Glossal Abscess: An Unusual Presentation

2016 ◽  
Vol 8 (1) ◽  
pp. 41-44
Author(s):  
Shikha Goyal ◽  
Freny Karjodkar ◽  
Kaustubh Sansare ◽  
Nimish Prakash ◽  
Isha Mishra ◽  
...  

ABSTRACT Tongue is an organ, i.e., constantly exposed to microbes and likelihood of trauma, yet does not usually show a predilection for developing an abscess. Cases of acute lingual swelling due to an abscess are unusual; hemorrhage, infarction, edema, and tumor being the commonly responsible etiologies. Herein, we report a case of glossal abscess that was chronic in nature (2 months’ duration), presenting with uncharacteristic symptoms and no remission on taking antibiotics. In the absence of typical signs, Magnetic resonance imaging (MRI) provided an invaluable and accurate diagnosis, which allowed proper treatment to be rendered. How to cite this article Mishra I, Karjodkar F, Sansare K, Prakash N, Dora A, Goyal S. Glossal Abscess: An Unusual Presentation. Int J Otorhinolaryngol Clin 2016;8(1):41-44.

2021 ◽  
Vol 24 (2) ◽  
pp. 98-105
Author(s):  
Hassanin Alkaduhimi ◽  
Aïmane Saarig ◽  
Ihsan Amajjar ◽  
Just A. van der Linde ◽  
Marieke F. van Wier ◽  
...  

Background: Our aim is to determine the interobserver reliability for surgeons to detect Hill-Sachs lesions on magnetic resonance imaging (MRI), the certainty of judgement, and the effects of surgeon characteristics on agreement. Methods: Twenty-nine patients with Hill-Sachs lesions or other lesions with a similar appearance on MRIs were presented to 20 surgeons without any patient characteristics. The surgeons answered questions on the presence of Hill-Sachs lesions and the certainty of diagnosis. Interobserver agreement was assessed using the Fleiss’ kappa (κ) and percentage of agreement. Agreement between surgeons was compared using a technique similar to the pairwise t-test for means, based on large-sample linear approximation of Fleiss' kappa, with Bonferroni correction. Results: The agreement between surgeons in detecting Hill-Sachs lesions on MRI was fair (69% agreement; κ, 0.304; p<0.001). In 84% of the cases, surgeons were certain or highly certain about the presence of a Hill-Sachs lesion. Conclusions: Although surgeons reported high levels of certainty for their ability to detect Hill-Sachs lesions, there was only a fair amount of agreement between surgeons in detecting Hill-Sachs lesions on MRI. This indicates that clear criteria for defining Hill-Sachs lesions are lacking, which hampers accurate diagnosis and can compromise treatment.


2009 ◽  
Vol 36 (5) ◽  
pp. 961-964 ◽  
Author(s):  
ANDREA H.L. LOW ◽  
MATTHEW LAX ◽  
SINDHU R. JOHNSON ◽  
PETER LEE

Objective.To evaluate the utility of magnetic resonance imaging (MRI) in systemic sclerosis (SSc)-associated arthropathy.Methods.MRI of the hand was performed in patients presenting with joint pain/swelling in order (1) to determine the frequency of inflammation on MRI, and (2) to compare MRI with radiography.Results.Of 17 patients with SSc, 10 (59%) had inflammatory MRI findings with synovitis (n = 8), erosions (n = 7), joint effusion (n = 7), or tenosynovitis (n = 8). Bone edema was present in 9 patients. Of 7 patients with MRI erosions, only 2 had radiographic erosions.Conclusion.Our study illustrates the usefulness of MRI in the accurate diagnosis and characterization of SSc-associated arthropathy.


2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Akiko Marutani ◽  
Ryou Nakano ◽  
Noriyuki Nishi ◽  
Tomonori Yamada

Myxoid (metaplastic) meningioma is the rarest WHO grade 1 meningioma, and its histological characteristics are useful in diagnostics. We present the case report of a myxoid (metaplastic) meningioma in a 44-year-old woman to highlight the important histological features and observations that are critical for making an accurate diagnosis. We report a rare myxoid meningioma using magnetic resonance imaging (MRI) images and its histopathological features.


Author(s):  
Lyell K. Jones ◽  
Brian A. Crum

Seizures are electroclinical events, and epilepsy indicates a tendency for recurrent unprovoked seizures. The proper treatment of epilepsy depends on accurate diagnosis of the seizure type, identification of the cause (if possible), and management of psychosocial problems. Electroencephalography (preferably after the patient is sleep deprived) can be important in the classification of seizure type. Magnetic resonance imaging is also used to evaluate for focal or structural lesions. Much of the diagnosis rests on a supportive history.


2019 ◽  
Vol 23 (04) ◽  
pp. 405-418 ◽  
Author(s):  
James F. Griffith ◽  
Radhesh Krishna Lalam

AbstractWhen it comes to examining the brachial plexus, ultrasound (US) and magnetic resonance imaging (MRI) are complementary investigations. US is well placed for screening most extraforaminal pathologies, whereas MRI is more sensitive and accurate for specific clinical indications. For example, MRI is probably the preferred technique for assessment of trauma because it enables a thorough evaluation of both the intraspinal and extraspinal elements, although US can depict extraforaminal neural injury with a high level of accuracy. Conversely, US is probably the preferred technique for examination of neurologic amyotrophy because a more extensive involvement beyond the brachial plexus is the norm, although MRI is more sensitive than US for evaluating muscle denervation associated with this entity. With this synergy in mind, this review highlights the tips for examining the brachial plexus with US and MRI.


Endoscopy ◽  
2004 ◽  
Vol 36 (10) ◽  
Author(s):  
BP McMahon ◽  
JB Frøkjær ◽  
A Bergmann ◽  
DH Liao ◽  
E Steffensen ◽  
...  

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