ABSTRACT
The objective of the present study was to identify the single photon emission computed tomography (SPECT) and magnetic resonance (MR) findings in juvenile systemic lupus erythematosus (JSLE) patients with CNS involvement and to try to correlate them with neurological clinical history data and neurological clinical examination. Nineteen patients with JSLE (16 girls and 3 boys, mean age at onset 9.2 years) were submitted to neurological examination, electroencephalography, cerebrospinal fluid analysis, SPECT and MR. All the evaluations were made separately within a period of 15 days. SPECT and MR findings were analyzed independently by two radiologists. Electroencephalography and cerebrospinal fluid analysis revealed no relevant alterations. Ten of 19 patients (53 percent) presented neurological abnormalities including present or past neurological clinical history (8/19, 42 percent), abnormal neurological clinical examination (5/19, 26 percent), and abnormal SPECT or MR (8/19, 42 percent and 3/19, 16 percent, respectively). The most common changes in SPECT were cerebral hypoperfusion and heterogeneous distribution of blood flow. The most common abnormalities in MR were leukomalacia and diffuse alterations of white matter. There was a correlation between SPECT and MR (P<0.05). We conclude that SPECT and MR are complementary and useful exams in the evaluation of neurological involvement of lupus
Subject(s)
Humans , Male , Female , Child , Adolescent , Brain , Lupus Erythematosus, Systemic , Tomography, Emission-Computed, Single-Photon , Brain Diseases , Lupus Erythematosus, Systemic , Magnetic Resonance ImagingABSTRACT
La anorrectoplasstía sagital posterior (ARSP) es actualmente más utilizada para la corrección de las malformaciones anorrectales intermedias y altas. En la literatura se presenta una grana controversia en relación a la evaluación postoperatoria para estos pacientes. Se estudiaron 27 casos de malformaciones anorrectales, en sus aspectos clínicos, radiológicos y manométricos. La continencia resultó normal en el 48,14 por ciento de los pacientes, hubo continencia parcial en el 25,92 por ciento e incontinencia fecal en el 25,92 por ciento. La incontinencia estuvo directamente relacionada con anomalías sacras asociadas. En pacientes con incontinencia fecal la ausencia de oclusión por el esfínter externo, se visualizó en forma significativamente más frecuente con el defecograma. La manometría es un estudio útil para evaluar los pacientes operados por AARSP, dado que existe una relación entre el grado de incontinencia fecal y los resultados de la manometría
Subject(s)
Child , Anal Canal , Anal Canal/surgery , Congenital Abnormalities/surgery , Rectum , Rectum/surgerySubject(s)
Humans , Male , Child , Carcinoma , Lymph Nodes , Nasopharynx , Nasopharyngeal Neoplasms , Oropharynx , Palate , Cervical Vertebrae , Photomicrography , Tomography, X-Ray ComputedABSTRACT
This report ilustrates a case of Leri-Weill dyschondrosteosis in mother and daughter and discusses the relationship of this bone dysplasia with Madelung's deformity
Subject(s)
Child , Adult , Humans , Female , Osteochondrodysplasias , Diagnosis, Differential , Osteochondrodysplasias/geneticsABSTRACT
A woman had clinicoradiological features of osteopetrosis. The dominant and recessive forms of this condition are discussed
Subject(s)
Adult , Humans , Female , Osteopetrosis/genetics , OsteopetrosisABSTRACT
The US features of ascaris in the biliary tract are well known. We report a case of a 22-year-old girl presenting a well defined, homogeneous, nonshadowing nodular image seen with a 3.5 MHz transducer. The importance of selecting better transducers to evaluate the lesion with 7.5 MHz transducer is shown. It is possible to define the lesion as a coiled-up worm.
Subject(s)
Humans , Female , Adult , Ascariasis , Diagnosis, DifferentialABSTRACT
Prostaglandin has been used in infants with ductus dependent cyanotic congenital heart disease until surgery can be performed. One of the complications of prolonged therapy is periostitis, cortical hyperostosis usually simmetrical resembling Caffey's disease. A case with discussion is presented.
Subject(s)
Humans , Male , Infant, Newborn , Alprostadil/adverse effects , Ductus Arteriosus, Patent/drug therapy , Hyperostosis, Cortical, Congenital/chemically induced , Alprostadil/therapeutic use , Hyperostosis, Cortical, CongenitalSubject(s)
Humans , Female , Adolescent , Sacrum , Spinal Neoplasms , Giant Cell Tumors , Spinal Neoplasms/pathology , Giant Cell Tumors/pathologyABSTRACT
Os autores apresentam um caso de fibrossarcoma retroperitoneal bem diferenciado e calcificado, em paciente do sexo feminino, 59 anos cujo principal sintoma foi disfagia e tumor abdominal
Subject(s)
Middle Aged , Humans , Female , Fibrosarcoma , Retroperitoneal Neoplasms , UltrasonographyABSTRACT
Os autores relatam um caso de sarcoidose com acometimento osseo, salientando o estudo radiologico das lesoes osseas