ABSTRACT
Background: Cysticercosis is one of the common infectious disease, the extraneural tissues are usually involved synchronously or metachronously with the brain in this disease. Isolated infestation of soft tissue and muscle in the absence of neural involvement is more common than previously known. High resolution ultrasonography has evolved now as an investigation of choice with proven sonological patterns of soft tissue cysticercosis which has reduced the need for invasive interventions. Methods: Prospective evaluation of total 9 cases of extraneural cysticercosis over a period of 6 months at Prakash institute of Medical Sciences and Research. HRUSG analysis of 9 cases was done to evaluate and classify the various classic sonomorphological features of isolated cysticercosis involving soft tissue and muscles. FNAC was done only in 3 cases. Results: Around 9 patients were selected on the basis of inclusion and exclusion criteria. Among 9 cases, 5 were male and 4 were female patients. Three individuals were vegetarian and five were non vegetarian. Mean age was 35 years. All cases were diagnosed on HRUSG. Intramuscular lesion was identified in 7 cases and 2 cases had subcutaneous involvement with anterior abdominal wall in muscular plane as the commonest site in three patients. FNAC was done in 3 cases confirming the cysticercosis and was treated surgically. Conclusions: With the advent of high resolution ultrasonography and increased clinical awareness of the isolated soft tissue-intramuscular cysticercosis especially in endemic zone, a more conservative non-invasive approach can be applied both in diagnosis and treatment of these isolated cases of cysticercosis.
ABSTRACT
Background: The term spondylolisthesis is derived from two Greek word : Spondo (Vertebrate) and disthenein (to slip) .The first written description is given by Herbiniaur, a Belgian obstetneiae. Aim:- To Radiological diagnosis of Symptomatic Lumbar Spondylolisthesis in adults . Methods: 422 patients each of spondylolisthesis in age group 18 – 60 year were included in this study. This study conducted in department of orthopedics over a period of one year. Results: In this present study , patients were included who have back ache. 422 (8.3%) were with spondylolisthesis and 4698 (91.7%) cases were without spondylolisthesis. From the 422 patients 24 were male and 174 were female. From the 422 patients with spondylolisthesis, (24.6% ) most of the cases were belong to 46-52 age group in male and 39-45 in case of female. Conclusion: Both Surgical and conservative management have benefit of cases showing with symptomatic lumbar spondylolisthesis. In most of the cases treat by non-operative.