eLetters

275 e-Letters

  • Caption Marks on MRI images.
    Mohammed Naim
    Sir,caption marks which appear missed on MRI images in this case are important for learning of the new and the practicing generations of the pathologists besides of the imaging diagnosticians, and clinicians. For the pathologists MRI images give cut surface views in vivo helpful in final diagnosis on biopsy or autopsy where ever required. Image markings hence may be promoted by reviewers and editors.

    Conflict of Interest:

    ...
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  • Massive cerebellar infarctions; where are standing and what are we expecting?
    Osama SM Amin

    We are thankful to Epstein and Naqvi for reporting this case and reminding us of its lesson. However, I would like to address the following:

    The cerebellum is supplied by three arteries; posterior inferior cerebellar arteries (PICA), anterior inferior cerebellar artery AICA) which is usually a single artery, and superior cerebellar arteries (SCA). These vessels and their branches anastomose with each other to f...

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  • Catatonia in recent days
    Osama Hammer

    Catatonia is not a diagnosis. Rather, catatonia is a descriptive term for a presentation observed in a wide variety of disorders. Catatonia continues to be recognised in the UK by about 1/3 of psychiatrists surveyed in South West England and Wales. The understanding of the condition may differ. This implies that under diagnosis may lead to suboptimal treatment and fatalities as the differential diagnosis of catatonia in...

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  • Evidence of MALTL poorly presented
    Mohammed Naim

    MRI in this case depicted tumor in a location where carcinoma is the most common neoplasm and lymphoma rare. Evidence is hardly of any use for readers unless microscopic evidence accompanied the MRI images. More important it was in view of the documentation that it was not typical lymphoid lesion in biopsy report but a lymphoepithelial mass; so, not necessarily neoplasm nor necessarily lymphoma, hence, awaiting final di...

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  • Intra-cranial dural venous sinus thrombosis: what have we learned?
    Osama S.M. Amin

    Dear Editor,

    I read with interest this article about intra-cranial dural venous sinus thrombosis, and many thanks go to the authors for the images.

    Because the article is an "Images in...," I have the following notes:

    The images do not tell which dural sinus (or sinuses) is thrombosed.

    Pointing out to the abnormal areas on the images would be very helpful to the readership.

    ...
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  • Images of the tumors should have been shown
    Mohammed Naim

    Very significant cases of para neoplastic syndrome are described by authors, but, images of the tumors claimed to be the cause of the disease should have been shown for awareness of the reader experts of Medical Science for future utility to the benefit of the patients.

    Conflict of Interest:

    None declared

  • Good case of delayed contact dermatitis.
    Mohammed Naim

    Here is a very good case of delayed contact dermatitis due to a known cosmetic allergen called Henna and hence this paper is also of public health significance. Allergen did take few days to precipitate allergic manifestations with dermatitis and eruptions which authors noticed to be infected and giving rise to scar formation which appeared like keloid due to oedema or hypertrophy. These changes, however, do not qualify...

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  • athophysiology of multiple sclerosis and psychosis
    Osama Hammer

    Co-occurrence of psychosis and multiple sclerosis is uncommon. Most reports of psychoses and multiple sclerosis are single case studies. Literature review identified 39 case reports, a number that does not exceed chance expectation. This demonstrated that people with multiple sclerosis and psychosis are more likely to have plaques involving the temporal horns bilaterally.

    Some studies suggested that psychosis in...

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  • Cheers for Dr Osama S M Amin and his team
    Mohammed Naim

    This case in BMJ Case Reports shows both the level of superb expertise of BMJ Case Reports and of the authors in presenting scientific account of scientific methodology of diagnosis and treatment without story building and ifs and buts. To the point addition to what had been known earlier. It adds to our learning in the practice of medicine and gives a feeling that there are journals with a difference and expert authors w...

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  • Some times hypotheses by authors raise questions of validity
    Mohammed Naim
    This paper presents important information relating to treatment of Hydatid Cysts in liver and lung. Some of the hypotheses presented about diagnosis appeared doubtful.

    1. In our case, iatrogenic cyst rupture triggered the development of an eosinophilic pleurisy. The definition of eosinophillic pleurisy can be seen below;

    Reactive eosinophilic pleuritis: a lesion to be distinguished from pulmonary eosinophilic granuloma....

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