Assuntos
Catastrofização/terapia , Enxaqueca sem Aura/terapia , Terapia de Aceitação e Compromisso , Adolescente , Adulto , Idoso , Ansiedade/psicologia , Ansiedade/terapia , Catastrofização/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enxaqueca sem Aura/psicologia , Dados Preliminares , Resultado do Tratamento , Adulto JovemRESUMO
The glaciers flowing into the Amundsen Sea Embayment, West Antarctica, have undergone acceleration and grounding line retreat over the past few decades that may yield an irreversible mass loss. Using a constellation of satellites, we detect the evolution of ice velocity, ice thinning, and grounding line retreat of Thwaites Glacier from 1992 to 2017. The results reveal a complex pattern of retreat and ice melt, with sectors retreating at 0.8 km/year and floating ice melting at 200 m/year, while others retreat at 0.3 km/year with ice melting 10 times slower. We interpret the results in terms of buoyancy/slope-driven seawater intrusion along preferential channels at tidal frequencies leading to more efficient melt in newly formed cavities. Such complexities in ice-ocean interaction are not currently represented in coupled ice sheet/ocean models.
RESUMO
Tuberculous mediastinal lymphadenitis is an unusual presentation of primary tuberculosis in adults. In the case reported here, the mediastinal focus was initially obscured by a large chest wall mass that communicated with it. This combination of findings, which we believe to be reported first here, underscores the need to consider tuberculosis in differential diagnosis of mediastinal and chest wall masses.
Assuntos
Neoplasias do Mediastino/diagnóstico , Tuberculose dos Linfonodos/diagnóstico , Idoso , Antituberculosos/uso terapêutico , Diagnóstico Diferencial , Drenagem , Feminino , Humanos , Tuberculose dos Linfonodos/terapiaRESUMO
The authors report about a rare site of craniopharyngioma, purely extracerebral and located in the sphenoid sinus and the rhinopharynx. No CT or MRI sign is pathognomonic for the lesion, but the presence of a fleshy process containing calcifications and cystic formations must lead to evoking this diagnosis. MRI assesses the extent of the lesions perfectly, but fails to detect small calcifications or ossifications accurately.
Assuntos
Craniofaringioma/diagnóstico , Neoplasias Nasofaríngeas/diagnóstico , Adulto , Calcinose/etiologia , Craniofaringioma/diagnóstico por imagem , Cistos/etiologia , Feminino , Humanos , Imageamento por Ressonância Magnética , Neoplasias Nasofaríngeas/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
On observation of a case of infectious osteoarthritis which was remarkable both because of its site, the sternoclavicular joint, and of the germ involved, which was Salmonella paratyphi A is reported.
Assuntos
Osteoartrite/diagnóstico por imagem , Febre Paratifoide/complicações , Articulação Esternoclavicular/diagnóstico por imagem , Articulações Esternocostais/diagnóstico por imagem , Adulto , Humanos , Articulações , Masculino , Osteoartrite/etiologia , Salmonella paratyphi A , Tomografia Computadorizada por Raios XRESUMO
A method is described for control of a bicipital groove projection using a tele-controlled table with centering guided by direct screen imaging: the patient is placed in contralateral anterior oblique position with the arm in antepulsion to project the groove into the supraspinal fossa on a lateral scapular image.
Assuntos
Ombro/diagnóstico por imagem , Televisão , Humanos , RadiografiaRESUMO
The authors report three cases of radicular cyst developing into the maxillary sinus which was partially or completely obscured. Looking for a thin rim of cortical bone should be undertaken in case of opacity of maxillary sinus. This rim correspond to the floor of the sinus, which is lifted up by the cyst. If the attenuation value of the intrasinusal process is near of that of water, the diagnosis of radicular cyst invading the maxillary sinus is very likely and may indicate intraoral surgical approach.
Assuntos
Seio Maxilar , Cisto Radicular/diagnóstico por imagem , Adulto , Feminino , Humanos , Masculino , Sinusite Maxilar/etiologia , Cisto Radicular/complicações , Tomografia Computadorizada por Raios XRESUMO
The authors report a new case of a bilateral localisation of a mammary plasmacytoma, as an extension of the multiple myeloma, in a 41-year-old woman. There are 19 cases known. In 2/3 of the cases, the breast localisation was an extension of the multiple myeloma, as the new case reported; the others cases were considered as a solitary plasmacytoma. The authors describe its diagnostic imaging appearance.
Assuntos
Neoplasias da Mama/diagnóstico , Mieloma Múltiplo/diagnóstico , Adulto , Neoplasias da Mama/diagnóstico por imagem , Feminino , Humanos , Mieloma Múltiplo/diagnóstico por imagem , Plasmocitoma/diagnóstico , Radiografia , UltrassonografiaRESUMO
Data on 614 epileptic patients whose first seizure occurred between the ages of 19 and 29 were reviewed and some clinical and electroencephalographical features compared, in order to clear up the semiology and etiology of this type of late-onset epilepsy. Partial epilepsies were more numerous than generalized epilepsies and post-traumatic epilepsies the more frequent. We could only study the evolution of 305 patients for 5 years or more: 60% were not stabilized but, probably, those who were free of seizures no longer consulted the physician. It seems difficult to compare our findings with other studies, the age periods in the latter being too broad (childhood epilepsy, late or very late onset epilepsy).