ABSTRACT
Stroke in children is an important public health problem because, even if it is 10 folds less frequent than in adults, it may have severe consequences, related to the lack of dedicated stroke network in childhood. Therefore, it is important to know the initial clinical symptoms of stroke in children as well as the lack of aphasia opposed to the great frequency of epilepsy, and dystonia. The causes are different compared to the great frequency of cerebral hemorrhage from vascular malformations, cerebral infarct from genetic, cardiac or thrombophilic origin. Prognosis is more favourable compared to that of adults. The management of stroke in childhood must be included in the stroke network of adults, associating the paediatricians. Fibrinolysis is possible in children with a similar efficacy compared to that of adults.
Subject(s)
Community Networks/organization & administration , Emergency Medical Services/organization & administration , Health Plan Implementation , National Health Programs/organization & administration , Stroke/therapy , Adult , Age of Onset , Child , Emergencies , Emergency Medical Services/methods , France/epidemiology , Health Plan Implementation/methods , Humans , Stroke/diagnosis , Stroke/epidemiology , Stroke/etiologyABSTRACT
BACKGROUND: Lipoleiomyoma is an extremely rare, benign, uterine tumor that requires no treatment when asymptomatic. It is important to differentiate it from malignant conditions requiring surgery. METHODS: A uterine lipoleiomyoma in a 68-year-old asymptomatic woman exhibited highly suggestive features by ultrasound, multislice spiral computed tomography (CT), and magnetic resonance imaging (MRI). RESULTS: The ultrasound findings were non-specific. CT scan showed an 8 x 7 cm well-defined fatty mass of the uterine body. On T(2)-weighted MR images, fat content within the tumor was confirmed because of evident chemical shift artifact.To our knowledge, the findings provided by these three modalities used in combination have not been reported previously in the gynecologic literature. CONCLUSION: The data yielded by CT and MRI on the fatty nature of the lesion are valuable in diagnosing this entity.The final pathological examination results confirmed the diagnosis of lipoleiomyoma.
