[Joubert syndrome combined with unilateral facial paralysis: a rare variant of Joubert syndrome]. / Joubert-Syndrom in Kombination mit einseitiger Facialisparese: Eine seltene Variante des Joubert-Syndroms.

We report the case of a mature newborn infant, which aroused attention 8 hours after birth due to an unexplainable paroxysmal tachypnea together with subsequently prolonged apnea. The combination of tachypnea, athetoid movement patterns, apraxia of the tongue, nystagmus and dysplasia of the cerebellum with dilation of the 4th ventricle, led to the diagnosis of Joubert-Syndrome. The child also showed a variation of a connatal unilateral facial nerve palsy, which has not previously been described in connection with a Joubert-Syndrome.

[The present status of the radiologic diagnosis of acute pulmonary failure]. / Derzeitiger Stand der radiologischen Diagnostik beim akuten Lungenversagen.

Acute pulmonary failure is a very serious cause of respiratory failure and can occur in association with a multitude of disease. Radiological diagnosis occupies a central position in intensive-care monitoring. X-ray film of the thorax is performed not only for detecting any complications, but mainly for noninvasive and semiquantitative determination of the extravascular pulmonary fluid and hence of the fluid balance, although it is imperative to take into account any influence that associated disease and therapy measures. Other methods such as MR or methods of nuclear medicine have not acquired substantial importance in respect of diagnosing and monitoring acute pulmonary failure.

Intracerebral Nocardia brasiliensis infection.

Case report about cerebral infection with the species Nocardia Brasiliensis in a not immunocompromised host. Diagnosis, treatment and neuroradiological findings are shown and compared with current studies.

[Scar tissue, organ atrophy and hypertrophy in the computed tomogram after abdominal surgery]. / Narbengewebe, Organatrophie und Hypertrophie im Computertomogramm nach Abdominalchirurgie.

After resection of parenchymal abdominal organs the developing scar tissue is characterised by fat (-30 to -50 H.U.) in connection with mesenchymal funicles. Differential diagnosis presents no problem. Atrophy and hypertrophy may sometimes be demonstrated in CT. This is valid for compensating hypertrophy of the remaining parts of the liver, splenic regeneration or an accessory spleen. Furthermore, involution of the tail of the pancreas after proximal duodenopancreatectomy could be shown in CT. One pancreatic calcification decreased after drainage of a pseudocyst.

[Computerized tomogram following pancreatic resection]. / Computertomogramm nach Pankreasresektion.

After partial or total pancreatic resection displacement of abdominal organs, alterated bile- and food passage as well as pathological signs may be observed. In this serie scar-tissue was no problem in the differential diagnosis. Tumor recurrency can be demonstrated quite easily if follow-up examinations are available. Artifacts may influence the interpretation and can be the cause of a false negative reading.

[Atlas arch aplasia]. / Atlasbogenaplasie.

A bilateral aplasia of the dorsal arches of the atlas with persisting tuberculum posterius has been observed by the authors. Since the patient had suffered a severe cranio-cerebral trauma, it became necessary to exclude a possible fracture by differential diagnosis. This was possible by means of CT and conventional x-ray diagnosis. According to the classification of dorsal atlas arch aplasia by von Torklus and Gehle (1975) into 6 types, the diagnosis was, in the case under report, Keller's type of aplasia of the arch of the atlas.