Cases reported "Bone Diseases"

Filter by keywords:



Filtering documents. Please wait...

1/11. Eagle's syndrome: lesser cornu amputation: an alternative surgical solution?

    A case is reported of a 42-year-old female patient, who presented with clinical symptoms of Eagle's syndrome, radiographic evidence of marginally elongated styloid processes as well as markedly elongated lesser cornua of the hyoid. The symptoms were successfully treated by amputating the lesser cornua of the hyoid. The patient has now been asymptomatic for more than 6 years.
- - - - - - - - - -
ranking = 1
keywords = alternative
(Clic here for more details about this article)

2/11. Two sibs with an unusual pattern of skeletal malformations resembling osteogenesis imperfecta: a new type of skeletal dysplasia?

    We report a 6 year old boy with multiple fractures owing to bilateral, peculiar, wave-like defects of the tibial corticalis with alternative hyperostosis and thinning. Furthermore, he had Wormian bones of the skull, dentinogenesis imperfecta, and a distinct facial phenotype with hypertelorism and periorbital fullness. collagen studies showed normal results. His sister, aged 2 years, showed the same facial phenotype and dental abnormalities as well as Wormian bones, but no radiographical abnormalities of the tubular bones so far. The mother also had dentine abnormalities but no skeletal abnormalities on x ray. This entity is probably the same as that described in a sporadic case by Suarez and Stickler in 1974. In spite of the considerable overlap with osteogenesis imperfecta (bone fragility, Wormian bones, and dentinogenesis imperfecta), we believe this disorder to be a different entity, in particular because of the unique cortical defects, missing osteopenia, and normal results of collagen studies.
- - - - - - - - - -
ranking = 0.25
keywords = alternative
(Clic here for more details about this article)

3/11. Sporadic cardiac and skeletal myopathy caused by a de novo desmin mutation.

    desmin myopathy is a familial or sporadic disorder characterized by intracytoplasmic accumulation of desmin in the muscle cells. We and others have previously identified desmin gene mutations in patients with familial myopathy, but close to 45% of the patients do not report previous family history of the disease. The present study was conducted to determine the cause of desmin myopathy in a sporadic patient presenting with symmetrical muscle weakness and atrophy combined with atrioventricular conduction block requiring a permanent pacemaker. A novel heterozygous R406W mutation in the desmin gene was identified by sequencing cDNA and genomic dna. Expression of a construct containing the patient's mutant desmin cDNA in SW13 (vim-) cells demonstrated a high pathogenic potential of the R406W mutation. This mutation was not found in the patient's father, mother or sister by sequencing and restriction analysis. Testing with five microsatellite markers and four intragenic single nucleotide polymorphisms excluded alternative paternity. Haplotype analysis indicates that the patient's father was germ-line mosaic for the desmin mutation. We conclude that de novo mutations in the desmin gene may be the cause of sporadic forms of desmin-related cardiac and skeletal myopathy.
- - - - - - - - - -
ranking = 0.25
keywords = alternative
(Clic here for more details about this article)

4/11. Visual improvement after chiasmapexy for primary empty sella turcica.

    Postoperative visual improvement is described in a patient found to have primary empty sella turcica on evaluation of her sole symptom, progressive painless visual impariment. Chiasmal elevation by filling the sella turcia with muscle was found to be an alternative to opening the lamina terminalis and may be preferred in cases of empty sella which lack dense adhesions of the chiasm to the sella floor.
- - - - - - - - - -
ranking = 0.25
keywords = alternative
(Clic here for more details about this article)

5/11. Bone abscess due to mycobacterium xenopi.

    Destructive infection of a cuneiform bone due to M. xenopi is described. The organism was isolated and its significance established by a strong skin reaction to xenopi antigen and by demonstration of bacilli in the lesion with fluorescence microscopy. This evidence of metastatic disease suggests that an alimentary route of infection as an alternative to inhalation could be considered.
- - - - - - - - - -
ranking = 0.25
keywords = alternative
(Clic here for more details about this article)

6/11. Orbitofrontal cholesterol granuloma: percutaneous endoscopic-assisted curettage.

    This paper describes the use of endoscopic visualization in curettage of orbital cholesterol granuloma (OCG). Two males aged 54 and 50 years presented with orbitofrontal cholesterol granulomas arising in the superolateral frontal bone and abutting the dura. The granulomas were approached via a superior eyelid crease incision and a 70 degree rigid endoscope was used to visualize curettage of the granuloma from the inner surface of the frontal bone and the dura. Both patients made an uncomplicated recovery and there was no recurrence at eight months and two years follow up. Percutaneous endoscopic curettage is an alternative to blind curettage, lateral orbitotomy or frontal craniotomy for OCG.
- - - - - - - - - -
ranking = 0.25
keywords = alternative
(Clic here for more details about this article)

7/11. Resection and reconstruction of a massive femoral hemophilic pseudotumor.

    Hemophilic pseudotumor is a rare, but well-known, complication of hemophilia. We describe a 50-year-old man with mild hemophilia a, but with no previous need for factor viii supplementation, who presented with a pathologic fracture of the right femoral neck and shaft caused by a large hemophilic pseudotumor. Initial nonoperative therapy with factor replacement and skeletal traction resulted in radiographic evidence of fracture healing, but the patient's pain persisted. Therefore, he had a radical resection of his hemophilic pseudotumor (soft tissue component and entire femur), and reconstruction with a custom total femoral replacement. Six months after resection, the patient returned to full-time employment. Although pseudotumor formation is a well-recognized complication of hemophilia, the pseudotumor in our study is one of the largest yet described. More importantly, to our knowledge this is the first report of a pseudotumor treated by radical resection and reconstruction with a custom femoral prosthesis. We think that radical resection and reconstruction with a custom total femoral prosthesis is a valuable alternative to amputation in massive pseudotumors of the femur and soft tissues of the thigh.
- - - - - - - - - -
ranking = 0.25
keywords = alternative
(Clic here for more details about this article)

8/11. Management of petrous apex lesions.

    Advancements in imaging pose new diagnostic and therapeutic dilemmas as smaller lesions in the relatively inaccessible regions of the petrous apex and clivus are identified. Differentiation of true pathology from artifact and anatomic variants is critical in management of these lesions. We describe our experience with five patients diagnosed with petrous apex lesions: three, cholesteatomas; one, cholesterol granuloma; and one, false-positive. Soft-tissue obliteration of the temporal bone defect with postoperative follow-up using high-resolution computed tomographic scanning and magnetic resonance imaging is proposed as an alternative to exteriorization.
- - - - - - - - - -
ranking = 0.25
keywords = alternative
(Clic here for more details about this article)

9/11. cholesterol granuloma of the cerebellopontine angle.

    Two unusual cases of cholesterol granuloma of the temporal bone manifested as cerebellopontine angle tumors. To our knowledge, cerebellopontine angle extension of this lesion has not previously been reported. Obstruction of ventilation and drainage of any air complex in the temporal bone may produce cholesterol granuloma. Asymptomatic involvement of the mastoid air cell system is common in chronic otitis media. Surgical management of cholesterol granuloma with cerebellopontine angle extension is recommended. Total excision of the lesion is preferred; marsupialization into the mastoid air cell system is an alternative if excision would produce a major neurologic deficit.
- - - - - - - - - -
ranking = 0.25
keywords = alternative
(Clic here for more details about this article)

10/11. Endoscopic repair of anterior skull base cerebrospinal fluid fistulas: an emphasis on postoperative nasal function maximization.

    Endoscopic repair of cerebrospinal fluid (CSF) fistulas has been proposed as an alternative to the traditional intracranial and extracranial approaches. This study reports on four consecutive adult cases of anterior skull base CSF fistulas. The technique used for endoscopic repair, which was designed to maximize postoperative nasal function, is described in detail. The results and complications recorded, using this technique, are reported. Endoscopic repair appears to be a safe and successful approach in the surgical treatment of CSF fistulas while preserving nasal function.
- - - - - - - - - -
ranking = 0.25
keywords = alternative
(Clic here for more details about this article)
| Next ->


Leave a message about 'Bone Diseases'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.