{"title":"Quel est votre diagnostic ?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.2016.03.009","DOIUrl":"https://doi.org/10.1016/j.frad.2016.03.009","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.2016.03.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54722341","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.2016.10.005","DOIUrl":"https://doi.org/10.1016/j.frad.2016.10.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Le léiomyosarcome osseux primitif de siège mandibulaire est une tumeur rare. Dix cas ont été rapportés dans la littérature. Nous rapportons deux cas rares de léiomyosarcome mandibulaire.</p></div><div><h3>Observations</h3><p>La première patiente a été adressée pour tuméfaction importante de partie antérieure de la mandibule et a bénéficié d’une résection de la région symphyso-parasymphysaire avec reconstruction mandibulaire, associée à une radio-chimiothérapie. Le deuxième patient a été admis pour tumeur mandibulaire gauche pour laquelle une hémi-mandibulectomie homolatérale a été réalisée.</p></div><div><h3>Discussion</h3><p>Les signes cliniques ne sont pas évocateurs. Les examens radiologiques montrent une ostéolyse. La tomodensitométrie permet de guider l’exérèse qui doit être large. L’évolution est dominée surtout par le risque de métastases à distance. Le diagnostic histopathologique reste difficile. Il n’existe pas de consensus thérapeutique.</p></div><div><h3>Introduction</h3><p>Primary leiomyosarcoma localized in the mandibular bone is exceptional. Ten cases have been reported in the literature. We report two cases of mandibular leiomyosarcoma of the mandible.</p></div><div><h3>Observations</h3><p>The first patient was referred with diffuse swelling in the anterior part of the mandible and underwent regional resection of the symphysoparasymphyseal region with mandibular reconstruction; associated with radiochemotherapy. The second patient was admitted with a left mandibular tumor. He was treated by left hemimandibulectomy.</p></div><div><h3>Discussion</h3><p>The clinical signs are nonspecific. Radiological imaging shows osteolysis. A CT scan is required for guiding wide excision. Distant metastasis is the predominant risk. The histo-pathological diagnosis is difficult. No therapeutic consensus has been established.</p></div>","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 6","pages":"Pages 379-382"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.10.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71816790","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}
W. Douira-Khomsi , S. Moalla , A. Ben Othmen , F. Fedila , L. Lahmar , H. Louati , L. Ben Hassine , I. Ammar , I. Bellagha
{"title":"Fièvre et boiterie chez une fillette de 2 ans","authors":"W. Douira-Khomsi , S. Moalla , A. Ben Othmen , F. Fedila , L. Lahmar , H. Louati , L. Ben Hassine , I. Ammar , I. Bellagha","doi":"10.1016/j.frad.2016.02.006","DOIUrl":"https://doi.org/10.1016/j.frad.2016.02.006","url":null,"abstract":"","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 5","pages":"Pages 318-321"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.02.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71825185","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. Aissi , R. Douma , R. Moncer , S. Younes , W. Mnari , M. Frih
{"title":"Syndrome de un et demi de Fisher","authors":"M. Aissi , R. Douma , R. Moncer , S. Younes , W. Mnari , M. Frih","doi":"10.1016/j.frad.2016.02.010","DOIUrl":"10.1016/j.frad.2016.02.010","url":null,"abstract":"<div><p>Le syndrome d’« un et demi » est une entité clinique rare caractérisée par l’association d’une ophtalmoplégie internucléaire (ONI) et d’une paralysie de la latéralité. Les structures anatomiques touchées sont le noyau de VI et le faisceau longitudinal médian au niveau de la formation réticulée pontique. L’IRM cérébrale est l’examen clé, une haute résolution spatiale et l’application de séquence de diffusion permet la détection de la lésion même à la phase aiguë de l’infarctus. Nous présentons deux cas cliniques. Les deux patients avaient une lésion ischémique lacunaire au niveau de la région paramédiane du pont révélée par l’IRM.</p></div><div><p>Fisher's one-and-a-half syndrome is a rare clinical entity, characterized by the combination of unilateral horizontal gaze paralysis and internuclear ophthalmoplegia (INO). Anatomical structures affected are the paramedian pontine reticular formation, involving the center of horizontal gaze and medial longitudinal fasciculus. Brain magnetic resonance imaging is the diagnosis key, the high spatial resolution and the application of diffusion weighted imaging enabling visualization of small zones of subtle ischemic brainstem damage even in the acute stage of the disease. We present two cases of one-and-a-half syndrome. Both patients had lacunar infraction in the paramedian pontine tegmentum, revealed by magnetic resonance imaging.</p></div>","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 5","pages":"Pages 307-309"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.02.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54721799","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}
J. Laaguili, M.Y. Oudrhiri, Y. Arkha, M. Louraoui, M. Boutarbouch, E. Hakkou, A. Melhaoui, A. El Ouahabi
{"title":"Compression médullaire cervicale","authors":"J. Laaguili, M.Y. Oudrhiri, Y. Arkha, M. Louraoui, M. Boutarbouch, E. Hakkou, A. Melhaoui, A. El Ouahabi","doi":"10.1016/j.frad.2016.03.005","DOIUrl":"10.1016/j.frad.2016.03.005","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 5","pages":"Page 337"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54721911","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}
G. Sebti, A. Mrani Zentar, S. Alj, M. Ouali Idrissi, N. Cherif Idrissi
{"title":"Les calcifications cérébrales : du normal au pathologique","authors":"G. Sebti, A. Mrani Zentar, S. Alj, M. Ouali Idrissi, N. Cherif Idrissi","doi":"10.1016/j.frad.2016.06.001","DOIUrl":"10.1016/j.frad.2016.06.001","url":null,"abstract":"<div><p>Les calcifications cérébrales peuvent représenter la seule anomalie et paraître isolées ou s’associer à d’autres lésions. Leur exploration est basée sur la TDM et l’IRM. Les calcifications cérébrales physiologiques siègent préférentiellement au niveau de l’épiphyse, des structures durales ainsi que des plexus choroïdes et des parois vasculaires. La connaissance de leur sémiologie oriente le diagnostic (siège, distribution, apparence, forme…). Il existe de multiples étiologies des calcifications cérébrales : tumorales, métaboliques, infectieuses, inflammatoires, vasculaires, congénitales et dystrophiques. L’imagerie, interprétée dans le contexte clinique, permet une approche étiologique précise des calcifications cérébrales.</p></div><div><p>Calcifications in the brain may be an isolated anomaly or associated with other lesions. Computed tomography and magnetic resonance imaging are needed for proper investigation. Physiological calcifications in the brain are generally seen in the epiphysis, dural structures, choroid plexus, or vessel walls. Knowledge of their characteristic features (localization, distribution, appearance, shape…) is essential. There are many causes related to tumor, metabolic, infectious, inflammatory, vascular, congenital or dystrophic conditions. Imaging, interpreted in the clinical context, provides an etiological approach for accurate diagnosis.</p></div>","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 5","pages":"Pages 297-306"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54724051","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":"Trouble de conscience prolongé","authors":"I. Ait Sghier, N. Moatassim Billah","doi":"10.1016/j.frad.2016.02.002","DOIUrl":"https://doi.org/10.1016/j.frad.2016.02.002","url":null,"abstract":"","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 5","pages":"Pages 314-317"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71825184","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}
A. MBengue , A. Ndiaye , S. Maher , G. Schmutz (Professeur de radiologie) , Y. Ranchoup (Ancien chef de clinique assistant et praticien hospitalier) , A. Blum (Professeur des Universités, praticien hospitalier, chef de service) , D. Régent (Professeur des Universités, praticien hospitalier honoraire)
{"title":"Imagerie des occlusions intestinales hautes de l’adulte","authors":"A. MBengue , A. Ndiaye , S. Maher , G. Schmutz (Professeur de radiologie) , Y. Ranchoup (Ancien chef de clinique assistant et praticien hospitalier) , A. Blum (Professeur des Universités, praticien hospitalier, chef de service) , D. Régent (Professeur des Universités, praticien hospitalier honoraire)","doi":"10.1016/j.frad.2016.04.001","DOIUrl":"10.1016/j.frad.2016.04.001","url":null,"abstract":"<div><p>For the radiologist, it is a major challenge to answer all the strategy-determining questions raised by surgeons and intensivists faced with an acute abdomen apparently related to high small-bowel obstruction. Although many authors, e.g. Didier Sicard, have deplored the fact that physical examination has become the first complementary exploration ordered after the computed tomography scan, its widespread use in the emergency setting has become an indispensable element for evidence-based decision making. Technique is thus in the forefront. Multiplanar reconstruction, appropriate contrast modulation, and adequate magnification are fundamental, requiring precise well-executed protocols. Detailed analysis of the clinical and imaging findings combined with a thorough understanding of the pathophysiological implications and the statistical limitations is the foundation of the diagnostic reasoning necessary for quality care. Recent advances in imaging techniques concerning intestinomesenteric adhesions and oral gastrographic radiology have improved radiographic performance for high intestinal obstruction in adults.</p></div>","PeriodicalId":50450,"journal":{"name":"Feuillets De Radiologie","volume":"56 5","pages":"Pages 265-296"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.frad.2016.04.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54722373","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}