The Heidelberg Retina Tomograph vs clinical impression in the diagnosis of glaucoma

2002 ◽  
Vol 133 (5) ◽  
pp. 613-616 ◽  
Author(s):  
Müge R Kesen ◽  
George L Spaeth ◽  
Jeffrey D Henderer ◽  
Mary Lucy M Pereira ◽  
Andrew F Smith ◽  
...  
Keyword(s):  
Clinical Impression ◽  
Heidelberg Retina Tomograph

Thoracic Outlet Compression Syndrome Caused by a Schwannoma of the C7 Nerve Root

1997 ◽  
Vol 22 (5) ◽  
pp. 662-663 ◽  
Author(s):  
E. ATASOY
Keyword(s):  
Nerve Root ◽  
Carpal Tunnel Release ◽  
Pathological Examination ◽  
Clinical Impression ◽  
Scalene Muscle ◽  
Left Hand ◽  
Compression Syndrome ◽  
Left Elbow ◽  
Nocturnal Pain ◽  
Anterior Scalene Muscle

This is the first report of a schwannoma originating from the C7 nerve root causing thoracic outlet compression syndrome. The patient was a 30-year-old woman with a 3-year history of numbness on the radial side of the left hand, left arm tiredness, nocturnal pain in the left forearm and pain in the left elbow, shoulder and neck. Conservative treatment and previous operations, including carpal tunnel release and first rib resection, provided no relief. A left scalenectomy was performed. During the removal of the anterior scalene muscle, a mass approximately 3 cm long and 1.5 cm in diameter was noted under the anterior scalene muscle involving the C7 nerve root. The tumour was encapsulated and covered with attenuated and stretched nerve fascicles. It was completely excised without disturbing the nerve fascicles. The clinical impression was schwannoma, which was confirmed on pathological examination.

scholarly journals Clinicopathological features of pilomatricoma cases: Analysis of 21 cases

2014 ◽  
Vol 4 (7) ◽  
pp. 530-533
Author(s):  
D Ghartimagar ◽  
A Ghosh ◽  
K Gautam ◽  
S Thapa ◽  
SR Shrestha ◽  
...  
Keyword(s):  
Hair Follicle ◽  
Needle Aspiration ◽  
Common Finding ◽  
Clinical Impression ◽  
Aspiration Cytology ◽  
Female Ratio ◽  
Male Female Ratio ◽  
Needle Aspiration Cytology ◽  
Age Range ◽  
Slow Growing

Background: Pilomatricoma is a slow-growing, asymptomatic tumour originating from outer sheath cells of hair follicle. In this study, we describe the clinical presentation and histopathological features of pilomatricoma. Materials and Methods: This was a hospital based retrospective study carried out in all patients who were diagnosed as pilomatricoma over a period of January 2001 to December 2013. The study was done in department of pathology, Manipal Teaching Hospital, Nepal. Results: A total of 21 cases of pilomatricoma were reported with age range of 9-53 years (mean age 23.7) and male female ratio of 1:1.1. The most common site of occurrence was neck and preauricular region. The size of the tumour ranged from 0.3 to 4.7cm with a mean of 1.2cm. Multiple occurrences were seen in 3 patients and ossifying pilomarticoma was seen in 4 cases. Conclusion: Pilomatricoma is a benign skin neoplasm of hair follicle matrix cells. Calcification is a common finding while dystrophic ossification also can occur in the tumour. Histopathology gives the definite diagnosis as fine needle aspiration cytology and clinical impression may be misleading. DOI: http://dx.doi.org/10.3126/jpn.v4i7.10293 Journal of Pathology of Nepal (2014) Vol. 4, 530-533

scholarly journals The Epidemiology of Infantile Spasms

2001 ◽  
Vol 28 (4) ◽  
pp. 309-312 ◽  
Author(s):  
P.M. Brna ◽  
K.E. Gordon ◽  
J.M. Dooley ◽  
E.P. Wood
Keyword(s):  
Prince Edward Island ◽  
Disease Incidence ◽  
Population Based ◽  
Epidemiologic Studies ◽  
Incidence Rates ◽  
Infantile Spasms ◽  
Clinical Impression ◽  
Birth Cohorts ◽  
Marked Variability ◽  
Canadian Provinces

Objective:The aim of this study was to estimate population based incidence rates for infantile spasms (IS) and to study our clinical impression that the incidence of IS has recently decreased in the Canadian Provinces of Nova Scotia and Prince Edward Island.Methods:Birth cohorts from 1978 to 1998, identified through the hospital health records, EEG records and physician computerized databases, were followed for two years for the development of IS. Disease incidence rates were calculated using denominators derived from Statistics Canada's reported annual live birth rates.Results:The inclusion criteria for IS were fulfilled by 75 patients. The overall incidence of IS was 30.7/100,000 live births (95% CI 24.3, 38.8). Etiologic classification was symptomatic for 51 cases (68%), cryptogenic for 18 (24%), and idiopathic in six children (8%). Although there were more males (N=44) than females (N=31), the incidence rates were similar. There was a marked variability in annual and five-year incidence rates.Conclusion:Although the clinical characteristics of our patients were similar to other reported IS populations, the instability in IS incidence rates indicates a need for caution in interpreting smaller IS epidemiologic studies.

A comparison of the ‘Hamilton Rating Scale for Depression’ and the ‘Montgomery-Asberg Depression rating Scale’

1999 ◽  
Vol 11 (1) ◽  
pp. 34-37 ◽  
Author(s):  
I.P.A.M. Huijbrechts ◽  
P.M.J. Haffmans ◽  
K. Jonker ◽  
A. van Dijke ◽  
E. Hoencamp
Keyword(s):  
Clinical Practice ◽  
Clinical Global Impression ◽  
Rating Scale ◽  
Reliability And Validity ◽  
Structured Interview ◽  
Clinical Impression ◽  
Clinical Relationship ◽  
Hamilton Rating Scale ◽  
Depressive States

SummaryAlthough the Hamilton Rating Scale for Depression (HRSD) is the most frequently used rating scale for quantifying depressive states, it has been criticized for its reliability and its usability in clinical practice. This criticism is less applying to the Montgomery-Asberg Depression Rating Scale (MADRS). Goal of the present study is to investigate the reliability and validity, and clinical relationship between the HRSD and the MADRS. For 60 out-patients with diagnosed depression (DSM IV296.2x, 296.3x, 300.40 and 311.00), the HRSD and MADRS were scored at baseline and 6 weeks later by an independent rater according to a structured interview. Also the Clinical Global Impression (CGI) was assessed by a psychiatrist. Satisfying agreement was found between the totalscores (r= .75, p>.000 en r=.92, p>.000 respectively, at baseline and 6 weeks later). Furthermore agreement was found between the items of both scales, and these agree with the clinical impression. The reliability of the MADRS is more stable than the reliability of the HRSD (α = .6367 and α =.8900 vs α = .2193 and α = .8362 at baseline and at endpoint respectively). Considering the ease of scoring both scales in one interview and the widely international use of the HRSD, scoring both the HRSD and the MADRS to measure the severity of a depression seems to be an acceptabel covenant.

New developments in Heidelberg retina tomograph for glaucoma

2008 ◽  
Vol 19 (2) ◽  
pp. 141-148 ◽  
Author(s):  
Nicholas G Strouthidis ◽  
David F Garway-Heath
Keyword(s):  
Heidelberg Retina Tomograph ◽  
New Developments

Descriptive Information of Topographic Parameters Computed at the Optic Nerve Head with the Heidelberg Retina Tomograph

1998 ◽  
Vol 7 (6) ◽  
pp. 420???429 ◽  
Author(s):  
Ayhan Saruhan ◽  
Selim Org??l ◽  
Inci Ko??ak ◽  
Christian Pr??nte ◽  
Josef Flammer
Keyword(s):  
Optic Nerve ◽  
Optic Nerve Head ◽  
Heidelberg Retina Tomograph ◽  
Descriptive Information ◽  
Topographic Parameters

New Glaucoma Classification Method Based on Standard Heidelberg Retina Tomograph Parameters by Bagging Classification Trees

2003 ◽  
Vol 12 (4) ◽  
pp. 340-346 ◽  
Author(s):  
Christian Y. Mardin ◽  
Torsten Hothorn ◽  
Andrea Peters ◽  
Anselm G. J??nemann ◽  
Nhung X. Nguyen ◽  
...  
Keyword(s):  
Classification Trees ◽  
Classification Method ◽  
Heidelberg Retina Tomograph

Προπεριμετρικές βλάβες στο ψευδοαποφολιδωτικό γλαύκωμα

2014 ◽  
Author(s):  
Αθανάσιος Βέργαδος
Keyword(s):  
Heidelberg Retina Tomograph ◽  
Cross Sectional ◽  
Stratus Oct

Εισαγωγή: Είναι ευρέως διαδεδομένο ότι οι οφθαλμοί με ψευδοαποφολιδωτικό σύνδρομο (PXS) έχουν υψηλότερη ενδοφθάλμια πίεση (IOP) και μεγαλύτερες ημερήσιες διακυμάνσεις. Η πρώιμη διάγνωση του προπεριμετρικού γλαυκώματος βοηθά σε κάθε περίπτωση στη βέλτιστη διαχείριση αυτών των ασθενών. Σκόπος: Ο σκοπός αυτής της μελέτης είναι η εκτίμηση των παραμέτρων της κεφαλής του οπτικού νεύρου και του πάχους της στοιβάδας των νευρικών ινών σε άτομα με αμφοτερόπλευρη ψευδοαποφολίδωση, αμφοτερόπλευρο ψευδοαποφολιδωτικό γλαύκωμα (PXG) και φυσιολογικούς, συσχετίζοντας αυτά τα αποτελέσματα με το κεντρικό πάχος του κερατοειδούς.Σχεδιασμός της μελέτης: Αποτελεί μια τυχαιοποιημένη μελέτη cross-sectional, case control.Ασθενείς και Μέθοδοι: 55 οφθαλμοί από 55 ασθενείς με ψευδοαποφολιδωτικό σύνδρομο, 27 οφθαλμοί από 27 ασθενείς με ψευδοαποφολιδωτικό γλαύκωμα, και 28 οφθαλμοί από 28 εντελώς φυσιολογικά άτομα. Τοπογραφικές μετρήσεις του οπτικού νεύρου και του πάχους της περιθηλαίας RNFL πραγματοποιήθηκαν χρησιμοποιώντας το συνεστιακό laser οφθαλμοσκόπιο σάρωσης (Heidelberg Retina Tomograph-III) και με την οπτική τομογραφία συνοχής (Stratus OCT). Τα αποτελέσματα συσχετίσθηκαν με το CCT των ασθενών. Κύρια Αποτελέσματα: Οι ασθενείς με PXS και τα αντίστοιχης ηλικίας φυσιολογικά άτομα δεν διέφεραν σημαντικά στις παραμέτρους του οπτικού νεύρου. Το πάχος της RNFL ήταν σημαντικά μικρότερο στην ομάδα των PXS σε σχέση με τους φυσιολογικούς. Όσον αφορά στη συσχέτιση με το CCT, η ομάδα των PXG παρουσίασε αρνητική συσχέτιση με την παράμετρο mean (p=0.027) και max cup depth (p=0.031), ενώ οι ασθενείς με PXS εμφάνισαν θετική συσχέτιση με το πάχος της RNFL (p=0.032). Αντίθετα, όταν χρησιμοποιήθηκε το OCT βρέθηκε θετική συσχέτιση του πάχους της RNFL στους φυσιολογικούς, η οποία αφορούσε στο ανώτερο, το κροταφικό τεταρτημόριο καθώς και το μέσο όρο όλων των τεταρτημορίων. Συμπεράσματα: Η μελέτη μας έδειξε ότι οι ασθενείς με PXS έχουν μεγαλύτερο κίνδυνο λέπτυνσης της RNFL, παρουσιάζοντας στατιστικά σημαντική συσχέτιση με το κεντρικό πάχος του κερατοειδούς, όταν χρησιμοποιήθηκε το HRT.

FAMILY TENSION AS A CAUSE OF COLIC IN INFANTS

PEDIATRICS ◽  
1956 ◽  
Vol 18 (5) ◽  
pp. 835-836
Author(s):  
John C. Cobb
Keyword(s):  
Family History ◽  
Allergic Disease ◽  
Family Members ◽  
Clinical Impression ◽  
Family Histories ◽  
The Family

A study of colic in infancy was undertaken as part of the Yale Rooming-In Project. The longitudinal records of 98 infants who were study subjects were analyzed with respect to incidence, duration, and severity of colic. Forty-eight of the infants were classified as fussy or colicky and 50 as contented. Because I had formed the clinical impression that allergy was an important contributing factor in the causation of colic, careful family histories were taken for all of these infants with particular attention to allergic disease in any member of either parent's family. An adequate family history was obtained in 95 of these infants. These data were analyzed both according to the incidence of allergic disease and according to the severity of allergic disease in family members. Among the relatives of the 45 "fussy" or "colicky" infants 7.3 per cent had severe allergy, 17.7 pen cent had mild allergy and 74 per cent had little or no allergy. Among the relatives of the 50 contented infants 7.6 per cent had severe allergy, 14.7 per cent had mild allergy and 77 per cent had no allergy. The family histories included a total of 957 relatives. The 45 families of the babies who were fussy or colicky were divided as follows as to amount of allergy among the relatives. In 7 families there was much allergy, in 30 families there was some allergy and in 8 families there was little or no allergy. The [See Table I in Source PDF] families of the 50 contented infants were divided as follows, in 7 families there was much allergy, in 33 there was some allergy and in 10 there was little on no allergy.

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