Pediatric radiology
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Pediatric radiology · Aug 2003
Case ReportsAbdominal aortic injury in a child: intravenous digital subtraction angiogram (IVDSA) for the diagnosis of pediatric vascular trauma.
Abdominal aortic injury due to trauma is a rare entity, especially in the pediatric population. We report a 6-year-old girl with partial transection of the abdominal aorta as a result of a motor vehicle accident. ⋯ The patient survived the injury. We discuss the imaging findings, mechanisms, and associated injuries of abdominal aortic trauma in children.
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Pediatric radiology · Jul 2003
ReviewPaternal uniparental disomy 14: introducing the "coat-hanger" sign.
Paternal uniparental disomy for chromosome 14 (patUPD14) is a rare condition, this being the eighth report. A male infant, born prematurely, was noted to have extremely lax skin and bilateral inguinal hernias. Skin biopsy confirmed the clinical diagnosis of congenital cutis laxa, but this did not explain the limb abnormalities. ⋯ The patient died after prolonged respiratory failure. This combination of patUPD14 and congenital cutis laxa has not previously been described. Radiology can play a pivotal role in guiding the geneticist's choice of investigation.
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Pediatric radiology · Jun 2003
ReviewSclerotherapy in aneurysmal bone cysts in children: a review of 17 cases.
To determine the efficacy of percutaneous sclerotherapy in the treatment of aneurysmal bone cysts. ⋯ Percutaneous sclerotherapy of aneurysmal bone cysts with Ethibloc is safe and effective. It is an important alternative to surgery, especially when surgery is technically impossible or not recommended in high-risk patients.
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Pediatric radiology · Mar 2003
Comparative StudyThe effect of screening sonography on the positive rate of enemas for intussusception.
The referring physicians at our institution used the enema as a diagnostic test in children with suspected intussusception. ⋯ Screening US has decreased unnecessary enemas for clinically suspected intussusception, increasing positive findings from 22% to 58%. This has in turn reduced children's exposure to radiation.
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Pediatric radiology · Dec 2002
Case ReportsSymptomatic epidural lipomatosis of the spinal cord in a child: MR demonstration of spinal cord injury.
We report a case of symptomatic epidural lipomatosis in an 8-year-old girl with Cushing's syndrome secondary to longstanding high-dose steroid therapy for Crohn's disease. MR imaging of the spine revealed massive diffuse epidural fat compressing the entire spinal cord with T2 prolongation in the central gray matter of the cord suggesting ischemic myelopathy. This finding has not been previously demonstrated on imaging. A proposed mechanism underlying these findings is discussed.