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1.
Tunis Med ; 95(5): 381-384, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-29509223

RESUMO

The neuropathic osteoarthropathy are ectopic ossifications, developed near the joints, secondary to a process of neo-osteogenesis in the case of central neurological lesions and rarely peripheral lesions. We report the case of two patients aged of 7 years and 35 years, for whom the CT scan allowed us to make the positive diagnosis, and an accurate preoperative assessment, by studying the seat, the vessels and nerves, allowing an adapted and precocious management. We propose an update of neuropathic osteoarthropathy based on data from the literature.


Assuntos
Neuralgia/diagnóstico , Osteoartrite do Quadril/diagnóstico , Doenças do Sistema Nervoso Periférico/diagnóstico , Adulto , Criança , Humanos , Masculino , Neuralgia/etiologia , Osteoartrite do Quadril/complicações , Doenças do Sistema Nervoso Periférico/complicações
2.
Radiol Case Rep ; 19(10): 4569-4571, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39220794

RESUMO

Complete cerebellar agenesis is an extremely rare condition characterized by the complete absence of cerebellar tissue. Only a small number of cases have been reported, with varying motor and cognitive deficits. We describe a case of an 11-month-old baby with developmental delay, whose CT scan evaluation showed the complete absence of the cerebellum with no other associated cerebral malformation.

4.
Radiol Case Rep ; 17(3): 794-797, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35024078

RESUMO

Thymoma is a rare tumor arising from the epithelium of the thymus gland and is usually located in the anterior mediastinum. Ectopic thymoma is very rare and can be located in the neck, trachea, lung, and pleura. Through this manuscript, we report a rare case of a 50-year-old woman presenting with dyspnea and recurrent pleural effusion. Her computed tomography of the thorax showed a unilateral left pleural mass. Biopsy of the pleural mass confirmed the diagnosis of pleural thymoma and she was started on chemotherapy. To our knowledge, this is the first reported pleural thymoma in our region.

5.
Radiol Case Rep ; 17(8): 2607-2611, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35663811

RESUMO

Hemangioma of the facial sinuses is a rare pathology, and given the lack of clinical specificity, the differential diagnosis with a malignant lesion often arises. We report the case of a 32-year-old patient who consulted for recurrent epistaxis of moderate severity. The preoperative diagnosis of a hemangioma of the left maxillary sinus was based on computed tomography and magnetic resonance imaging data, confirmed by the anatomopathological study of the surgical specimen, preceded by an embolization that facilitated the endoscopic surgical excision.

6.
Radiol Case Rep ; 17(6): 2283-2286, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35574569

RESUMO

A brown tumor is a non-neoplastic lesion resulting from an abnormality of bone metabolism in the context of hyperparathyroidism. We report the case of a 51-year-old woman who initially consulted for edentulism and a growing mandibular mass. She benefited from a radiological and biological assessment which made the diagnosis of primary hyperparathyroidism combined with a parathyroid adenoma. We remind through this observation the difficulty to establish a correct diagnosis in patients with an osteolytic process of the maxilla and the necessity to look for hyperparathyroidism in front of a giant cell lesion given the insidious character of this endocrinopathy.

7.
Radiol Case Rep ; 17(9): 3015-3018, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35755113

RESUMO

Primary intracranial germ cell tumors are rare, often affecting children and young patients. Germinomas are the most common type of germ cell tumors. We present the case of a 10-year-old child, who was admitted with decreased visual acuity, asthenia, polyuro-polydipsic syndrome, and gait disorder. His biological assessment showed an hypocortisolemia and diabetes insipidus. Imaging found a bifocal process in the suprasellar and pineal region, suggestive of a bifocal germinoma. Imaging data and the positivity of human chorionic gonadotrophin in the cerebrospinal fluid were in favor of the diagnosis of bifocal germinal tumor confirmed by biopsy. Currently the patient is hospitalized in pediatric oncology department. The diagnosis of germ cell tumors is based on imaging, tumor marker assays, and biopsy. They are treated by radiation therapy alone or in combination with reduction chemotherapy, and surgery for tumor residues. The location of the tumor usually makes surgery difficult.

8.
Radiol Case Rep ; 17(9): 3188-3190, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35795325

RESUMO

The hydatid disease is an anthropozoonose caused in humans by a larval form of Echinococcus granulosus. Adrenal gland is a rare and unsymptomatic site. We illustrate the case of a 46-year-old patient, admitted for left hypochondrial pain with back radiation. The CT reveals a multiloculated, cystic mass on the left adrenal gland, which contains septae and a calcified wall.

9.
Radiol Case Rep ; 17(11): 4449-4452, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36188077

RESUMO

Our purpose is to illustrate the radiological aspects of the annular pancreas as an etiology of duodenal obstruction in infants. We report the case of a 4-month-old girl, who was admitted to our department with postprandial vomiting evolving since birth. The initial examination found a severely dehydrated patient. Abdominal ultrasound showed gross dilatation of the stomach and duodenum, it also showed pancreatic tissue surrounding the duodenum, suggesting a diagnosis of annular pancreas as the cause of the duodenal obstruction. Post-contrast abdominal CT showed the gastric and duodenal dilatation, and a ring of pancreatic tissue surrounding uncompletly the second portion of the duodenum. The patient underwent a bypass surgery which consisted in a duodeno-duodenostomy with simple post-operative follow-up and no recurrence of digestive symptoms. Annular pancreas is a rare pathology to be sought in neonatal obstruction. A good knowledge of radiological semiology is essential for a good diagnostic approach. However, surgery is the only effective way to diagnose and treat this pathology.

10.
Radiol Case Rep ; 17(10): 3825-3829, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35965932

RESUMO

We report the case of a 2.5-year-old child admitted for abdominal distension, whose imaging revealed a large posterior mediastinal cystic mass, with a tissue component, a calcification, and a minimal fat component. The ultrasound- guided biopsy led to the diagnosis of a benign extragonadal germ cell tumor, also called mature teratoma or dermoid cyst, whose mediastinal localization is rare, often localized in the anterior mediastinum, and rarely in the posterior mediastinum. The mainstay of treatment is complete surgical excision.

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