Synovial Osteochondromatosis Involvement in Post-traumatic Ankle Injury

2008 ◽  
Vol 98 (1) ◽  
pp. 70-74 ◽  
Author(s):  
Daniel K. Lee ◽  
Louis Louk ◽  
Bryan L. Bell
Keyword(s):  
Traumatic Event ◽  
Synovial Chondromatosis ◽  
Ankle Injury ◽  
Resonance Imaging ◽  
Tibiotalar Joint ◽  
Synovial Osteochondromatosis ◽  
Unusual Condition ◽  
History Of ◽  
Post Traumatic ◽  
Synovial Tissues

Ankle involvement by synovial chondromatosis is unusual. It is unknown whether a post-traumatic event to the ankle induces the formation and development of these lesions. Synovial osteochondromatosis associated with post-traumatic ankle events are rare but suggest trauma to the synovial tissues as being causative, although this has never been statistically confirmed owing to the lack of reports and frequency. We report a case of primary synovial osteochondromatosis involving the tibiotalar joint with painful symptoms after a history of ankle injury, including magnetic resonance imaging findings of this unusual condition. (J Am Podiatr Med Assoc 98(1): 70–74, 2008)

scholarly journals Post-traumatic pseudolipoma of the forehead

2007 ◽  
Vol 15 (3) ◽  
pp. 173-174 ◽  
Author(s):  
David Horovitz ◽  
Damir B Matic
Keyword(s):  
Subcutaneous Tissue ◽  
Clinical Findings ◽  
Frontal Bone ◽  
Forceps Delivery ◽  
Resonance Imaging ◽  
Frontalis Muscle ◽  
Rare Finding ◽  
History Of ◽  
Post Traumatic ◽  
Fibrofatty Tissue

A forehead lipoma is a rare finding in a child, and one that penetrates the underlying layers of muscle and bone to attach to dura has not previously been reported. Two such cases, both in children who underwent uneventful deliveries aided by forceps, are presented. Both lesions were present at birth and, based on clinical findings, were originally thought to be dermoid cysts. Dermoid cysts could not be ruled out with computed tomography and magnetic resonance imaging. Histopathology identified fibrofatty tissue consistent with lipoma. Both lesions extended from the subcutaneous tissue through the frontalis muscle and frontal bone to the dura. Given these findings and the history of forceps delivery, the most likely diagnosis is posttraumatic pseudolipoma. This lesion should be considered in the differential diagnosis of congenital lesions of the forehead, particularly if there is a history of forceps delivery or other trauma to the area.

scholarly journals Treatment of Persistent Post-traumatic Headache With the anti-CGRP Receptor Antibody Erenumab: a Case Report

2021 ◽  
Author(s):  
Mike Christian Papenhoff ◽  
Marcel Dudda
Keyword(s):  
Head Injury ◽  
Traumatic Event ◽  
Cgrp Receptor ◽  
Effective Treatment Option ◽  
Traumatic Head Injury ◽  
Posttraumatic Headache ◽  
History Of ◽  
Traumatic Head ◽  
Post Traumatic ◽  
Excessive Intake

Abstract Background: Calcitonin gene-related peptide (CGRP) has only recently emerged as a potential target in posttraumatic headache. To our knowledge this is the first description of a patient with persistent posttraumatic headache following severe traumatic head injury who has been treated with the CGRP-receptor-monoclonal antibody erenumab.Case presentation: A 56-year-old man presented with a 30-year history of frequent migraine-like posttraumatic headaches following a high-voltage head injury that he treated with an excessive intake of peripheral analgesics. Although amitriptyline was reasonably effective, it had to be discontinued when the patient developed restless legs syndrome in the second year of treatment. Under therapy with erenumab he achieved a rapid and stable reduction in his symptoms down to only 2–3 headache days per month without adverse events.Conclusions: This case demonstrates that the inhibition of the CGRP-receptor with erenumab could be an effective treatment option in migraine-like post-traumatic headache even decades after the traumatic event.

scholarly journals Synchronization of Synovial Chondromatosis and Mycobacterium intracellurae Infection in Olecranon Bursitis: A Case Report

2019 ◽  
Vol 22 (1) ◽  
pp. 46-49
Author(s):  
Dong Hyun Kim ◽  
Seunggi Min ◽  
Hyun Joo Lee ◽  
Hee-June Kim ◽  
Hoseok Lee ◽  
...  
Keyword(s):  
Past History ◽  
Mycobacterial Infection ◽  
Synovial Chondromatosis ◽  
Cystic Mass ◽  
Resonance Imaging ◽  
Olecranon Bursitis ◽  
Rice Bodies ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Mri Characteristics

A 73-year-old woman presented with a recurrent cystic mass around her left olecranon. She had a history of 8 steroid injections due to elbow pain beginning 3 years ago and twice had undergone aspiration of olecranon bursitis that developed two months prior to presentation. She had been taking medications for hypertension and diabetes with no pertinent past history. On magnetic resonance imaging (MRI), there were multiple nodules in the olecranon bursa, which were isointense to muscle on T1-weighted images and hyperintense to muscle on T2-weighted images. Our initial diagnosis was synovial chondromatosis. On bursoscopy, masses of gray-white colored nodules were observed in the bursa. Finally, synovial chondromatosis and non-tuberculous mycobacterial infection were concurrently diagnosed. In conclusion, uncalcified synovial chondromatosis and rice bodies can have similar visual and MRI characteristics; therefore, we suggest that clinicians should be aware of the possibility of other infections in cases of this type.

scholarly journals MAP Training My Brain™: Meditation Plus Aerobic Exercise Lessens Trauma of Sexual Violence More Than Either Activity Alone

2019 ◽  
Author(s):  
Tracey Shors ◽  
Han Y.M. Chang ◽  
Emma Millon
Keyword(s):  
Aerobic Exercise ◽  
Sexual Violence ◽  
Traumatic Event ◽  
Training Session ◽  
The Body ◽  
Whole Body ◽  
Positive Effects ◽  
History Of ◽  
Post Traumatic ◽  
The Brain

Sexual violence against women often leads to post-traumatic stress disorder (PTSD), a mental illness characterized by intrusive thoughts and memories about the traumatic event (Shors and Millon, 2016). These mental processes are obviously generated by the brain but often felt in the body. MAP Training My Brain is a novel clinical intervention that combines mental training of the brain with physical training of the body (Curlik and Shors, 2013; Shors et al., 2014). Each training session begins with 20-min of sitting meditation, followed by 10-min of slow-walking meditation, and ending with 30-min of aerobic exercise at 60–80% of the maximum heart rate (see maptrainmybrain.com). In previous studies, the combination of mental and physical (MAP) training together significantly reduced symptoms of depression and ruminative thoughts, while reducing anxiety (Shors et al., 2014, 2017; Alderman et al., 2016). We also documented positive changes in brain activity during cognitive control and whole-body oxygen consumption in various populations. In the present pilot study, we asked whether the combination of meditation and aerobic exercise during MAP Training would reduce trauma-related thoughts, ruminations, and memories in women and if so, whether the combination would be more effective than either activity alone. To test this hypothesis, interventions were provided to a group of women (n = 105), many of whom had a history of sexual violence (n = 32). Groups were trained with (1) MAP Training, (2) meditation alone, (3) aerobic exercise alone, or (4) not trained. Individuals in training groups completed two sessions a week for at least 6 weeks. MAP Training My Brain significantly reduced post-traumatic cognitions and ruminative thoughts in women with a history of sexual violence, whereas meditation alone, and exercise alone did not. MAP Training significantly enhanced a measure of self-worth, whereas meditation and exercise alone did not. Similar positive effects were observed for all participants, although meditation alone was also effective in reducing trauma-related thoughts. Overall, these data indicate the combination of meditation and exercise is synergistic. As a consequence, MAP Training is preferable and especially so for women who have experienced sexual violence in their past. Simply put, the whole is greater than the sum of its parts.

scholarly journals Post-traumatic Sacral Epidermoid Cyst Masquerading as Chordoma on Imaging: A Case Report

2020 ◽  
Vol 58 (223) ◽  
pp. 192-194
Author(s):  
Subash Phuyal ◽  
Anuj Prabhakar ◽  
Parthiban Bala ◽  
Sailesh Gaikwad
Keyword(s):  
Epidermoid Cyst ◽  
Spinal Dysraphism ◽  
Trauma Surgery ◽  
Resonance Imaging ◽  
Tissue Component ◽  
Diffusion Weighted Images ◽  
Lower Back ◽  
Left Lower Limb ◽  
History Of ◽  
Post Traumatic

Intradural spinal epidermoid cysts are rare, benign lesions either acquired from trauma, surgery, lumbar puncture or arise as congenital lesions, particularly associated with spinal dysraphism. Epidermoid cyst arising from the spine with expansile destruction of vertebrae has not been reported yet in the literature. We report a case of 36-years male presented with history of fall 8 years back with progressive symptoms of lower back pain, weakness of left lower limb and bladder/bowel incontinence. Computed tomography revealed large lytic expansile, midline sacral vertebral lesion with soft tissue component and multiple calcific foci. Magnetic resonance imaging demonstrated large non-enhancing heterogeneous mass showing restricted diffusion on diffusion weighted images. The patient underwent biopsy confirming the diagnosis of an epidermoid cyst. The possibility of an epidermoid tumor should be kept in the differential diagnosis in patients presenting with post-traumatic sacral mass.

scholarly journals Treatment of Persistent Post-Traumatic Headache with the Anti-CGRP Receptor Antibody Erenumab: A Case Report

2021 ◽  
Author(s):  
Mike Papenhoff ◽  
Marcel Dudda
Keyword(s):  
Head Injury ◽  
Traumatic Event ◽  
Cgrp Receptor ◽  
Effective Treatment Option ◽  
Traumatic Head Injury ◽  
Posttraumatic Headache ◽  
History Of ◽  
Traumatic Head ◽  
Post Traumatic ◽  
Excessive Intake

Abstract Introduction: Calcitonin gene-related peptide (CGRP) has only recently emerged as a potential target in posttraumatic headache. To our knowledge this is the first description of a patient with persistent posttraumatic headache following severe traumatic head injury who has been treated with the CGRP-receptor-monoclonal antibody erenumab.Case presentation: A 56-year-old man presented with a 30-year history of frequent migraine-like posttraumatic headaches following a high-voltage head injury that he treated with an excessive intake of peripheral analgesics. Although amitriptyline was reasonably effective, it had to be discontinued when the patient developed restless legs syndrome in the second year of treatment. Under therapy with erenumab he achieved a rapid and stable reduction in his symptoms down to only 2–3 headache days per month without adverse events.Conclusions: This case demonstrates that the inhibition of the CGRP-receptor with erenumab could be an effective treatment option in migraine-like post-traumatic headache even decades after the traumatic event.

The Aetiology of Post-traumatic Morbidity: Predisposing, Precipitating and Perpetuating Factors

1989 ◽  
Vol 154 (2) ◽  
pp. 221-228 ◽  
Author(s):  
Alexander C. McFarlane
Keyword(s):  
Traumatic Event ◽  
Past History ◽  
Psychological Disorder ◽  
Relative Importance ◽  
Ways Of Coping ◽  
History Of ◽  
Post Traumatic ◽  
The Impact

A group of 469 firefighters were studied 4, 11 and 29 months after having an extreme exposure to a bushfire disaster. The relative importance of the impact of the disaster, personality and ways of coping were investigated as determinants of post-traumatic morbidity. Neuroticism and a past history of treatment for a psychological disorder were better predictors of post-traumatic morbidity than the degree of exposure to the disaster or the losses sustained. These results raise doubts about the postulated central aetiological role a traumatic event plays in the onset of morbidity.

Subdural Hematoma of the Brainstem in a Dog: Magnetic Resonance Findings and Treatment

2005 ◽  
Vol 41 (6) ◽  
pp. 400-405 ◽  
Author(s):  
P. Filippo Adamo ◽  
Jason T. Crawford ◽  
Rebecca L. Stepien
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Subdural Hematoma ◽  
Traumatic Event ◽  
Cervical Pain ◽  
Resonance Imaging ◽  
Neurological Signs ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

An 8-year-old, spayed female Dalmatian with a history of seizures was evaluated for cervical pain and bilateral scleral hemorrhages. Diagnostic evaluations revealed a mass displacing the ventral brainstem on magnetic resonance imaging (MRI). The mass was surgically removed and histologically confirmed to be a hematoma. The dog’s neurological signs resolved completely after surgery. Although extradural, subdural, subarachnoid, and intraparenchymal hemorrhages have been reported in dogs and cats, this is the first known report of a subdural hematoma of the ventral brainstem in a dog. On the basis of the history and the appearance of the subdural hematoma on MRI, a traumatic event during the seizure episodes was considered the most likely cause of the subdural hematoma in this case.

Help-seeking for Alcohol Dependency by Women With Post-Traumatic Stress Disorder and a History of Intimate Partner Violence

2010 ◽  
Author(s):  
Deanna L. Mulvihill ◽  
Marilyn Ford-Gilboe ◽  
Helene Berman ◽  
Cheryl Forchuk ◽  
Rick Csiernik
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Partner Violence ◽  
Help Seeking ◽  
Stress Disorder ◽  
Intimate Partner ◽  
Alcohol Dependency ◽  
Post Traumatic Stress ◽  
History Of ◽  
Post Traumatic

Magnetic Resonance Imaging of Pseudo-impingement of Rotator Cuff with Strength Training

2019 ◽  
Vol 1 ◽  
pp. 2-6
Author(s):  
Asad Naqvi ◽  
Timothy Ariyanayagam ◽  
Mir Akber Ali ◽  
Akhila Rachakonda ◽  
Hema N. Choudur
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Rotator Cuff ◽  
Strength Training ◽  
Radiology Department ◽  
Resonance Imaging ◽  
Subacromial Space ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Training Exercises

Objective: The objective of this study was to outline a novel unique concept of secondary impingement of the muscles, myotendons, and tendons of the rotator cuff from hypertrophy as a result of strength training exercises. Methods: In this retrospective observational study, 58 patients were referred for an magnetic resonance imaging (MRI) by the orthopedic surgeon to the radiology department over a period of 1½ years. All patients gave a history of strength training exercises and presented with clinical features of rotator cuff impingement. Results: We identified features of hypertrophy of rotator cuff muscles, myotendons, and tendons in 12 of these 58 patients. This was the only abnormality on MRI. The hypertrophy of rotator cuff muscles and tendon bulk completely filling the subacromial space to the point of overfilling and resulting in secondary compressive features. Conclusion: Rotator cuff impingement is a common phenomenon that can occur with various inlet and outlet pathological conditions. However, rotator cuff impingement may also result from muscle and tendon hypertrophy from strength training regimens. Hypertrophy of the rotator cuff can result in overfilling of the subacromial space, leading to secondary impingement, which we have termed as “pseudo-impingement.”

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