scholarly journals The steps until surgery in the management of Baastrup’s Disease (kissing spine syndrome)

2019 ◽  
Vol 2019 (6) ◽  
Author(s):  
Axel Kerroum ◽  
Pietro Aniello Laudato ◽  
Marc R Suter
Keyword(s):  
Vertebral Column ◽  
Rare Condition ◽  
Clinical Suspicion ◽  
Low Back ◽  
Imaging Studies ◽  
Close Approximation ◽  
Radiological Findings ◽  
Spinous Processes ◽  
Baastrup’S Disease ◽  
Detailed Imaging

Abstract Baastrup’s disease is a rare condition of the vertebral column often misdiagnosed and wrongly treated due to poor knowledge, characterized by low back pain arising from the close approximation of adjacent posterior spinous processes and resultant degenerative changes. Diagnosis rests on clinical examination and detailed imaging studies. Proposed therapies include conservative treatment, percutaneous infiltrations or surgical therapies. We present the case of a 31-year-old man with persistent chronic lumbago for several years. In whom, the diagnosis of Baastrup’s disease was high suspected clinically, with a final surgical treatment despite the absence of inflammation on imaging studies, which allowed the diagnostic confirmation and the return to a normal social and professional life. We wish through this case, to expose the different steps of interventional diagnostic/therapeutical procedures until the surgical management in a clinical suspicion of Baastrup’s diseases with unclear radiological findings.

scholarly journals A case of tuberculosis presented by obstructive jaundice tuberculosis-related mechanical icterus

2020 ◽  
Vol 14 (10) ◽  
pp. 1221-1224
Author(s):  
Sibel Ocak Serin ◽  
Aysun Isiklar ◽  
Hakan Cakit ◽  
Sema Ucak Basat
Keyword(s):  
Obstructive Jaundice ◽  
Lymph Nodes ◽  
Clinical Laboratory ◽  
Rare Condition ◽  
Polymerase Chain Reaction Analysis ◽  
Diagnostic Techniques ◽  
Imaging Studies ◽  
Tuberculosis Complex ◽  
Radiological Findings ◽  
Polymerase Chain

Obstructive jaundice caused by tuberculosis lymphadenitis is a rare condition. It can mimic clinical and radiological findings of hepatobiliary malignancies. The authors report a 24-year-old male patient who presented with abdominal pain, fever and jaundice for the last two weeks. It was found that cholestasis enzymes were increased by 2-3 fold and direct bilirubin was 6.13 mg/dL. Imaging studies revealed conglomerated lymph nodes with some cavitary lesions and dilated intrahepatic biliary canal secondary to compression by the lymph nodes. Tuberculosis was found to be positive in the polymerase chain reaction analysis of the aspirate that was obtained in the guidance of imaging studies. M. tuberculosis complex was isolated from mycobacterial culture. Anti-tuberculosis treatment was initiated. Clinical, laboratory and radiological findings completely resolved by medical therapy alone. Tuberculosis lymphadenitis should be kept in mind in cases presenting with obstructive jaundice in endemic areas and interventional diagnostic techniques should be preferred in eligible patients.

Aspergillus pachymeningitis mimicking nasopharyngeal carcinoma

2010 ◽  
Vol 125 (1) ◽  
pp. 103-107 ◽  
Author(s):  
H S Chan ◽  
H Y Yuen ◽  
W K Ng ◽  
A C Vlantis ◽  
A T Ahuja ◽  
...  
Keyword(s):  
Nasopharyngeal Carcinoma ◽  
World Literature ◽  
Clinical Course ◽  
Rare Condition ◽  
Imaging Features ◽  
Resonance Imaging ◽  
Radiological Findings ◽  
Cranial Nerve Palsies ◽  
The World ◽  
Multiple Cranial Nerve

AbstractObjectives:We report a case of otogenic fungal pachymeningitis in a diabetic patient who presented with multiple cranial nerve palsies and nasopharyngeal swelling.Methods:We present a case report, we describe the investigations, management and clinical course of fungal pachymeningitis, and we present a review of the world literature on fungal and non-fungal pachymeningitis.Results:To our knowledge, this is the first report of fungal pachymeningitis with magnetic resonance imaging features suggestive of nasopharyngeal carcinoma. It is also the first reported case with aspergillus cultured from both a dural biopsy and the ear canal.Conclusion:Fungal pachymeningitis is a rare condition which may present to otorhinolaryngologists. Its clinical and radiological findings can be confused with those of nasopharyngeal carcinoma; fungal pachymeningitis should thus be included in the differential diagnosis of nasopharyngeal carcinoma.

Prevalence of Low Back Pain in Computer Users of Lahore, Pakistan

2020 ◽  
pp. 38-41
Author(s):  
OJS Admin
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Vertebral Column ◽  
Computer Users ◽  
Low Back ◽  
Facet Joints ◽  
Annulus Fibrosis

Low back pain is the most occurring body disorder and most important reasons of disability in the advanced states. Numerous structures in the backbone may cause low back pain which includes ligaments that join vertebral column, outer bers of the annulus fibrosis, facet joints, vertebral periosteum, paravertebral muscu-lature and fascia.

Platypnoea-orthodeoxia syndrome: the importance of the patient’s posture for diagnosis

2021 ◽  
Vol 14 (6) ◽  
pp. e243210
Author(s):  
Carla Pereira Fontes ◽  
Samuel Barbosa Fonseca ◽  
Mário Santos
Keyword(s):  
Transthoracic Echocardiography ◽  
Rare Condition ◽  
Definitive Diagnosis ◽  
Clinical Suspicion ◽  
Oxygen Desaturation ◽  
Arterial Oxygen ◽  
Common Cause ◽  
Intracardiac Shunt ◽  
High Clinical Suspicion ◽  
Functional Components

Platypnoea-orthodeoxia syndrome (POS) is a rare condition characterised by the association of dyspnoea and arterial oxygen desaturation induced by standing and relieved by recumbency. The precise mechanism remains poorly understood, but it appears to involve both anatomical and functional components producing a significant right-to-left shunting under certain postural conditions. This syndrome is associated with either intracardiac or extracardiac aetiologies, and the diagnosis depends on high clinical suspicion. Intracardiac shunt is the most common cause of POS and can be identified through echocardiography with bubble study. We report the case of a patient with POS secondary to a paradoxical shunt through the patent foramen oval, whose definitive diagnosis was only possible with contrasted transthoracic echocardiography in the sitting and standing positions.

Do imaging studies have value in a patient with acute, nonspecific low back pain?

2014 ◽  
Vol 81 (8) ◽  
pp. 462-463
Author(s):  
Cynthia D. Smith ◽  
Patrick C. Alguire
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Imaging Studies

*Siringomielia asociada a Malformación de Chiari I. Reporte de caso. [Syringomyelia associated with Chiari I Malformation. Case report.]

2021 ◽  
Vol 40 (03) ◽  
Author(s):  
Flor Wilson Giraldo ◽  
Hector Lezcano ◽  
Leonardo Barrios
Keyword(s):  
Cranial Nerves ◽  
Chiari I Malformation ◽  
Clinical Suspicion ◽  
Unknown Etiology ◽  
Type I ◽  
Imaging Studies ◽  
Structural Alterations ◽  
Truncal Ataxia ◽  
Chiari I ◽  
The Right

<p>Introducción: Las Malformaciones de Chiari (M.C.) son alteraciones estructurales a nivel del cerebelo de etiología en estudio. Muy raras, afectan al 0,5% de la población. Más de la mitad de los pacientes cursan con siringomielia. Caso clínico: Femenina de 47 años con antecedente de M.C. Tipo I, acude con cuadro de dos semanas de evolución de cefalea holocraneana de intensidad 8/10, asociado a mareo e inestabilidad a la marcha. Hallazgos positivos de alteración en los pares craneales III, VIII, IX; hipertonía, signo de Babinski y Hoffman positivos bilaterales; ataxia truncal; nistagmus a la derecha; fuerza muscular disminuida en miembros superiores e hiperreflexia. Discusión: Ante la sospecha clínica, y las múltiples alteraciones a nivel del cerebelo y bulbo, se procede a realizar estudios de imagen y se confirma el diagnóstico de siringomielia.</p><p><strong>Abstract: </strong></p><p>Introduction: Chiari malformations (C.M.) are structural alterations in cerebellum. They are of unknown etiology, at present in study. They are very rare and affect 0,5 % of the population. More than half of the patients have syringomyelia. Clinical case: A 47-year-old female with medical record of C.M. Type I, presents with a two-week evolution holocranial headache, 8/10 in intensity, associated with dizziness and gait instability. Positive findings of alteration in cranial nerves III, VIII, IX; hypertonia, Babinski and Hoffman bilateral sign; truncal ataxia; nystagmus on the right; decreased muscle strength in the upper limbs and hyperreflexia. Discussion: Due to clinical suspicion and multiple alterations in cerebellum and bulb, imaging studies are performed and the diagnosis of syringomyelia is confirmed.</p>

Diagnostic Methods in Osteomyelitis

1988 ◽  
Vol 97 (2_suppl) ◽  
pp. 25-25
Author(s):  
Carl W. Norden
Keyword(s):  
Chronic Osteomyelitis ◽  
Clinical Suspicion ◽  
Diagnostic Methods ◽  
Ct Scans ◽  
Radiographic Examination ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Bone Scans ◽  
Sensitivity Specificity ◽  
Microbiologic Diagnosis

The mainstays of diagnosis of acute and chronic osteomyelitis remain clinical suspicion and radiographic examination, respectively. For both diseases, accurate microbiologic diagnosis is critical and can usually be obtained by aspiration of bone or pus. Imaging studies such as bone scans, CT scans, and magnetic resonance imaging have not been systematically evaluated for sensitivity, specificity, and predictive value in the diagnosis of this disease. Thus, they generally remain expensive and unproven adjuncts in the workup of patients with osteomyelitis. Both the incidence and the outcome of osteomyelitis have been dramatically altered by antibiotics. The disease, however, still continues to pose difficulties in diagnosis. The purpose of this report is to review and update approaches to the problem.

Imaging Studies in the Assessment of Low Back Pain

1991 ◽  
Vol 2 (4) ◽  
pp. 817-837 ◽  
Author(s):  
Kenneth R. Maravilla ◽  
Wendy A. Cohen ◽  
Francis W. Wessbecher
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Imaging Studies

Fibrous Dysplasia of the Clivus

Neurosurgery ◽  
2003 ◽  
Vol 52 (2) ◽  
pp. 318-323 ◽  
Author(s):  
Badih Adada ◽  
Ossama Al-Mefty
Keyword(s):  
Fibrous Dysplasia ◽  
Demographic Data ◽  
Disease Entity ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Radiological Findings ◽  
Nerve Paralysis ◽  
Computed Tomographic ◽  
Weighted Magnetic Resonance Imaging ◽  
Pathological Confirmation

Abstract OBJECTIVE Fibrous dysplasia is a developmental skeletal disorder that may lead to distortion, expansion, and weakening of the bone. Craniofacial involvement by this entity is well recognized and is known to cause neurovascular impingement and cosmetic deformity; fibrous dysplasia of the clivus, however, is unrecognized and seldom reported. Differentiating this entity from more aggressive disease processes affecting the clivus is central for the proper management of lesions in this area. We have studied fibrous dysplasia of the clivus with the goal of depicting its manifestations, outlining its management, and heightening awareness of this disease entity. METHODS We retrospectively reviewed our database and identified patients with the diagnosis of fibrous dysplasia of the clivus. The demographic data, the clinical and radiological findings, and the management of these patients were reviewed. RESULTS Eight patients who had experienced fibrous dysplasia of the clivus were identified. They either were asymptomatic (four patients) or presented with headache (four patients). Of the patients who presented with headache, one also had XIIth cranial nerve paralysis and another had dysphagia. The radiological findings for this entity were consistent, with typical findings of hypointensity on T1- and T2-weighted magnetic resonance imaging studies and ground-glass appearance on computed tomographic scans. Four of the patients in our series had pathological confirmation. Treatment was determined by the patient's symptoms. CONCLUSION Fibrous dysplasia should be considered in the differential diagnosis of lesions affecting the clivus. Its clinical and radiological presentations permit the establishment of the diagnosis. Its management is usually conservative, unless the patient presents with nerve compression or extensive symptomatic involvement of the condyle.

Sign in / Sign up

Export Citation Format

Share Document