Assuntos
Processo Mastoide , Osteoma Osteoide/diagnóstico , Neoplasias Cranianas/diagnóstico , Adulto , Humanos , Masculino , Processo Mastoide/diagnóstico por imagem , Processo Mastoide/patologia , Osteoma Osteoide/diagnóstico por imagem , Neoplasias Cranianas/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
Two patients with congenital ptosis and extraocular muscle fibrosis are described. The first patient showed marked atrophy of the left inferior rectus muscle. The second patient showed bilateral changes in all extraocular muscles. Computed tomographic evaluation of the extraocular muscles was performed in both patients. The characteristic changes of this phenomenon were seen in both individuals and solidified the diagnosis.
Assuntos
Blefaroptose/diagnóstico por imagem , Blefaroptose/genética , Músculos Oculomotores/diagnóstico por imagem , Doenças Orbitárias/diagnóstico por imagem , Doenças Orbitárias/genética , Tomografia Computadorizada por Raios X , Adulto , Diagnóstico Diferencial , Feminino , Fibrose , Humanos , Masculino , Pessoa de Meia-Idade , Músculos Oculomotores/patologiaRESUMO
Cardiac disease is present in approximately 30% of children with stroke. Other case reports have documented stroke in patients who have previously undergone the Fontan procedure for correction of tricuspid atresia. Most of these strokes have occurred in the immediate postoperative period. There has been one report of a cerebral infarction 3 1/2 months after surgery. We report a child with superior cerebellar artery distribution infarction after undergoing the Fontan procedure 24 months previously. Previous reports of stroke in patients having undergone the Fontan procedure and possible etiologies for these strokes are discussed. We believe our patient had the longest procedure-to-stroke interim yet reported.
Assuntos
Cerebelo/irrigação sanguínea , Infarto Cerebral/etiologia , Complicações Pós-Operatórias/etiologia , Valva Tricúspide/cirurgia , Angiografia Cerebral , Infarto Cerebral/diagnóstico por imagem , Infarto Cerebral/patologia , Pré-Escolar , Humanos , Imageamento por Ressonância Magnética , Masculino , Complicações Pós-Operatórias/diagnóstico por imagem , Complicações Pós-Operatórias/patologia , Tomografia Computadorizada por Raios X , Valva Tricúspide/anormalidadesRESUMO
Balloon dilatation of ano-rectal strictures offers an alternative to surgical repair of such lesions. This procedure has been described in higher colonic strictures secondary to necrotizing enterocolitis in infants but not in post-surgical ano-rectal strictures. Two cases of successful balloon dilatation are reported. Anal sphincter injury resulting in fecal incontinence, as previously reported [1], did not occur.
Assuntos
Doenças do Ânus/terapia , Cateterismo , Complicações Pós-Operatórias/terapia , Doenças Retais/terapia , Doenças do Ânus/etiologia , Constrição Patológica/etiologia , Constrição Patológica/terapia , Feminino , Humanos , Recém-Nascido , Doenças Retais/etiologiaRESUMO
Radiographic evidence of renal involvement by sarcoidosis is usually demonstrated as nephrocalcinosis or nephrolithiasis. We present a case of renal sarcoidosis manifested as noncalcified masses on contrast enhanced CT.
Assuntos
Nefropatias/diagnóstico por imagem , Sarcoidose/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Adulto , Feminino , HumanosRESUMO
A 23-year-old white women complained of sore throat and difficulty in breathing. Examination of her larynx revealed chronic inflammatory changes of the epiglottis and aryepiglottic folds, and a biopsy demonstrated chronic granulomatous reaction. Six months later she developed chronic diarrhea, rectal pain, and typical anorectal findings of Crohn's disease. Biopsy of the anus revealed the same microscopic features as in the laryngeal structures. Treatment in keeping with the acceptable but limited measures for Crohn's disease brought improvement in both areas of inflammation. We feel this patient has Crohn's disease in the larynx, involvement which preceded that of the gastrointestinal tract.