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AIM: To report on the value of imaging in the diagnosis and assessment of aneurysmal cyst of the ethmoid bone. CASE: A 12-year-old girl with a stuffy nose, revealing an aneurysmal bone cyst of the ethmoid, explored by CT, MRI, who had a preoperative arteriography with embolization. CONCLUSION: Aneurysmal bone cyst is a benign bone lesion which rarely involves the facial bones. Imaging plays an important role in the diagnostic approach, the assessment of the lesions, and the treatment using the techniques of interventional radiology.
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Cistos Ósseos Aneurismáticos , Osso Etmoide , Cistos Ósseos Aneurismáticos/diagnóstico por imagem , Criança , Feminino , Humanos , Tomografia Computadorizada por Raios XRESUMO
Laryngeal tuberculosis is a rare disease. It is almost always associated with pulmonary tuberculosis. It occurs generally in adults without BCG vaccination or in cases of the acquired immune deficiency syndrome. On laryngoscopy and imaging, it often simulates laryngeal carcinoma, and confirmation is always histological. We report the case of a 36-year-old man who presented to our hospital with dysphonia and dysphagia. Laryngoscopy revealed a lesion of the left vocal cord and the ventricular strip. CT scan found focal, regular thickening of the left vocal cord, associated with irregular thickening of the posterior laryngeal wall. A biopsy confirmed the diagnosis of tuberculosis.
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This paper discusses spinal cord tumors including imaging characteristics with emphasis on magnetic resonance imaging and advances in treatment. This is a retrospective study of 20 cases patients with neoplasms arising from the spinal cord. All of our cases were explored by magnetic resonance imaging (1.5T) using T1-weighted imaging (Spin Echo), T2-weighted imaging (Spin Echo) and T1-weighted imaging with Gadolinium administration. Pain is the earliest symptom, characteristically occurring at night when the patient is supine. Ependymoma were observed in 11 cases. Astrocytoma was noted in five cases. Other uncommon tumors were identified in four cases: oligodendroglioma (n=1), epidermoid cyst (n=1), hemangioblastoma and metastasis (n=1). In MRI most tumors are isointense or slightly hypointense compared to the normal cord signal with homogenous or irregular enhancement. We describe the characteristic magnetic resonance findings and differential diagnosis of spinal cord tumors. Spinal cord lesions comprise approximately 2-4% of all central nervous system neoplasms. Magnetic resonance imaging plays a central role in the imaging of spinal cord neoplasms.
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We report a case of Maffucci syndrome in a 24-year-old patient, diagnosed thanks to the data of the clinical examination, the imagery and the histology. The clinical, radiological and evolutionary aspects are discussed, as well as the various therapeutic means.
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Encondromatose/diagnóstico , Adulto , Feminino , HumanosRESUMO
Infectious arthritis of the temporomandibular joint is very uncommon, and arthritis of the TM joint as a result of candida albicans infection has not previously been reported. The authors describe a patient treated for chronic otitis media complicated by arthritis of the temporomandibular joint. The diagnosis was made using CT scan and bacteriologic sampling.
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Artrite Infecciosa/microbiologia , Candidíase/complicações , Otite Média/complicações , Transtornos da Articulação Temporomandibular/microbiologia , Artrite Infecciosa/diagnóstico por imagem , Candidíase/diagnóstico por imagem , Doença Crônica , Feminino , Humanos , Pessoa de Meia-Idade , Radiografia , Transtornos da Articulação Temporomandibular/diagnóstico por imagemRESUMO
The Authors report the US, CT and MR features of sclerochoroidal tuberculosis simulating a choroidal tumor in a 16 Year old female presenting with acute unilateral visual loss. Fundoscopic examination and fluorescein angiography showed a tumor at the posterior pole of the globe. CT and MRI showed the choroidal process and cerebral lesions suggestive of tuberculomas. The evolution was favorable with antituberculous treatment. Ocular tuberculosis is rare, especially the pseudotumoral form. It can simulate a choroidal tumor. Radiologists should be familiar with this appearance because the lesion is reversible with antituberculous treatment.
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Doenças da Coroide/diagnóstico , Neoplasias da Coroide/diagnóstico , Diagnóstico por Imagem , Melanoma/diagnóstico , Doenças da Esclera/diagnóstico , Tuberculose Miliar/diagnóstico , Tuberculose Ocular/diagnóstico , Adolescente , Diagnóstico Diferencial , Feminino , Angiofluoresceinografia , Humanos , Aumento da Imagem , Imageamento por Ressonância Magnética , Tomografia Computadorizada por Raios X , Tuberculoma Intracraniano/diagnóstico , Tuberculose Pulmonar/diagnóstico , UltrassonografiaRESUMO
The authors report three cases of non-tuberculous epidural abscess. Presenting symptoms included lumbar back pain, muscle spasms, soft tIssue swelling, and neurological deficits in all three cases. MR imaging was helpful for diagnosis and showed involvement of perivertebral soft tissues and an epidural abscess of variable size. There was no significant involvement of intervertebral disks or vertebrae. Diagnosis was confirmed by bacteriologic exam. Clinical outcome was favourable with antibiotic treatment.