A surgeon's tactics in the diagnosis of fractures in HIV-infected patients. a clinical case of clavicular tuberculous lesion with pathological fracture

Intraosseous mandibular schwannoma mimicking an odontogenic keratocyst, with a postsurgical pathological fracture

The Journal of Laryngology & Otology ◽

10.1017/s0022215108002934 ◽

2008 ◽

Vol 123 (5) ◽

pp. 560-562 ◽

Cited By ~ 11

Author(s):

L Gallego ◽

L Junquera ◽

C Rodríguez-Recio ◽

M F Fresno

Keyword(s):

Schwann Cells ◽

World Literature ◽

Clinical Case ◽

Pathological Fracture ◽

Final Diagnosis ◽

Odontogenic Keratocyst ◽

Mandibular Angle ◽

Benign Process ◽

Keratocystic Odontogenic Tumour ◽

Slow Growing

AbstractObjective:Schwannomas are slowly growing tumours derived from Schwann cells. We present a clinical case of schwannoma in the mandibular angle.Method:Case report and a review of the world literature concerning intraosseous schwannoma of the maxillofacial region.Results:Schwannomas or neurilemmomas are slow-growing, benign neoplasms derived from Schwann cells. Intraoral lesions are unusual and intraosseous schwannomas are even rarer, representing less than 1 per cent of benign primary tumours of the bones. We present a clinical case of schwannoma in the mandibular angle mimicking a keratocystic odontogenic tumour, with a complicated posterior evolution.Conclusion:Clinically, neurilemmomas are slow-growing tumours which may be present for years before becoming symptomatic. Radiographically, the image may be suggestive of a benign process such as an odontogenic keratocyst. Histological analysis of the specimens obtained is extremely important in order to establish the final diagnosis.

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The Variable Nature of Stuttering: A Clinical Case Study

NSSLHA Journal ◽

10.1044/nsshla_22_29 ◽

1995 ◽

Vol 22 ◽

pp. 29-35

Author(s):

Jennifer Gutierrez ◽

Anthony Caruso

Keyword(s):

Clinical Case ◽

Clinical Case Study ◽

Variable Nature

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Abstract #522: Calcitirol Mediated Hypercalcemia in A Patient with Silicone Granulomas dueto Cosmetic Injections: Clinical Case

Endocrine Practice ◽

10.1016/s1530-891x(20)42658-8 ◽

2015 ◽

Vol 21 ◽

pp. 108-109

Author(s):

Ana Abaroa-Salvatierra ◽

Arti Patel ◽

Mrunalini Deshmukh

Keyword(s):

Clinical Case

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(Impending) Pathological Fracture

Swiss Surgery ◽

10.1024/1023-9332.8.2.81 ◽

2002 ◽

Vol 8 (2) ◽

pp. 81-87 ◽

Cited By ~ 1

Author(s):

Sutter ◽

Regazzoni

Keyword(s):

Pathological Fracture ◽

Chirurgische Behandlung ◽

Pathologische Fraktur ◽

Score System ◽

Postoperative Radiotherapie ◽

Pathologische Frakturen

Pathologische Frakturen werden, bedingt durch die Zunahme der Inzidenz von Karzinomen und die längeren überlebenszeiten, in Zukunft häufiger behandelt werden müssen. Das Skelett ist das dritthäufigste Ziel-Organ von Metastasen. Lungentumor-Metastasen scheinen zuzunehmen, das Mammakarzinom bleibt aber der häufigste Primärtumor. Am häufigsten sind Metastasen im Bereiche der Wirbelsäule lokalisiert, Frakturen treten jedoch meistens am Femur auf. Eine pathologische Fraktur sowie fast immer auch eine "drohende pathologische Fraktur" stellen eine absolute Operationsindikation dar. Eine genaue Definition der "drohenden Fraktur" fehlt zwar, doch ist heute allgemein akzeptiert, dass mindestens 50% der Knochenmasse zerstört sein müssen, damit die Metastase im konventionellen Röntgenbild sichtbar wird und somit von einer drohenden Fraktur gesprochen werden kann. Als Hilfe zur Abschätzung des Frakturrisikos hat sich das Score System nach Mirels bewährt. Anhand von 4 Parametern (Lokalisation, Grösse, Typ, Schmerzen) kann das Frakturrisiko abgeschätzt werden. Ziel der (meist operativen) Behandlung ist die Verbesserung der Lebensqualität über eine effiziente Schmerzlinderung, möglichst durch eine einzige Operation mit kurzer Hospitalisationszeit. Für die chirurgische Behandlung sollten im proximalen Abschnitt des Femurs Prothesen verwendet werden, bei subtrochantären und Schaftfrakturen vornehmlich intramedulläre Kraftträger. Eine postoperative Radiotherapie scheint die lokale Tumorprogression zu verhindern. Bei guter Langzeitprognose sollte der Tumor lokal aggressiv ausgeräumt werden.

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Case Formulation and Design of Behavioral Treatment Programs

European Journal of Psychological Assessment ◽

10.1027//1015-5759.19.3.164 ◽

2003 ◽

Vol 19 (3) ◽

pp. 164-174 ◽

Cited By ~ 27

Author(s):

Stephen N. Haynes ◽

Andrew E. Williams

Keyword(s):

Functional Analysis ◽

Behavior Problems ◽

Behavioral Treatment ◽

Clinical Case ◽

Relative Magnitude ◽

Mechanisms Of Action ◽

Treatment Programs ◽

Case Formulation ◽

Functional Relations ◽

Causal Variables

Summary: We review the rationale for behavioral clinical case formulations and emphasize the role of the functional analysis in the design of individualized treatments. Standardized treatments may not be optimally effective for clients who have multiple behavior problems. These problems can affect each other in complex ways and each behavior problem can be influenced by multiple, interacting causal variables. The mechanisms of action of standardized treatments may not always address the most important causal variables for a client's behavior problems. The functional analysis integrates judgments about the client's behavior problems, important causal variables, and functional relations among variables. The functional analysis aids treatment decisions by helping the clinician estimate the relative magnitude of effect of each causal variable on the client's behavior problems, so that the most effective treatments can be selected. The parameters of, and issues associated with, a functional analysis and Functional Analytic Clinical Case Models (FACCM) are illustrated with a clinical case. The task of selecting the best treatment for a client is complicated because treatments differ in their level of specificity and have unequally weighted mechanisms of action. Further, a treatment's mechanism of action is often unknown.

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