ABSTRACT
INTRODUCTION: Traumatic lesions of cervical spine are common, but those of the cervico-occipital junction are less frequent but more serious. PURPOSE: Evaluate the radiological aspects of cervico occipital Junction traumatisms. METHODS: It is a retrospective study of 32 files of cervico occipital junction traumatisms, collected from January 1995 to December 2004. Imaging methods used were: conventional radiography and computed tomography. RESULTS: Cervico occipital junction traumatisms were less common. They account for 12.7% of cervical spine traumatisms and 0.64% of the admissions. Patients mean age was of 36 years with a male predominance of 81%. Main etiologies were public highway accidents (66%), falls (7%), sports accidents (6%). Bone lesions were most frequent, dominated by fractures of the axis (58%), followed by those of the atlas (24%) and of the occipital bone (5%). Dislocations were observed in 10 patients. Basilar print was observed in two patients who deceased. Polytrauma was observed in 34% of the patients. CONCLUSION: Cervico occipital junction traumatisms are severe and uncommon in hospitals because of their high lethality. CT is most effective for analyzing lesions.
Subject(s)
Atlanto-Occipital Joint/diagnostic imaging , Atlanto-Occipital Joint/injuries , Cervical Vertebrae/diagnostic imaging , Cervical Vertebrae/injuries , Craniocerebral Trauma/diagnostic imaging , Tomography, X-Ray Computed , Accidental Falls , Accidents, Traffic , Adolescent , Adult , Aged , Aged, 80 and over , Athletic Injuries/complications , Child , Craniocerebral Trauma/etiology , Female , Humans , Joint Dislocations/diagnostic imaging , Male , Medical Records , Middle Aged , Retrospective Studies , Risk FactorsABSTRACT
Ultrasonography can be used to guide fine needle biopsy of suspected malignant liver lesions. In Abidjan this method allowed cytologic identification of 63 liver lesions disclosed by ultrasonography. In 53 cases (84%) including 41 hepatocarcinomas, 4 Burkitt's lymphomas, and 8 metastases, cytology confirmed malignancy. In 10 cases, initially supposed to be hepatocarcinomas (6 cases) or metastases (4 cases), cytologic findings led to a different diagnosis of either cirrhosis, abscess, or necrotic tissue (4 cases). No complications were observed in this series of 63 ultrasonically guided biopsies. This safe, easy, sensitive, and cost-effective technique should be used to identify the solid tumors. This indication is common in Black Africa where these tumors are common.
Subject(s)
Biopsy, Needle/methods , Liver Neoplasms/pathology , Ultrasonography, Interventional/methods , Biopsy, Needle/economics , Cost-Benefit Analysis , Humans , Liver Neoplasms/diagnostic imaging , Reproducibility of Results , Sensitivity and Specificity , Ultrasonography, Interventional/economicsABSTRACT
Les auteurs; a partir d'un cas de lymphagiome kystique cervical; signalent l'apport de l'imagerie medicale; surtout de l'echographie et la tomodensitometrie; dans le diagnostic de cette affection rare
Subject(s)
Lymphangioma , Lymphangioma/diagnostic imaging , TomographyABSTRACT
In the following observation, the authors report one case of lithiasegenic diverticulum. Etiologies (congenital or acquired), complications and principal radiological diagnosis methods are reviewed.
Subject(s)
Calculi/etiology , Diverticulum/complications , Urethral Diseases/complications , Aged , Humans , MaleABSTRACT
Ultrasound imaging was first used in the two hospital and university centers of Abidjan in 1983, and findings since then have demonstrated the previously unrecognized frequency and variability of gallbladder affections. Particular conditions of functioning of an ultrasonography department in tropical surroundings are analyzed and ultrasound features of bile stones, cholecystitis and gallbladder cancer described.
