Journal of clinical ultrasound : JCU
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Ceftriaxone is known to induce reversible precipitations, known as pseudolithiasis, in the gallbladder and urinary tract. The aim of this study was to investigate the incidence and predisposing factors that contribute to this side effect. ⋯ Biliary pseudolithiasis (and infrequently nephrolithiasis) usually occurs in children receiving high doses of ceftriaxone. It is generally asymptomatic. When this reversible complication becomes symptomatic, unnecessary cholecystectomy should be avoided.
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A 46-year-old man who presented with an unruptured left paraclinoid aneurysm was treated via endovascular embolization using Guglielmi detachable coils, obtaining its complete exclusion. Within 5 hours, the patient developed a transient mild headache and moderate speech difficulty. CT scans revealed a left temporal ischemic area. ⋯ The patient underwent a second embolization procedure with additional coils for complete exclusion of the aneurysm. His postoperative course was uneventful, with no additional neurological deficits. Although TCD monitoring is not recommended as a routine procedure in such cases, and experimental studies are needed to evaluate the possible risk of rebleeding in this specific setting, it could be used to detect the hemodynamic consequences of an acute increase in intracranial pressure, as in patients at risk of subarachnoid hemorrhage after endovascular treatment.
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We describe 3 cases of toddler's fracture of the tibia that were diagnosed via sonographic examination. In cases, initial radiographs did not show the fracture, whereas sonographic examination revealed a layer of low reflectivity superficial to the tibial cortex and an elevated periosteum, suggesting a fracture hematoma. ⋯ The third case was diagnosed via sonography and was confirmed by the initial radiographs. These results strongly suggest that sonography can detect the presence of a fracture hematoma and thus may help diagnose this injury earlier.
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Clinical Trial
Ultrasonographic assessment of Baker's cysts after intra-articular corticosteroid injection in knee osteoarthritis.
To assess sonographic changes in Baker's cysts (BCs) of patients with knee osteoarthritis after a single intra-articular corticosteroid injection. ⋯ In this series of osteoarthritis patients, injection of corticosteroids inside the knee joint accounted for a reduction in BC dimensions as well as cyst wall thickness. Sonography can be used not only for the diagnosis of BCs but also to monitor response to therapy.
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Randomized Controlled Trial Comparative Study
Plantar fasciitis treated with local steroid injection: comparison between sonographic and palpation guidance.
To compare the effectiveness of sonographically guided and palpation-guided steroid injection for the treatment of proximal plantar fasciitis. ⋯ Steroid injection can be an effective way to treat plantar fasciitis, and injection under sonographic guidance is associated with lower recurrence of heel pain.