Foix-chavany-marie syndrome [anterior opercular syndrome] case report

Foix-Chavany-Marie syndrome is a rare cortico-subcortical suprabulbar or pseudobulbar palsy of the lower cranial nerves 5, 7, 9, 10 and 12. This syndrome consists of anarthria, bilateralvolitional paresis of the facial, lingual, pharyngeal, and masticatory muscles bilaterally with preservation of the reflexive, emotional and autonomic innervations of the same muscles. We present the first case report in the Middle East of Foix-Chavany-Marie syndrome

Knee magnetic resonance imaging: descriptive frequency and outcome in university of jordan hospital

To evaluate the experience of the university of Jordan hospital regarding knee magnetic resonance imaging and to compare our findings with those published in the medical literature. 575 knee magnetic resonance imaging exams for 569 patients performed over the period of 10 years were reviewed. 109 patients, 66 males and 43 females with a percentage of [19.1%] had normal knee magnetic resonance image and were excluded from the study while the remaining 460 patients [80.9%] with variable abnormalities were included in our study. Variable knee pathologies were noted, the most common was knee fluid found in 381 patients representing [81.7%] of the pathologies detected, followed by bone marrow edema in 240 patients [51.5%], while cruciate ligament tear of the knee was found in 205 patients [43.99%], followed by meniscal tear in 184 patients [39.48%] and meniscal degeneration in 135 patients [28.96%]. Finally, osteoarthrosis which was the least common finding seen in 63 patients [13.5%]. Patients referred for knee magnetic resonance imaging scanning in the university of Jordan hospital showed diverse imaging findings with the most common abnormality detected being joint fluid followed by bone marrow edema and cruciate ligament tear. The great benefit from knee magnetic resonance imaging was in diagnosing meniscal tear, staging fractures and characterization of other miscellaneous pathologies. The prevalence of knee pathologies among our patients as revealed by knee magnetic resonance imaging was not in concordance with what is published in the literature especially for gender distribution of anterior cruciate ligament tear

Cerebral cavernoamas: radiological prevalence and clinical features in a 10 year retrospective study in a teaching hospital

Cerebral cavernous angiomas remain one of the most negotiable and controversial topics in neurological and neurosurgical practice. It can present with symptoms or can be found incidentally. The aim of this study is to evaluate the prevalence, clinical presentation, treatment options and outcome of patients with cerebral cavernoma.: Brain MRI for [14372] patients done in our university teaching hospital during 10 -year period from 2001 to 2011 were reviewed, 33 cases of cerebral cavernoma were found. The medical charts of these patients were reviewed and analyzed for their clinical presentation, treatment options and outcome. We identified 33 cases of cavernoma with a mean age of 33 +/- 16.8% years. There were 18 females and 15 males. Four cases were excluded from analysis [but included in prevalence calculation] due to unavailability of clinical data. In the 29 other cases there were 35 cavernomas. The radiologic prevalence of cavernomas in this population was 0.23%. Most cavernomas were found in the supratentorial regions mostly found in the frontal lobes. The most common presenting symptoms were seizures in males and headache in females. The radiologic prevalence of cerebral cavernomas was less than previous series, while clinical presentation was the same. Performing MRI at higher resolution and field strength with more sensitive sequences may lead to the detection of subtle or small brain abnormalities that would not have been detected previously

Aneurysmal bone cyst concomitant with fibrous dysplasia in the frontal bone

Secondary aneurysmal bone cyst in fibrous dysplasia is exceedingly rare, especially in the skull and particularly in the frontal bone. We present a case of aneurysmal bone cyst concomitant with fibrous dysplasia in the frontal bone in a 15-year-old male patient presenting with headache and euphoria with an uncharacteristic imaging appearance and treated successfully by total resection

Hip magnetic resonance imaging: descriptive epidemiology and outcome in Jordan University Hospital

To evaluate the experience in Jordan University Hospital regarding hip magnetic resonance imaging and to compare our findings with those published in medical literature. one hundred eighty two hip magnetic resonance images performed over the period of 7 years were reviewed, 88 patients [48.3%] had normal hip magnetic resonance image and were excluded from the study while the remaining 94 images [51.6%] with variable abnormalities were included in our study. Variable hip pathologies were seen, the most common was bone marrow edema syndrome found in 22 patients representing [23.4%] of the pathologies detected, followed by transient osteoporosis in 16 [17%] patients and avascular necrosis of the hip joint in 13 [13.8%] patients. Slipped femoral capital epiphysis and Paget_s disease were the least common seen in [1.1%] for each. In Jordan University Hospital referred patients for hip MRI scanning showed diverse findings with the most common abnormality detected being bone marrow edema syndrome of the femoral head followed by transient osteoporosis and avascular necrosis. The great benefit from magnetic resonance imaging was in diagnosing transient osteoporosis, staging avascular necrosis of the hip joint and characterization of deep pelvic soft tissue masses. The prevalence of hip pathology among Jordan University hospital patients as revealed by magnetic resonance imaging was in concordance with what was published in the literature

Descriptive epidemiological analysis, MRI signals intensity and histopathological correlations of meningiomas

To present our experience in operated meningioma cases regarding their prevalence, anatomical location, multiplicity, presenting signs and symptoms, and the possible correlation between MRI signal intensity and histological grades to set criteria for radio-pathological diagnosis. In this retrospective study, 120 operated meningioma cases in the Department of Neurosurgery, Jordan University Hospital [JUH], Amman, Jordan between January 1997 and January 2007 were reviewed. Our study included 90 cases, and their medical records, histopathological reports, and neuroimages were analyzed thoroughly. Meningioma was more common in females than males with a ratio of 2.2:1. Para-sagittal meningiomas were the most common [23.3%]. Multiple intracranial meningiomas were found in 4.4% of the cases. Most cases were of benign histopathology and exhibited iso-intense signals on Tl and T2, and appeared with hyper-intense signals on FLAIR with vivid enhancement. The prevalence of meningioma among genders and its anatomical location at JUH corresponds to the published medical literature worldwide. There was no correlation between signal intensities [as seen on T1WI, T2WI, and FLAIR sequences], enhancement pattern on one side, and histological grades on the other side

Uncommon incidental pseudoaneurysm. Diagnostic and management challenges

To analyze patients with uncommon incidental pseudoaneurysms, secondary to non-catheterization causes, and to discuss the peculiar clinical spectrum, and focus on some aspects of difference from post-catheterization pseudoaneurysms. Eleven patients, 8 males and 3 females, were studied retrospectively in Jordan University Hospital, Amman, Jordan, between 2002-2008. Radiological studies performed included duplex sonography [DS], computed tomography [CT], conventional angiography, magnetic resonance imaging [MRI], and magnetic resonance angiography [MRA]. Pseudoaneurysms were most commonly encountered in young males [63.6%], especially in the lower limb vessels [36%]. Clinical findings were suggestive of pseudoaneurysms in 27% of our cases. Four out of the 8 DS scans showed the neck of pseudoaneurysms, and the "to and fro" waveform, the strongest indicators for pseudoaneurysms. Both CT with intravenous contrast and angiography failed to establish the diagnosis in one out of 5 cases. The MRI with MRA showed the pseudoaneurysms in 2 patients that underwent the scan. Incidental pseudoaneurysms are considered following iatrogenic procedures, penetrating, or blunt traumas with variable delay time. Young healthy males are at increased risks, as opposed to elderly females with calcified vessels in post-catheterization cases. Duplex sonography is less sensitive in incidental than post-catheterization pseudoaneurysms. The CT scan with intravenous contrast has high accuracy in establishing the diagnosis in small, or medium sized pseudoaneurysms. The MRI and MRA are accurate valuable studies and comparable to conventional angiography

Pituitary magnetic resonance imaging experience in Jordan

To assess the pituitary findings as demonstrated on MRI and to compare the results with the data published in the literature. One thousand, one hundred and thirty-eight pituitary MRI's with and without intravenous contrast media [gadolinium] were performed over 6 years from 2001 to 2007 in the Department of Diagnostic Radiology, Jordan University Hospital, Amman, Jordan. The patients were referred from various departments and were evaluated for pituitary, other sellar, and juxtasellar abnormalities. The results were compared with those in the published literature. Four hundred and eight-three normal scans were excluded from the study. The remaining 655 were abnormal, pituitary adenoma was detected in 327 [49.9%], microadenoma was present in 213 [32.5%], and macroadenoma in 114 [17.4%]. Partial empty sella was seen in 157 [24%], diffuse pituitary gland enlargement in 98 [14.9%], ectopic pituitary posterior lobe in 13 [2%], and other findings in 31 [4.7%]. The incidence of pituitary adenoma was equal in both genders; however, microadenoma was more common, affected a younger age group, and was predominately seen in females. The other parameters showed agreement with the published literature

Ultrasound measurement of liver span in Jordanian adults: a preliminary experience

One of the most frequent ultrasound requests by clinicians is evaluation of hepatic size. Clinical evaluation by percussion and palpation can be inaccurate, unreliable with significant inter-observer variation. Ultrasound remains a very important imaging modality when the liver is concerned because it is simple, practical and easy-to-use. Yet, ultrasound measurement of liver span didn't receive much attention, particularly in this region. The aims of this study were to establish a normal figure of liver span for adults in Jordan, to investigate relationships between liver span and several anthropometric factors including age, gender, weight, height, body mass index and body surface area and to standardize ultrasound measurement of liver span. A prospective study was carried out at Jordan University Hospital between March 2007 and April 2008, on non-selected population sample of 242 male and 275 female adults with age range of 18-76 years. Statistical analyses including correlation, regression and 95% confidence intervals were performed on the data to test the statistical significance of the various relationships between liver span as represented by midclavicular line longitudinal diameter on one side, and several anthropometric factors including age, gender, weight, height, body mass index and body surface area. Our results showed that all anthropometric variables contributed highly and significantly to the variation in female liver span. The same factors however, with the exception of body mass index, significantly contributed to the variation in male liver span, however to a much lesser extent than females. The best predictor of liver span was height in case of males, body surface area in case of females. And both height and body surface area when both genders are considered. The 95% liver span confidence intervals were 12.3-12.8, 11.9-12.3 and 12.2-12.5 for males, females, and both genders combined, respectively. Height and body surface area were the best determinants of liver span in males and females, respectively

Currarino triad associated with malrotation of the colon

Currarino triad is a rare congenital condition characterized by a sacral bony defect, presacral mass, and anorectal malformations. We describe an unusual case of complete Currarino triad in a 22-year-old female with sacral bony defect, anal stenosis, recto-vaginal fistula, and dual pathology meningocele and teratoma in the pre sacral mass associated with malrotation of the colon. This combination has not been reported previously. The clinical presentation, surgical management and review of literature are discussed

Radiological findings in wolfram syndrome

To determine the precise radiologic findings in Wolfram syndrome [WFS] patients using objective techniques in order to better define the reference population for the clinical evaluation. Sixteen patients [6 males and 10 females] with WFS found in 4 families were included in this study. Fourteen patients with WFS-2 came from 3 families while 2 patients with WFS-1 from one family. All patients were studied at Jordan University Hospital, Amman, Jordan, from January 2001 through to January 2003 by definite radiologic techniques as part of a thorough clinical comprehensive assessment. These include intravenous urography, abdominal and pelvic ultrasonography, barium meal, upper gastrointestinal endoscopy and magnetic resonance imaging with and without contrast to the brain and the pituitary gl and s. Five of the female patients had a small uterus. Spina bifida was found in 7, hydronephrosis in 9 and hydroureter in 5 patients. Peptic ulcer was detected in 10 out of 14 available patients and helicobacter pylori in 7 out of 16 patients. Atrophy was detected in all brains, 9 brain stems, 12 cerebellums and 14 optic tracts of all patients. The size of the pituitary gl and s was variable. The particular radiologic assessment of patients with WFS proofed that, urinary tract dilatation was detected in WFS-1 and WFS-2 patients though all WFS-2 patients have no diabetes insipidus. Peptic ulcer was frequently higher in WFS-2 patients. No significant radiologic difference was found between patients with WFS-1 and WFS-2