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Acute developing transient paraparesis after celiac plexus block: MRI findings 乳糜丛阻滞后急性发展中的一过性截瘫:MRI表现
European Journal of Radiology Extra Pub Date : 2011-04-01 Epub Date: 2011-02-16 DOI: 10.1016/j.ejrex.2010.12.018
Ahmet Mete , Lutfiye Pirbudak Cocelli , Ruveyda Olmez , Betul Kocamer
{"title":"Acute developing transient paraparesis after celiac plexus block: MRI findings","authors":"Ahmet Mete ,&nbsp;Lutfiye Pirbudak Cocelli ,&nbsp;Ruveyda Olmez ,&nbsp;Betul Kocamer","doi":"10.1016/j.ejrex.2010.12.018","DOIUrl":"10.1016/j.ejrex.2010.12.018","url":null,"abstract":"<div><h3>Purpose</h3><p><span>An endometrium cancer with liver metastasis<span>, developing continuous and severe abdominal pain with vomiting and constipation, following phenol celiac plexus </span></span>neurolysis, is described to find out if MRI can explain the reason of neurologic deficit.</p></div><div><h3>Materials and methods</h3><p><span>A 81-year-old woman with metastatic endometrium cancer underwent celiac plexus phenol neurolysis for management of severe pain at right hypochondriacal region. In spite of apparently adequate needle position, she developed transient paraplegia consistent with anterior spinal artery syndrome. At 48</span> <!-->h after celiac plexus block MRI was performed.</p></div><div><h3>Results</h3><p>In this patient, paraplegia suddenly ensued after instillation of the phenol solution, and postprocedure spinal MRI showed increased signal in the thoracic spinal cord consistent with edema. The patient was discharged 25 days after the block with clinically insignificant neurological deficit.</p></div><div><h3>Conclusion</h3><p>We present a case of a patient who had paraparesis<span><span> after the performance of celiac plexus block (CPB). We propose that the mechanism for this rare but devastating complication is the neurotoxicity of phenol on spinal cord which may result from spasmotic effect of phenol on spinal feeding arteries. In such cases MRI, especially the short tau inversion recovery (STIR) sequence should be performed to see the acute changes in spinal cord </span>in patients with acute developing neurologic deficit following CPB.</span></p></div>","PeriodicalId":100506,"journal":{"name":"European Journal of Radiology Extra","volume":"78 1","pages":"Pages e35-e37"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejrex.2010.12.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82949940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
PET/CT of hemangiopericytoma of the sacrum 骶骨血管外皮细胞瘤的PET/CT
European Journal of Radiology Extra Pub Date : 2011-04-01 Epub Date: 2011-03-05 DOI: 10.1016/j.ejrex.2010.12.012
Usha Nagaraj , Hans Iwenofu , Thomas Scharschmidt , Arpit Nagar
{"title":"PET/CT of hemangiopericytoma of the sacrum","authors":"Usha Nagaraj ,&nbsp;Hans Iwenofu ,&nbsp;Thomas Scharschmidt ,&nbsp;Arpit Nagar","doi":"10.1016/j.ejrex.2010.12.012","DOIUrl":"https://doi.org/10.1016/j.ejrex.2010.12.012","url":null,"abstract":"<div><p><span>Hemangiopericytoma<span> (HPC) is a tumor of the somatic soft tissues thought to be derived from pericytes. Hemagiopericytoma arising from bone is rare. We present a case of primary osseous HPC arising from the </span></span>sacrum<span> with characteristic imaging findings on CT and MR, as well as histopathologic findings. We also present findings on PET/CT imaging, which have not been previously published in the literature.</span></p></div>","PeriodicalId":100506,"journal":{"name":"European Journal of Radiology Extra","volume":"78 1","pages":"Pages e21-e24"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejrex.2010.12.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72276712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Brucellar spondylitis presenting with neck stiffness and accompanying retropharyngeal inflammatory soft tissue mass 布氏脊柱炎表现为颈部僵硬并伴有咽后炎性软组织肿块
European Journal of Radiology Extra Pub Date : 2011-04-01 Epub Date: 2011-02-16 DOI: 10.1016/j.ejrex.2011.01.007
Nezahat Erdoğan , Canan Altay , Berna Dirim Mete , Demet Etit , Serap Ural , Sedat Öztürkcan
{"title":"Brucellar spondylitis presenting with neck stiffness and accompanying retropharyngeal inflammatory soft tissue mass","authors":"Nezahat Erdoğan ,&nbsp;Canan Altay ,&nbsp;Berna Dirim Mete ,&nbsp;Demet Etit ,&nbsp;Serap Ural ,&nbsp;Sedat Öztürkcan","doi":"10.1016/j.ejrex.2011.01.007","DOIUrl":"https://doi.org/10.1016/j.ejrex.2011.01.007","url":null,"abstract":"<div><p><span>Brucellosis<span> is a systemic inflammatory condition caused most commonly by Brucella Melitensis, </span></span>a gram negative coccobacilli which is transmitted by infected animals and their products. Ondulent fever, night sweats and generalized weakness are the most common clinical symptoms but the wide spectrum of complaints can even include psychiatric disorders. We present a case who had neck stiffness and difficulty in neck movement as the initial complaints and radiologically, retropharyngeal soft tissue swelling at upper cervical level in MRI. This case report reveals the value of MRI in the further characterisation of pharyngeal involvement by brucellosis with an atypical presentation.</p></div>","PeriodicalId":100506,"journal":{"name":"European Journal of Radiology Extra","volume":"78 1","pages":"Pages e25-e27"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejrex.2011.01.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72276713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Synchronous persistent Eustachian valve and atrial septal aneurysm mimicking atrial septal defect on echocardiogram 超声心动图上模拟房间隔缺损的同步持续性咽鼓管瓣和房间隔动脉瘤
European Journal of Radiology Extra Pub Date : 2011-04-01 Epub Date: 2011-03-03 DOI: 10.1016/j.ejrex.2011.01.003
Lukas Egger , Oliver Husser , Dierk Endemann , Okka Wilkea Hamer
{"title":"Synchronous persistent Eustachian valve and atrial septal aneurysm mimicking atrial septal defect on echocardiogram","authors":"Lukas Egger ,&nbsp;Oliver Husser ,&nbsp;Dierk Endemann ,&nbsp;Okka Wilkea Hamer","doi":"10.1016/j.ejrex.2011.01.003","DOIUrl":"https://doi.org/10.1016/j.ejrex.2011.01.003","url":null,"abstract":"<div><p>We report the case of a woman whose echocardiographic findings where suspicious for an atrial septal defect<span><span>. The subsequent cardiac MRI revealed the finding of a synchronous prominent persistent Eustachian valve and atrial septal aneurysm. The jet through the canal formed by the Eustachian valve and the bulging right </span>atrial septum mimicked an atrial septal defect on Doppler mode.</span></p></div>","PeriodicalId":100506,"journal":{"name":"European Journal of Radiology Extra","volume":"78 1","pages":"Pages e9-e11"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejrex.2011.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72277448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rare case of pelvic tumor – Aggressive fibromyxoma 罕见的盆腔肿瘤——侵袭性纤维黏液瘤
European Journal of Radiology Extra Pub Date : 2011-04-01 Epub Date: 2011-02-22 DOI: 10.1016/j.ejrex.2011.01.008
Joana Ip, Isabel N. Duarte
{"title":"Rare case of pelvic tumor – Aggressive fibromyxoma","authors":"Joana Ip,&nbsp;Isabel N. Duarte","doi":"10.1016/j.ejrex.2011.01.008","DOIUrl":"https://doi.org/10.1016/j.ejrex.2011.01.008","url":null,"abstract":"<div><p><span><span>The authors present a case of giant pelvic tumor in a 29-year-old previously healthy female. The tumor was an </span>incidental finding during cesarean procedure after an unremarkably pregnancy. Both CT and MRI prior to surgery demonstrated a heterogeneous tumor measuring 30</span> <!-->cm<!--> <!-->×<!--> <!-->16<!--> <!-->cm<!--> <!-->×<!--> <!-->5<!--> <!-->cm occupying the entire pelvis and involving bilaterally both iliac and inguinal vessels. CT revealed little contrast enhancement and on MRI showed slight hypointensity signal on T1-weighted sequences and hyperintensity on T2-weighted sequences. Surgical excision was performed 2 weeks later.</p><p><span>On follow-up the CT a few months later there was a recurrent tumor with the same location. She undergone </span>angiography that showed no invasion of the superior and inferior mesenteric vessels and iliac.</p><p><span>A pelvic MRI study was performed prior to the second surgery that showed a giant mass, from the iliac crest<span><span> to the coccyx, pushing the uterus, </span>bladder and rectum to the right, closed to </span></span>gluteus muscles<span><span> and along the left sacral roots without infiltrative aspects. The lesion demonstrated hypointensity on T1-weighted sequences and hyperintensity on T2-weighted images however failing to enhance with cystic-like features that are usually depicted in hemangiomas. A hypothesis of plexiform fibroma<span> versus other fibrous tumors was then postulated. According to the imaging findings and the tumor recurrence the hypothesis of aggressive angiomyxoma<span> considered most likely. The glass slide revision referred the differential diagnosis of cavernous hemangioma with retroperitoneal </span></span></span>angiomyolipoma and aggressive angiomyxoma.</span></p><p>She undergone surgery and the pathological the final diagnosis was aggressive angiomyxoma.</p></div>","PeriodicalId":100506,"journal":{"name":"European Journal of Radiology Extra","volume":"78 1","pages":"Pages e29-e34"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejrex.2011.01.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72276711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PET/CT of hemangiopericytoma of the sacrum 骶骨血管外皮细胞瘤的PET/CT表现
European Journal of Radiology Extra Pub Date : 2011-04-01 DOI: 10.1016/J.EJREX.2010.12.012
U. Nagaraj, Hans Iwenofu, T. Scharschmidt, A. Nagar
{"title":"PET/CT of hemangiopericytoma of the sacrum","authors":"U. Nagaraj, Hans Iwenofu, T. Scharschmidt, A. Nagar","doi":"10.1016/J.EJREX.2010.12.012","DOIUrl":"https://doi.org/10.1016/J.EJREX.2010.12.012","url":null,"abstract":"","PeriodicalId":100506,"journal":{"name":"European Journal of Radiology Extra","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85742810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Benign appearance of a very aggressive tumour—Imaging findings in small cell carcinoma of the oesophagus 恶性肿瘤的良性表现——食道小细胞癌的影像学表现
European Journal of Radiology Extra Pub Date : 2011-04-01 Epub Date: 2011-03-11 DOI: 10.1016/j.ejrex.2011.02.002
Taryn Brown , Nicola Browning , Savvas Andronikou , Tebogo Hlabangana
{"title":"Benign appearance of a very aggressive tumour—Imaging findings in small cell carcinoma of the oesophagus","authors":"Taryn Brown ,&nbsp;Nicola Browning ,&nbsp;Savvas Andronikou ,&nbsp;Tebogo Hlabangana","doi":"10.1016/j.ejrex.2011.02.002","DOIUrl":"10.1016/j.ejrex.2011.02.002","url":null,"abstract":"<div><p>Primary small cell carcinoma<span> of the oesophagus is a rare condition accounting for less than 2.4% of all primary oesophageal malignancies<span>. We present a case of primary small cell carcinoma of the oesophagus with benign appearances on contrast oesophagography.</span></span></p></div>","PeriodicalId":100506,"journal":{"name":"European Journal of Radiology Extra","volume":"78 1","pages":"Pages e71-e72"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejrex.2011.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89193032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complex coronary fistula with feeder aneurysm: 64 MDCT findings correlated with conventional angiography 复杂冠状动脉瘘伴喂养动脉瘤:64例与常规血管造影相关的MDCT表现
European Journal of Radiology Extra Pub Date : 2011-04-01 Epub Date: 2011-02-16 DOI: 10.1016/j.ejrex.2011.01.004
Gonca Erbaş , Rıdvan Yalçin , Koray Kiliç , Mehmet Araç , Cemal Yüce , Erhan T. Ilgit
{"title":"Complex coronary fistula with feeder aneurysm: 64 MDCT findings correlated with conventional angiography","authors":"Gonca Erbaş ,&nbsp;Rıdvan Yalçin ,&nbsp;Koray Kiliç ,&nbsp;Mehmet Araç ,&nbsp;Cemal Yüce ,&nbsp;Erhan T. Ilgit","doi":"10.1016/j.ejrex.2011.01.004","DOIUrl":"10.1016/j.ejrex.2011.01.004","url":null,"abstract":"<div><p><span><span>44 year old male was admitted to hospital with chest pain. Complex coronary artery </span>fistula<span><span> drained into pulmonary artery was depicted but not clearly demonstrated with conventional angiography despite various projections. </span>CT angiography was demonstrated that the fistula was fed by both left anterior descending (LAD) and </span></span>right coronary artery<span> (RCA) branches. A feeder aneurysm was found on a LAD branch. The fistula was associated with RCA and LAD artery via small caliber vessel web which was also associated with right ventricular outlet. 64-MDCT is superior to catheter angiography in its capability to demonstrate beyond the lumen of coronary arteries and extra-anatomical structures like fistulas.</span></p></div>","PeriodicalId":100506,"journal":{"name":"European Journal of Radiology Extra","volume":"78 1","pages":"Pages e13-e16"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejrex.2011.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88327467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Radiological evaluation of bilateral intraosseous calcaneal lipoma in various stages of involution 双侧骨内跟骨脂肪瘤复发不同阶段的影像学评价
European Journal of Radiology Extra Pub Date : 2011-04-01 Epub Date: 2011-02-25 DOI: 10.1016/j.ejrex.2011.01.015
Shahina Bano , Sachchida Nand Yadav , Vikas Chaudhary , Vijay Kumar Jain
{"title":"Radiological evaluation of bilateral intraosseous calcaneal lipoma in various stages of involution","authors":"Shahina Bano ,&nbsp;Sachchida Nand Yadav ,&nbsp;Vikas Chaudhary ,&nbsp;Vijay Kumar Jain","doi":"10.1016/j.ejrex.2011.01.015","DOIUrl":"10.1016/j.ejrex.2011.01.015","url":null,"abstract":"<div><p>Bilateral intraosseous lipoma is an unusual diagnosis. Radiological appearance depends on the stage due to evolutionary changes within the tumor. This report describes the imaging features of pathologically proven bilateral intraosseous calcaneal lipoma, showing the complete spectrum of evolutionary change, in the form of intralesional cyst, hemorrhage, fat necrosis<span>, dystrophic calcification and woven bone formation, occurring simultaneously in the same patient.</span></p></div>","PeriodicalId":100506,"journal":{"name":"European Journal of Radiology Extra","volume":"78 1","pages":"Pages e57-e59"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejrex.2011.01.015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80238962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Fatal systemic air embolism after blunt chest trauma: Postmortem computed-tomography findings 钝性胸部外伤后致死性全身性空气栓塞:死后计算机断层扫描结果
European Journal of Radiology Extra Pub Date : 2011-03-01 Epub Date: 2011-01-11 DOI: 10.1016/j.ejrex.2010.12.009
Gabrielle Weber-Donat , Nicolas Donat , Julien Potet , Elsa Pons-Ukkola , Jacques Baccialone , Christophe Territehau , Bruno Debien
{"title":"Fatal systemic air embolism after blunt chest trauma: Postmortem computed-tomography findings","authors":"Gabrielle Weber-Donat ,&nbsp;Nicolas Donat ,&nbsp;Julien Potet ,&nbsp;Elsa Pons-Ukkola ,&nbsp;Jacques Baccialone ,&nbsp;Christophe Territehau ,&nbsp;Bruno Debien","doi":"10.1016/j.ejrex.2010.12.009","DOIUrl":"10.1016/j.ejrex.2010.12.009","url":null,"abstract":"<div><p><span>Systemic air embolism (SAE) frequently has a fatal outcome, actually for 80% in blunt trauma and 48% in penetrating ones. Several diagnosis tools can detect intracardiac and cerebral air, but should not be necessary to confirm SAE. Our observation underlines that computed-tomography is an interesting and sensitive exam enough, and can be performed also in post-mortem in case of unexplained fatal outcome of </span>chest trauma.</p></div>","PeriodicalId":100506,"journal":{"name":"European Journal of Radiology Extra","volume":"77 3","pages":"Pages e67-e69"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejrex.2010.12.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82362256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
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