ABSTRACT
Normally, the permanent mandibular first molar has two roots, mesial and distal. However, mandibular molars may have anadditional root located either buccally (radix paramolaris) or lingually (radix entomolaris [RE]). Understanding of the presence ofan additional root and its root canal, anatomy is essential for successful treatment outcome. The aim of this paper is to reviewthe prevalence and morphology of RE and to present two cases of permanent mandibular first molars with an additional thirdroot (RE) in the Indian population. In this study, we did a clinical investigation of two cases; one case of successful endodonticmanagement of permanent mandibular first molar characterized as RE, whereas the second one is a presentation of a case ofsevere bone loss around permanent first molar with an additional third root. The presence of an additional third root in permanentmandibular first molars may affect the prognosis of the tooth if it is misdiagnosed. Thus, an accurate diagnosis and thoroughunderstanding of variation in root canal anatomy are essential for treatment success.
ABSTRACT
Introuction: Study aimed to follow up the cases of cerebralvenous thrombosis over short term and long term aftertreatment and discharge from hospital.Material and methods: This prospective observational studywas carried out in the department of Neurology, at Bombayhospital Indore. 75 patients included in this study, who wereadmitted between July 2010 to June 2013. Patients of all agegroups and both sexes were included in this study. Patientswere followed up to 12 months after treatment and dischargefrom the hospital.Result: Total 75 patients were taken. M: F ratio was 1:1.4 andmean age was 36 yrs. The short term outcome and response tothe treatment were good and comparable.Conclusion: Overall prognosis of cerebral venous thrombosisis good in terms of recovery, low rate of neurological sequelae,low risk of recurrence and long term follow up. Chronicanticoagulant treatment is necessary to prevent recurrence ofthrombosis.
ABSTRACT
Aim and objective:To study the role of MR spectroscopy in the evaluation and differential diagnosis of various ring enhancing lesions in the brain with multi-voxel proton MR spectroscopy. Materials and methods: It is the prospective observational study carried out on 42 patients from June 2016 to Aug 2018 at Department of Radiodiagnosis at AVBRH, DMIMS, Sawangi, Wardha. Appropriate MRI sequences with spectroscopy and multiplanar imaging has been performed on patients with intracranial ring enhancing lesions. Result and Conclusion: Total 42 patients were taken. Most common lesions seen were tuberculoma (38%) followed by brain metastasis (34%), neurocysticercosis (16%) and pyogenic brain abscess (12%). On MRS, Tuberculoma was differentiated from NCC by high Cho: Cr ratio > 1.1 and high lipid lactate peak. Special peaks like amino acids, acetate, aspartate and succinate were seen in pyogenic brain abcess while alanine and succinate were present in NCC. High choline peak and high Cho: Cr ratio were seen in brain metastases.