ABSTRACT
Osteoïd osteoma is a benign bone tumor, easy to diagnose because of its typical presentation. However, it may be difficult in some cases: peculiar locations (spine, femoral neck...), or lack of visibility during surgery. Numerous removal technics under CT guidance have been proposed during the last few years. We will suggest another therapeutic way to treat a case of osteoïd osteoma, located in the upper extremity of the femur. The complete removal of the nidus was not possible despite two surgical attempts. So, its percutaneous sclerosis under CT guidance was accomplished, allowing the disappearance of the pain without patient immobilization afterwards. We will compare this easy and reliable method to those already described in the literature.
Subject(s)
Bone Neoplasms/therapy , Ethanol/therapeutic use , Osteoma, Osteoid/therapy , Pelvic Bones , Sclerosing Solutions/therapeutic use , Adolescent , Bone Neoplasms/diagnostic imaging , Female , Humans , Methods , Osteoma, Osteoid/diagnostic imaging , Pelvic Bones/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
The authors report one case of aneurysmal rachidian cyst who concern a young girl of eleven years old presenting lumbagos with pyramidal irritation on a L2 and L3 lesion. The radiological exploration (CT, MRI) has a double interest: to find again lytical pictures of the rear arch blowing the cortical, liquids levels, logets which remind the macroscopical appearance of the aneurysmal rachidian cyst; to specify the regional extension of preoperative interest. The histological confirmation of the aneurysmal rachidian cyst after a surgical treatment and the conformity of anatomo-radiological descriptions, confirm the predictive value of the semeiology described in case of aneurysmal rachidian cyst.
Subject(s)
Bone Cysts, Aneurysmal/diagnostic imaging , Lumbar Vertebrae , Bone Cysts, Aneurysmal/diagnosis , Child , Female , Humans , Magnetic Resonance Imaging , Spinal Diseases/diagnosis , Spinal Diseases/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
The progress made by noninvasive exploration for the assessment of vascular malformations now allows the therapeutic strategies to be better established. While observation and conservative methods are most often chosen, some arteriovenous malformations lead to contemplating a palliative or curative treatment. In these cases, embolization currently plays a great role, associated or not to surgery. This embolization obviously can be contemplated only after a collegial decision to treat these malformations has been made, knowing that they may be silent or acquire an uncontrollable evolution potential. The authors present 3 cases of peripheral arteriovenous malformations, treated by an endovascular way, and remind the principles and indications of these embolizations.
Subject(s)
Arteriovenous Malformations/therapy , Embolization, Therapeutic , Peripheral Vascular Diseases/therapy , Adolescent , Adult , Arteriovenous Malformations/classification , Arteriovenous Malformations/physiopathology , Buttocks/blood supply , Female , Humans , Intercostal Muscles/blood supply , Male , Peripheral Vascular Diseases/classification , Peripheral Vascular Diseases/physiopathology , Risk Factors , Thigh/blood supply , Time FactorsABSTRACT
Osteomyelitis of the skull base is a rare, but serious disease whose incidence is tending to increase. It affects the marrow of the temporal, occipital and sphenoid bones and is generally secondary to Pseudomonas aeruginosa infection of the external auditory meatus. Based on a clinical case, the authors recall the difficulty of establishing the positive diagnosis and the possible confusion with neoplastic disease, hence the fundamental role of biopsies. They also review the literature on this subject.
