scholarly journals Conservative Management of Cervical Rib- A Case Report

2021 ◽  
pp. 218-222
Author(s):  
Ayush Agrawal ◽  
Shivani Uttamchandani ◽  
Mitushi Deshmukh ◽  
Madhu Lakhwani ◽  
Om C. Wadhokar
Keyword(s):  
Case Report ◽  
Total Population ◽  
Cervical Vertebra ◽  
X Ray ◽  
Functional Activities ◽  
Cervical Rib ◽  
Successful Recovery ◽  
Seventh Cervical Vertebra ◽  
The Right ◽  
Reduced Mobility

Background: An additional rib that develops from the seventh cervical vertebra is known as a cervical rib, a congenital anomaly placed above the typical first rib, affecting 0.2- 0.5 percent of the total population. It may be seen on either the left or right sides. The majority of patients have little or no complaints and are identified by chance during an X-ray or CT scan. Due to the extreme compression on the arteries, veins and nerves caused by the position of the rib, which varies in shape and size, they might develop thoracic outlet syndrome. A cervical rib is a prolonged ossification of the lateral costal segment of the Cervical 7th vertebra. Clinical Presentation: A 18 years old female patient was diagnosed with cervical rib on X-ray due to persistent pain at right hand. Patient concern with reduced mobility of the right upper limb and unable to lift the hand. The patient went physiotherapy treatment which comprise of exercise and electro therapy for 10 weeks which resulted in improvements in pain and range of motion and functional activities Conclusion: The case report suggest that a prompt structured physical rehab let to improving the functional goals progressively and significantly which is a measured aspect leading to a successful recovery.

scholarly journals Cervical rib - a clinical case report

2014 ◽  
Vol 03 (04) ◽  
pp. 240-243
Author(s):  
V Lokanayaki
Keyword(s):  
Case Report ◽  
Upper Limb ◽  
Thoracic Outlet Syndrome ◽  
Clinical Case ◽  
Arterial Occlusion ◽  
Cervical Vertebra ◽  
Imaging Procedures ◽  
Surgical Department ◽  
Cervical Rib ◽  
Seventh Cervical Vertebra

AbstractThe cervical rib is surgically important than being just anatomical curiosity alone. The distal parts of costal processes in seventh cervical vertebra occasionally develop as cervical rib. A 32 years old female patient who attended the vascular surgical department presented with features of cervical rib on the left side. Imaging procedures confirmed bilateral cervical rib for which the patient underwent surgery. The cervical rib can cause thoracic outlet syndrome with features of acute arterial occlusion in upper limb. This case is reported to stress the important complications due to the cervical rib.

scholarly journals Osseous hemangioma of the seventh cervical vertebra with osteoid formation mimicking metastasis: a case report

2009 ◽  
Vol 3 (1) ◽  
Author(s):  
Stefan Lakemeier ◽  
Christina Carolin Westhoff ◽  
Susanne Fuchs-Winkelmann ◽  
Markus Dietmar Schofer
Keyword(s):  
Case Report ◽  
Cervical Vertebra ◽  
Seventh Cervical Vertebra ◽  
Osteoid Formation

scholarly journals Aplasia of the superior vena cava and persistent superior left vena cava in a 3-year-old child: Case report

2021 ◽  
Vol 11 (1) ◽  
pp. 85-90
Author(s):  
Vladimir V. Lazarev ◽  
Tatiana V. Linkova ◽  
Pavel M. Negoda ◽  
Anastasiya Yu. Shutkova ◽  
Sergey V. Gorelikov ◽  
...  
Keyword(s):  
Case Report ◽  
Internal Jugular Vein ◽  
Superior Vena Cava ◽  
Vascular Access ◽  
Vascular System ◽  
Jugular Vein ◽  
Superior Vena ◽  
Vena Cava ◽  
X Ray ◽  
The Right

BACKGROUND: Structural features of the patients vascular system can cause unintended complications when providing vascular access and can disorient the specialist in assessing the location of the installed catheter. This study aimed to demonstrate anatomical features of the vascular system of the superior vena cava and diagnostic steps when providing vascular access in a child. CASE REPORT: Patient K (3 years old) was on planned maintenance of long-term venous access. Preliminary ultrasound examination of the superior vena cava did not reveal any abnormalities. Function of the right internal jugular vein under ultrasound control was performed without technical difficulties; a J-formed guidewire was inserted into the vessel lumen. X-ray control revealed its projection in the left heart, which was regarded as a technical complication, so the conductor was removed. A further attempt to insert a catheter through the right subclavian vein led to the same result. For a more accurate diagnosis, the child underwent computed angiography of the superior vena cava system. Congenital anomalies of the vascular system included aplasia of the superior vena cava and persistent left superior vena cava. Considering the information obtained, the Broviac catheter was implanted under ultrasound control through the left internal jugular vein without technical difficulties with the installation of the distal end of the catheter into the left brachiocephalic vein under X-ray control. CONCLUSION: A thorough multifaceted study of the vascular anatomy helps solve the anatomical issues by ensuring vascular access and preventing the risks of complications.

scholarly journals Determination of the Cervical Vertebra Maturation Degree from Lateral Radiography

Proceedings ◽  
2020 ◽  
Vol 33 (1) ◽  
pp. 30
Author(s):  
Masrour Makaremi ◽  
Camille Lacaule ◽  
Ali Mohammad-Djafari
Keyword(s):  
Cross Validation ◽  
Cervical Vertebra ◽  
Artificial Intelligent ◽  
X Ray ◽  
Treatment Timing ◽  
Proposed Model ◽  
Clustering And Classification ◽  
The Right ◽  
Biological Image

Many environmental and genetic conditions may modify jaws growth. In orthodontics, the right treatment timing is crucial. This timing is a function of the Cervical Vertebra Maturation (CVM) degree. Thus, determining the CVM is important. In orthodontics, the lateral X-ray radiography is used to determine it. Many classical methods need knowledge and time to look and identify some features to do it. Nowadays, Machine Learning (ML) and Artificial Intelligent (AI) tools are used for many medical and biological image processing, clustering and classification. This paper reports on the development of a Deep Learning (DL) method to determine directly from the images the degree of maturation of CVM classified in six degrees. Using 300 such images for training and 200 for evaluating and 100 for testing, we could obtain a 90% accuracy. The proposed model and method are validated by cross validation. The implemented software is ready for use by orthodontists.

scholarly journals Pneumomediastinum and pneumopericardium in an adolescent with asthma attacks. Case report

Case reports ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 63-69
Author(s):  
María Fernanda Ochoa-Ariza ◽  
Jorge Luis Trejos-Caballero ◽  
Cristian Mauricio Parra-Gelves ◽  
Marly Esperanza Camargo-Lozada ◽  
Marlon Adrián Laguado-Nieto
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Subcutaneous Emphysema ◽  
Respiratory Symptoms ◽  
Laboratory Tests ◽  
Young Patients ◽  
Clinical Suspicion ◽  
X Ray ◽  
Chest X Ray ◽  
The Right

Introduction: Pneumomediastinum is defined as the presence of air in the mediastinal cavity. This is a rare disease caused by surgical procedures, trauma or spontaneous scape of air from the lungs; asthma is a frequently associated factor. It has extensive differential diagnoses due to its symptoms and clinical signs.Case presentation: A 17-year-old female patient presented with respiratory symptoms for 2 days, dyspnea, chest pain radiated to the neck and shoulders, right supraclavicular subcutaneous emphysema, wheezing in both lung fields, tachycardia and tachypnea. On admission, laboratory tests revealed leukocytosis and neutrophilia, and chest X-ray showed subcutaneous emphysema in the right supraclavicular region. Diagnosis of pneumomediastinum was confirmed through a CT scan of the chest. The patient was admitted for treatment with satisfactory evolution.Discussion: Pneumomediastinum occurs mainly in young patients with asthma, and is associated with its exacerbation. This condition can cause other complications such as pneumopericardium, as in this case. The course of the disease is usually benign and has a good prognosis.Conclusion: Because of its presentation, pneumomediastinum requires clinical suspicion to guide the diagnosis and treatment. In this context, imaging is fundamental.

scholarly journals Deep Learning and Artificial Intelligence for the Determination of the Cervical Vertebra Maturation Degree from Lateral Radiography

Entropy ◽  
2019 ◽  
Vol 21 (12) ◽  
pp. 1222 ◽  
Author(s):  
Masrour Makaremi ◽  
Camille Lacaule ◽  
Ali Mohammad-Djafari
Keyword(s):  
Artificial Intelligence ◽  
Deep Learning ◽  
Cervical Vertebra ◽  
Medical Diagnostics ◽  
Great Success ◽  
X Ray ◽  
Treatment Timing ◽  
Proposed Model ◽  
The Right

Deep Learning (DL) and Artificial Intelligence (AI) tools have shown great success in different areas of medical diagnostics. In this paper, we show another success in orthodontics. In orthodontics, the right treatment timing of many actions and operations is crucial because many environmental and genetic conditions may modify jaw growth. The stage of growth is related to the Cervical Vertebra Maturation (CVM) degree. Thus, determining the CVM to determine the suitable timing of the treatment is important. In orthodontics, lateral X-ray radiography is used to determine it. Many classical methods need knowledge and time to look and identify some features. Nowadays, ML and AI tools are used for many medical and biological diagnostic imaging. This paper reports on the development of a Deep Learning (DL) Convolutional Neural Network (CNN) method to determine (directly from images) the degree of maturation of CVM classified in six degrees. The results show the performances of the proposed method in different contexts with different number of images for training, evaluation and testing and different pre-processing of these images. The proposed model and method are validated by cross validation. The implemented software is almost ready for use by orthodontists.

scholarly journals Semi-automated approach in the evaluation of low bone mass using clavicle radiogrammetry technique

2018 ◽  
Vol 7 (2.8) ◽  
pp. 169
Author(s):  
U Snekhalatha ◽  
D Ashok Kumar ◽  
Padma Javasan
Keyword(s):  
Bone Mineral Density ◽  
Bone Mass ◽  
Bone Mineral ◽  
Cortical Thickness ◽  
Total Population ◽  
Low Bone Mass ◽  
Mineral Density ◽  
X Ray ◽  
Post Menopausal ◽  
The Right

Background: Low bone mineral density increasing with age is a universally observed phenomenon. This leads to osteoporosis, which is a regressive change that occurs in the bone and it is diagnosed before the occurrence of fractures. The dual energy x -ray absorptiometry (DXA) is considered to be the standard measurement for the detection of bone mineral density (BMD).Objectives: To measure the various bone mass indices in the clavicle bone by radiogrammetric method from a posterior-to-anterior (PA) view of chest digital X-ray using semi- automated method.Methods: Forty women whose mean age was found to be 46.05±15.53 years were included in this study. For the total population (n=40), the right femur BMD was acquired by DXA scanner. The digital chest radiographs were taken for all the subjects. In all cases, the geometrical variables such as periosteal width (CLR-D), endosteal width (CLR-d), cortical thickness (CLR-CT) and percentage cortical thickness %(CLR-CT) were measured in the right clavicle bone region by semi-automated method approach developed in MATLAB software.Results: The CLR-CT (r=0.77) as well as with % CLR-CT (r=0.72) has provided statistically significant correlation (p < 0.01) with the total hip BMD in the total population studied. The pre-menopausal and post-menopausal of the studied population demonstrated a high significance value of (p < 0.01).Conclusion: The semi-automated measurement of low bone mass indices in clavicle radiogrammetry will be useful in the evaluation of low bone mass in post-menopausal women and elderly aged population. This method can be used as a screening tool for mass population, especially in rural India.

scholarly journals Prevalence and pattern of cervical rib, transversomegaly and other vertebral anomalies in normal adult cervical spine in Kumaon region of Uttarakhand, India

2016 ◽  
Vol 2 (2) ◽  
pp. 48 ◽  
Author(s):  
Ganesh Singh Dharmshaktu ◽  
Shailendra Singh Bhandari
Keyword(s):  
Cervical Vertebra ◽  
Morphological Pattern ◽  
True Incidence ◽  
Cervical Rib ◽  
True Prevalence ◽  
Radiological Data ◽  
Seventh Cervical Vertebra ◽  
Vertebral Anomalies ◽  
Geographic Regions ◽  
Almost All

<p class="abstract"><strong>Background:</strong> A supernumary rib from seventh cervical vertebra is called cervical rib and is a common anomaly. Its true prevalence is not validated as most of these are asymptomatic thus do not get diagnosed. Its incidence has been reported in several geographic regions and ethnic clusters. Most of the studies rely on radiological data collected from evaluation of chest or neck radiographs of defined numbers.</p><p class="abstract"><strong>Methods:</strong> A similar study to ascertain its presence and incidence, apart from sexual and morphological pattern is required for Kumaon region of Uttarakhand, India. The present study reports data extracted from study of 1500 radiographs and evaluating them for presence of cervical rib and other abnormalities. Demographic and other relevant details were noted.<strong></strong></p><p class="abstract"><strong>Results:</strong> Most of the cases were female and almost all cases of cervical rib or transversomegaly were bilateral. 0.8% and 1.4% cases were noted for cervical rib and transversomegaly respectively. Apart from it, 4 cases of vertebrae fusion and one case of hemi-vertebra leading to cervical scoliosis was also noted.</p><strong>Conclusions:</strong> The prevalence of cervical rib was comparable to other studies considering the sample size. The calculation of true incidence however will require multi-discipline collaboration and robust data. This study, however, is important for further work in this regard and adds value to existing literature.

scholarly journals Asymmetric pulmonary edema after scorpion sting: a case report

2008 ◽  
Vol 50 (6) ◽  
pp. 347-350 ◽  
Author(s):  
Ebrahim Razi ◽  
Elaheh Malekanrad
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Pulmonary Edema ◽  
Good Condition ◽  
Clinical Manifestations ◽  
Scorpion Sting ◽  
Scorpion Envenomation ◽  
X Ray ◽  
Chest X Ray ◽  
The Right

A 12-year-old boy was referred with acute asymmetric pulmonary edema (APE) four-hour after scorpion sting to Emergency department. On admission, the main clinical manifestations were: dyspnea, tachypnea, and tachycardia. Chest x-ray revealed APE predominantly on the right hemithorax. The patient was treated with oxygen, intravenous frusemide and digoxin and discharged on the sixth hospital day in a good condition. This case report emphasizes the occurrence of asymmetric pulmonary edema after severe scorpion envenomation within few hours immediately after the sting.

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