A case of sudden death after ultrasound-guided percutaneous alcohol injection of a paraganglioma mis-diagnosed as a peri-renal cyst

2015 ◽  
Vol 253 ◽  
pp. e20-e24 ◽  
Author(s):  
L. Andrello ◽  
S.D. Visonà ◽  
A. Osculati
Keyword(s):  
Sudden Death ◽  
Renal Cyst ◽  
Ultrasound Guided ◽  
Alcohol Injection

scholarly journals Takotsubo cardiomyopathy following ultrasound-guided renal cyst aspiration

2019 ◽  
Vol 5 (2) ◽  
pp. 20180101
Author(s):  
Dorissa Lahner Gursahaney ◽  
Dominik M Wiktor ◽  
Jonathan Lindquist
Keyword(s):  
Interventional Radiology ◽  
Takotsubo Cardiomyopathy ◽  
Renal Cyst ◽  
Critical Role ◽  
Patient Comfort ◽  
Ultrasound Guided ◽  
Diagnostic Uncertainty ◽  
Psychological Stressors ◽  
Cyst Aspiration ◽  
Severe Anxiety

Interventional radiology plays a critical role in offering minimally invasive procedures, resulting in increased patient comfort. However, of the millions of patients undergoing interventional procedures each year, many suffer from pre-procedural psychological stressors related to fear of discomfort and diagnostic uncertainty. We describe a case of Takotsubo cardiomyopathy, also called broken heart syndrome or stress cardiomyopathy, following ultrasound-guided renal cyst aspiration in a patient with severe anxiety in anticipation of the interventional radiology procedure.

scholarly journals Ultrasound-guided ethyl alcohol injection to the deep branch of the ulnar nerve to relieve hand spasticity in stroke patients: A case series

2021 ◽  
Vol 12 (1) ◽  
pp. 346-350
Author(s):  
Min Cheol Chang ◽  
Gyu-Sik Choi ◽  
Mathieu Boudier-Revéret
Keyword(s):  
Ulnar Nerve ◽  
Ethyl Alcohol ◽  
Statistical Significance ◽  
Case Series ◽  
Loss Of Function ◽  
Ultrasound Guided ◽  
Stroke Patients ◽  
Alcohol Injection ◽  
Deep Branch ◽  
Modified Ashworth Scale

Abstract Hand spasticity with a flexor pattern is a common problem affecting stroke patients and can result in pain, contractures, esthetic concerns, skin maceration, and overall loss of function. Poststroke (≥6 months) hemiparetic adult patients having a Modified Ashworth Scale (MAS) score of ≥1 for metacarpophalangeal flexion and thumb adduction spasticity were selected to receive an ultrasound-guided 20% ethyl alcohol block performed perineurally at the level of the deep branch of the ulnar nerve. Their MAS scores were evaluated pretreatment at 1 month and the change in MAS scores was assessed using Wilcoxon’s test. The threshold for statistical significance was set at p < 0.05. The mean MAS score for the flexor muscles of the 5 MCP joints and for thumb adduction was reduced from 3.3 ± 0.5 at pretreatment to 0.9 ± 0.5 at 1 month after the injection for the 10 patients. One month after the injection, the MAS scores were significantly reduced compared with those at pretreatment (p < 0.001), without complications. These are encouraging results showing that ultrasound-guided alcohol blocks of the deep branch of the ulnar nerve are safe and can help chronic stroke patients with metacarpophalangeal flexion and thumb adduction spasticity at 1 month.

Obturator Nerve Block Using Ultrasound-guided Intraneural Alcohol Injection in Patient with Hip Adductor Spasticity

2012 ◽  
Vol 5 (2) ◽  
pp. 82
Author(s):  
Seung Deuk Byun ◽  
Dong Hwi Park ◽  
Won Duck Choi ◽  
Yong Ho Hong ◽  
Zee Ihn Lee ◽  
...  
Keyword(s):  
Nerve Block ◽  
Obturator Nerve ◽  
Ultrasound Guided ◽  
Alcohol Injection ◽  
Obturator Nerve Block

Ultrasound Guided Alcohol Ablation of Morton's Neuroma

2012 ◽  
Vol 33 (3) ◽  
pp. 196-201 ◽  
Author(s):  
Rachel E. Musson ◽  
Jasdev S. Sawhney ◽  
Leslie Lamb ◽  
Antony Wilkinson ◽  
Haron Obaid
Keyword(s):  
Case Series ◽  
Visual Analogue Score ◽  
Safe Procedure ◽  
Ultrasound Guided ◽  
Morton’S Neuroma ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Alcohol Injection ◽  
Alcohol Ablation ◽  
Morton's Neuroma

Background: Morton's neuroma is a common cause of metatarsalgia. This study evaluated the efficacy of ultrasound guided alcohol injection as a treatment for this condition. Method: Data from 87 treatment courses were included in this study with a mean follow of 14.3 months. Results: Technical success was 100%. One patient developed symptoms consistent with an allergic reaction to the injection and one patient declined further injection because of periprocedural pain. Partial or total treatment response was achieved in 66%, with 32% of patients having complete resolution of pain. The median visual analogue score (VAS) decreased from 8 pre-procedure to 4 post-procedure ( p < 0.0001). Procedural success was greater in patients under 55 years old and in those with solitary neuromas. Seventeen patients (20%) went on to have surgery due to continuing pain. Conclusion: Ultrasound guided alcohol ablation for the treatment of Morton's neuroma was a safe procedure that significantly reduced pain and may offer an alternative therapy to surgery. Level of Evidence: IV; Retrospective Case Series

scholarly journals Successful management of a solitary simple renal cyst in a dog

2018 ◽  
Vol 87 (3) ◽  
pp. 134-138
Author(s):  
R. Van Dyck ◽  
C. Fina ◽  
E. Buresova ◽  
D. Paepe ◽  
H. De Wilde ◽  
...  
Keyword(s):  
Renal Cyst ◽  
Small Animal ◽  
Simple Renal Cyst ◽  
Ultrasound Guided ◽  
Successful Management ◽  
Post Procedure ◽  
Percutaneous Sclerotherapy ◽  
Department Faculty ◽  
Work Up ◽  
Ultrasonographic Appearance

In this report, a dog is described that was referred to the Small Animal Department, Faculty of Veterinary Medicine (Ghent University) for further work-up and treatment of a solitary renal cyst. The cyst was treated successfully with ultrasound-guided drainage and percutaneous sclerotherapy. The dog was followed-up during twenty-four months post procedure with renal sonography. The complaints of intermittent lethargy disappeared after the first treatment. The ultrasonographic appearance of the cyst evolved from a round, anechoic, sharply demarcated lesion to an ill-defined, hyperechoic lesion.

IMAGING DIAGNOSIS-ULTRASOUND-GUIDED ETHANOL SCLEROTHERAPY FOR A SIMPLE RENAL CYST

2008 ◽  
Vol 49 (1) ◽  
pp. 65-67 ◽  
Author(s):  
AMALIA AGUT ◽  
MARTA SOLER ◽  
FRANCISCO G. LAREDO ◽  
FRANCISCO J. PALLARES ◽  
JUAN I. SEVA
Keyword(s):  
Renal Cyst ◽  
Simple Renal Cyst ◽  
Imaging Diagnosis ◽  
Ultrasound Guided ◽  
Ethanol Sclerotherapy

scholarly journals Ethanol injection under ultrasound guidance to palliate unresectable parathyroid carcinoma

2008 ◽  
Vol 52 (4) ◽  
pp. 707-711 ◽  
Author(s):  
Fábio Luiz de Menezes Montenegro ◽  
Maria Cristina Chammas ◽  
Adriana Gonçalves Juliano ◽  
Claudio Roberto Cernea ◽  
Anói Castro Cordeiro
Keyword(s):  
Parathyroid Carcinoma ◽  
Curative Resection ◽  
Palliative Treatment ◽  
Ultrasound Guidance ◽  
Percutaneous Ethanol Injection ◽  
Ultrasound Guided ◽  
Alcohol Injection ◽  
Ethanol Injection ◽  
Severe Hypercalcemia ◽  
Mediastinal Disease

BACKGROUND: Severe hypercalcemia is the leading cause of death in patients with parathyroid carcinoma. Non-curative resection and pharmacological measures may be useful for palliation in cases with recurrent and metastatic disease. Palliative treatment with intra-neoplastic ethanol injection has not been reported yet. METHODS: Ultrasound-guided percutaneous alcohol injection in one patient with unresectable parathyroid carcinoma is reported. RESULTS: One male patient with extensive recurrent parathyroid carcinoma suffering from severe hypercalcemia, refractory to all available medical measures has undergone two percutaneous ethanol injections. No major complications ensued and parathormone levels decreased from 2,990 pg/mL to 2,230pg/ml after the first injection, and to 1,104pg/mL after the second one. Calcium levels decreased from 19.8 mg/dL to 16.1 mg/dL and to 14.5 mg/dL, respectively. The patient died of metabolic hypercalcemia complications about two months later, probably due to mediastinal disease progression. CONCLUSION: Ultrasound-guided percutaneous ethanol injection may be employed to palliate parathyroid carcinoma in selected cases, with a transitory decrease in PTH and calcium levels.

Ultrasound-Guided Alcohol Injection for Morton’s Neuroma

2014 ◽  
Vol 36 (1) ◽  
pp. 55-59 ◽  
Author(s):  
Cecilia Pasquali ◽  
Ettore Vulcano ◽  
Raffaele Novario ◽  
Davide Varotto ◽  
Carlo Montoli ◽  
...  
Keyword(s):  
Ultrasound Guided ◽  
Morton’S Neuroma ◽  
Alcohol Injection ◽  
Morton's Neuroma
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