Vascular Diagnostic Options in Extremity and Cervical Trauma

2004 ◽  
pp. 125-134
Author(s):  
Kaj Johansen
Keyword(s):  
2020 ◽  
pp. 197140092097516
Author(s):  
Emil Jernstedt Barkovich ◽  
M Reza Taheri

Hypopharyngeal perforation (HP) is a potentially life-threatening condition most associated with iatrogenic injury and foreign body impaction. Additionally, a number of cases of posterior HP have been reported following blunt cervical trauma. We present a case of a construction accident causing lateral hypopharyngeal rupture. Visceral perforation was initially diagnosed on computed tomography (CT) imaging and managed conservatively. We speculate this region may be particularly vulnerable to injury due to an anatomic transition in adjacent fascial support. A review of 29 prior cases suggests that this may be the first reported case of blunt trauma causing rupture of the pyriform sinus. However, significant heterogeneity exists in diagnostic approach. Radiography and CT are rapid, sensitive modalities for suggesting pharyngeal perforation, while fluoroscopy and endoscopy can better assess injury size and location and monitor resolution. Early radiologic recognition of hypopharyngeal injury is essential to initiate appropriate treatment. In certain cases, including our own, both the presence and specific location of perforation may be identified on initial CT images.


2007 ◽  
Vol 73 (6) ◽  
pp. 760-764 ◽  
Author(s):  
Roseli Saraiva Moreira Bittar ◽  
Maria Elisabete Bovino Pedalini ◽  
Jeanne Oiticica Ramalho ◽  
Ricardo Yoshimura
Keyword(s):  

A reabilitação vestibular (RV) é uma ótima opção terapêutica para tratamento dos pacientes vestibulopatas. Contudo, mesmo quando bem conduzida, algumas vezes não surte os efeitos propostos. OBJETIVO: Avaliar a resposta de pacientes submetidos à RV em relação às etiologias apresentadas. Forma de Estudo: Retrospectivo descritivo. PACIENTES E MÉTODO: Analisamos pacientes que concluíram a RV e tinham diagnóstico entre janeiro de 2002 e dezembro de 2004. Dividimos os pacientes em três grupos, de acordo com a resposta à RV e os comparamos em relação às etiologias. RESULTADOS: Observamos 13 casos sem melhora com a RV, 24 com melhora parcial e 22 com remissão dos sintomas. As etiologias encontradas foram cervical, trauma, metabólica, central, transtornos da ansiedade e do humor, doença auto-imune, intolerância ortostática. A etiologia metabólica apresentou evolução significativamente melhor do que as demais. CONCLUSÃO: Quando associada à adequada correção etiológica, a RV é uma ótima opção no tratamento das vestibulopatias.


2005 ◽  
Vol 17 (2) ◽  
pp. 106-112 ◽  
Author(s):  
D. Greg Anderson ◽  
Eeric Truumees ◽  
Chadi Tannoury ◽  
James Harrop ◽  
Ashwini Sharan ◽  
...  

2011 ◽  
Vol 10 (4) ◽  
pp. 146-151
Author(s):  
T. G. Vstavskaya ◽  
V. I. Larkin ◽  
L. B. Reznik ◽  
N. I. Nazarova

The condition of cerebral hemodynamic at the patients who transferred a cervical trauma of a backbone during the early and intermediate periods was studied. Examined 48 patients at the age of 18—50 years with cervical injury of spine during the early and intermediate periods. Patients were grouped according anatomical particularizes of cervical cord injury and influenced at spinal cord. Besides neurologic inspection, methods of ultrasonic Doppler sonography extracranial and transcranial Doppler sonography of intracranial brain vessels. The most essential changes of a blood-groove were registered in vertebrobasilar pool in a group with a complicated inferior cervical backbone trauma (deficiency of a blood-groove on 30—32% from control group р < 0,05). At patients with not complicated inferior cervical trauma authentically changed only intracranial blood-groove on vertebralis arteries (decrease on 19—26% on the average; р < 0,05). Characteristic changes for patients with a cranivertebral trauma of hemodynamic have not been revealed. The cerebral hemodynamic during the early and intermediate periods was changed at the patients on severity lower level of a cervical trauma of a backbone.


2018 ◽  
Vol 36 (10) ◽  
pp. 582-586 ◽  
Author(s):  
Zaid Awad ◽  
Thomas Jacques
Keyword(s):  

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