RESUMO
Atlantoaxial fixation is a relatively rare cause of torticollis which may be easily missed in practice. Early diagnosis is important as this indicates a compromised atlantoaxial complex with the potential to cause neural damage or even death. Here, we report a case of atlantoaxial rotatory fixation in a 13 yr old male with torticollis for two years and history of defaulting treatment for tubercular lymphadenitis. In this case, the odontoid peg view revealed asymmetric distance between the odontoid and lateral mass of atlas which was confirmed with Fluoroscopy and Computed Tomography (CT) scan. Magnetic Resonance Imaging (MRI) was also done which showed hyperintensity in alar ligaments with posterior inclination of the odontoid peg along with cervical lymphadenopathy.
Assuntos
Articulação Atlantoaxial/microbiologia , Torcicolo/microbiologia , Torcicolo/terapia , Tuberculose dos Linfonodos/complicações , Tuberculose dos Linfonodos/tratamento farmacológico , Adolescente , Diagnóstico por Imagem , Humanos , Imobilização , Masculino , Torcicolo/diagnóstico , Tuberculose dos Linfonodos/diagnósticoRESUMO
Hypertriglyceridemia is the condition in which the triglyceride level in the blood is elevated. Triglycerides (TGs) are the major source of energy stored in the body. In this case a 66 years old gentleman has consumed pork with alcohol. A milky white serum was observed due to high triglyceride level. However, he had no other lipid disorders. The increased triglyceride level was purely of dietary origin last night. The subject was perfectly fine with lipid profile and other biochemical investigations performed one week later.
