ABSTRACT
The aim of this retrospective study was to document the various causes of epilepsy determined by computed tomography (CT). We studied 205 CT scans carried out in patients with symptomatic epilepsy. We identified 52 (25.36%) pathological causes: 18 cases (34.62%) of infectious lesions, predominantly toxoplasmosis, 9 cases (17.30%) of tumors, 9 cases (17.30%) of vascular lesions and 8 cases (15.39%) of post-traumatic and atrophic lesions. CT is of great value in the diagnosis of epilepsy, not only in the assessment of the disease, but also for identifying the lesion responsible for the seizures, which may be treatable. It is advisable to carry out a CT scan for any patient presenting with symptomatic epilepsy.
Subject(s)
Epilepsy/diagnostic imaging , Epilepsy/etiology , Tomography, X-Ray Computed , Adolescent , Adult , Aged , Atrophy , Brain/pathology , Brain Diseases/complications , Brain Injuries/complications , Brain Neoplasms/complications , Cerebrovascular Disorders/complications , Child , Child, Preschool , Female , Humans , Male , Meningeal Neoplasms/complications , Meningioma/complications , Middle Aged , Neurocysticercosis/complications , Retrospective Studies , Toxoplasmosis, Cerebral/complicationsABSTRACT
This study assess the incidence of fetal malformations and the contribution of ultrasound scans to their diagnosis in utero. We reviewed the files of 1,960 pregnant women of whom 30 (1.53%) had malformed fetuses. Ultrasound scanning detected 29 of these cases and failed to detect only one case (an arterial canal malformation). Neurological malformations, particularly hydrocephalus and anencephaly, were most common (12 cases), followed by urinary tract abnormalities (hydronephrosis and renal polycystosis). Other malformations, such as those of the digestive tract, thorax and face, occurred less frequently. Ultrasound scans can be used to decide whether the pregnancy should be continued and what postnatal treatment should be given.
Subject(s)
Fetal Diseases/diagnostic imaging , Fetus/abnormalities , Ultrasonography, Prenatal , Abortion, Induced , Anencephaly/diagnostic imaging , Brain/abnormalities , Craniofacial Abnormalities/diagnostic imaging , Digestive System Abnormalities/diagnostic imaging , Female , Humans , Hydrocephalus/diagnostic imaging , Hydronephrosis/diagnostic imaging , Incidence , Infant, Newborn , Patient Care Planning , Polycystic Kidney Diseases/diagnostic imaging , Pregnancy , Pregnancy Outcome , Retrospective Studies , Sensitivity and Specificity , Thorax/abnormalities , Urinary Tract/abnormalitiesABSTRACT
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
