Utility of joint distension during arthrography in treatment of adhesive capsulitis of the shoulder in a study of 20 patients

The aim of our study is to evaluate the efficacy of joint distension during arthrography followed by an intra articular corticosteroid injection. This procedure associated to a physical therapy started immediately after joint distension and performed during 3 months in the treatment of 20 patients suffering from adhesive capsulitis of the shoulder were assessed. Patients were evaluated on D 90:90% of them have regression of pain, 70% have an improvement of deficiency and ranges of motion of the shoulder. Adhesive capsulitis of the shoulder is a disabling pathology but, generally, with good evolution. It is a clinical diagnosis. Joint distension associated to physical therapy has an interest in treatment because of therapeutic and antalgic effect and also restoration of range of movement

[Imaging of neuro-behcet]

Behcet's disease is a vasculitis affecting predominantly the venous system. It's characterized by a classical triad of recurrent uveitis, oral and genital ulceration. Behcet's disease is more frequent in Japan. the Middle East and some Mediterranean countries. Its pathogenesis is still uncertain. Neurological manifestations in Behcet's disease are not rare and are associated with poor prognosis. These manifestations can be inaugural in 5% of cases and they are polymorphous. We report 15 new cases of neuro Behcet's disease explored by magnetic resonance imaging [MRI] and magnetic resonance angiography [MRA]

Arachnoid cyst mimicking intramedullary spinal cord tumour

Arachnoid cysts are intra-arachnoid collections of cerebrospinal fluid [CSF] that produce neurologic symptoms either by compressing adjacent neural tissue or by obstructing CSF flow. This is a case of symptomatic arachnoid cyst at C5-C6 level in a 20-year-old man with intradural tumours suspected as neuroenteric cyst, epidermoid cyst or low grade glioma. The past medical history of this patient was non-contributory. There was no cervical spine trauma and no causative factors of arachnoiditis. The cyst was widely fenestrated and postoperatively the patient experienced progressive improvement of weakness, numbness and sensory deficits. The authors report this case and discuss the rarity of such a lesion, the mechanism of formation, clinical significance and radiological features