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  • 1
    ISSN: 1432-2161
    Keywords: Key words Echinococcosis ; Bone ; Soft tissue ; Liver
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Objective. The present study demonstrates the osseous and soft tissue manifestations of alveolar echinococcosis (AE). Patients. We report on eight patients with AE with bone or soft tissue involvement confirmed at biopsy or needle cytology. Results. All eight patients showed hepatic involvement. Four exhibited infiltration of the spine as a result of direct spread of the hepatic primary lesion; distant metastases were observed in only three of these patients. Calcifications, which are typical for hepatic manifestations of the disease, were observed in soft tissue in only two of eight cases (25%); we observed no instances of endovesicular daughter cysts. Conclusion. AE manifests itself in the vertebral column as a form of spondylitis and in soft tissue presents similar to an abscess. Since in most of these cases spread of the disease per continuitatem from the liver is present, the diagnosis is easily made from the characteristic hepatic findings.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2102
    Keywords: Schlüsselwörter A. ischiadica ; Aneurysma ; Thrombolyse ; Angiographie ; Keywords Sciatic artery ; Aneurysm ; Thrombolysis ; Angiography ; Stentgraft
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract The sciatic artery is a rarely seen variant of the vessels of the lower limb. Anatomically it is the prolongation of the inferior gluteal artery and accompanies the sciatic nerve from the sciatic foramen to the knee. More than other vessels, the sciatic artery shows vasculopathies like diffuse dilatation or aneurysms. This report describes an interesting case of embolic acute ischemia, caused by a persistent sciatic artery with an aneurysm. We treated the ischemia with intraA. l lysis and bridged the aneurysm with an covered stent.
    Notes: Zusammenfassung Die A. ischiadica ist eine selten zu findende anatomische Variante des Gefäßsystems der unteren Extremität. Anatomisch entspricht die A. ischiadica einer Verlängerung der A. glutea inferior und begleitet den N. ischiadicus ab dem Foramen ischiadicum bis zum Knie, wo sie in die Unterschenkelarterien mündet und zu den muskelversorgenden Arterien gehört. Die A. ischiadica neigt aufgrund eines minderwertigen Gefäßaufbaus zu Vaskulopathien. Insbesondere aneurysmale Dilatationen der A. ischiadica sind mit einer hohen Inzidenz beschrieben worden. Der vorliegende Fallbericht beschreibt den interessanten Fall einer akuten Ischämie im Bereich des Unterschenkels, ausgelöst durch Thromben aus einer aneurysmatisch veränderten A. ischiadica. Die akute Ischämie wurde erfolgreich durch eine intraarterielle Lyse behandelt. Das Aneurysma wurde sekundär durch eine beschichtete Stentprothese ausgeschaltet.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    European radiology 8 (1998), S. 1452-1454 
    ISSN: 1432-1084
    Keywords: Key words: Epidurography ; MRI ; CT
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. The aim of this study was to evaluate and describe MRI epidurography as a new imaging tool. Five volunteers and one patient were investigated with MR epidurography after injection of 20 ml Gd-DPTA solution (1 : 250/1 ml Gd-DPTA/250 ml normal saline). Magnetic resonance epidurography is possible. With fat-suppression techniques, the contrast between Gd-DPTA solution in the epidural space and surrounding soft tissue proved adequate. Using the multiplanar capability of MRI with MR epidurography coronal and sagittal projections similar to conventional epidurography, axial slices comparable to CT epidurography can be obtained. Magnetic resonance epidurography is superior to conventional and CT epidurography. Presently, due to high costs as compared with conventional and CT epidurography, MRI is not suitable for the routine monitoring of peridural catheters, but it may have a place in the future with decreasing costs for MRI and for the evaluation of patients with spine pathology, especially in describing epidural processes.
    Type of Medium: Electronic Resource
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