Wearing High Heel and Planter Fasciitis: MRI Evaluation
Sameh Ahmad Khodair,
Rasha Loutfy Younes
Issue:
Volume 8, Issue 1, March 2020
Pages:
1-5
Received:
13 December 2019
Accepted:
30 December 2019
Published:
7 January 2020
Abstract: Purpose: To determine the type and frequency of characteristic MRI changes of the plantaris fascia in patients with painful heel and wear high heel shoes. Materials and Methods: 40 patients with painful heel, wearing high heels, their age raged from 25-50 years, underwent MR imaging. A control group included 20 subjects with no history of painful heel & not using high heels were included. Associations between the presence of palnter fasciitis, high heel, and body mass index, height of the heel, MRI imaging, self-reported co-morbidities and current heel pain were then explored. MR images were obtained with a 1.5-T superconducting MR imager with a 5-inch (13-cm) standard small flexible surface coil. Results: Thirty cases (75%) of the clinically suspected of plantar fasciitis was established by MR imaging. The most common finding was a peritendinous edema at the calcaneal insertion site which was found in all 30 patients. In 16 patients (53%), an intratendinous signal intensity increase of the plantar fascia could be observed. Compared to the control group (mean thickness 3.3 mm) the plantar fascia showed significant thickening in the thirty MR positive patients (mean thickness 7.7 mm). Conclusion: Planter fasciitis is common in high heel using women. Besides thickening of the plantar fascia, intratendinous signal intensity increase and peritendinous edema close to the plantar fascia are characteristic signs of plantar fasciitis on MRI. Both signs can reliably be seen on STIR sequences only.
Abstract: Purpose: To determine the type and frequency of characteristic MRI changes of the plantaris fascia in patients with painful heel and wear high heel shoes. Materials and Methods: 40 patients with painful heel, wearing high heels, their age raged from 25-50 years, underwent MR imaging. A control group included 20 subjects with no history of painful h...
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Diffusion-Weighted Magnetic Resonance Imaging in Characterization of Neck Lymph Nodes in Head and Neck Cancer
Usama Elsaied Ghieda,
Ahmed Abdul-Raheem Badr
Issue:
Volume 8, Issue 1, March 2020
Pages:
6-15
Received:
15 December 2019
Accepted:
30 December 2019
Published:
7 January 2020
Abstract: Aim: to prospectively determine if diffusion weighted magnetic resonance imaging can help in discrimination between benign and malignant lymph nodes in patients with head and neck cancer, using histological results as the standard of reference. Patients & Methods: 40 patients complaining of palpable cervical lymph nodes with unknown primary malignancy or having known head and neck cancer. MRI neck study was done for all patients, including pre and post contrast sequences and DWI. Histopathology was done for all patients. Statistical analysis of the differences in ADC values for benign and malignant nodes was performed, together with further analysis of the differences between the ADC values of metastatic lymph nodes and lymphoma. Results: 30 patients were histopathological proved malignant lymphadenopathy (20 metastatic from head and neck malignancy and 10 primary lymphomas) and 10 patients were histopathological proved benign lymphadenopathy (1 acute reactive lymphadenitis, 1 chronic granulomatous inflammation, 4 chronic non-specific inflammation & 4 reactive lymphoid hyperplasia). A statistically significant difference between ADC values of benign and malignant cervical nodes was reported with a threshold ADC value equal to 1.30 ×10-3 mm2/sec was identified. The ADC value for lymphoma was less than that for metastatic carcinoma, with high specificity and sensitivity values and a threshold ADC value equal to 0.9 ×10-3 mm2/sec was identified. Conclusion: MR diffusion imaging is helpful non-invasive method in differentiation between benign and malignant lymph nodes, and to the same extent differentiation between the variant types of malignant lymphadenopathy.
Abstract: Aim: to prospectively determine if diffusion weighted magnetic resonance imaging can help in discrimination between benign and malignant lymph nodes in patients with head and neck cancer, using histological results as the standard of reference. Patients & Methods: 40 patients complaining of palpable cervical lymph nodes with unknown primary maligna...
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A Rare Cause of Hemoptysis in Patients with Behcet's Disease: Hughes-stovin Syndrome: About One Case
Amine El Masloumi,
Jean Frederic Adjimabou,
Anass Chehboun,
Badr Boutakioute,
Meriem Ouali Idrissi,
Najat Cherif Idrissi El Ganouni
Issue:
Volume 8, Issue 1, March 2020
Pages:
16-19
Received:
18 February 2020
Accepted:
28 February 2020
Published:
17 March 2020
Abstract: Hughes-Stovin Syndrome (HSS) is a very rare condition characterized by pulmonary aneurysms and peripheral thrombophlebitis of lower limbs. The pathogenesis of Hughes Stovin Syndrome is unknown. It’s considered as a clinical variant of Behçet’s disease. The main clinical manifestation is haemoptysis and dyspnea. The management of HSS can either be medical or surgical. We report the case of a young patient of 25 years old followed for Bechet's disease, who presents for a medium abundance hemoptysis with a swelling of the lower limbs evolving for 20 days, the radiological investigations made it possible to pose the diagnosis of the Syndrome of Huges-Stovin showing thrombosed aneurysms of the pulmonary arteries with thrombophlebitis of the lower limbs, the patient benefited from an immunosuppressive treatment, the evolution was marked by a good clinical evolution.
Abstract: Hughes-Stovin Syndrome (HSS) is a very rare condition characterized by pulmonary aneurysms and peripheral thrombophlebitis of lower limbs. The pathogenesis of Hughes Stovin Syndrome is unknown. It’s considered as a clinical variant of Behçet’s disease. The main clinical manifestation is haemoptysis and dyspnea. The management of HSS can either be m...
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