scholarly journals Novel Surgical Technique for Bone Marrow Lesion — Case Report

2016 ◽  
Vol 1 (s2) ◽  
pp. 27-30 ◽  
Author(s):  
Pal Fodor ◽  
Radu Prejbeanu ◽  
Vlad Predescu ◽  
Bogdan Codorean ◽  
Radu Fleaca ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Knee Injury ◽  
Femoral Condyle ◽  
International Knee Documentation Committee ◽  
Minimal Risk ◽  
Mri Findings ◽  
Case Presentation ◽  
Stress Injuries ◽  
Magnetic Resonance Imaging Mri ◽  
Viable Approach

Abstract Introduction: Bone marrow lesions (BMLs) are commonly described as magnetic resonance imaging (MRI) findings associated with stress injuries or trauma. The presence of BMLs closely correlates with pain and rapid joint deterioration. Case presentation: A 51-year-old healthy man presented to our clinic with severe knee pain due to BMLs. After 3 months of conservative treatment, arthroscopy and subchondroplasty (SCP) of the medial femoral condyle was performed. The IKDC (International Knee Documentation Committee) score improved from 39.9 to 66.7 at 6 months, and to 87.4 at 1 year after surgery. The KOOS (Knee Injury and Osteoarthritis Outcome) score improved from 38.5 to 77.7 at 6 months, and to 92.6 at 1 year after surgery. The Tegner Lysholm score improved from 23 to 80 at 6 months, and to 95 at 1 year after surgery. Conclusion: SCP may provide a viable approach to reduce pain associated with BML, with minimal risk of significant complications.

scholarly journals Cutaneous Metastasis in a Previously Known Case of Ovarian Dysgerminoma: A Case Report

2021 ◽  
Vol 14 (10) ◽  
Author(s):  
Farokh Seilanian Toosi ◽  
Malihe Hasanzadeh ◽  
Mona Maftouh ◽  
Ahmadreza Tavassoli
Keyword(s):  
Local Recurrence ◽  
Cutaneous Metastasis ◽  
Mri Findings ◽  
Surgical Incision ◽  
Case Presentation ◽  
Pathologic Evaluation ◽  
History Of ◽  
Ovarian Dysgerminoma ◽  
Magnetic Resonance Imaging Mri ◽  
One Year

Introduction: Cutaneous metastasis is an uncommon manifestation that mostly occurs in patients with previous gastrointestinal or gynecological malignancies. Local recurrence usually can be seen in surgical incisions. Dysgerminomas are rare ovarian tumors that usually have local invasions, but metastases are infrequent. Here, we described a case of dysgerminoma and cutaneous metastasis in the surgical incision. Case Presentation: The patient was a 39-year-old woman previously known as ovarian dysgerminoma, who had undergone surgery one year ago. Ultrasound examination a year after surgery showed a 35 × 33 millimeters hypoechoic solid tumor in the left ovary and another 3 masses with similar echo pattern and vascularity were found in the surgical incision. Magnetic resonance imaging (MRI) findings were compatible with cutaneous metastasis of pervious dysgerminoma. Pathologic evaluation and Immunohistochemistry (IHC) confirmed dysgerminoma's skin metastasis. She received chemotherapy due to the recurrence of malignancy. Conclusions: Local recurrence and metastases (even in the skin) should be kept in mind and the clinician must examine the surgical site skin in patients with a history of malignancy.

Falcıform lıgament torsıon caused by omental hernıa through the foramen of morgagnı

2021 ◽  
Vol 17 ◽  
Author(s):  
Ahmet Gürkan Erdemir ◽  
Yasin Yaraşır ◽  
Mehmet Ruhi Onur
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Epigastric Pain ◽  
Falciform Ligament ◽  
Mri Findings ◽  
Case Presentation ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Omental Fat ◽  
Fat Herniation

Introduction: Torsion of the falciform ligament, one of the rarest causes of acute abdominal pain, often presents with pain in the right upper quadrant and epigastrium. Case Presentation: In this case, we present the computed tomography (CT) and magnetic resonance imaging (MRI) findings of torsion of the falciform ligament that occured in the presence of omental fat herniation through the foramen of Morgagni in an 88-year-old female patient who presented to the emergency department with acute epigastric pain. Conclusion: Torsion of the falciform ligament may develop secondary to omental hernia in the setting of Morgagni hernia and should be taken in consideration as one of the rarest causes of acute abdominal pain, even in elderly patients.

Do knee injection portals affect clinical results of bone marrow aspirate concentrate injection in the treatment of osteoarthritis? A prospective randomized controlled study

2020 ◽  
Author(s):  
Oliver Dulic ◽  
Ivica Lalic ◽  
Vaso Kecojevic ◽  
Gordan Gavrilovic ◽  
Dzihan Abazovic ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Knee Injury ◽  
Bone Marrow Aspirate ◽  
International Knee Documentation Committee ◽  
Clinical Results ◽  
Controlled Study ◽  
Post Intervention ◽  
Bone Marrow Aspirate Concentrate ◽  
Outcome Score ◽  
Clinical Benefits

Aim: To explore the effect that the location of needle placement has on efficacy and tolerability of bone marrow aspirate concentrate injections during treatment of knee osteoarthritis. Methods: Bone marrow aspirate concentrate injections were administered to 111 patients via superolateral, anteromedial or anterolateral portals. Pain was assessed by visual analog scale before and 3, 7, 14 and 21 days after intervention. Knee function was assessed by Western Ontario and McMaster Universities Osteoarthritis Index, Knee Injury and Osteoarthritis Outcome Score and International Knee Documentation Committee scores before and 1, 3, 6, 9 and 12 months after intervention. Results: Significant differences in Western Ontario and McMaster Universities Osteoarthritis Index, Knee Injury and Osteoarthritis Outcome Score and International Knee Documentation Committee scores were observed 12 months post intervention compared with baseline (p < 0.001 for all comparisons). No significant differences in outcome or pain scores were observed among groups. Conclusion: All portals demonstrated similar clinical benefits up to 12 months after intervention. Trial registration number: ClinicalTrials.gov ( NCT03825133 )

scholarly journals Paraplegia due to Thoracic Mobile Schwannoma after Myelography

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Akira Honda ◽  
Yoichi Iizuka ◽  
Tokue Mieda ◽  
Hiroyuki Sonoda ◽  
Sho Ishiwata ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Lower Limbs ◽  
Neurological Deficits ◽  
Limb Pain ◽  
Mri Findings ◽  
Case Presentation ◽  
Lower Limb Pain ◽  
Intradural Extramedullary ◽  
Magnetic Resonance Imaging Mri ◽  
One Year

Introduction. Spinal mobile tumors are very rare. We herein report a case of paraplegia caused by migration and incarceration of thoracic mobile schwannoma after myelography. Case Presentation. A 25-year-old man who had weakness and numbness in both his legs also had pain radiating to the back that was induced by back flexion or extension and jumping. Magnetic resonance imaging (MRI) showed an intradural extramedullary lesion at the T10 and T11 levels. Myelography was performed but discontinued due to his back and lower limb pain. Computed tomography after myelography revealed a rostrally migrated intradural mass with a discrepancy in the exact location in comparison to the MRI findings. He underwent a second lumbar puncture and drained the cerebrospinal fluid (CSF) to aid the spinal cord, because the symptoms gradually worsened and led to paraplegia. After the drainage of the CSF, his symptoms were immediately resolved. The day after myelography, he underwent complete resection of the tumor with the diagnosis of schwannoma. One year after the surgery, he had been working despite having hyperreflexia in his lower limbs with no weakness or sensory disturbance. Conclusion. Severe neurological deficits associated with spinal cord damage can occur due to migration of mobile tumors.

scholarly journals CT and MRI findings of bronchopulmonary endometriosis: a case presentation

2018 ◽  
Vol 7 (10) ◽  
pp. 205846011880116 ◽  
Author(s):  
Tomohide Sanada ◽  
Jinho Park ◽  
Masaru Hagiwara ◽  
Norihiko Ikeda ◽  
Takeshi Nagai ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Left Lung ◽  
Lung Nodules ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Case Presentation ◽  
Magnetic Resonance Imaging Mri ◽  
Ct And Mri

Intrathoracic endometriosis is classified into pleurodiaphragmatic endometriosis and bronchopulmonary endometriosis. Bronchopulmonary endometriosis is rare. Computed tomography (CT) findings of bronchopulmonary endometriosis are lung nodules, with or without cavities, or surrounding ground-glass opacities. Features vary with menstrual status. Recently, the usefulness of magnetic resonance imaging (MRI) was reported for diagnosis of intrathoracic endometriosis, but most published reports were about pleurodiaphragmatic endometriosis. We present CT and MRI findings of bronchopulmonary endometriosis in the left lung that showed a gradually enlarging nodule with enhancing area.

scholarly journals MR Findings in the Bone Marrow of a Patient with Anorexia Nervosa

2020 ◽  
Vol 2 ◽  
pp. 136-139
Author(s):  
Chong Yew Ng ◽  
Dorothy Khai Chin Kuek ◽  
Priya Suresh
Keyword(s):  
Bone Marrow ◽  
Anorexia Nervosa ◽  
Underlying Disease ◽  
Mri Findings ◽  
Severe Underlying Disease ◽  
History Of ◽  
Unique Distribution ◽  
History Of Pain ◽  
Magnetic Resonance Imaging Mri ◽  
Gelatinous Transformation

Gelatinous transformation of bone marrow (GTBM) is a hematological condition found to be associated with states of cachexia and malnourishment, which can be seen in patients with eating disorders, alcoholism, malignancy, and other systemic diseases (such as AIDS, tuberculosis, chronic kidney disease, and chronic heart failure). GTBM is not disease-specific but is a good marker of a severe underlying disease. Initially thought to be a rare finding, newer literature is now demonstrating more cases of GTBM over the past 2 decades, and the alleged rarity may have been attributed to the lack of clinical suspicion and awareness of this condition. We present a case of a young adult female, who has a background of anorexia nervosa and presented with a 4-month history of pain over her left shin. Magnetic resonance imaging (MRI) of the tibia demonstrated the gelatinous transformation of the bone marrow. In this case report, we aim to highlight the underlying pathogenesis of GTBM and its prevalence, its unique distribution within the marrow, its characteristic MRI findings, and how these findings may differ in comparison to normal reconversion marrow and neoplastic infiltration.

A novel mutation leading to the lethal form of carnitine palmitoyltransferase type-2 deficiency

2019 ◽  
Vol 32 (7) ◽  
pp. 781-783
Author(s):  
Sevil Dorum ◽  
Ipek Güney Varal ◽  
Orhan Gorukmez ◽  
Pelin Dogan ◽  
Arzu Ekici
Keyword(s):  
Novel Mutation ◽  
Clinical Findings ◽  
Carnitine Palmitoyltransferase ◽  
Periventricular White Matter ◽  
Mri Findings ◽  
Case Presentation ◽  
Valve Insufficiency ◽  
Cranial Mri ◽  
Magnetic Resonance Imaging Mri

Abstract Background The clinical phenotypes of carnitine palmitoyltransferase type-2 deficiency (CPT2D) are classified into lethal neonatal, severe infantile and muscle forms. The rarest form is the lethal neonatal form. Case presentation The patient was hypotonic and bradycardic at admission. Blood urea nitrogen and creatinine were high. He had polycystic kidneys, patent foramen ovale and aortic valve insufficiency. Cranial magnetic resonance imaging (MRI) revealed increased signal intensities in the periventricular white matter. Tandem mass spectrometry (MS) analysis was compatible with CPT2D. We found a homozygous in-frame deletion in the CPT2 gene using next-generation sequencing. Conclusions We identified a novel mutation leading to the lethal form of CPT2D with polycystic kidney, cardiac malformation and cranial MRI findings. Our findings expand the spectrum of causative mutations and clinical findings in CPT2D.

Accuracy of Rotator Cuff Tears and Tendinosis Diagnoses on Shoulder Ultrasound Performed by a Short-experienced Operator

2018 ◽  
Vol 1 ◽  
pp. 9
Author(s):  
Harshad Arvind Vanjare ◽  
Jyoti Panwar
Keyword(s):  
Rotator Cuff ◽  
Negative Predictive Value ◽  
Rotator Cuff Tear ◽  
Predictive Value ◽  
Rotator Cuff Tears ◽  
Mri Findings ◽  
Cuff Tear ◽  
Experienced Operator ◽  
Magnetic Resonance Imaging Mri ◽  
Sensitivity Specificity

Objective The objective of the study was to assess the accuracy of ultrasound examination for the diagnosis of rotator cuff tear and tendinosis performed by a short experienced operator, compared to magnetic resonance imaging (MRI) results. Method A total of 70 subjects suspected to have rotator cuff tear or tendinosis and planned for shoulder MRI were included in the study. Shoulder ultrasound was performed either before or after the MRI scan on the same day. Ultrasound operator had a short experience in performing an ultrasound of the shoulder. Ultrasound findings were correlated to MRI findings. Results Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy for the diagnosis of tendinosis were 58%, 84%, 63%, 80%, and 75%, respectively, and it was 68%, 91%, 73%, 88%, and 85%, respectively, for the diagnosis of rotator cuff tear. Conclusions Sensitivity for diagnosing rotator cuff tear or tendinosis was moderate but had a higher negative predictive value. Thus, the ultrasound operator with a short experience in performing shoulder ultrasound had moderate sensitivity in diagnosing tendinosis or tears; however, could exclude them with confidence.

Computed Tomography and Magnetic Resonance Imaging-aided Diagnosis of Primary Essential Cutis Verticis Gyrata: A Case Report with 5-year Follow-up and Review of the Literature

2019 ◽  
Vol 15 (9) ◽  
pp. 906-910
Author(s):  
Hongzhang Zhu ◽  
Shi-Ting Feng ◽  
Xingqi Zhang ◽  
Zunfu Ke ◽  
Ruixi Zeng ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Three Dimensional ◽  
Stable Condition ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Cutis Verticis Gyrata ◽  
Essential Form ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

Background: Cutis Verticis Gyrata (CVG) is a rare skin disease caused by overgrowth of the scalp, presenting as cerebriform folds and wrinkles. CVG can be classified into two forms: primary (essential and non-essential) and secondary. The primary non-essential form is often associated with neurological and ophthalmological abnormalities, while the primary essential form occurs without associated comorbidities. Discussion: We report on a rare case of primary essential CVG with a 4-year history of normal-colored scalp skin mass in the parietal-occipital region without symptom in a 34-year-old male patient, retrospectively summarizing his pathological and Computer Tomography (CT) and magnetic resonance imaging (MRI) findings. The major clinical observations on the CT and MR sectional images include a thickened dermis and excessive growth of the scalp, forming the characteristic scalp folds. With the help of CT and MRI Three-dimensional (3D) reconstruction techniques, the characteristic skin changes could be displayed intuitively, providing more evidence for a diagnosis of CVG. At the 5-year followup, there were no obvious changes in the lesion. Conclusion: Based on our observations, we propose that not all patients with primary essential CVG need surgical intervention, and continuous clinical observation should be an appropriate therapy for those in stable condition.

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