31 research outputs found
Computed tomography and magnetic resonance imaging of desmoplastic fibroma with simultaneous manifestation in two unusual locations: a case report
<p>Abstract</p> <p>Introduction</p> <p>Desmoplastic fibroma is an extremely rare primary benign bone tumor. It occurs most often in the mandible, followed by the femur and pelvis. To the best of our knowledge, fewer than 200 cases have been described in the published literature. Furthermore, this case is the first report of desmoplastic fibroma with simultaneous presentation in two different locations.</p> <p>Case presentation</p> <p>We present an unusual case of desmoplastic fibroma in a 56-year-old Caucasian man, who presented to our hospital with lumbar pain. Computed tomography and magnetic resonance imaging were performed, demonstrating two lytic expansile lesions affecting both his left iliac bone and his left sacral wing. Curettage and cortical-cancellous grafting was performed, followed by postoperative computed tomography and magnetic resonance imaging.</p> <p>Conclusion</p> <p>Desmoplastic fibroma with unusual and simultaneous manifestations in two different locations has never been reported previously to the best of our knowledge. The purpose of this case report is to present the computed tomography and magnetic resonance imaging features of this rare tumor before and after the surgical treatment. Furthermore, the radiological findings with the description of the characteristics and the clinical presentation of this rare tumor, contribute to the wide spectrum of manifestations of this tumor, in order to recognize it and to have the appropriate management.</p
Symptomatic intracranial abscess after treating lower cervical spine fracture with halo vest: a case report and review of literature
We present the case of a nineteen year old male, who sustained a fracture of anterior-superior surface of C7, combined with anterior subluxation at the level of C6–C7 vertebrae. After x-ray and CT examination, he was treated conservatively by a Halo-vest. After mobilization, the patient was discharged from the hospital with instructions to visit the outpatient's clinic at regular bases
Comparison of clinical outcomes between anteroposterior and lateral penetrating craniocerebral gunshot wounds
Objective: To investigate and compare, using a retrospective clinical study, the clinical outcomes of penetrating craniocerebral gunshot wounds (PCGW) with respect to the trajectory of penetration in the axial plane. Methods: In total, 22 patients with PCGW caused by conflict, suicide attempt, or accidental firing were included in this study. They were divided into two groups: anteroposterior and lateral. All patients underwent surgical treatment following emergency intervention. Results: Of the 22 patients, 16 had anteroposterior and 6 had lateral penetrating injury. Four patients with anteroposterior and five patients with lateral injury died despite surgical treatment. Mortality rate was 25% in the anteroposterior and 83% in the lateral injury group. Conclusion: We found that lateral PCGW is the most devastating type of missile injury to the head
Hemorrhagic infarction following open fenestration of a large intracranial arachnoid cyst in a pediatric patient
Analysis of proximal radial nerve injury in the arm
Background: Radial nerve is the most frequently injured major nerve in
the upper extremity. Proximal part of the radial nerve involvement can
result from a humerus fracture, direct nerve trauma, compression and
rarely from tumors. Objectives: The aim of the study is to determine
the clinical characteristics and electrodiagnostic findings in patients
with proximal radial nerve injuries, and also the outcome of surgical
treatment. Materials and Methods: The study subjects included 46
patients with radial nerve injuries seen between June 2000 and June
2008 at our hospital. The analysis included demographics, clinical
features, etiology, pre-and postoperative EMNG (Electromyoneurography)
findings. Results: Surgical decompression resulted in neurological
improvement in patients with radial entrapment neuropathies. Good
neurological recovery was observed from decompression of callus of old
humeral fracture. The worst results were observed in the direct missile
injuries of the radial nerve. Conclusions: A detailed clinical and
electrodiagnostic evaluation is of importance in patients with radial
nerve injury to ensure an appropriate treatment. The choice of
treatment, conservative or surgical, depends on the clinical
presentation and the type of injury