scholarly journals Study of Spina Bifida Occulta Based on Age, Sex and Localization

2019 ◽  
Vol 25 (3) ◽  
pp. 95-99
Author(s):  
Sipos Tamas-Csaba ◽  
Denes Lorand ◽  
Brinzaniuc Klara ◽  
Sipos Remus Sebastian ◽  
Raduly Gergo ◽  
...  

Abstract Introduction: Spina bifida is a spine malformation that appears as an incomplete closure of the spine during development. Most frequently it involves lumbosacral vertebrae. There are two types of spina bifida: spina bifida aperta and spina bifida occulta. In most of the cases spina bifida occulta is asymptomatic, and it is identified by accident. Objectives: the aim of this study was to correlate localization of spina bifida occulta with age and sex of the patients. Materials and methods: Between July 2017 and January 2019 there have been 108 patients diagnosed with spina bifida occulta at the Radiology Department of Dora Medicals Tîrgu Mureș. The diagnoses were based on thoracolumbar spine x-ray, pelvic x-ray and chest x-ray studies requested by specialist physicians. Radiologic diagnosis was followed by data processing and statistical analysis. Results: In 81% of the cases the lesion was localized to vertebra S1, and in 15% to vertebra L5; we identified other five cases of rare localizations: C7- T1- T2, T1, T2, S2. This lesion was diagnosed most frequently at ages from 11 to 15 years (44.4%). Spina bifida localized to L5 was more frequent in males (11/16, 68.7%). Cases localized to S1 were more frequent in females (60/88, 68.1%). All spina bifida cases in females localized to vertebra L5 were diagnosed before 20 years of age. Conclusions: Our results partially correspond to those reported in other published studies.

2013 ◽  
Vol 56 (3) ◽  
pp. 126-129
Author(s):  
George Paraskevas ◽  
Maria Tzika ◽  
Panagiotis Kitsoulis

Congenital malformations such as lumbosacral transitional vertebrae and spina bifida occulta constitute unrare anomalies and could affect the symptomatology of low back pain. A transitional vertebra is characterized by elongation of one or both transverse processes, leading to the appearance of a sacralized fifth lumbar vertebra or a lumbarized first sacral vertebra. Furthermore, sacral spina bifida occulta is a developmental anomaly that corresponds to the incomplete closure of the vertebral column. In the present case report, we describe a case of a dried sacrum presenting a partially sacralized fifth lumbar vertebra and total spina bifida, extended from first to fifth sacral vertebra. A pseudoarthrosis is formed on the left side and the specimen could be incorporated in Castellvi’s type IIa. Moreover, the incidence, morphology, clinical and surgical significance of these spinal malformations are discussed.


1954 ◽  
Vol 3 (1) ◽  
pp. 93-111 ◽  
Author(s):  
Hans Grebe

SUMMARYReport of the result of familial examinations on 49 stillborn of before half year of life died and dissected children with lethal anomalies.1. In two of 4 families, whose probands suffered from harelip and clett palate combined with other deformities, is supposed, that—just like harelip and clett palate without other malformations—an unstable dominant gen being origin of the mistake of development.In one case with a special severe combination and probable consanguinity of the parents is to think of homozygoty.In a fourth case the question of the origin of the combined deformities by « psychical trauma » may be discussed.2. In 32 families the cause of death of the probands is to be seen in a lethal closing mistake of the vetebral column.a) In seven of 20 families with an anencephalus signs of « Dysraphies » and other anomalies were found which may be caused by pathological gens. One time both parents of a (homozygote?) anencephalus who showed deformities of heart and limbs had Spina bifida occulta.b) In 5 of 12 families with Spina bifida aperta was the cause of deformation an unstable unregular dominant gen. In two other families is this probable.Anencephalie and Spina bifida aperta may be found together in the same family. Heterogenie ist probable for both.3. a) Hydrocephalie without other deformities was in 8 families not inherited.b) 4 families with microcephaly showed differences. Dominant gens for « Dysraphies » and recessive gens may bring about microcephaly.c) Consanguinity of the parents in a case of cyklopy is seen to be sign of recessive inheritance.


2020 ◽  
Vol 10 (1) ◽  
pp. 38-45
Author(s):  
Anamika Jha ◽  
Sundar Suwal ◽  
Dan Bahadur Karki ◽  
Ram Kumar Ghimire

Nepal is also affected by Corona Virus Disease (COVID-19) pandemic which is likely to last for several months. The Reverse Transcriptase-Polymerase Chain Reaction is the current gold standard diagnostic test. Chest X-ray or Computed Tomography scan is considered inappropriate according to most society recommendations for screening though are emerging as frontline diagnostic modalities in conjunction with clinical history and laboratory parameters.Multiple guidelines have been released by prominent radiological societies worldwide to facilitate preparedness of radiology department in the war against COVID-19. Based on these, the Nepal Radiologists’ Association has proposed its guidelines, endorsed by the Nepal Medical Council, practical in our context, with the aim to limit exposure to the infection while ensuring best use of imaging, protection of health care personnel and other patients and maintenance of uninterrupted radiology department operations.This review article aims to summarize the highlights from various guidelines focusing on role of chest X-ray and Computed Tomography including the indications, specific findings, reporting format and important differentials and also addresses the safety issues.


e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Divertt Tamaweol ◽  
Ramli H. Ali ◽  
Martin L. Simanjuntak

Abstract: Chronic cough is defined as cough that lasts 8 weeks or more. Chronic cough itself is not a disease, but a symptom of other diseases. Chronic cough is the most common symptom that occurs among outpatients and is the main cause of morbidity which was reported by 3-40% population. Chronic cough can be caused by some diseases such as pneumonia, tuberculosis, asthma, chronic bronchitis, emphysema, and lung fibrosis. Chronic cough is closely associated with smoking habit which is one of the predisposing factors. Chest x-ray is one of the seed examination for chronic cough because it is very helpful in diagnosing diseases especially pulmonary diseases and others that may cause chronic cough. Objective: To identify the chest x-ray imaging in chronic cough patients. Methods: This study using retrospective description data in November 2015.  Sample is obtained from all the medical records of patients with radiological diagnosis chronic cough who undertook a chest x-ray examination in the Radiology Department of the Medical Faculty of Sam Ratulangi University / Prof. Dr. R. D. Kandou Central General Hospital Manado during July – September 2015. Data was collected from chest x-ray request form and the results show 178 cases of chronic cough that fit the inclusion criteria. The results showed that there was 178 cases of chronic cough based on the radiological diagnosis. The most frequent cases were chronic cough caused by pulmonary tuberculosis (97 patients; 54.49%). Most patients were male (107 patients; 60.11%), and the most frequent age group was 20-49 years (60 patients; 33.71%). Keywords: chronic cough, chest x-ray  Abstrak: Batuk kronik adalah batuk yang berlangsung selama 8 minggu atau lebih. Batuk kronik sendiri bukanlah penyakit, tetapi merupakan suatu gejala dari penyakit-penyakit lain. Batuk kronik merupakan gejala yang paling umum terdapat pada orang dewasa yang melakukan pengobatan rawat jalan dan penyebab utama morbiditas yang dilaporkan oleh 3-40% populasi. Batuk kronik dapat disebabkan oleh beberapa penyakit seperti pneumonia, tuberculosis, asma, bronchitis kronik, emfisema, dan fibrosis paru. Batuk kronik erat hubungannya dengan kebiasaan merokok dimana merokok merupakan salah satu faktor predisposisi. Foto toraks adalah salah satu pemeriksaan pilihan untuk batuk kronik karena sangat bermanfaat dalam mendiagnosis penyakit terutama penyakit paru dan gangguan lain yang dapat menyebabkan batuk kronik. Penelitian ini bertujuan untuk mengetahui gambaran foto toraks pada penderita batuk kronik. Penelitian ini menggunakan metode deskriptif retropektif yang dilakukan pada bulan November 2015. Sampel diambil dari semua data catatan medik pasien dengan diagnosis radiologis batuk kronik yang melakukan foto toraks di Bagian/SMF Radiologi FK Unsrat/RSUP Prof. Dr. R. D. Kandou Manado periode Juli – September 2015. Data diperoleh melalui lembaran permintaan pemeriksaan foto toraks dan didapatkan sebanyak 178 kasus batuk kronik yang masuk dalam kriteria inklusi. Hasil penelitian memperlihatkan 178 kasus batuk kronik berdasarkan diagnosis radiologis. Kasus terbanyak ialah batuk kronik akibat tuberkulosis paru sebanyak 97 orang (54,49%), penderita terbanyak ialah laki-laki yaitu 107 orang (60,11%), dan golongan umur terbanyak ialah 20-49 tahun yaitu 60 penderita (33,71%). Kata kunci: batuk kronik, foto toraks


Author(s):  
Rawnak Jahan ◽  
Mohammed Atiqur Rahman ◽  
AKM Mosharraf Hossain ◽  
Shamim Ahmed ◽  
Rajashish Chakrabortty ◽  
...  

COVID-19 is a highly infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-COV-2). Recently COVID -19 radiological literature focuses primarily on CT scan findings which are more sensitive (about 97%) and specific than chest x-ray. But it has to be remembered that performing CT scan is not easy during this pandemic situation. So, the aim of the study was to analyze the chest x-ray severity scoring system and its association with outcome in a young adult patient with COVID-19. This cross-sectional study was carried out from September 15 to December 31 2020 in the COVID unit of BSMMU and it included 100 RT-PCR positive COVID-19 patients according to selection criteria. Chest x-ray postero-anterior view was done in the radiology department of BSMMU. Each patient’s chest x-ray was examined by a radiologist and a pulmonologist with experience of 10 years. Radiological scoring was done by using a scoring system. All patients were followed after 20 days from the first presentation to see the outcome. Out of 100 patients, 73 patients (73%) needed hospital admission, 33(33%) patients were hospitalized but did not developed sepsis, 29 (29%) patient developed sepsis, 10(10%) patient needed ICU support among them 2 patients got intubation. 1(1%) patient was dead. Radiological score ≥ 4 was associated with increased risk of hospitalization. (Area under curve = 0.956). Score ≥ 5 was associated with increased risk of sepsis; score ≥7 was associated with increased risk of ICU admission. (p-value<0.001). BSMMU J 2021; 14 (COVID -19 Supplement): 30-35


2010 ◽  
Vol 6 ◽  
pp. 854-859 ◽  
Author(s):  
Dejan Nikolic ◽  
Suzana Cvjeticanin ◽  
Ivana Petronic ◽  
Biljana Jekic ◽  
Radivoj Brdar ◽  
...  

Lung diseases are disorders in the lung that affects proper functioning of the breathing system. Chronic Obstructive Pulmonary Disease, lung Cancer, pneumonia, tuberculosis, and pneumothorax are prevalent in most developing countries. Diagnosis of lung diseases is usually performed through visual inspection of chest X- ray images, especially in low resource settings. This procedure is time consuming, tedious, and subjected to inter- and intra-observer variability leading to misdiagnosis. The purpose of this research was to develop a method for automatic classification of multiple lung disease from chest X-ray images using Xception deep learning method. The data required for training, validation and testing the system was collected from Jimma University Medical Center Radiology Department and National Institute of Health (NIH) chest X-ray dataset repository. All the images have been pre- processed prior to training. An accuracy, sensitivity, and specificity of 97.3%, 97.2%, and 99.4%, respectively have been achieved for multi-class classification. The developed system can be used as a decision support system for physicians, especially those in low resource settings where both the expertise and the means is in scarce. The system also allows capturing of images from radiographic films extending its implementation in areas where only the conventional X-ray machines are available.


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