C. Adamsbaum (Professeur des Universités, praticien hospitalier), C. Rey-Salmon (Praticien hospitalier)
{"title":"Imagerie de la maltraitance chez l’enfant","authors":"C. Adamsbaum (Professeur des Universités, praticien hospitalier), C. Rey-Salmon (Praticien hospitalier)","doi":"10.1016/j.frad.2016.07.001","DOIUrl":"10.1016/j.frad.2016.07.001","url":null,"abstract":"<div><p>The diagnosis of abuse is often supported by the findings of skeletal and brain imaging. On skeletal radiographs, the main diagnostic argument is the presence of fractures of different ages and/or specific locations (epiphysometaphyseal, posterior arches of the ribs, etc.). Bone scintigraphy is useful for detecting recent infra-radiological lesions. Prognosis depends mainly on damage inflicted on the brain. Brain trauma is often serious, and is the leading cause of death. Brain damage is caused by violent shaking, sometimes associated with a final impact. The brain may be injured despite the absence of any detectable skeletal, dermal, or ophthalmic injury. If abuse is suspected, brain imaging (computed tomography scan in the emergency setting, often supplemented with magnetic resonance imaging in the subacute phase) should be systematic in children younger than 2 years. Lesions may include diffuse bilateral subdural hematomas and deep injury (inter hemispherical tentorium) or intra parenchymal injury (contusion, swelling, anoxic-ischemia or shear damage). Organ damage is rare and non-specific, but must be carefully searched, at least with ultrasound, in young children in this context. Image appropriateness and quality together with the accuracy of interpretation are fundamental for the diagnosis of child abuse that always has very serious consequences. The presence of lesions of different ages is an important but inconstant diagnostic feature to recognize.</p></div>","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 6","pages":"Pages 341-354"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54724192","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}
M. Abdellaoui, A. Errami, A. Darbi, M. Jidal, T. Amil
{"title":"Cause rare d’une grosse bourse","authors":"M. Abdellaoui, A. Errami, A. Darbi, M. Jidal, T. Amil","doi":"10.1016/j.frad.2016.10.003","DOIUrl":"10.1016/j.frad.2016.10.003","url":null,"abstract":"<div><h3>Qu’avez-vous retenu de cet article ?</h3><p>Testez si vous avez assimilé les points importants de cet article en répondant à ce questionnaire sous forme de QCM.</p></div>","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 6","pages":"Page 427"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54724714","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}
{"title":"FMC : AutoévaluationHyperplasie hypophysaire thyréotrope simulant un macroadénome hypophysaire","authors":"N. Bouznad, G. Mghari, N. Ansari","doi":"10.1016/j.frad.2016.10.010","DOIUrl":"https://doi.org/10.1016/j.frad.2016.10.010","url":null,"abstract":"","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.10.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54724836","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}
B. Abir , M. Lakouichmi , K. Tourabi , N. Mansouri
{"title":"Léiomyosarcome mandibulaire","authors":"B. Abir , M. Lakouichmi , K. Tourabi , N. Mansouri","doi":"10.1016/j.frad.2016.10.001","DOIUrl":"https://doi.org/10.1016/j.frad.2016.10.001","url":null,"abstract":"<div><h3>Qu’avez-vous retenu de cet article ?</h3><p>Testez si vous avez assimilé les points importants de cet article en répondant à ce questionnaire sous forme de QCM.</p></div>","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 6","pages":"Page 422"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.10.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71816746","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}
{"title":"Hyperplasie hypophysaire thyréotrope simulant un macroadénome hypophysaire","authors":"N. Bouznad, G. El Mghari, N. El Ansari","doi":"10.1016/j.frad.2016.10.009","DOIUrl":"10.1016/j.frad.2016.10.009","url":null,"abstract":"<div><p>L’hyperplasie hypophysaire est une prolifération non néoplasique d’une lignée hypophysaire, qui peut être essentielle ou secondaire souvent à un déficit prolongé d’une glande cible. Son principal diagnostic différentiel est l’adénome hypophysaire. Nous rapportons 3 observations d’hyperplasie hypophysaire secondaire à l’insuffisance de la lignée thyréotrope. Le premier cas est celui d’un patient de 36 ans, qui des signes d’hypothyroïdie depuis trois ans, avec un ralentissement psychomoteur, une infiltration cutanée et une dépilation généralisée à l’examen clinique. Le deuxième cas est celui d’une patiente de 25 ans qui consulte pour un processus sellaire révélé par un syndrome tumoral et des signes d’hypothyroïdie. Et le dernier cas concerne un patient de 20 ans, admis pour obésité et une cassure de la courbe staturale, associés à des céphalées intermittentes, avec à l’examen clinique un retard statural avec un excès pondéral. L’imagerie cérébrale chez tous les patients était en faveur d’un macroadénome hypophysaire et la TSHus était supérieure à 60<!--> <!-->mUI/mL chez tous nos malades. Le diagnostic étiologique est une thyroïdite chez tous les patients. Et l’hormonothérapie substitutive a entraîné une amélioration spectaculaire clinique et radiologique avec régression complète des masses hypophysaires à l’imagerie hypophysaire de contrôle. L’hyperplasie hypophysaire secondaire à une hypothyroïdie reste rare et atteint très rarement une taille aussi importante. D’où la nécessité d’une analyse de tels dossiers par une équipe multidisciplinaire pour éviter des erreurs thérapeutiques d’autant qu’une hyper-prolactinémie accompagne volontiers de tels tableaux.</p></div><div><p>Pituitary hyperplasia is a non-neoplastic growth of at least one pituitary lineage, which can often be essential or secondary to prolonged deficit of a gland target. Its main differential diagnosis is the pituitary adenoma. We report three cases of pituitary hyperplasia secondary to insufficient thyroid stimulating lineage. The first case is that of a 36-year-old patient, who presented signs of hypothyroidism for three years with psychomotor retardation, skin infiltration and widespread hair removal at physical examination. The second case is that of a 25-year-old patient who consulted for a sellar process revealing a tumor syndrome and signs of hypothyroidism. The last case concerns a 20-year-old patient, admitted for obesity and stunted growth associated with intermittent headache. Physical examination found short stature with excess weight. Brain imaging in all patients was in favor of a pituitary macroadenoma and TSHus was<!--> <!-->><!--> <!-->60mIU/ml in all three patients. The etiological diagnosis was thyroidiitis in all patients. Hormone replacement therapy led to dramatic improvement in the clinical and radiological presentation with complete regression of the masses on the pituitary imaging control. Pituitary hyperplasia secondary to hypothyroidism is high","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 6","pages":"Pages 383-386"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.10.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54724820","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}
{"title":"Congrès et Enseignements","authors":"","doi":"10.1016/S0181-9801(16)30170-1","DOIUrl":"https://doi.org/10.1016/S0181-9801(16)30170-1","url":null,"abstract":"","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 6","pages":"Pages 428-429"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0181-9801(16)30170-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71816747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tuméfaction douloureuse des articulations chez un patient âgé de 50 ans","authors":"B. Slioui, R. Saouab, T. Amil, M. Mahi","doi":"10.1016/j.frad.2016.03.011","DOIUrl":"10.1016/j.frad.2016.03.011","url":null,"abstract":"<div><h3>Qu’avez-vous retenu de cet article ?</h3><p>Testez si vous avez assimilé les points importants de cet article en répondant à ce questionnaire sous forme de QCM.</p></div>","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 6","pages":"Page 425"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.03.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54722356","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}
F. Thony (Praticien hospitalier), M. Michoud (Chef de clinique-assistant), V. Monnin (Praticien hospitalier), G. Ferretti (Professeur des Universités, praticien hospitalier), M. Rodière (Praticien hospitalier)
{"title":"Imagerie de l’aorte abdominale pathologique","authors":"F. Thony (Praticien hospitalier), M. Michoud (Chef de clinique-assistant), V. Monnin (Praticien hospitalier), G. Ferretti (Professeur des Universités, praticien hospitalier), M. Rodière (Praticien hospitalier)","doi":"10.1016/j.frad.2016.07.002","DOIUrl":"10.1016/j.frad.2016.07.002","url":null,"abstract":"<div><p>After a review of imaging techniques applicable to the abdominal aorta, this article describes the pathologies involved and the place of imaging in patient management. Aneurysms, the most common abdominal aortic pathology are presented in detail, emphasizing signs of complication (inflammation, rupture), clinical assessment and postoperative follow-up. Then the article successively describes normal and pathological imaging of the operated aorta, inflammatory aortitis (mainly Takayasu's arteritis), aortic infections, histiocytosis aortic stenosis, and thrombosis as well as emboligenic aortitis, dissections situated in an abdominal aneurysm, trauma, birth defects and aortic tumors. Ultrasound, computed tomography and magnetic resonance imaging findings are described since detailed investigations of abdominal aorta pathologies rely heavily on these imaging techniques.</p></div>","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 6","pages":"Pages 355-378"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54724240","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}