scholarly journals Differential Diagnosis of a Glenoid Cyst in Omarthrosis: Hemangioma of the Glenoid – Resection and Reconstruction Using Autologous Bone-Graft and Special Implant

2020 ◽  
pp. 1-4
Author(s):  
Marius Junker ◽  
Jörn Kircher ◽  
Marius Junker ◽  
Milad Farkhondeh-Fal
Keyword(s):  
Clinical Manifestations ◽  
Autologous Bone Graft ◽  
Limited Range ◽  
Benign Tumors ◽  
Left Shoulder ◽  
Resonance Imaging ◽  
Limited Range Of Motion ◽  
Glenohumeral Osteoarthritis ◽  
Magnetic Resonance Imaging Mri ◽  
Typical Localization

Hemangiomas belong to the benign tumors, that can occur in any bone of the human body. The typical localization are the vertebral spine and the skull. There is no reported case of an intraarticular glenoidal hemangioma so far. The current paper presents a case of a 48-year-old female with joint pain that started 2 years before. The clinical manifestations included limited range of motion (ROM) and load dependent, non-load dependent and night pain. Roentgenogram and magnetic resonance imaging (MRI) of the left shoulder showed degenerative changes of the glenohumeral cartilage and a big (11.8mm x 10.3 mm) intraglenoidal mass affecting the joint line. The postoperative pathological diagnosis was that of a cavernous hemangioma. The aim of the present study was to present the imaging presentation of glenoidal hemangioma and to show therapeutic options in case of glenohumeral osteoarthritis (OA) with glenoidal bone loss due to hemangioma. In the present case no recurrence of the hemangioma and no complications of the implant in terms of loosening, infection or consisting were observed.

scholarly journals Acute Mesenteric Vein Thrombosis in a Pregnant Patient at 10 Weeks Gestation: A Case Report

Diagnostics ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 1348
Author(s):  
Ying-Ying Chen ◽  
Sheng-Mao Wu ◽  
Russell Oliver Kosik ◽  
Yi-Chien Hsieh ◽  
Tzu-I Wu ◽  
...  
Keyword(s):  
Acute Abdominal Pain ◽  
Clinical Manifestations ◽  
Pregnant Patient ◽  
Resonance Imaging ◽  
Advanced Imaging ◽  
Mesenteric Vein Thrombosis ◽  
Mesenteric Vein ◽  
Vein Thrombosis ◽  
Management Perspective ◽  
Magnetic Resonance Imaging Mri

Acute abdominal pain during pregnancy is challenging, both from a diagnostic and management perspective. A non-localized, persistent pain out of proportion to physical examination is a sign that advanced imaging may be necessary. Mesenteric venous thrombosis in a pregnant patient is extremely rare, but if diagnosis is delayed, can be potentially fatal to both the mother and the fetus. We present here a pregnant patient in the tenth week of gestation with classic clinical manifestations of mesenteric vein thrombosis and the corresponding findings on magnetic resonance imaging (MRI) and computed tomography (CT).

scholarly journals Pulvinar sign in a case of anti-HU paraneoplastic encephalitis

2016 ◽  
Vol 29 (6) ◽  
pp. 436-439 ◽  
Author(s):  
Pierre-Luc Gamache ◽  
Maude-Marie Gagnon ◽  
Martin Savard ◽  
François Émond
Keyword(s):  
Magnetic Resonance Imaging ◽  
Differential Diagnosis ◽  
Magnetic Resonance ◽  
Clinical Manifestations ◽  
Resonance Imaging ◽  
Paraneoplastic Encephalitis ◽  
Jakob Disease ◽  
Magnetic Resonance Imaging Mri ◽  
Work Up

This article reports the case of a 68-year-old patient with anti-HU antibodies paraneoplastic encephalitis. The clinical manifestations were atypical and the paraclinical work-up, notably the magnetic resonance imaging (MRI) showing bilateral posterior thalamic hyperintensities (pulvinar sign), misleadingly pointed towards a variant Creutzfeld–Jakob disease. After presenting the case, the differential diagnosis of the pulvinar sign is discussed along with other important diagnostic considerations.

scholarly journals Imaging Review of Skeletal Tumors of the Pelvis—Part I: Benign Tumors of the Pelvis

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Gandikota Girish ◽  
Karen Finlay ◽  
Yoav Morag ◽  
Catherine Brandon ◽  
Jon Jacobson ◽  
...  
Keyword(s):  
Plain Film ◽  
Clinical History ◽  
Benign Tumors ◽  
Resonance Imaging ◽  
Advantages And Disadvantages ◽  
Radiologic Evaluation ◽  
Imaging Characteristics ◽  
The Common ◽  
Magnetic Resonance Imaging Mri ◽  
Pelvic Lesions

The osseous pelvis is a well-recognized site of origin of numerous primary and secondary musculoskeletal tumors. The radiologic evaluation of a pelvic lesion often begins with the plain film and proceeds to computed tomography (CT), or magnetic resonance imaging (MRI) and possibly biopsy. Each of these modalities, with inherent advantages and disadvantages, has a role in the workup of pelvic osseous masses. Clinical history and imaging characteristics can significantly narrow the broad differential diagnosis for osseous pelvic lesions. The purpose of this review is to familiarize the radiologist with the presentation and appearance of some of the common benign neoplasms of the osseous pelvis and share our experience and approach in diagnosing these lesions.

scholarly journals False diagnosis of and needless therapy for presumed gestational trophoblastic disease in women with an unusual site of residual pregnancy

2018 ◽  
Vol 47 (2) ◽  
pp. 673-681 ◽  
Author(s):  
Tong Gao ◽  
Mingming Sun ◽  
Liangqing Yao ◽  
Wei Jiang
Keyword(s):  
Clinical Manifestations ◽  
Diagnostic Value ◽  
Gestational Trophoblastic Disease ◽  
High Serum ◽  
Resonance Imaging ◽  
Unusual Site ◽  
Pelvic Mri ◽  
Trophoblastic Disease ◽  
False Diagnosis ◽  
Magnetic Resonance Imaging Mri

Objective This study aimed to determine the diagnostic value of magnetic resonance imaging (MRI), hysteroscopy, and laparoscopy to avoid unnecessary treatment when patients present with clinical manifestations that are close to those of gestational trophoblastic neoplasia (GTN). Methods Three patients who were falsely diagnosed with presumed GTN and received needless chemotherapy in our hospital from July 2011 to March 2012 were studied. We also reviewed data of patients with similar clinical features who were diagnosed as having residual pregnancy in recent years. Clinical manifestations were evaluated. Results All three patients had persistently high serum β-human chorionic gonadotrophin levels and a mass with abundant blood supply in the uterus after termination of pregnancy. The patients were diagnosed with GTN and underwent chemotherapy. They responded poorly to chemotherapy and underwent surgery. The pathological diagnosis in all patients was residual pregnancy. In recent years, no patients were misdiagnosed because pelvic MRI, hysteroscopy, or laparoscopy was used when residual pregnancy could not be excluded. Conclusion Gynecologists should diagnose carefully when patients present with clinical manifestations that are close to those of GTN to avoid unnecessary treatment. MRI, hysteroscopy, and laparoscopy could be important examinations for excluding residual pregnancy.

scholarly journals Rotator Interval Lesion and Damaged Subscapularis Tendon Repair in a High School Baseball Player

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Tomoyuki Muto ◽  
Hiroki Ninomiya ◽  
Hiroaki Inui ◽  
Masahiko Komai ◽  
Katsuya Nobuhara
Keyword(s):  
Tendon Repair ◽  
Limited Range ◽  
High Signal ◽  
Subscapularis Tendon ◽  
Rotator Interval ◽  
Glenohumeral Ligaments ◽  
Limited Range Of Motion ◽  
Arthroscopic Examination ◽  
Magnetic Resonance Imaging Mri ◽  
One Year

In 2013, a 16-year-old baseball pitcher visited Nobuhara Hospital complaining of shoulder pain and limited range of motion in his throwing shoulder. High signal intensity in the rotator interval (RI) area (ball sign), injured subscapularis tendon, and damage to both the superior and middle glenohumeral ligaments were identified using magnetic resonance imaging (MRI). Repair of the RI lesion and partially damaged subscapularis tendon was performed in this pitcher. During surgery, an opened RI and dropping of the subscapularis tendon were observed. The RI was closed in a 90° externally rotated and abducted position. To reconfirm the exact repaired state of the patient, arthroscopic examination was performed from behind. However, suture points were not visible in the >30° externally rotated position, which indicates that the RI could not be correctly repaired with the arthroscopic procedure. One year after surgery, the patient obtained full function of the shoulder and returned to play at a national convention. Surgical repair of the RI lesion should be performed in exactly the correct position of the upper extremity.

scholarly journals Carcinomatous encephalitis as clinical presentation of occult lung adenocarcinoma: case report

2007 ◽  
Vol 65 (3b) ◽  
pp. 841-844 ◽  
Author(s):  
Henrique Barbosa Ribeiro ◽  
Tadeu Ferreira de Paiva Jr ◽  
Gustavo Pignatari Rosas Mamprin ◽  
Milton Luiz Gorzoni ◽  
Antônio José da Rocha ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Clinical Presentation ◽  
Clinical Manifestations ◽  
Mass Effect ◽  
Pulmonary Adenocarcinoma ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Clinical Imaging ◽  
Magnetic Resonance Imaging Mri

Carcinomatous encephalitis is a rare entity, originally described by Madow and Alpers in 1951, which is characterized by tumoral spreading perivascular, without mass effect. Clinical manifestations such as hemiparesis, seizures, ataxia, speech difficulties, cerebrospinal fluid findings as well as computed tomography are nonspecific. This leads the physician to pursue more frequent diseases that could explain those manifestations - toxic, metabolic, and/or infectious encephalopathy. A magnetic resonance imaging (MRI) with gadolinium, the method of choice, presumes the diagnosis. Previous reports of this unusual form of metastatic disease have described patients with prior diagnosis of pulmonary adenocarcinoma. We present the case of carcinomatous encephalitis in a 76-years-old woman as the primary manifestation of occult pulmonary adenocarcinoma with its clinical, imaging, and anatomopathological findings.

scholarly journals Clinical Update on Spondyloarthritis

2016 ◽  
Vol 8 ◽  
Author(s):  
Isabelle Hebert MD FRCPC ◽  
Isabelle Fortin MD
Keyword(s):  
Clinical Manifestations ◽  
Human Leukocyte ◽  
Seronegative Arthritis ◽  
Resonance Imaging ◽  
Peripheral Arthritis ◽  
Buttock Pain ◽  
Leukocyte Antigen ◽  
History Of ◽  
Inflammatory Bowel ◽  
Magnetic Resonance Imaging Mri

The spondyloarthritides encompass various clinical manifestations. The hallmark of the spondyloarthropathies is inflammatory axial and sacroiliac (buttock) pain. Associated findings include peripheral arthritis, uveitis, conjunctivitis, enthesitis, and psoriasis. Human leukocyte antigen (HLA) B27 is positive in a majority of patients. Radiographic abnormalities appear first on vertebral column/sacroiliac magnetic resonance imaging (MRI) and many years later on radiography, which makes the diagnosis challenging. Of course, rheumatoid factor is negative – hence the term seronegative arthritis. Other clinical clues that help identify this disease’s spectrum are a family history of ankylosing spondylitis (AS), psoriasis, or inflammatory bowel disease (IBD); intestinal or genitourinary symptoms; or the presence of psoriasis. All this heterogeneity makes an early diagnosis difficult.

Sphenoid sinus mucocele with unilateral blindness – a case report

2021 ◽  
Vol 70 (4) ◽  
pp. 243-245
Author(s):  
Jozef Šulhin ◽  
Jakub Mičaník ◽  
Jakub Lubojacký ◽  
Adam Kopecký ◽  
Petr Matoušek ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Paranasal Sinuses ◽  
Sphenoid Sinus ◽  
Clinical Manifestations ◽  
Cystic Lesions ◽  
Resonance Imaging ◽  
Anatomical Structures ◽  
Fourth Decade ◽  
Surgical Options ◽  
Magnetic Resonance Imaging Mri

Mucocele of the paranasal sinuses are benign cystic lesions filled with mucus. They occur in the sphenoid sinus in 1–2% of all paranasal sinuses, most often in the fourth decade of life. Clinical manifestations are non-specific, caused by pressure expansion into anatomical structures immediately adjacent to the sphenoid sinus. They are manifested by headaches, dropped eyelids, impaired movement of the globe, and impaired vision. In the differential dia­gnosis, it is necessary to distinguish them from tumour processes and processes propagating from the intracranium. Computed tomography (CT) and Magnetic Resonance Imaging (MRI) play an important role in the dia­gnosis, the definitive dia­gnosis is determined by perioperative findings and histological examination. Curative surgical options include endoscopic transnasal sphenoidotomy with marsupialization. In this article, we present a case of a patient with a mucocele of the sphenoid sinus, which was the cause of unilateral blindness. Keywords: marsupialization – mucocele – sphenoid sinus – endoscopic transnasal sphenoidotomy

Functional network connectivity abnormalities in multiple sclerosis: Correlations with disability and cognitive impairment

2017 ◽  
Vol 24 (4) ◽  
pp. 459-471 ◽  
Author(s):  
Maria A Rocca ◽  
Paola Valsasina ◽  
Victoria M Leavitt ◽  
Mariaemma Rodegher ◽  
Marta Radaelli ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Multiple Sclerosis ◽  
Cognitive Impairment ◽  
Magnetic Resonance ◽  
Wide Spectrum ◽  
Clinical Manifestations ◽  
Network Connectivity ◽  
Resonance Imaging ◽  
T2 Lesions ◽  
Magnetic Resonance Imaging Mri

Objective: To investigate resting state (RS) functional connectivity (FC) abnormalities within the principal brain networks in a large cohort of multiple sclerosis (MS) patients, to define the trajectory of FC changes over disease stages and their relation with clinical and structural magnetic resonance imaging (MRI) measures. Methods: RS functional magnetic resonance imaging (fMRI), clinical, and neuropsychological evaluation were obtained from 215 MS patients and 98 healthy controls. Connectivity abnormalities and correlations with clinical/neuropsychological/imaging measures were evaluated. We analyzed seed-voxel FC with seven major hubs, producing one visual/sensory, one motor, two cognitive, one cerebellar, and two subcortical networks. Results: MS patients showed reduced network average RS FC versus controls in the default-mode network. At regional level, a complex pattern of decreased and increased RS FC was found. Reduced RS FC mainly involved sensorimotor, cognitive, thalamic, and cerebellar networks, whereas increased RS FC involved visual/sensory and subcortical networks. Reduced RS FC correlated with T2 lesions. Reduced thalamic RS FC correlated with better neuropsychological performance, whereas for all remaining networks reduced FC correlated with more severe clinical/cognitive impairment. Conclusion: Increased and decreased RS FC occurs in MS and contributes to a wide spectrum of clinical manifestations. RS FC reduction is related to T2 lesions. Such a paradigm is inverted for the thalamic network.

scholarly journals The Rare Lateral Cuneocuboid Coalition: A Case Report

2019 ◽  
Vol 109 (3) ◽  
pp. 231-234
Author(s):  
Eric So ◽  
Kevin Renner ◽  
Amanda Quisno ◽  
Daniel Logan
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Limited Range ◽  
Activity Level ◽  
Resonance Imaging ◽  
Pes Planus ◽  
The Third ◽  
Limited Range Of Motion ◽  
The Common

Tarsal coalitions typically occur at the talocalcaneal or calcaneonavicular joints. Common findings are pain, limited range of motion, and a pes planus deformity. The focus of this case report includes the presentation, imaging, treatment, and outcomes for a 21-year-old woman diagnosed with a rare lateral cuneocuboid coalition with chronic pain. Clinical and radiographic examinations, typically used to diagnose the common coalition, were unremarkable. Magnetic resonance imaging was diagnostic of the lateral cuneocuboid coalition, which was successfully treated with surgical resection. At 6-year follow-up, she reports resolution of symptoms and has returned to her normal presurgical activity level pain-free. This case is only the third lateral cuneocuboid coalition reported in the literature. The rarity of this coalition and its nonsuspicious clinical presentation make it worthy of acknowledgment.

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