1.Mesenchymal Chondrosarcoma: A Case Report
Dang Vu Nguyen ; Ahmad Sobri Muda ; Yazmin Yaacob
Malaysian Journal of Medical Sciences 2013;20(3):71-77
Mesenchymal chondrosarcoma is a rare disease with poor prognosis. Treatment including wide or radical excision is very important. Radiotherapy and chemotherapy are additional treatment options, but no conclusive results for their efficacy have been shown until date. Imaging modalities can give important clues for diagnosis and management planning. Angioembolization before surgery could be useful as prophylaxis to control intraoperative bleeding, increasing the likelihood of complete resection.
Chondrosarcoma, Mesenchymal
;
Rare Diseases
2.Superselective Embolisation in Acute Lower Gastrointestinal Haemorrhage: A Single Institution Experience
Ahmad Razali Md Ralib ; Rozman Zakaria ; Zahiah Mohamad ; Ahmad Sobri Muda
Malaysian Journal of Medical Sciences 2009;16(4):34-41
Background: Superselective embolisation has been recognised as integral in the management
of lower gastrointestinal haemorrhage. It has also reduced the need for emergency surgery. The
objective of this case series was to describe the lower gastrointestinal haemorrhage cases seen in our
centre, its diagnosis and the role of superselective embolisation in patient management.
Methods: All patients who underwent superselective embolisation from January 2008 until
April 2009 in our centre were analysed. Data were collected from the hospital electronic medical
records.
Results: Four patients (three males) with a mean age of 81 years were analysed. Multidetector
computerised tomography and digital subtraction angiography were positive in all patients.
Superselective embolisation with platinum microcoils was performed in all patients (n = 4). Technical
success was achieved in all patients (100%).
Conclusion: Superselective embolisation in the treatment of lower gastrointestinal haemorrhage
is safe and effective with a very high technical success rate.
3.The Vanishing Veins: Difficult Venous Access in a Patient Requiring Translumbar, Transhepatic, and Transcollateral Central Catheter Insertion
Yazmin Yaacob ; Rozman Zakaria ; Zahiah Mohammad ; Ahmad Razali MD Ralib ; Ahmad Sobri Muda
Malaysian Journal of Medical Sciences 2011;18(4):98-102
Central venous catheter placement is indicated in patients requiring long-term therapy. With repeated venous catheterisations, conventional venous access sites can be exhausted. This case illustrates the expanding role of radiology in managing difficult venous access. We present a case of translumbar, transhepatic, and transcollateral placement of central catheter in a woman with a difficult venous access problem who required lifelong parenteral nutrition secondary to short bowel syndrome. This case highlights the technical aspects of interventional radiology in vascular access management.
4.Scalp arteriovenous malformation: A case report
Wan Najwa Zaini Wan Mohamed ; Noreen Norfaraheen Lee Abdullah ; Ahmad Sobri Muda
Malaysian Journal of Medical Sciences 2008;15(3):55-57
We report a rare case of Arteriovenous malformation (AVM) of the scalp in a 30 year-old Malay gentleman who presented with painless forehead swelling since
birth. Magnetic Resonance Imaging (MRI) and cerebral angiogram performed and the findings are discussed
5.A case of biopsy proven acute demyelinating encephalomyelitis (ADEM) with haemorrhagic leucoencephalitis.
Hasnur Zaman HASHIM ; Norlinah Mohamed IBRAHIM ; Nafisah WANYAHYA ; Hui Jan TAN ; Khairul Anuar ZAINUN ; Siti Aishah Mohd ALI ; Ahmad Sobri MUDA ; Shahizon Azura Mohamed MUKARI ; Izwan Zannie ZAINIESSOR
Annals of the Academy of Medicine, Singapore 2011;40(4):197-200
6.MRI Findings of Intracranial Primary CNS Lymphoma in Immunocompetent Patients: A Malaysian Tertiary Hospital Experience
Siti Soraya Abd. Rahman ; Ahmad Sobri Muda
Malaysian Journal of Medicine and Health Sciences 2020;16(No.1):2-8
Introduction: The present study aimed to characterize the MRI features of intracranial primary central nervous system
lymphoma (PCNSL) in the Malaysian population, and to compare the findings with other population-based studies.
Methods: Twenty-four patients with histologically confirmed PCNSL from 2008 to 2014 were identified. Eighteen patients had MRI images at presentation available for review. The images were reviewed by two radiologists, noting the
number, size, location, signal characteristics, perilesional oedema and characteristics of enhancement of the lesions.
Results: Ten patients had solitary lesions, while 8 patients had multiple lesions with a total of 31 lesions. The lesions
were mostly located in the frontal lobe and basal ganglia. Most lesions were hypointense on T1 sequences, hyperintense on T2 sequences, with moderate to marked perilesional oedema. All lesions showed contrast enhancement.
Five lesions demonstrated the ‘notch sign’, 1 lesion showed ‘open-ring’ pattern of enhancement and 1 lesion had
a non-enhancing core. Seventeen lesions demonstrated an uneven enhancement pattern, mainly in lesions that are
abutting the ventricular margins. Conclusion: MRI findings of patients with PCNSL in our population concur with
other population-based studies. Enhancement patterns like the ‘notch sign’, ‘open-ring’, and uneven enhancement
are not uncommon in PCNSL.
7.Regional Emergency Stroke Quick-Response (RESQ) Network: A Proposed Paradigm of Malaysia Stroke Care Services
Peck Kee Chia ; Nur Afiqah Mohamad ; Liyana Najwa Inche Mat ; Iskasymar Itam@Ismail ; Abdul Hanif Khan Yusof Khan ; Wei Chao Loh ; Wan Aliaa Wan Sulaiman ; Fan Kee Hoo ; Ezamin Abdul Rahim ; Ahmad Sobri Muda ; Hamidon Basri
Malaysian Journal of Medicine and Health Sciences 2020;16(No.4):353-361
Stroke care service in Malaysia is suboptimal despite the fact that it is one of the commonest cause of death. This
is due to several limitations, including lack of resources and funding for the stroke care establishment and the management itself. Alternatively, other regions have come up with numerous ways to combat the difficulties in order
to provide better stroke care services. We have identified the overwhelming benefits of creating stroke care units,
thrombolysis services, and endovascular thrombectomy. For this reason, we designed a Regional Emergency Stroke
Quick Response Network (RESQ) based on the needs of the current situation in Malaysia. With a standardised RESQ
training, we hope to achieve close-knitted cooperation in between the emergency medical services, emergency department team and the RESQ, which subsequently will create an ideal improvised stroke care units.