characterized by gross and progressive bone loss along with excessive growth of vascular and lymphatic tissue. Very little is known about the pathogenesis ... ...

    Abstract Gorham Stout disease (GSD) or vanishing bone disease is an infrequent entity in clinical practice characterized by gross and progressive bone loss along with excessive growth of vascular and lymphatic tissue. Very little is known about the pathogenesis of GSD, which makes the diagnosis challenging. Due to the rarity of the disease, no treatment guidelines have been created yet. We report a case of GSD in a 53-year-old male patient. He presented with bone pain and initial imaging showed widespread osteolytic lesions in the cervical and mid thoracic spine, ribs, sternum, clavicles, scapula and humerus. Two percutaneous bone biopsies were performed, followed by an open spine biopsy of the L2 spinous processes for histological examination. Unfortunately, no diagnosis was established. Although, he was treated symptomatically, he kept enduring pain and presented again after seven months. His laboratory values were out of the normal range which prompted thorough investigations. New imaging and bone biopsy revealed multiple osteolytic lesions and vascular lesions with cavernous morphology. GSD was diagnosed after ruling out a neoplastic process and confirming the cavernous morphology with immunohistochemical stain. He was treated symptomatically with immunomodulators, bisphosphonates and supplements. Regular follow-up with a specialist was recommended. We hope this case will raise awareness of GSD in common clinical practice and shed some insight on its clinical presentation and the role CT and other imaging modalities play in the diagnosis of GSD.
    Keywords Gorham Stout disease ; Osteolysis ; Vanishing bone disease ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 610
    Language English
    Publishing date 2022-03-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Lumbar radiculopathy associated radicular schwannoma

    Fjolla Hyseni, MD / Edlira Harizi, MD / Rubén Blanco, MD / Robert Bido, MD / Jessie Pichardo, MD / Masum Rahman, MD / Muhammad Tahir, MD / Ali Guy, PhD / Sawsan Fathma, MD / Kledisa Shemsi, MD / Atiq ur Rehman Bhatti, MD / Fareeha Nasir, MD / Arlind Decka, MD / Samar Ikram, MD / Erisa Kola, MD / Juna Musa, MD, Msc

    Radiology Case Reports, Vol 17, Iss 4, Pp 1251-

    A case report and literature review

    2022  Volume 1255

    Abstract: Lumbar radiculopathy is a clinical condition defined by symptoms of pain, weakness, numbness, or tingling due to lumbar nerve root compression in levels L1-L4. Typically, it is characterized by a narrowing near the nerve root possibly caused by stenosis, ...

    Abstract Lumbar radiculopathy is a clinical condition defined by symptoms of pain, weakness, numbness, or tingling due to lumbar nerve root compression in levels L1-L4. Typically, it is characterized by a narrowing near the nerve root possibly caused by stenosis, bone osteophytes, disc herniation, and similar conditions. Reports of lumbar radiculopathy brought about by the presence of a radicular schwannoma are exceedingly rare. In this paper, we discuss the case of a 67-year-old female patient, presenting with complaints of low back pain, numbness, and antalgic gait for the past eight months. Her physical examination revealed motor and sensor neurological deficits affecting the left lower limb. The electromyoneurography evaluation showed neurogenic atrophy of the left radicular area, while the MRI revealed the presence of a giant, radicular schwannoma at L4-L5 level. This case report aims to underscore the clinical course and management of lumbar radiculopathy caused by a rare L4-L5 radicular schwannoma. Our patient had no significant risk factors or previous spinal pathology.
    Keywords Schwannomas ; Radiculopathy ; Electromyoneurography ; Solitary mass ; Nerve root ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 616
    Language English
    Publishing date 2022-04-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Transverse myelitis in a 26-year-old male with tuberculosis

    Edlira Harizi, MD / Kledisa Shemsi, MD / Erisa Kola, MD / Fjolla Hyseni, MD / Ina Kola, MD / Mohammad Abubaker Siddique, MD / Jafor Sadeque, MD / Arlind Decka, MD / Migena Dervishi, MD / Fareeha Nasir, MD / Livia Capi, MD / Ivan Ayala, MD / Ammy Shankar Ghosh, MD / Sanzida Sharmin Swarna, MD / Juna Musa, MD, MBBS / Ilir Ahmetgjekaj, MD, PhD

    Radiology Case Reports, Vol 17, Iss 10, Pp 3669-

    2022  Volume 3673

    Abstract: Acute transverse myelitis is an inflammatory condition covering the entire cross section of the spinal cord, spreading on two or more vertebral segments, without evidence of a compressive lesion. This shows clinically as an acute or subacute onset of ... ...

    Abstract Acute transverse myelitis is an inflammatory condition covering the entire cross section of the spinal cord, spreading on two or more vertebral segments, without evidence of a compressive lesion. This shows clinically as an acute or subacute onset of paraparesis, lower limb paresthesia, sensory deficits, and impaired sphincter function. Mycobacterium tuberculosis is exceedingly rare cause of this inflammation, with a mechanism still not fully understood. The main etiologies are thought to be an abnormal activation of the immune system against the neuronal cells of the medulla, direct inoculation of the bacillus, and the toxic effect of the antitubercular medications on the spinal cord.We present the case of a 26-year-old male patient with acute symptoms of transverse myelitis and presence of miliary tuberculosis of the lungs. The purpose of this case report is to put the emphasis on the importance of distinguishing the characteristics of tubercular lesions on imaging modalities, especially on magnetic resonance imaging, in the differential diagnosis of tuberculosis as a rare but profoundly serious cause of acute transverse myelitis.
    Keywords Acute transverse myelitis ; Mycobacterium tuberculosis ; Paraesthesia ; Paraparesis ; Impaired sphincter function ; Magnetic resonance ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Language English
    Publishing date 2022-10-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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