Clinical imaging
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In order to evaluate sensitivity, specificity and accuracy of radiographic findings, 1347 patients with minor cervical injury underwent clinical, orthopaedic, neurosurgical examination, and were classified as monosymptomatic (only cervical pain) or polysymptomatic (cervical pain plus additional symptoms). X-rays were taken in anteroposterior, lateral and open-mouth views; additional views if necessary. X-ray outcome was normal in 69.8% of monosymptomatic patients and there were no fractures. ⋯ Elevated statistical radiographic values were reached. All patients with minor cervical trauma should undergo clinical, neurosurgical and three-view radiographic follow-up. A simplified algorithm could lead to substantial savings and decrease patients' exposure to radiation.
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Case Reports
Diastematomyelia with terminal lipomyelocystocele arising from one hemicord: case report.
Diastematomyelia is an uncommon spinal dysraphism with midline dorsoventral clefting of the spinal cord. Formation of syrinx cavity within the hemicord, vertebral anomalies and lipomas is known to be associated with diastematomyelia. ⋯ Ectopic right kidney, Chiari I malformation and changes of partial sacral agenesis were other findings noted in this case. No case report of formation of terminal myelocystocele arising from one hemicord was described in the literature we reviewed.
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Urinary bladder herniation into the inguinal canal is a rare occurrence. The condition is often diagnosed during inguinal hernia surgery. We present a rare case of inguinoscrotal bladder herniation with its computed tomography findings.
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Magnetic resonance imaging (MRI) provides the most detailed evaluation of the sacroiliac (SI) joint and surrounding soft tissue. Therefore, this technique represents the most sensitive and specific method in early diagnosis of infectious sacroiliitis. Among three patients diagnosed as having infectious sacroiliitis in our hospital, the short tau inversion recovery sequence (STIR) was found to be more effective than the T1 contrast-enhanced sequence, particularly in delineating all findings of the SI joint inflammation and allowing for the early detection of septic sacroiliitis.
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Laryngocele may be defined as an abnormal dilatation of the saccule of the ventricle and its pathogenesis is uncertain. We report a laryngocele caused by amyloidosis localized to larynx in a 60-year-old male patient. We would like to mention that amyloidosis should be evaluated in the etiology of patients diagnosed as having a laryngocele.