Ankylosing spondylitis and spinal trauma – with an emphasis on the role of radiology

Trauma ◽  
2017 ◽  
Vol 19 (1_suppl) ◽  
pp. 33-45
Author(s):  
Prudencia Tyrrell ◽  
J Roy Chowdhury

Diagnosis of spinal injury in a patient with chronic ankylosing spondylitis can be challenging. Minor insult can result in an unstable three-column injury which may be subtle. Spinal deformity, osteoporosis and limited mobility are associated with difficulty in positioning patients for imaging studies, including radiography and both computed tomography and magnetic resonance imaging. It is important to maintain a high index of suspicion of fracture, avoid forced neck extension during radiological imaging, and to consider whole spine imaging in these patients. Other causes of neurological symptoms simulating potential spinal injury are also briefly addressed.

Neurosurgery ◽  
2016 ◽  
Vol 79 (5) ◽  
pp. 626-642 ◽  
Author(s):  
Lubdha M. Shah ◽  
Jeffrey S. Ross

Abstract Imaging with computed tomography and magnetic resonance imaging is fundamental to the evaluation of traumatic spinal injury. Specifically, neuroradiologic techniques show the exact location of injury, evaluate the stability of the spine, and determine neural element compromise. This review focuses on the complementary role of different radiologic modalities in the diagnosis of patients with traumatic injuries of the spine. The role of imaging in spinal trauma classifications will be addressed. The importance of magnetic resonance imaging in the assessment of soft tissue injury, particularly of the spinal cord, will be discussed. Last, the increasing role of advanced imaging techniques for prognostication of the traumatic spine will be explored.


2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Kenya Kamimura ◽  
Minoru Nomoto ◽  
Yutaka Aoyagi

Angiomyolipoma (AML) is a benign mesenchymal tumor that is frequently found in the kidney and, rarely, in the liver. The natural history of hepatic AML has not been clarified, and, because of the similar patterns in imaging studies, such as ultrasonography, computed tomography, and magnetic resonance imaging, some of these tumors have been overdiagnosed as hepatocellular carcinoma in the past. With an increase in the number of case reports showing detailed imaging studies and immunohistochemical staining of the tumor with human melanoma black-45, the diagnostic accuracy is also increasing. In this paper, we focused on the role of noninvasive imaging studies and histological diagnosis showing distinctive characteristics of this tumor. In addition, because several reports have described tumor progression in terms of size, recurrence after surgical resection, metastasis to other organs, and portal thrombosis, we summarized these cases for the management and discussed the indications for the surgical treatment of this tumor.


1995 ◽  
Vol 83 (1) ◽  
pp. 133-137 ◽  
Author(s):  
Anna A. Penn ◽  
Don F. Schomer ◽  
Gary K. Steinberg

✓ A case is reported of severe unilateral hemispheric edema and localized hemorrhage associated with seizures following endarterectomy of an ipsilateral high-grade carotid stenosis. Imaging studies including angiography, computerized tomography (CT), magnetic resonance imaging/angiography, and xenon-CT, suggested postoperative ipsilateral cerebral hyperperfusion. Cerebral hyperperfusion syndromes caused by a probable failure of vascular autoregulation are rare but potentially serious complications after endarterectomy. The literature on this type of complication is briefly reviewed, and the role of various imaging modalities in identification of the syndrome and in guiding management decisions is emphasized.


2008 ◽  
Vol 30 (3) ◽  
pp. 281-289 ◽  
Author(s):  
Leonardo Baldaçara ◽  
João Guilherme Fiorani Borgio ◽  
Acioly Luiz Tavares de Lacerda ◽  
Andrea Parolin Jackowski

OBJECTIVE: The objective of this update article is to report structural and functional neuroimaging studies exploring the potential role of cerebellum in the pathophysiology of psychiatric disorders. METHOD: A non-systematic literature review was conducted by means of Medline using the following terms as a parameter: "cerebellum", "cerebellar vermis", "schizophrenia", "bipolar disorder", "depression", "anxiety disorders", "dementia" and "attention deficit hyperactivity disorder". The electronic search was done up to April 2008. DISCUSSION: Structural and functional cerebellar abnormalities have been reported in many psychiatric disorders, namely schizophrenia, bipolar disorder, major depressive disorder, anxiety disorders, dementia and attention deficit hyperactivity disorder. Structural magnetic resonance imaging studies have reported smaller total cerebellar and vermal volumes in schizophrenia, mood disorders and attention deficit hyperactivity disorder. Functional magnetic resonance imaging studies using cognitive paradigms have shown alterations in cerebellar activity in schizophrenia, anxiety disorders and attention deficit hyperactivity disorder. In dementia, the cerebellum is affected in later stages of the disease. CONCLUSION: Contrasting with early theories, cerebellum appears to play a major role in different brain functions other than balance and motor control, including emotional regulation and cognition. Future studies are clearly needed to further elucidate the role of cerebellum in both normal and pathological behavior, mood regulation, and cognitive functioning.


2009 ◽  
Vol 5 (3) ◽  
pp. 148
Author(s):  
Laxmi Tripathi ◽  
Praveen Kumar ◽  
Ranjit Singh

2010 ◽  
Vol 19 (2) ◽  
pp. 118-119 ◽  
Author(s):  
Marcella Bellani ◽  
Adele Ferro ◽  
Paolo Brambilla

AbstractAlthough the anatomy of the parietal lobe has been under-investigated in schizophrenia, some magnetic resonance imaging studies have shown decreased volumes, suggesting its possible implication for the pathophysiology of the disease.


2020 ◽  
Vol 71 (3) ◽  
pp. 396-402
Author(s):  
Shobhit Mathur ◽  
Ravishankar Pillenahalli Maheshwarappa ◽  
Saman Fouladirad ◽  
Omar Metwally ◽  
Pratik Mukherjee ◽  
...  

The use of diagnostic imaging studies in the emergency setting has increased dramatically over the past couple of decades. The emergency imaging of pregnant and lactating patients poses unique challenges and calls upon the crucial role of radiologists as consultants to the referring physician to guide appropriate use of imaging tests, minimize risk, ensure timely management, and occasionally alleviate unwarranted trepidation. A clear understanding of the risks and benefits involved with various imaging tests in this patient population is vital to achieve this. This review discusses the different safety and appropriateness issues that could arise with the use of ionizing radiation, iodinated-, and gadolinium-based contrast media and radiopharmaceuticals in pregnant and lactating patients. Special considerations such as trauma imaging, safety concerns with magnetic resonance imaging and ultrasound, management of claustrophobia, contrast extravasation, and allergic reactions are also reviewed. The consent process for these examinations has also been described.


Sign in / Sign up

Export Citation Format

Share Document