scholarly journals SPINAL HYDATIDOSIS IN A CHILD

2006 ◽  
pp. 066-071
Author(s):  
Aleksandr Yuryevich Mushkin ◽  
Andrey Aleksandrovich Pershin ◽  
Klarissa Nikolayevna Kovalenko

A report of a rare case of the spinal hydatidosis in a child is presented. Spinal hydatidosis with a total spinal instability caused by the natural history of the disease and inadequate surgical treatment was diagnosed in a 10 year-old girl. At the department the excision of paravertebral and prevertebral hydatid cavernous masses followed by anterior L1–L5 reconstruction and posterior spinal CD-instrumentation was performed. Early post-op results are satisfactory, supporting ability of the spine is restored, that allowed physical and social rehabilitation of the child. Diagnostic pitfalls are identified and discussed.

2020 ◽  
pp. 1-2
Author(s):  
Iride Porcellini ◽  
Iride Porcellini ◽  
Miriam Patella ◽  
Antonio Valenti ◽  
Stefano Cafarotti

We present a case of a 20-year-old male with a rare form of malignant lung cancer. The patient had a long history of respiratory symptoms that have been repeatedly treated as a pulmonary infection. Despite several hints of the ineffectiveness of the therapy, the diagnosis and definitive surgical treatment were made 4 months after the onset of symptoms. Our aim is to highlight the importance of an efficient diagnostic process within multidisciplinary discussion and to warn clinicians on potential pitfalls related to unusual clinical presentation.


Author(s):  
Shahryar Noordin ◽  
Andrew Howard

♦ All children who complain of knee symptoms must be assessed for ipsilateral hip and spine pathology♦ Congenital or persistent lateral dislocation of the patella and obligatory dislocation of the patella have two different clinical presentations: surgical treatment (if required) is often complex♦ The natural history of stable osteochondritis dissecans lesions is generally favourable in a child with open physes.


Blood ◽  
1961 ◽  
Vol 17 (5) ◽  
pp. 597-609 ◽  
Author(s):  
PRAWASE WASI ◽  
MATTHEW BLOCK

Abstract The following conclusions can be made concerning the cause of anemia in patients with untreated chronic lymphatic leukemia excluding the rare case with an autoimmune hemolytic anemia: 1. Early in the natural history of the disease there is a normal amount of erythroblastic tissue which produces red cells at a normal rate. The rate of red cell destruction is also normal. 2. With progression of the disease the erythroblastic tissue is gradually replaced by lymphatic tissue, leading to a decrease in red cell production. The rate of red cell destruction is still normal. 3. Only late in the disease may decreased rate of red cell production be aggravated by an increased rate of red cell destruction.


2017 ◽  
Vol 5 (3) ◽  
pp. 232596711769433 ◽  
Author(s):  
Joseph A. Gil ◽  
Steven DeFroda ◽  
Brett D. Owens

Traumatic anterior glenohumeral subluxations comprise the majority of glenohumeral instability events and are endemic in young athletes. Unlike the definitive complete dislocation event, subluxation events may often be more subtle in presentation and, therefore, may be overlooked by clinicians. Glenohumeral subluxation events are associated with a high rate of labral tears as well as humeral head defects. While less is known of the natural history of these injuries, young athletes are at risk for recurrent instability events if not properly diagnosed and treated. While reports of surgical treatment outcomes isolated to subluxation events are limited, arthroscopic and open Bankart repair have been shown to result in excellent outcomes. The purpose of this paper is to review the etiology and pathoanatomy of traumatic anterior glenohumeral subluxations as well as to review the appropriate evaluation and management of patients with this injury.


1992 ◽  
Vol 17 (6) ◽  
pp. 697-700 ◽  
Author(s):  
G. LINDSTRÖM ◽  
Å. NYSTRÖM

33 patients with non-union of the carpal scaphoid were diagnosed by X-ray examination two to 37 years following the original trauma. All of the patients could be contacted and summoned for a re-examination ten to 17 years later. X-rays revealed a 100% incidence of progressive radio-carpal osteoarthritis. It is concluded that freedom of pain is not a reliable prognostic indicator, and that all patients with non-union of the carpal scaphoid are likely to benefit from surgical treatment of the pseudarthrosis. The only exception to this rule might be the patient in whom the radio-carpal joint is already deteriorated by an advanced degenerative arthritis.


1997 ◽  
Vol 13 (5) ◽  
pp. 268-274 ◽  
Author(s):  
I. Koyanagi ◽  
Yoshinobu Iwasaki ◽  
Kazutoshi Hida ◽  
Hiroshi Abe ◽  
T. Isu ◽  
...  

2017 ◽  
Vol 11 (1) ◽  
pp. 909-918 ◽  
Author(s):  
Eduardo Palma Carpinteiro ◽  
Andre Aires Barros

Background:The shoulder is the most complex joint in the body. The large freedom of motion in this joint is the main cause of instability. Instability varies in its degree, direction, etiology and volition and there is a large spectrum of conditions.Methods:Based on literature research and also in our own experience, we propose to elucidate the reader about the natural history of instability and its importance for the appropriate management of this pathology, by answering the following questions:What happens in the shoulder after the first dislocation? Which structures suffer damage? Who are the patients at higher risk of recurrence? How does the disease evolve without treatment? Will surgical treatment avoid future negative outcomes and prevent degenerative joint disease? Who should we treat and when?Results:80% of anterior-inferior dislocations occur in young patients. Recurrent instability is common and multiple dislocations are the rule. Instability is influenced by a large number of variables, including age of onset, activity profile, number of episodes,delay between first episode and surgical treatment.Conclusion:Understanding the disease and its natural evolution is determinant to decide the treatment in order to obtain the best outcome. It is crucial to identify the risk factors for recurrence. Delay in surgical treatment, when indicated, leads to worse results. Surgical technique should address the type and severity of both soft tissue and bone lesions, when present.


2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Rute Alves ◽  
Margarida França

Infection by Treponema pallidum still represents a clinical challenge due to its various forms of presentation. HIV coinfection added diversity and changed the natural history of syphilis as a systemic infection. We present a rare case of subacute hypophysitis and panhypopituitarism due to an early active neurosyphilis in a previously unknown HIV coinfected patient.


2014 ◽  
Vol 93 (9) ◽  
pp. E34-E36 ◽  
Author(s):  
Michael Yunaev ◽  
Muzib Abdul-Razak ◽  
Hedley Coleman ◽  
Yaroslav Mayorchak ◽  
Ian Kalnins

Ameloblastic carcinoma is a rare type of ameloblastoma that has received little mention in the literature. While a number of cases have been published over many years, no institution has been able to produce a substantial case series. Ameloblastic carcinoma originates in the embryonic tooth components. It is believed to be an aggressive tumor that can metastasize; once metastasis occurs, the prognosis tends to be poor. Ameloblastic carcinoma is primarily a surgical condition that is best treated with resection; there has been little indication that other modalities are helpful. We present the case of a 40-year-old woman who was found to have a mandibular lesion by a dentist. After surgical resection, the tumor was found to be an ameloblastic carcinoma. The patient recovered without complication, and she was recurrence-free 18 months postoperatively. We also briefly review the available literature on the natural history of and management options for this rare tumor.


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