Pasricha, Rajesh

Abstract Vascular anomalies are disorders of arteries or veins which are further sub-classified as vascular malformations or vascular tumors. Vascular malformations are attributed to disorderly vascular morphogenesis, trauma, or hormonal imbalances. We present a rare case of a patient in their 30s who presented to the outpatient department with a localized post-traumatic soft tissue swelling in the temporalis region, which was soft and non-pulsatile with occurrences in periods of acute emotional stress, followed by spontaneous resolution when the same was negated by the patient. The diagnosis was established on the basis of magnetic resonance imaging and contrast enhanced computed tomography. We add to the existing limited literature on intramuscular vascular malformations of the temporalis muscle and highlight the effect of emotional stress and anxiety on vascular anomalies.

Introduction: Tuberculosis (TB) of the spine is one of the rare secondary manifestations of the disease, while isolated TB of the sacrum is an even rarer finding of the disease. Case: The authors present the case of a male patient in their late 20s who was suffering from lower back pain radiating to the leg, on and off fever for 5 months, and stiffness of the lower back. X-ray and MRI showed a sacral mass-like lesion, which led to the suspicion of spinal TB. This diagnosis was later confirmed through adequate microbiological testing. Methods and Materials: A review of literature by a thorough search of the PubMed and Google Scholar databases was carried out, and a total of 42 patients with isolated TB of the sacrum were studied. Results and Conclusions: Sacrum in isolation is a rare location for spinal TB, often overlooked by primary physicians. A prompt diagnosis and early treatment of the disease will mitigate the risk of developing complications.