Subject(s)
Bronchogenic Cyst/complications , Bronchogenic Cyst/diagnosis , Bronchopulmonary Sequestration/complications , Bronchopulmonary Sequestration/diagnosis , Magnetic Resonance Imaging , Tomography, X-Ray Computed , Bronchogenic Cyst/pathology , Bronchogenic Cyst/surgery , Bronchopulmonary Sequestration/pathology , Bronchopulmonary Sequestration/surgery , Diagnosis, Differential , Humans , Lung/pathology , Lung/surgery , Male , Middle Aged , ThoracotomySubject(s)
Cholecystitis/complications , Cholecystitis/diagnostic imaging , Hematocele/complications , Hematocele/diagnostic imaging , Hemoperitoneum/etiology , Abdominal Pain/etiology , Aged , Cholecystitis/surgery , Diagnosis, Differential , Hematocele/surgery , Humans , Male , Rupture, Spontaneous , Shock, Hemorrhagic/etiology , Tomography, X-Ray ComputedABSTRACT
MRI of the whole spine and radionuclide bone scan were performed prospectively on 50 consecutive patients with newly diagnosed non small-cell lung carcinoma. The final diagnosis of vertebral metastasis was made by means of follow-up studies. The prevalence of vertebral metastasis was 24% (12/50 patients). The sensitivity of MR imaging (92%) was superior to that of radionuclide bone scan (67%) in the detection of vertebral involvement, the specificity was the same (94%). MRI of the spine was not useful as a screening procedure before treatment, but offered advantages over radionuclide bone scan in patients with symptoms and when bone scintigraphy detected abnormal foci, including identification of additional vertebral metastatic foci and better analysis of the extent of metastatic involvement within vertebrae.
Subject(s)
Carcinoma, Non-Small-Cell Lung/secondary , Lung Neoplasms/pathology , Magnetic Resonance Imaging , Spinal Neoplasms/secondary , Adult , Aged , Aged, 80 and over , Bone and Bones/diagnostic imaging , Carcinoma, Non-Small-Cell Lung/diagnosis , Carcinoma, Non-Small-Cell Lung/diagnostic imaging , Female , Follow-Up Studies , Humans , Male , Middle Aged , Predictive Value of Tests , Prospective Studies , Radionuclide Imaging , Sensitivity and Specificity , Spinal Neoplasms/diagnosis , Spinal Neoplasms/diagnostic imaging , Time FactorsABSTRACT
Segmental arterial stenosis on intracranial carotid, horizontal parts of the middle cerebral and anterior cerebral arteries are possible complications in purulent meningitis in infants. From a case of these stenosis in a 10 1/2 month old girl with a pneumococcal meningitis, the authors point out the angiographic signs of these stenosis, their pronostic value and the place of carotid angiography in the diagnosis of these stenosis.
Subject(s)
Carotid Artery Diseases/diagnostic imaging , Meningitis, Pneumococcal/complications , Carotid Artery Diseases/etiology , Constriction, Pathologic/diagnostic imaging , Constriction, Pathologic/etiology , Female , Humans , Infant , RadiographyABSTRACT
The authors describe a group of 77 direct suspension laryngoscopies in which general anaesthesia and oxygen therapy were used. The technique is described in considerable detail. The catheter used is independent of the laryngoscope and is passed into the nasal cavity. Analysis of the gases in the blood of 15 patients showed that after three minutes of apnea, ventilation was still satsifactory. No pneumothorax occured during this type of anaesthesia. For the O.-R.-L. practitioner using the method, the advantages are as follows: induction anaesthesia is quicker than after neuroleptanalgesia, exposure of the larynx is excellent due to curarization and three endoscopies can be carried out in the same operation: laryngoscopy, oesophagoscopy and bronchoscopy. The disadvantage of general anaesthesia is that it makes it impossible to judge the mobility of the larynx. In 7,8 p. 100 of the cases, direct suspension laryngoscopy proved difficult or impossible to carry out fir anatomical reasons.