RESUMO
Intraosseous mandibular artero-venous malformations (AVMs) are rare (5% of all vascular malformations) but of great clinical importance. They can lead to dental emergencies and may cause disfigurement, morbidity, and even death. We describe the radiological appearance and the endovascular treatment of a rare high-flow vascular malformation of the mandibular body resembling a dental cyst, embolized by Guglielmi's detachable coils (GDC).
Assuntos
Malformações Arteriovenosas/terapia , Doenças Mandibulares/terapia , Adulto , Angiografia , Malformações Arteriovenosas/diagnóstico por imagem , Embolização Terapêutica , Humanos , Masculino , Doenças Mandibulares/diagnóstico por imagem , Radiografia Panorâmica , Tomografia Computadorizada por Raios XRESUMO
We evaluated, by means of a non-invasive procedure based on MRI, the masticatory muscular microstructure in a 55-year-old-female patient affected by bruxism. The patient underwent MR examination before and after 1 month of splint therapy, when she mentioned the complete disappearance of all symptoms. By means of diffusion tensor imaging we observed changes at microstructural level of masticatory muscular complex. We conclude that diffusion tensor imaging may be a useful instrument both to perform panoramic reconstruction of the masticatory muscle complex and to investigate microstructural modifications related to the pain relief in bruxism.
Assuntos
Bruxismo/diagnóstico por imagem , Bruxismo/terapia , Imagem de Tensor de Difusão , Músculos da Mastigação/diagnóstico por imagem , Feminino , Humanos , Pessoa de Meia-Idade , Placas Oclusais , Medição da DorRESUMO
Craniofacial duplication is a very rare malformation. The phenotype comprises a wide spectrum, ranging from partial duplication of few facial structures to complete dicephalus. We report the case of a newborn with an accessory oral cavity associated to duplication of the tongue and the mandible diagnosed by multi-row detector Computed Tomography, few days after her birth. Our case of partial craniofacial duplication can be considered as Type II of Gorlin classification or as an intermediate form between Type I and Type II of Sun classification. Our experience demonstrates that CT scan, using appropriate reconstruction algorithms, permits a detailed evaluation of the different structures in an anatomical region. Multi-row CT scan is also the more accurate diagnostic procedure for the pre-surgical evaluation of craniofacial malformations.