Consequently, updating the KBCS registry is important for the efficient management of cancer of the breast in Korea.We report 2 situations of arrested pneumatization regarding the sphenoid sinus, a standard variant commonly misdiagnosed as a critical problem associated with skull base. A 65-year-old man went to an area hospital for regular checkups. Brain CT revealed a non-expansile lesion associated with the smooth structure with a well-defined sclerotic margin in the clivus but without destruction or size effect on the surrounding bony structures. Subsequent brain MRI disclosed that the lesion within the clivus had been a high-signal lesion regarding the T2-weighted picture, containing a low-signal round mass seen on a high-intensity sign from the T1-weighted picture without contrast enhancement. Therefore, the lesion ended up being considered to consist of internal fat. A 70-year-old girl diagnosed with a tumor when you look at the greater sphenoid bone went to our hospital. Her brain CT unveiled a non-expansile lesion of blended thickness and a well-demarcated lesion and interior curvilinear calcification in the remaining better wing regarding the sphenoid bone. The margin ended up being osteosclerotic in addition to adjacent bony structure was intact. Her brain MRI indicated that the lesion in the higher sphenoid bone tissue had several low-signal lesions within a high-signal lesion from the T2-weighted image, suggesting interior fat contents. The lesions had been diagnosed as arrested pneumatization for the sphenoid sinus with no additional assessment or treatment had been carried out. Arrested pneumatization for the sphenoid sinus is highly recommended when you look at the presence of non-expansile lesion with an osteosclerotic boundary and inner fat component in the skull base.We report a rare case of neuromyelitis optica spectrum conditions (NMOSD), mimicking numerous mind tumors. A 53-year-old girl presented with weakness and paresthesia in her own correct supply and knee. Upon admission, brain MRI showed about 10 multiple mind tumors, which needed to be differentiated from several mind metastases, lymphoma, and high-grade glioma in both hemispheres. No primary cancer tumors had been found in the chest-abdomen-pelvis CT. Subsequent spine MRI unveiled multifocal cord sign modification genetics and genomics involving C2-T7, suggesting myelitis. A decrease in artistic acuity ended up being mentioned when using a medical history, and optic neuritis was diagnosed upon ophthalmologic examination. With clinical and radiological appearances, several mind and spinal cord lesions being identified as NMOSD. Steroid and immunosuppressive medications were administered. We must think about the possibility for an autoimmune condition, such as for example NMOSD, concerning the optic neurological, spinal cord, and nervous system whenever numerous hemispheric tumefactive lesions are observed.Glioependymal cyst (GEC) is an uncommonly noticed medical entity within the posterior cranial fossa. A 36-year-old female with cystic lesion in the correct cerebellum ended up being hospitalized for evaluating hassle and faintness. Mind photos revealed a well-defined, ovoid size next to the 4th ventricle. After drainage and excision associated with the cyst, the patient became symptom no-cost. Pathology evaluation disclosed reasonable cuboidal epithelium and glial cells when you look at the cyst wall. The radiological features, neurologic manifestations, plus the operations for GECs regarding the present localization are explained in this quick communication.Unexpected bleeding is a common problem that will happen during surgery. This unforeseen bleeding can be managed by examining the clients’ preoperative hemodynamic condition or by autologous transfusion of a proper amount during surgery depending on the level of blood loss and hemodynamic condition. But, customers like Jehovah’s Witnesses, who refuse autologous transfusions for spiritual explanations even yet in lethal situations, current a predicament for treating physicians. The author reports on a big meningioma regarding the posterior fossa of a Jehovah’s Witness client just who underwent surgery without autologous blood transfusion. There were no major dilemmas immune training apart from driving a car of unanticipated huge bleeding. The doctor’s attention and efforts to minimize hemorrhaging during surgery appeared to be the most important facets for success.Epidermoid cysts tend to be unusual intracranial tumors. As one of the extradural kinds of epidermoid cysts, intradiploic epidermoid cysts tend to be also rarer tumors and take place in any an element of the head. We herein report a rare case of a giant intradiploic epidermoid cyst of this occipital bone. A 57-year-old lady presented with a 1-year history of localized inconvenience when you look at the occipital area. CT and MRI revealed an extradural size calculating 50×70 mm into the occipital bone with bony destruction. The individual underwent surgical resection. The cyst had been completely eliminated featuring its pill. There clearly was Pifithrin-μ no expansion into the intradural space. The pathological report verified that the cyst ended up being an epidermoid cyst. Follow-up MRI a couple of years following the operation showed no recurrence. The annoyance was well managed with no medications. We report a rare situation of intradiploic epidermoid cyst with medical and radiologic features and surgical procedure. It is vital to look at this diagnosis for an individual with persistent local inconvenience with or without an increasing head size.