RESUMO
CT studies of the lumbar spine were performed in 19 patients with glycogen storage disease. Nine of 10 patients with McArdle's disease and seven of nine patients with acid maltase deficiency demonstrated posterior paraspinal muscle atrophy out of proportion to their ages. In addition, the psoas muscles were spared in all 10 patients with McArdle's disease and were involved with atrophy in seven of the nine patients with acid maltase deficiency. We conclude that when patients with low back pain-or asymptomatic patients-demonstrate otherwise unexplained atrophy of the paraspinal muscles the diagnosis of glycogen storage disease should be considered. Furthermore, when the psoas muscles are spared, the specific diagnosis of McArdle's disease is suggested.
Assuntos
Doença de Depósito de Glicogênio/diagnóstico por imagem , Atrofia Muscular Espinal/diagnóstico por imagem , Coluna Vertebral/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Tecido Adiposo/diagnóstico por imagem , Adulto , Idoso , Atrofia , Dor nas Costas/diagnóstico por imagem , Feminino , Glucana 1,4-alfa-Glucosidase/deficiência , Doença de Depósito de Glicogênio/complicações , Humanos , Região Lombossacral , Masculino , Pessoa de Meia-Idade , Atrofia Muscular Espinal/complicaçõesRESUMO
A case of parenchymal and intraventricular hemorrhage in a full-term neonate is reported. The underlying cause in our patient is thought to be related to cerebral sinovenous occlusive disease secondary to Protein C deficiency, a rare coagulopathy.
Assuntos
Hemorragia Cerebral/etiologia , Trombose dos Seios Intracranianos/complicações , Hemorragia Cerebral/diagnóstico , Ventrículos Cerebrais , Humanos , Recém-Nascido , Imageamento por Ressonância Magnética , Masculino , Deficiência de Proteína C , Trombose dos Seios Intracranianos/diagnóstico , Trombose dos Seios Intracranianos/etiologia , Tomografia Computadorizada por Raios XRESUMO
The CT demonstration of a case of congenital spondylolisthesis of the C6 vertebral body is reported. This entity includes bilateral bony defects in the pars interarticularis regions, deranged facet joints, as well as a midline bony cleft in the spinous process. This congenital deformity should be recognized and not mistaken for traumatic spondylolisthesis.