scholarly journals A case report of hybrid surgical resection of a giant dumbbell neurinoma in the thoracic spine

2020 ◽  
pp. 43-47
Author(s):  
I. V. Basankin ◽  
N. V. Naryzhnyi ◽  
A. A. Giulzatyan ◽  
S. B. Malakhov
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Clinical Case ◽  
Tumor Resection ◽  
Functional Results ◽  
Neurological Complications ◽  
Thoracic Cavity ◽  
Dorsal Part ◽  
Surgical Team ◽  
Intrathoracic Mass

We report the clinical case of treating a female patient with a giant dumbbell neurinoma arising from the Th1 nerve root. For the treatment of neoplasm, a hybrid surgical tactic was chosen, including Th1 hemilaminectomy, mobilization of the dorsal part of the tumor and video-assisted thoracoscopy in order to remove its intrathoracic mass. The patient developed no neurological complications after surgery. A gross total tumor resection was documented by control computed tomography. Thus, well-coordinated work of the multidisciplinary surgical team provided good oncological and functional results in the treatment of a giant neurinoma with extension into the thoracic cavity.

Radiological Findings and Dynamic Aspects of Stomatognathic Structures in Treacher Collins Syndrome: Clinical Case Report

2007 ◽  
Vol 44 (6) ◽  
pp. 678-682 ◽  
Author(s):  
Adriana de Oliveira Lira Ortega ◽  
Liete Maria Liarte Figueiredo Zwir ◽  
Ana Lídia Ciamponi ◽  
Antônio Sérgio Guimarães ◽  
Luis Garcia Alonso
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Temporomandibular Joint ◽  
Clinical Examination ◽  
Clinical Case ◽  
Treacher Collins Syndrome ◽  
Radiological Findings ◽  
Clinical Consequences ◽  
Tomography Method ◽  
Symmetric Structures

Treacher Collins syndrome usually affects bilateral and symmetric structures that include the orbits, mandible, and ears. The purpose of this report is to describe a clinical case of the syndrome, focusing on the anatomy of the temporomandibular joint, which was assessed using the computed tomography method. Clinical examination included evaluation of mandibular dynamics, investigation of temporomandibular dysfunction, and measurement of bite force. Significant morphological and functional alterations were observed but without significant documented clinical consequences.

scholarly journals En bloc resection and reconstruction of a huge chondrosarcoma involving multilevel upper thoracic spine and chest wall: case report

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Xiaodong Tang ◽  
Zhenyu Cai ◽  
Ruifeng Wang ◽  
Tao Ji ◽  
Wei Guo
Keyword(s):  
Case Report ◽  
Chest Wall ◽  
Thoracic Spine ◽  
Tumor Resection ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Thoracic Cavity ◽  
En Bloc ◽  
Upper Thoracic Spine ◽  
Upper Thoracic

Abstract Background En bloc resection of malignant tumors involving upper thoracic spine is technically difficult. We surgically treated a patient with grade 2 chondrosarcoma involving T1–5, left upper thoracic cavity, and chest wall. Case presentation A 37 years old, male patient was referred to our hospital for a huge lump involved left shoulder and chest wall. In order to achieve satisfied surgical margins, anterior approach, posterior approach, and lateral approach were carried out sequentially. After en bloc tumor resection, the upper thoracic spine was reconstructed with a 3D-printed modular vertebral prosthesis, and the huge chest wall defect was repaired by a methyl methacrylate layer between 2 pieces of polypropylene mesh. Postoperatively, the patient suffered from pneumonia and neurological deterioration which fully recovered eventfully. At 24 months after operation, the vertebral prosthesis and internal fixation were intact; there was no tumor local recurrence, and the patient was alive with stable pulmonary metastases. Conclusion This case report describes resection of a huge chondrosarcoma involving not only multilevel upper thoracic spine, but also entire left upper thoracic cavity and chest wall. Although with complications, en bloc tumor resection with combined surgical approach and effective reconstructions could improve oncologic and functional prognosis in carefully selected spinal tumor patients.

scholarly journals Invasive cervical resorption: case report

2021 ◽  
Vol 10 (14) ◽  
pp. e39101421787
Author(s):  
Matheus Almeida Rodrigues ◽  
Marcely Reis da Silva ◽  
Adolfo de Matos de Carvalho ◽  
Caio Cesar Souza ◽  
Cesar Augusto Perini Rosas ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Orthodontic Treatment ◽  
Clinical Case ◽  
Cone Beam ◽  
Cervical Region ◽  
Radiographic Examination ◽  
Repair Material ◽  
Tooth Whitening ◽  
History Of

Invasive cervical resorption (ICR) is an insidious, aggressive, and asymptomatic form that can lead to destruction and even loss of the dental unit. ICR is somewhat uncommon, but it can affect any tooth, with the maxillary central incisors being the most affected. Even after numerous studies, the etiology is still unclear. There are some predisposing factors, including orthodontic treatment, trauma, and internal tooth whitening, which may occur in isolation or in conjunction with each other. This article reports a clinical case of ICR class 3 with a rosy discoloration at the cervical margin and the presence of a fistula associated with a history of trauma. This suspicion was raised after radiographic examination and confirmed by cone-beam computed tomography (CBCT), with treatment via an internal approach and endodontic treatment involving debridement of the resorptive areas and filling with a bioceramic repair material and suturing. After treatment, the patient remained asymptomatic, but the fistula was no longer present. Prospective observation at 10 months showed bone formation in the middle third and well-adapted material in the cervical region, with no resorptive tissue present.

scholarly journals Multilevel lumbar spondylolysis: case report and literature review

2020 ◽  
Vol 26 (4) ◽  
pp. 600-606
Author(s):  
E.G. Skryabin ◽  
◽  
M.A. Akselrov ◽  
I.A. Lebedev ◽  
◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Lumbar Spine ◽  
Literature Review ◽  
Diagnostic Imaging ◽  
Physical Examination ◽  
Clinical Case ◽  
Patient History ◽  
Scientific Publications ◽  
Lumbar Spondylolysis

Introduction Diagnosis and treatment of vertebrogenic pain syndrome caused by multilevel lumbar spondylolysis is crucial for patients of different age groups. Objective To report a clinical case of diagnosis and treatment of a two-level lumbar spondylolysis in a 16-year-old male patient, and review the relevant literature. Material and methods We had an experience of treatment and follow-up of a 16-year-old athlete who presented with low back pain and was diagnosed with spondylolysis of the pars interarticularis at the L3 and L5 levels. Diagnostic workup included patient history, physical examination, diagnostic imaging (plain radiograph, computed tomography). Scientific publications from modern medical databases were used for literature review. A total of 32 relevant articles brought out between 1975 and 2019 were reviewed. Results The 16-year-old athlete was diagnosed with multilevel spondylolysis of lumbar spine based on patient history, physical examination data and diagnostic imaging of lumbar spine. No pathognomonic clinical findings were revealed. The diagnosis was confirmed with computed tomography. Conservative treatment was initiated for the patient and a long-termfollow- up was available. Literature review included epidemiologic data characterizing multilevel lumbar spondylolysis: the indicence, patients' gender and age. Major etiological factors, common localization of the pathology, the incidence of spondylolysis and spondylolisthesis, treatment strategy including surgical procedures are described. Discussion There is a small number of scientific publications describing different aspects of multilevel spondylolysis of the lumbar spine in the current medical literature. The diagnosis is often delayed for the reason. The natural history of pain in adolescent athletes sustaining the load placed on them in both training and competition can be helpful for timely diagnosis. Conclusion The implications of this clinical case report can be practical for accentuation of multilevel spondylolysis of the lumbar spine among Russian specialists, contribute to medical knowledge and extend to both early diagnosis and efficient management.

Isolated posterior fibular malleolar fracture. Case report and literature review

1991 ◽  
Vol 81 (8) ◽  
pp. 429-434
Author(s):  
EW Wolf ◽  
S Lango ◽  
FC Fittanto
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Literature Review ◽  
Clinical Case ◽  
Clinical Results ◽  
Diagnosis And Treatment ◽  
Cast Immobilization ◽  
Malleolar Fracture ◽  
Clinical Case Study

The authors describe a case involving an isolated posterior fibular malleolar fracture in an 80-year-old female, which was identified on multiple lateral radiographs of the involved ankle and confirmed by computed tomography. The patient was treated conservatively with 10 weeks of walking cast immobilization, resulting in poorly acceptable radiographic and clinical results. The authors review the anatomy of the area of involvement. A literature review, the clinical case study, and a discussion of the difficulty in evaluation of these types of fibular fractures are presented along with a protocol for the diagnosis and treatment of these fractures.

scholarly journals Enamel pearl diagnosed by cone beam computed tomography: A clinical case report

2018 ◽  
Vol 29 (4) ◽  
pp. 517
Author(s):  
FlávioRicardo Manzi ◽  
BeatrizDe Carvalho Silva Rocha ◽  
Johne Andrade ◽  
ClaudiaScigliano Valerio
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Clinical Case ◽  
Cone Beam

scholarly journals Primary Pleural Hemangioendothelioma: A Case Report and Literature Review

2021 ◽  
pp. 1201-1211
Author(s):  
Elham Askari ◽  
Shekoofeh Yaghmaei ◽  
Sara Haseli ◽  
Mihan Pouradollah Totkaboni
Keyword(s):  
Computed Tomography ◽  
Endothelial Cells ◽  
Case Report ◽  
Literature Review ◽  
Vascular Endothelial Cells ◽  
Epithelioid Hemangioendothelioma ◽  
Vascular Endothelial ◽  
Thoracic Cavity ◽  
Rare Tumor ◽  
Pleural Thickening

Epithelioid hemangioendothelioma (EHE) is a rare tumor of the vascular endothelial cells. It can originate from any tissue; however, it occurs most frequently in the liver and lung. Pleural epithelioid hemangioendothelioma (PEH), EHE developing from pleura, is even more infrequent and less reported in the literature. In the following report, we discuss a 40-year-old man who initially presented with right-sided chest pain. Computed tomography revealed pleural thickening and effusion in his right thoracic cavity. PEH diagnosis was confirmed with immunohistochemistry. In order to provide the readers with an inclusive understanding of the disease, we collected the PEH cases reported in the literature. Despite the scarcity of the reported PEH cases (to our best knowledge), the compiled literature review of the disease enables the readers to grasp a better comprehension of the disease.

scholarly journals Unusual multiple metastatic localisations in adult Burkitt’s lymphoma. A case report.

2016 ◽  
Vol 18 (4) ◽  
pp. 518 ◽  
Author(s):  
Georgiana Nagy ◽  
Romeo Chira ◽  
Doinita Crisan ◽  
Mihai Munteanu ◽  
Petru Adrian Mircea
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
B Cell ◽  
Hodgkin Lymphoma ◽  
Clinical Case ◽  
Burkitt’S Lymphoma ◽  
Burkitt's Lymphoma ◽  
Non Hodgkin Lymphoma ◽  
Multisystem Involvement ◽  
Radiological Methods

Burkitt’s lymphoma is an aggressive B-cell non-Hodgkin lymphoma. It is less common in adults accounting for less than 5% of non-Hodgkin lymphoma cases. Radiological methods (ultrasonography, computed tomography) are indispensable for the initial evaluation and appreciation of organ extension; complete diagnosis is confirmed by the histopathological examination.We present the clinical case and ultrasound imaging particularities of a young patient diagnosed with multisystem involvement Burkitt’s lymphoma, with rapid progressive evolution towards exitus.

scholarly journals Rare symptomatic bladder leiomyoma: case report and literature review

2018 ◽  
Vol 46 (4) ◽  
pp. 1678-1684 ◽  
Author(s):  
Liang He ◽  
Shengxian Li ◽  
Chao Zheng ◽  
Chunxi Wang
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Clinical Case ◽  
Recent Literature ◽  
Bladder Wall ◽  
Asymptomatic Woman ◽  
Clinical Recovery ◽  
Rare Benign Tumour ◽  
The Right ◽  
Bladder Leiomyoma

Bladder leiomyoma is a rare, benign tumour of the bladder. We present a clinical case of a 47-year-old asymptomatic woman with symptomatic bladder leiomyoma. Computed tomography showed well-defined bladder leiomyoma in the right posterior bladder wall. After partial cystectomy, pathology findings confirmed leiomyoma of bladder, and the patient achieved clinical recovery in 8 months. We discuss the relevant recent literature of bladder leiomyoma.

Bleeding Liver Tumor in a Patient on Anticoagulation Therapy – Case Report

2015 ◽  
Vol 87 (12) ◽  
Author(s):  
Łukasz Migdalski ◽  
Krzysztof Kuzdak
Keyword(s):  
Hepatocellular Carcinoma ◽  
Case Report ◽  
Elderly Patients ◽  
Anticoagulant Therapy ◽  
Liver Tumor ◽  
Tumor Resection ◽  
Anticoagulation Therapy ◽  
Haemorrhagic Shock ◽  
Surgical Team ◽  
Intraabdominal Bleeding

AbstractIntraabdominal bleeding is a serious surgical problem, particularly in elderly patients following an anticoagulant therapy. It occurs, that abdominal haemorrhage is the first symptom of hepatocellular carcinoma, mostly in Asians and Africans, occasionally in Europeans. The article's author shows a case of an elderly man, treated by Acenocumarolum, in a haemorrhagic shock. During an operation a bleeding liver tumor was revealed. The surgical team performed an effectual tumor resection and stoped the bleeding.

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