ABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Hemangioma/diagnostic imaging , Hemangioma/surgery , Drug Therapy, Combination , Spinal Puncture/methods , Early Diagnosis , Magnetic Resonance Spectroscopy , Diagnosis, DifferentialABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Cerebellum/pathology , Epilepsy, Complex Partial/complications , Epilepsy, Complex Partial/pathologyABSTRACT
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Subject(s)
Male , Aged , Humans , Aortic Valve Stenosis/diagnosis , Coronary Vessel Anomalies/physiopathology , Tomography, X-Ray Computed , Coronary AngiographyABSTRACT
We report a 70 years old man with old myocardial infarction of the anteroseptal wall. He had an acute anterior myocardial infarction ten years ago and coronary angiography showed a total occlusion of the left middle anterior descending coronary artery. He underwent a multidetector cardiac computed tomography for rule out another coronary stenosis before the surgery of a postrenal aortic aneurysm. The unenhanced computed tomography image realized for the quantification of the coronary calcium reveals a low-attenuation curvilinear stripe consistent with subendocardial fat at the anterior ventricular wall and a curvilinear focal apical left ventricular calcification. In this case without a precontrast CT the subendocardial fat could have been misinterpreted , leading us to conclude that a hypoenhancement area (perfusion defect) secondary from the reduced delivery of contrast in the subendocardium was present. The presence of calcium in the myocardium can make not trustworthy the estimation of the size of the infarct and the presence or absence of viability in the same one especially when it is realized by means of magnetic resonance.
Subject(s)
Artifacts , Calcinosis/diagnostic imaging , Cardiomyopathies/diagnostic imaging , Coronary Stenosis/complications , Endocardium/diagnostic imaging , Lipomatosis/diagnostic imaging , Myocardial Infarction/complications , Tomography, X-Ray Computed , Aged , Calcinosis/etiology , Cardiomyopathies/etiology , Coronary Angiography , Coronary Stenosis/diagnostic imaging , Heart Ventricles/diagnostic imaging , Humans , Lipomatosis/etiology , Male , Myocardial Infarction/diagnostic imaging , Myocardial Infarction/etiologySubject(s)
Aortic Diseases/diagnosis , Magnetic Resonance Imaging , Ulcer/diagnosis , Aged , Humans , MaleABSTRACT
Endomyocardial disease is a restrictive cardiomyopathy that includes Löffler endocarditis, which is characterized by hypereosinophilia, and endomyocardial fibrosis, which is not. Echocardiography enables cardiac function and anatomy to be assessed and the differential diagnosis of other causes of restrictive disease, but magnetic resonance imaging provides information about the tissue itself. Furthermore, paramagnetic contrast agents are useful in detecting myocardial abnormalities. We report three cases of endomyocardial disease and the typical findings of magnetic resonance imaging.
Subject(s)
Endocarditis/diagnosis , Endomyocardial Fibrosis/diagnosis , Magnetic Resonance Imaging , Adolescent , Adult , Diagnosis, Differential , Humans , Male , Middle AgedABSTRACT
La enfermedad endomiocárdica es una forma de miocardiopatía restrictiva que incluye la endocarditis de Löffler asociada a hipereosinofilia y la fibrosis endomiocárdica, en la que la hipereosinofilia suele estar ausente. Si bien la ecocardiografía es útil en estos pacientes para evaluar la morfología y función cardíacas, así como establecer el diagnóstico diferencial con otras causas de enfermedad restrictiva, la resonancia magnética permite, además, realizar el estudio de la caracterización hística incluyendo el empleo de contrastes paramagnéticos para detectar anomalías miocárdicas. Presentamos tres casos de enfermedad endomiocárdica, a partir de los cuales analizamos los hallazgos característicos de esta enfermedad en el estudio por resonancia magnética (AU)
